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Role of microbubble ultrasound contrast agents in the non-invasive assessment of chronic hepatitis C-related liver disease 被引量:2
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作者 Scott Grier Adrian KP Lim +4 位作者 Nayna Patel Jeremy FL Cobbold Howard C Thomas Isobel J Cox Simon D Taylor-Robinson 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第22期3461-3465,共5页
Patients who are chronically infected with the hepatitis C virus often develop chronic liver disease and assessment of the severity of liver injury is required prior to considering viral eradication therapy. This arti... Patients who are chronically infected with the hepatitis C virus often develop chronic liver disease and assessment of the severity of liver injury is required prior to considering viral eradication therapy. This article examines the various assessment methods currently available from gold standard liver biopsy to serological markers and imaging. Ultrasound is one of the most widely used imaging modalities in clinical practice and is already a first-line diagnostic tool for liver disease. Microbubble ultrasound contrast agents allow higher resolution images to be obtained and functional assessments of microvascular change to be carried out. The role of these agents in quantifying the state of hepatic injury is discussed as a viable method of determining the stage and grade of liver disease in patients with hepatitis C. Although currently confined to specialist centres, the availability of microbubble contrast-enhanced ultrasound will inevitably increase in the clinical setting. 展开更多
关键词 Hepatitis C microbubble contrast agents ultrasound
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Nano/microparticles and ultrasound contrast agents 被引量:5
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作者 Shu-Guang Zheng Hui-Xiong Xu Hang-Rong Chen 《World Journal of Radiology》 CAS 2013年第12期468-471,共4页
Microbubbles have been used for many years now in clinical practice as contrast agents in ultrasound imaging.Recently,their therapeutic applications have also attracted more attention.However,the short circulation tim... Microbubbles have been used for many years now in clinical practice as contrast agents in ultrasound imaging.Recently,their therapeutic applications have also attracted more attention.However,the short circulation time(minutes)and relatively large size(two to ten micrometers)of currently used commercial microbubbles do not allow effective extravasation into tumor tissue,preventing efficient tumor targeting.Fortunately,more multifunctional and theranostic nanoparticles with some special advantages over the traditional microbubbles have been widely investigated and explored for biomedical applications.The way to synthesize an ideal ultrasound contrast agent based on nanoparticles in order to achieve an expected effect on contrast imaging is a key technique.Currently a number of nanomaterials,including liposomes,polymers,micelles,dendrimers,emulsions,quantum dots,solid nanoparticles etc.,have already been applied to pre or clinical trials.Multifunctional and theranostic nanoparticles with some special advantages,such as the tumor-targeted(passive or active),multi-mode contrast agents(magnetic resonance imaging,ultrasonography or fluorescence),carrier or enhancer of drug delivery,and combined chemo or thermal therapy etc.,are rapidly gaining popularity and have shown a promising application in the field of cancer treatment.In this mini review,the trends and the advances of multifunctional and theranostic nanoparticles are briefly discussed. 展开更多
关键词 ultrasound contrast agent microbubble NANOPARTICLE Imaging NANOMATERIAL
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Correlation study of biological characteristics of non-small cell lung cancer A549 cells after transfecting plasmid by microbubble ultrasound contrast agent 被引量:3
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作者 Xuan-Yan Guo Man-Lu +2 位作者 Xue-Qing Chen Fan-Ding He Ang-Li 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2016年第6期564-567,共4页
