Chopra Rajiv, Vykhodtseva Natalia, Hynynen Kullervo
Imaging Research, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
ACS Chem Neurosci. 2010 May 19;1(5):391-398. doi: 10.1021/cn9000445.
Pulsed ultrasound exposures of brain tissue in the presence of micro-bubble contrast agents have been shown to achieve transient focal disruption of the blood brain barrier without significant damage to surrounding brain tissue. The effects of overall exposure duration on the extent of blood brain barrier disruption was studied in these experiments to determine operating conditions for increasing the amount of therapeutic agents delivered to the brain. Exposures at 1.08 MHz ranging from 0.2 to 0.8 MPa in amplitude were delivered transcranially to the brains of rabbits and rats for durations ranging from 30 to 1200 seconds. The amount of signal enhancement on contrast-enhanced T1-weighted MR images were used to quantify the extent of blood brain barrier disruption and histological evaluation of the exposed regions was performed to evaluate the impact on brain tissue. A subset of four rats underwent weekly exposures for 3 weeks to evaluate the feasibility of repeat sonications to the brain. The results suggest that exposures less than 180 seconds in duration are associated with a low probability of irreversible damage to brain tissue at pressure amplitudes of 0.38 MPa. Although exposures greater than 300 seconds were associated with an increase in the proportion of irreversible damage, this may be acceptable for chemotherapy delivery, where the therapeutic goal is tissue destruction. Repeat exposures to the brain were feasible, but resulted in evidence of focal brain damage in 50% of animals.
在存在微泡造影剂的情况下,对脑组织进行脉冲超声照射已被证明可实现血脑屏障的短暂局灶性破坏,而不会对周围脑组织造成显著损伤。在这些实验中研究了总暴露持续时间对血脑屏障破坏程度的影响,以确定增加输送到大脑的治疗剂数量的操作条件。在1.08MHz下,以0.2至0.8MPa的幅度进行经颅照射,照射时间为30至1200秒,照射对象为兔和大鼠的大脑。使用对比增强T1加权磁共振图像上的信号增强量来量化血脑屏障破坏的程度,并对暴露区域进行组织学评估,以评估对脑组织的影响。一组4只大鼠每周接受照射,共3周,以评估对大脑重复超声处理的可行性。结果表明,在0.38MPa的压力幅度下,持续时间小于180秒的照射与脑组织发生不可逆损伤的可能性较低相关。虽然持续时间超过300秒的照射与不可逆损伤比例的增加相关,但对于以组织破坏为治疗目标的化疗给药来说,这可能是可以接受的。对大脑进行重复照射是可行的,但在50%的动物中出现了局灶性脑损伤的迹象。