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Perspective on ultrasound bioeffects and possible implications for continuous post-dive monitoring safety.

Publication ,  Journal Article
McCune, EP; Le, DQ; Lindholm, P; Nightingale, KR; Dayton, PA; Papadopoulou, V
Published in: Diving and hyperbaric medicine
June 2022

Ultrasound monitoring, both in the form of Doppler and 2D echocardiography, has been used post-dive to detect decompression bubbles circulating in the bloodstream. With large variability in both bubble time course and loads, it has been hypothesised that shorter periods between imaging, or even continuous imaging, could provide more accurate post-dive assessments. However, while considering applications of ultrasound imaging post-decompression, it may also be prudent to consider the possibility of ultrasound-induced bioeffects. Clinical ultrasound studies using microbubble contrast agents have shown bioeffect generation with acoustic powers much lower than those used in post-dive monitoring. However, to date no studies have specifically investigated potential bioeffect generation from continuous post-dive echocardiography. This review discusses what can be drawn from the current ultrasound and diving literature on the safety of bubble sonication and highlights areas where more studies are needed. An overview of the ultrasound-bubble mechanisms that lead to bioeffects and analyses of ultrasound contrast agent studies on bioeffect generation in the pulmonary and cardiovascular systems are provided to illustrate how bubbles under ultrasound can cause damage within the body. Along with clinical ultrasound studies, studies investigating the effects of decompression bubbles under ultrasound are analysed and open questions regarding continuous post-dive monitoring safety are discussed.

Duke Scholars

Published In

Diving and hyperbaric medicine

DOI

EISSN

2209-1491

ISSN

1833-3516

Publication Date

June 2022

Volume

52

Issue

2

Start / End Page

136 / 148

Related Subject Headings

  • Ultrasonography
  • Humans
  • Embolism, Air
  • Echocardiography
  • Diving
  • Decompression Sickness
  • 4207 Sports science and exercise
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
McCune, E. P., Le, D. Q., Lindholm, P., Nightingale, K. R., Dayton, P. A., & Papadopoulou, V. (2022). Perspective on ultrasound bioeffects and possible implications for continuous post-dive monitoring safety. Diving and Hyperbaric Medicine, 52(2), 136–148. https://doi.org/10.28920/dhm52.2.136-148
McCune, Erica P., David Q. Le, Peter Lindholm, Kathryn R. Nightingale, Paul A. Dayton, and Virginie Papadopoulou. “Perspective on ultrasound bioeffects and possible implications for continuous post-dive monitoring safety.Diving and Hyperbaric Medicine 52, no. 2 (June 2022): 136–48. https://doi.org/10.28920/dhm52.2.136-148.
McCune EP, Le DQ, Lindholm P, Nightingale KR, Dayton PA, Papadopoulou V. Perspective on ultrasound bioeffects and possible implications for continuous post-dive monitoring safety. Diving and hyperbaric medicine. 2022 Jun;52(2):136–48.
McCune, Erica P., et al. “Perspective on ultrasound bioeffects and possible implications for continuous post-dive monitoring safety.Diving and Hyperbaric Medicine, vol. 52, no. 2, June 2022, pp. 136–48. Epmc, doi:10.28920/dhm52.2.136-148.
McCune EP, Le DQ, Lindholm P, Nightingale KR, Dayton PA, Papadopoulou V. Perspective on ultrasound bioeffects and possible implications for continuous post-dive monitoring safety. Diving and hyperbaric medicine. 2022 Jun;52(2):136–148.

Published In

Diving and hyperbaric medicine

DOI

EISSN

2209-1491

ISSN

1833-3516

Publication Date

June 2022

Volume

52

Issue

2

Start / End Page

136 / 148

Related Subject Headings

  • Ultrasonography
  • Humans
  • Embolism, Air
  • Echocardiography
  • Diving
  • Decompression Sickness
  • 4207 Sports science and exercise
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services
  • 1103 Clinical Sciences