Objective: To explore the role of the abnormal expression of miRNAs in the development process of non-small cell lung cancer and the feasibility of ultrasound microbubble-mediated gene therapy after transfecting antis... Objective: To explore the role of the abnormal expression of miRNAs in the development process of non-small cell lung cancer and the feasibility of ultrasound microbubble-mediated gene therapy after transfecting antisense miRNA-224 and miRNA-122 a plasmids into nonsmall cell lung cancer A549 cells. Methods: Antisense miRNA-224 and miRNA-122 a plasmids were transfected into non-small cell lung cancer A549 cells on the optimal ultrasound microbubble mediated condition. We set up a control group. The cell proliferation activity, apoptosis, invasion ability were detected by MTT assay, Annexin V-PE, Transwell invasion experiment and colony formation assay, respectively. Results: The expression of mi RNA-224 decreased and the expression of miRNA-122 a rose after the plasmids of target genes were transfected into non-small cell lung cancer A549 cells, and there were significant differences when compared with those of the control group(P<0.05). After the plasmids of target genes were transfected into A549 cells, the growth of antisense miRNA-224 and miRNA-122 a were inhibited, and the differences were significant as compared with the control group(P < 0.05). Besides, the inhibition of miRNA-122 a group was the most significant and there was statistically significant difference as compared with miRNA-224 group(t =-4.694, P = 0.009). After the plasmids of target genes were transfected into A549 cells, the proportion of apoptotic cells increased, the invasive cells were decreased and the clone ability reduced, and also there was a significant difference as compared with those of the control group(P < 0.05). What's more, the apoptotic peak appeared in miRNA-122 a group. Its invasion ability decreased most obviously(40.25 ± 3.97/visual field), the number of clone ability was 104.93 ± 4.87 and the inhibitory effect was the most obviously. There was statistically significant difference as compared with other groups(P < 0.05). Conclusions: A549 cells transfected by ultrasound microbubble-mediated antisense miRNA-224 and mi RNA-122 a plasmids possessed good transfection efficiency. The cell growth, invasion and colony forming abilities of transfected A549 cells were suppressed, which laid a solid foundation for the gene therapy of non-small cell lung cancer. 展开更多
关键词 microbubble ultrasound contrast agent MiR-224 MiR-122a NON-SMALL cell LUNG cancer
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PREPARATION OF POLYELECTROLYTE MULTILAYER COATED MICROBUBBLES FOR USE AS ULTRASOUND CONTRAST AGENT 被引量:1
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作者 Zhan-wen Xing Heng-te Ke +3 位作者 Shao-qin Liu Zhi-fei Dai Jin-rui Wang Ji-bin Liu 《Chinese Medical Sciences Journal》 CAS CSCD 2008年第2期103-107,共5页
Objeelive To prepare and characterize polyelectrolyte multilayer film coated microbubbles for use as ultrasound contrast agent (UCA) and evaluate its effects in ultrasonic imaging on normal rabbit's fiver parenchym... Objeelive To prepare and characterize polyelectrolyte multilayer film coated microbubbles for use as ultrasound contrast agent (UCA) and evaluate its effects in ultrasonic imaging on normal rabbit's fiver parenchyma. Methods Perfluorocarbon (PFC)-containing microbubbles (ST68-PFC) were prepared by sonication based on suffactant ( Span 60 and Tween 80). Subsequently, the resulting ST68-PFC microbubbles were coated using oppositely charged polyelectrolytes by microbubble-templated layer-by-layer self-assembly technique via electrostatic interaction. The enhancement effects in ultrasonic imaging on normal rabbit's liver parenchyma were assessed. Results The obtained microbubbles exhibited a narrow size distribution. The polyelectrolytes were successfully assembled onto the surface of ST68-PFC microbubbles. In vivo experiment showed that polyelectrolyte multilayer film coated UCA effectively enhanced the imaging of rabbit's liver parenchyma. Conclusions The novel microbubbles UCA coated with polyelectrolyte multilayer, when enabled more function, has no obvious difference in enhancement effects compared with the pre-modified microbubbles. The polymers with chemically active groups ( such as amino group and carboxyl group) can be used as the outermost layer for attachment of targeting ligands onto microbubbles, allowing selective targeting of the microbubbles to combine with desired sites. 展开更多
关键词 microbubbleS ultrasound contrast agent layer-by-layer self-assembly technique POLYELECTROLYTE
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Dynamics of an ultrasound contrast agent microbubble near spherical boundary in ultrasound field
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作者 Ji-Wen Hu Lian-Mei Wang +3 位作者 Sheng-You Qian Wen-Yi Liu Ya-Tao Liu Wei-Rui Lei 《Chinese Physics B》 SCIE EI CAS CSCD 2019年第11期204-209,共6页
