Ultrasound contrast agents, which may include a gas core and lipid or albumin shell, play an increasingly important role in medical imaging. However, a complex set of phenomena have limited quantitative evalua- tion of tissue perfusion based on echoes from these microbubbles. With the use of optical microscopy, mechanisms of microbubble destruction during insonation are evaluated, as well as the effects of ultrasonic radiation force. Depending on conditions such as acoustic intensity and dissolved gas concentration in the media, several mechanisms can change the microbubble and promote its destruction during insonation. Slow gas diffusion from the bubble is observed with low-intensity transmission, but with several pulses at a higher intensity, the albumin shell may weaken sufficiently to release the gas core. It is demonstrated that the primary acoustic radiation force has a significant effect on microbubbles when the ultrasound is transmitted with a low acoustic pressure and high pulse repetition frequency. Deflection of the contrast agent streamline to the wall of a small vessel is shown both in vitro and in vivo. Such manipulation of the contrast agents may be desired in drug delivery applications, as it provides a method of concentrating bubbles in a specific area.