液滴成分对纳米液滴介导的组织超声破碎的影响。

Effects of Droplet Composition on Nanodroplet-Mediated Histotripsy.

作者信息

Vlaisavljevich Eli, Aydin Omer, Durmaz Yasemin Yuksel, Lin Kuang-Wei, Fowlkes Brian, Xu Zhen, ElSayed Mohamed E H

机构信息

Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA.

Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA; Department of Biomedical Engineering, Schools of Engineering and Natural Science, Istanbul Medipol University, Istanbul, Turkey.

出版信息

Ultrasound Med Biol. 2016 Apr;42(4):931-46. doi: 10.1016/j.ultrasmedbio.2015.11.027. Epub 2016 Jan 14.

Abstract

Nanodroplet-mediated histotripsy (NMH) is a targeted ablation technique combining histotripsy with nanodroplets that can be selectively delivered to tumor cells. In two previous studies, polymer-encapsulated perfluoropentane nanodroplets were used to generate well-defined ablation similar to that obtained with histotripsy, but at significantly lower pressure, when NMH therapy was applied at a pulse repetition frequency (PRF) of 10 Hz. However, cavitation was not maintained over multiple pulses when ultrasound was applied at a lower PRF (i.e., 1-5 Hz). We hypothesized that nanodroplets with a higher-boiling-point perfluorocarbon core would provide sustainable cavitation nuclei, allowing cavitation to be maintained over multiple pulses, even at low PRF, which is needed for efficient and complete tissue fractionation via histotripsy. To test this hypothesis, we investigated the effects of droplet composition on NMH therapy by applying histotripsy at various frequencies (345 kHz, 500 kHz, 1.5 MHz, 3 MHz) to tissue phantoms containing perfluoropentane (PFP, boiling point ∼29°C, surface tension ∼9.5 mN/m) and perfluorohexane (PFH, boiling point ∼56°C, surface tension ∼11.9 mN/m) nanodroplets. First, the effects of droplet composition on the NMH cavitation threshold were investigated, with results revealing a significant decrease (>10 MPa) in the peak negative pressure (p-) cavitation threshold for both types of nanodroplets compared with controls. A slight decrease (∼1-3 MPa) in threshold was observed for PFP phantoms compared with PFH phantoms. Next, the ability of nanodroplets to function as sustainable cavitation nuclei over multiple pulses was investigated, with results revealing that PFH nanodroplets were sustainable cavitation nuclei over 1,000 pulses, whereas PFP nanodroplets were destroyed during the first few pulses (<50 pulses), likely because of the lower boiling point. Finally, tissue phantoms containing a layer of embedded red blood cells were used to compare the damage generated for NMH treatments using PFP and PFH droplets, with results indicating that PFH nanodroplets significantly improved NMH ablation, allowing for well-defined lesions to be generated at all frequencies and PRFs tested. Overall, the results of this study provide significant insight into the role of droplet composition in NMH therapy and provide a rational basis to tailor droplet parameters to improve NMH tissue fractionation.

摘要

纳米液滴介导的组织超声粉碎术(NMH)是一种将组织超声粉碎术与纳米液滴相结合的靶向消融技术,纳米液滴能够被选择性地递送至肿瘤细胞。在之前的两项研究中,当以10Hz的脉冲重复频率(PRF)应用NMH疗法时,使用聚合物包裹的全氟戊烷纳米液滴能够产生与组织超声粉碎术类似的、边界清晰的消融,但所需压力显著更低。然而,当以较低的PRF(即1 - 5Hz)施加超声时,空化现象无法在多个脉冲中持续存在。我们推测,具有较高沸点的全氟碳核心的纳米液滴能够提供可持续的空化核,使得空化现象即使在低PRF下也能在多个脉冲中得以维持,而低PRF是通过组织超声粉碎术实现高效且完全的组织破碎所必需的。为了验证这一假设, 我们通过对含有全氟戊烷(PFP,沸点约29°C,表面张力约9.5mN/m)和全氟己烷(PFH,沸点约56°C,表面张力约11.9mN/m)纳米液滴的组织仿体施加不同频率(345kHz、500kHz、1.5MHz、3MHz)的组织超声粉碎术,研究了液滴组成对NMH疗法的影响。首先,研究了液滴组成对NMH空化阈值的影响,结果显示,与对照组相比,两种类型的纳米液滴的峰值负压(p-)空化阈值均显著降低(>10MPa)。与PFH仿体相比,PFP仿体的阈值略有降低(约1 - 3MPa)。接下来,研究了纳米液滴在多个脉冲中作为可持续空化核的能力,结果显示,PFH纳米液滴在1000个脉冲内都是可持续的空化核,而PFP纳米液滴在最初几个脉冲(<50个脉冲)中就被破坏了,这可能是由于其沸点较低。最后,使用含有一层嵌入红细胞的组织仿体来比较使用PFP和PFH液滴进行NMH治疗所产生的损伤,结果表明,PFH纳米液滴显著改善了NMH消融效果,能够在所有测试的频率和PRF下产生边界清晰的损伤。总体而言,本研究结果为深入了解液滴组成在NMH疗法中的作用提供了重要见解,并为调整液滴参数以改善NMH组织破碎提供了合理依据。

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