The goal of this article is to establish the conditions of excitation where one has to deal with ultrasound contrast agent(UCA) microbubbles pulsating near biological tissues with spherical boundary in ultrasound fiel... The goal of this article is to establish the conditions of excitation where one has to deal with ultrasound contrast agent(UCA) microbubbles pulsating near biological tissues with spherical boundary in ultrasound field for targeted drug delivery and cavitation-enhanced thrombolysis, etc., and contributes to understanding of mechanisms at play in such an interaction. A modified model is presented for describing microbubble dynamics near a spherical boundary(including convex boundary and concave boundary) with an arbitrary-sized aperture angle. The novelty of the model is such that an oscillating microbubble is influenced by an additional pressure produced by the sound reflection from the boundary wall. It is found that the amplitude of microbubble oscillation is positively correlated to the curve radius of the wall and negatively correlated to the aperture angle of the wall and the sound reflection coefficient. Moreover, the natural frequency of the microbubble oscillation for such a compliable wall increases with the wall compliance, but decreases with the reduction of the wall size, indicating distinct increase of the natural frequency compared to a common rigid wall. The proposed model may allow obtaining accurate information on the radiation force and signals that may be used to advantage in related as drug delivery and contrast agent imaging. 展开更多
关键词 ultrasound contrast agent(UCA) microbubble SPHERICAL BOUNDARY ultrasound natural frequency
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Nonlinear response of ultrasound contrast agent microbubbles:From fundamentals to applications
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作者 滕旭东 郭霞生 +1 位作者 屠娟 章东 《Chinese Physics B》 SCIE EI CAS CSCD 2016年第12期49-56,共8页
Modelling and biomedical applications of ultrasound contrast agent (UCA) microbubbles have attracted a great deal of attention. In this review, we summarize a series of researches done in our group, including (i) ... Modelling and biomedical applications of ultrasound contrast agent (UCA) microbubbles have attracted a great deal of attention. In this review, we summarize a series of researches done in our group, including (i) the development of an all-in-one solution of characterizing coated bubble parameters based on the light scattering technique and flow cytometry; (ii) a novel bubble dynamic model that takes into consideration both nonlinear shell elasticity and viscosity to eliminate the dependences of bubble shell parameters on bubble size; (iii) the evaluation of UCA inertial cavitation threshold and its relationship with shell parameters; and (iv) the investigations of transfection efficiency and the reduction of cytotoxicity in gene delivery facilitated by UCAs excited by ultrasound exposures. 展开更多
关键词 ultrasound contrast agents microbubbleS nonlinear response inertial cavitation DNA transfec- tion
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Basic physical, acoustic properties, and in vitro ultrasound imaging enhancement of the lipid-coated microbubbles 被引量:1
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作者 向宇 孙剑 齐宪荣 《Journal of Chinese Pharmaceutical Sciences》 CAS 2007年第3期176-182,共7页
Aim To research on a stable microbubble with good acoustic properties and excellent imaging enhancing effect, and to make it to be a promising agent for the enhancement of ultrasound imaging in the ultrasound diagnosi... Aim To research on a stable microbubble with good acoustic properties and excellent imaging enhancing effect, and to make it to be a promising agent for the enhancement of ultrasound imaging in the ultrasound diagnosis of cardiovascular system diseases. Methods The morphology, size and zeta potential of lipid-coated microbubbles (LCM), the acoustic properties of backscatter, and the second harmonic scatter of LCM were determined. Furthermore, the relationship between the concentrations and the amplitude values of the second harmonic was investigated by testing the intensities of the second harmonic at different concentrations. The imaging effect of LCM was also studied in vitro. Results The mean diameter of LCM was 3.38 μm with 95% of the bubbles under 5 μm. The scatter signal generated by microbubbles was observed under different concentrations in the bistatic modes while the position of transmitting transducer and receiving transducer was orthogonal. The intensity of the second harmonic scatter fell with the decrease of microbubble concentration. The increase rate of the second harmonic amplitude values generated by the microbubbles versus that by physiological saline was linear with the natural logarithm of bubble concentrations. The LCM could enhance the ultrasound image of thrombus. Conclusion The LCM exhibited good physical state and acoustic properties, which could increase the imaging quality. 展开更多
关键词 microbubble ultrasound contrast agent Imaging Acoustic property SCATTER The second harmonic
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In vivo transfection of enhanced green fluorescent protein in rat retinal ganglion cells mediated by ultrasound-induced microbubbles 被引量:3
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作者 Hong Su Su Liu +3 位作者 Zhigang Wang Wenyue Xie Bing Jiang Haibo Xiong 《Neural Regeneration Research》 SCIE CAS CSCD 2009年第6期413-417,共5页
BACKGROUND: Studies have demonstrated that ultrasound-mediated microbubble destruction significantly improves transfection efficiency of enhanced green fluorescent protein (EGFP) in in vitro cultured retinal gangli... BACKGROUND: Studies have demonstrated that ultrasound-mediated microbubble destruction significantly improves transfection efficiency of enhanced green fluorescent protein (EGFP) in in vitro cultured retinal ganglial cells (RGCs). OBJECTIVE: To investigate the feasibility of ultrasound-mediated microbubble destruction for EGFP transfection in rat RGCs, and to compare efficiency and cell damage with traditional transfection methods. DESIGN, TIME AND SETTING: In vivo, gene engineering experiment. The study was performed at the Central Laboratory, Institute of Ultrasonic Imaging, Chongqing Medical University from March to July 2008. MATERIALS: Eukaryotic expression vector plasmid EGFP and microbubbles were prepared by the Institute of Ultrasonic Imaging, Chongqing Medical University. The microbubbles were produced at a concentration of 8.7 × 10^11/L, with a 2-4 μm diameter, and 10-hour half-life in vitro. METHODS: A total of 50 Sprague Dawley rats were randomly assigned to four groups. Normal controls (n = 5) were infused with 5 μL normal saline to the vitreous cavity; the naked plasmid group (n = 15) was infused with 5 pL EGFP plasmid to the vitreous cavity; in the plasmid with ultrasound group (n = 15), the eyes were irradiated with low-energy ultrasound wave (0.5 W/cm^2) for a total of 60 seconds (irradiated for 5 seconds, at 10-second intervals) immediately following infusion of EGFP plasmids to the vitreous cavities. In the microbubble-ultrasound group (n = 15), the eyes were irradiated with the same power of ultrasonic wave immediately following infusion of microbubbles containing EGFP plasmids to the vitreous cavities. MAIN OUTCOME MEASURES: After 7 days, retinal preparations and EGFP expression in RGCs were observed by fluorescence microscopy. RGC quantification in the retinal ganglion cell layer was performed. In addition, EGFP mRNA expression was semi-quantitatively determined by RT-PCR. RESULTS: The transfection efficiency of EGFP to RGCs by microbubbles with ultrasound was significantly greater than the other groups, and no obvious damage was detected in the RGCs. CONCLUSION: Under irradiation of low-frequency ultrasound waves, ultrasound-mediated microbubble destruction was effective and resulted in safe transfection of the EGFP gene to the RGCs. 展开更多
关键词 ultrasound contrast agent microbubble retinal ganglion cells in vivo gene therapy enhanced green fluorescent protein
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Interaction between encapsulated microbubbles:A finite element modelling study
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作者 Chen-Liang Cai Jie Yul +3 位作者 Juan Tu Xia-Sheng Guo Pin-Tong Huang Dong Zhang 《Chinese Physics B》 SCIE EI CAS CSCD 2018年第8期315-323,共9页
Theoretical studies on the multi-bubble interaction are crucial for the in-depth understanding of the mechanism behind the applications of ultrasound contrast agents (UCAs) in clinics. A two-dimensional (2D) axisy... Theoretical studies on the multi-bubble interaction are crucial for the in-depth understanding of the mechanism behind the applications of ultrasound contrast agents (UCAs) in clinics. A two-dimensional (2D) axisymmetric finite element model (FEM) is developed here to investigate the bubble-bubble interactions for UCAs in a fluidic environment. The effect of the driving frequency and the bubble size on the bubble interaction tendency (viz., bubbles' attraction and repulsion), as well as the influences of bubble shell mechanical parameters (viz., surface tension coefficient and viscosity coefficient) are discussed. Based on FEM simulations, the temporal evolution of the bubbles' radii, the bubble-bubble distance, and the distribution of the velocity field in the surrounding fluid are investigated in detail. The results suggest that for the interacting bubble-bubble couple, the overall translational tendency should be determined by the relationship between the driving frequency and their resonance frequencies. When the driving frequency falls between the resonance frequencies of two bubbles with different sizes, they will repel each other, otherwise they will attract each other. For constant acoustic driving parameters used in this paper, the changing rate of the bubble radius decreases as the viscosity coefficient increases, and increases first then decreases as the bubble shell surface tension coefficient increases, which means that the strength of bubble-bubble interaction could be adjusted by changing the bubble shell visco-elasticity coefficients. The current work should provide a powerful explanation for the accumulation observations in an experiment, and provide a fundamental theoretical support for the applications of UCAs in clinics. 展开更多
关键词 ultrasound contrast agent microbubbles bubble-bubble interaction finite element model shellparameter
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Ultrasound contrast agents from microbubbles to biogenic gas vesicles 被引量:2
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作者 Wenlong Zeng Xiuli Yue Zhifei Dai 《Medical Review》 2023年第1期31-48,共18页
Microbubbles have been the earliest and most widely used ultrasound contrast agents by virtue of their unique features:such as non-toxicity,intravenous inject-ability,ability to cross the pulmonary capillary bed,and s... Microbubbles have been the earliest and most widely used ultrasound contrast agents by virtue of their unique features:such as non-toxicity,intravenous inject-ability,ability to cross the pulmonary capillary bed,and significant enhancement of echo signals for the duration of the examination,resulting in essential preclinical and clinical applications.The use of microbubbles functional-ized with targeting ligands to bind to specific targets in the bloodstream has further enabled ultrasound molecular imaging.Nevertheless,it is very challenging to utilize targeted microbubbles for molecular imaging of extra-vascular targets due to their size.A series of acoustic nanomaterials have been developed for breaking free from this constraint.Especially,biogenic gas vesicles,gas-filled protein nanostructures from microorganisms,were engineered as thefirst biomolecular ultrasound contrast agents,opening the door for more direct visual-ization of cellular and molecular function by ultrasound imaging.The ordered protein shell structure and unique gasfilling mechanism of biogenic gas vesicles endow them with excellent stability and attractive acoustic responses.What’s more,their genetic encodability enables them to act as acoustic reporter genes.This article reviews the upgrading progresses of ultrasound contrast agents from microbubbles to biogenic gas vesicles,and the opportu-nities and challenges for the commercial and clinical translation of the nascentfield of biomolecular ultrasound. 展开更多
关键词 acoustic nanomaterials acoustic reporter genes biogenic gas vesicles microbubbleS ultrasound contrast agents ultrasound molecular imaging
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Microbubble ultrasound contrast agent with three esters and carboxylic methyl cellulose as main shell materials: Its preparation and imaging evaluation
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作者 杜永峰 万明习 周晓东 《Journal of Medical Colleges of PLA(China)》 CAS 2003年第2期109-114,共6页
Objective: To study on the preparation process of a new surfactant-based microbubble ultrasound contrast agent and to evaluate its contrast effects in vivo. Methods: Microbubble ultrasound contrast agent with three es... Objective: To study on the preparation process of a new surfactant-based microbubble ultrasound contrast agent and to evaluate its contrast effects in vivo. Methods: Microbubble ultrasound contrast agent with three ester surfactants and other additives as its shell materials was prepared by sonication. Sulfur hexafluoride was adopted as the inner gas of the microbubbles. New methods through the combination of optical microscope and some softwares were used to measure the size distribution and the concentration of the microbubbles. Some parameters such as the pH value of the phosphate buffer, quantity of the carboxylic methyl cellulose in the shell materials, selection of the ultrasound power and process time, were studied. Six hybirded dogs were used to verify the in vivo contrast imaging of the contrast agent using second harmonic power Doppler modality. Safety and persistent time of the agent inner animal body were also investigated. Results: Ultrasound contrast agent prepared in the experiment had an average microbubble diameter of 3.95 microns with concentration of 3.6×109 microbubbles per millilitre. Carboxylic methyl cellulose was found as an important shell material which had obviously effect on the microbubble stability and production even with a little quantity. The buffer pH value also had a key role on the microbubble formation and the final production. When the buffer pH value reached 7.4, there was no microbubble produced. Under the approximate microbubble production, process time could be shorten with the increasing ultrasound power. The obvious ultrasound contrast imaging effects were detected in the dog's heart chamber and liver as well as kidney using only one millilitre agent when diluted. The agent was found safe to the dogs. At the same time, persistent time of the agent was found over 20 min in the dog's body. Conclusion: The new ultrasound contrast agent prepared in the experiment has high microbubble production and concentration, narrow microbubble size distribution ranging in several microns, well stability, little dosage needed in the contrast, well safety to the dogs and long persistent time, obvious contrast imaging effect in the dog's heart chamber, kidney and liver. These experiment data indicate that the new ultrasound contrast agent with three ester surfactants and carboxylic methyl cellulose as its main shell materials can be further developed for clinical purposes. 展开更多
关键词 ultrasound imaging ultrasound contrast agent microbubble
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Application of ultrasound contrast in identification and diagnosis of ocular spaceoccupying lesions 被引量:5
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作者 Jia-Ying Yuan, Yun-Tao Zhang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2011年第4期337-342,共6页
AIM: To analyze the application significance of ultrasound contrast agent in identification and diagnosis of ocular spaceoccupying lesions, and mainly analyze its advantages and problems. METHODS: Thirty-two represent... AIM: To analyze the application significance of ultrasound contrast agent in identification and diagnosis of ocular spaceoccupying lesions, and mainly analyze its advantages and problems. METHODS: Thirty-two representative literatures about the application of ultrasound contrast agent in diagnosis of spaceoccupying lesions at home and abroad were collected after focused on sorting the literature reporting the application of ultrasound contrast diagnostic technology in the diagnosis and identification of ocular spaceoccupying lesions in recent years. Its advantages and problems were retrospectively analyzed, and reasonable assessment on Existing problems was made and possible solutions to the problems were proposed. RESULTS: As a new imaging diagnostic technique, the contrast-enhanced ultrasound, which can enhance the display of tumor microcirculation vessels and improve the tumor's ultrasound diagnostic capability, was analyzed. Through sorting and comprehensively analyzing the collected literatures, the positive rate of ocular spaceoccupying lesion diagnosis could be significantly improved with ultrasound contrast technology. Thus, the vascular perfusion in normal tissues and lesions was reflected objectively. According to the lesion's perfusion characteristics of the contrast agent plus with the performance features of two-dimensional ultrasound, the ocular spaceoccupying lesions can be accurately diagnosed, and this could provide clinicians with reliable research basis in this field. CONCLUSION: Ultrasound contrast examination is a new testing method, and ultrasound contrast agent can significantly enhance the ultrasonic detection signal, clearly show the blood perfusion in vessels and tissues, increase the image contrast resolution, and improve the lesion's detection capability in the microcirculation perfusion level, especially its important value in the diagnosis of ocular tumor. 展开更多
关键词 ultrasound contrast ocular spaceoccupying lesion differential diagnosis new microbubble contrast agent
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Value of contrast-enhanced intraoperative ultrasound for cirrhotic patients with hepatocellular carcinoma:A report of 20 cases 被引量:12
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作者 Qiang Lu Yan Luo +7 位作者 Chao-Xin Yuan Yong Zeng Hong Wu Zheng Lei Yao Zhong Yu-Ting Fan Hong-Hao Wang Yang Luo 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第25期4005-4010,共6页
AIM: To assess the clinical value of contrast-enhanced intraoperative ultrasound (CE-IOUS) as a novel tool in partial hepatectomy for cirrhotic patients with hepatocellular carcinoma (HCC). METHODS: From January... AIM: To assess the clinical value of contrast-enhanced intraoperative ultrasound (CE-IOUS) as a novel tool in partial hepatectomy for cirrhotic patients with hepatocellular carcinoma (HCC). METHODS: From January 2007 to September 2007, a total of 20 consecutive cirrhotic patients with HCC scheduled to undergo partial hepatectomy were studied. Preoperative contrast enhanced computer tomography (CT) and/or magnetic resonance (MR) scans were performed within 1-2 wk before operation. Intraoperative ultrasound (IOUS) and CE-IOUS were carried out after mobilization of the liver. Lesions on precontrast and postcontrast scans were counted and mapped. CE-IOUS was performed with intravenous injection of ultrasound contrast agents SonoVue (Bracco Imaging, Milan, Italy). Arterial, portal and late phases of contrast enhancement were recorded and analyzed. Nodules showing arterial phase hyper-enhancing and/or hypo-enhancing in late parenchymal phase were considered malignant and removed surgically. Ultrasound-guided biopsy and ethanol ablation would be an option if the nodule could not be removed surgically. Newly detected nodules on IOUS showing iso-enhancement in both arterial and late phases were considered benign. These nodules were either removed surgically if they were close to the main lesion or followed by examinations of alpha-fetoprotein (AFP) level and ultrasound and/or CT/MR every 3 too. RESULTS: IOUS found 41 nodules in total, among which 17 (41.46%) were newly detected compared to preoperative imaging. Thirty-three nodules were diagnosed malignant by CE-IOUS, including one missed by IOUS. The sensitivity and specificity of CE-IOUS on detecting HCC nodules are 100% (33/33 and 100% (9/9), respectively. Nine nodules were considered benign by CE-IOUS, four was confirmed at histology and five by follow-up. CE-IOUS changed the surgical strategy in 35% (7/20) of patients and avoid unnecessary intervention in 30% (6/20) of patients. CONCLUSION: CE-IOUS is a useful means to characterize the nodules detected by IOUS in cirrhotic liver, to find isoechoic HCC nodules which can not be shown on IOUS and to improve the accuracy of conventional IOUS, thus it can be used as an essential tool in the surgical treatment of cirrhotic patients with HCC. 展开更多
关键词 CIRRHOSIS Liver neoplasms Intraoperative ultrasound microbubble contrast agent HEPATECTOMY
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Use of second generation contrast-enhanced ultrasound in the assessment of focal liver lesions 被引量:16
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作者 Stanislas HX Morin Adrian KP Lim +1 位作者 eremy FL Cobbold Simon D Taylor-Robinson 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第45期5963-5970,共8页
Ultrasound (US) is often the first imaging modality employed in patients with suspected focal liver lesions. The role of US in the characterisation of focal liver lesions has been transformed with the introduction of ... Ultrasound (US) is often the first imaging modality employed in patients with suspected focal liver lesions. The role of US in the characterisation of focal liver lesions has been transformed with the introduction of specific contrast media and the development of specialized imaging techniques. Ultrasound now can fully characterise the enhancement pattern of hepatic lesions, similar to that achieved with contrast enhanced multiphasic computed tomography (CT) and magnetic resonance imaging (MRI). US contrast agents are safe, well-tolerated and have very few contraindications. Furthermore, real-time evaluation of the vascularity of focal liver lesions has become possible with the use of the newer microbubble contrast agents. This article reviews the enhancement pattern of the most frequent liver lesions seen, using the second generation US contrast media. The common pitfalls for each type of lesion are discussed. The recent developments in US contrast media and specific imaging techniques have been a major advance and this technique, in view of the intrinsic advantages of US, will undoubtedly gain popularity in the years to come. 展开更多
关键词 microbubble contrast agents ultrasound Focal liver lesions
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Contrast-enhanced harmonic endoscopic ultrasound imaging: Basic principles, present situation and future perspectives 被引量:8
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作者 María-Victoria Alvarez-Sánchez Bertrand Napoléon 《World Journal of Gastroenterology》 SCIE CAS 2014年第42期15549-15563,共15页
Over the last decade, the development of stabilised microbubble contrast agents and improvements in available ultrasonic equipment, such as harmonic imaging, have enabled us to display microbubble enhancements on a gr... Over the last decade, the development of stabilised microbubble contrast agents and improvements in available ultrasonic equipment, such as harmonic imaging, have enabled us to display microbubble enhancements on a greyscale with optimal contrast and spatial resolution. Recent technological advances made contrast harmonic technology available for endoscopic ultrasound(EUS) for the first time in 2008. Thus, the evaluation of microcirculation is now feasible with EUS, prompting the evolution of contrast-enhanced EUS from vascular imaging to images of the perfused tissue. Although the relevant experience is still preliminary, several reports have highlighted contrast-enhanced harmonic EUS(CHEUS) as a promising noninvasive method to visualise and characterise lesions and to differentiate benign from malignant focal lesions. Even if histology remains the gold standard, the combination of CH-EUS and EUS fine needle aspiration(EUS-FNA) can not only render EUS more accurate but may also assist physicians inmaking decisions when EUS-FNA is inconclusive,increasing the yield of EUS-FNA by guiding the puncture with simultaneous imaging of the vascularity.The development of CH-EUS has also opened up exciting possibilities in other research areas,including monitoring responses to anticancer chemotherapy or to ethanolinduced pancreatic tissue ablation,anticancer therapies based on ultrasound-triggered drug and gene delivery,and therapeutic adjuvants by contrast ultrasound-induced apoptosis.Contrast harmonic imaging is gaining popularity because of its efficacy,simplicity and noninvasive nature,and many expectations are currently resting on this technique.If its potential is confirmed in the near future,contrast harmonic imaging will become a standard practice in EUS. 展开更多
关键词 microbubbleS contrast agents contrast-enhanced harmonic endoscopic ultrasound Pancreatic tumour Gastrointestinal submucosal tumour
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MODELING MICROBUBBLE DYNAMICS IN BIOMEDICAL APPLICATIONS
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作者 CHAHINE Georges L. HSIAO Chao-Tsung 《Journal of Hydrodynamics》 SCIE EI CSCD 2012年第2期169-183,共15页
Controlling microbubble dynamics to produce desirable biomedical outcomes when and where necessary and avoid deleterious effects requires advanced knowledge, which can be achieved only through a combination of experim... Controlling microbubble dynamics to produce desirable biomedical outcomes when and where necessary and avoid deleterious effects requires advanced knowledge, which can be achieved only through a combination of experimental and numerical/ analytical techniques. The present communication presents a multi-physics approach to study the dynamics combining viscous- inviscid effects, liquid and structure dynamics, and multi bubble interaction. While complex numerical tools are developed and used, the study aims at identifying the key parameters influencing the dynamics, which need to be included in simpler models. 展开更多
关键词 microbubble BIOLOGICAL contrast agents thick shell ultrasound
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基于表面活性剂的纳米包膜微泡超声造影剂 被引量:15
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作者 杜永峰 万明习 +1 位作者 王素品 宗瑜瑾 《化工学报》 EI CAS CSCD 北大核心 2003年第6期807-812,共6页
采用声空化的方法 ,以 3种酯类表面活性剂作为微泡的纳米包膜材料进行了静脉注射微泡超声造影剂的制备研究 ,实验研究了超声功率与超声时间的选择、磷酸盐缓冲溶液 pH值对微泡产量的影响、通气方式的选择、稀释液对微泡流动性的影响、... 采用声空化的方法 ,以 3种酯类表面活性剂作为微泡的纳米包膜材料进行了静脉注射微泡超声造影剂的制备研究 ,实验研究了超声功率与超声时间的选择、磷酸盐缓冲溶液 pH值对微泡产量的影响、通气方式的选择、稀释液对微泡流动性的影响、振动对微泡的影响 ,研究了微泡的保存方式 ,并对制备出的微泡超声造影剂进行了体外及动物体内造影成像效果研究 ,给出了实验犬肾脏造影灌注的结果 . 展开更多
关键词 表面活性剂 微泡 超声造影剂 纳米包膜材料
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含蔗糖白蛋白包膜微泡超声造影剂制备研究 被引量:13
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作者 杜永峰 万明习 赵文明 《药学学报》 CAS CSCD 北大核心 2001年第11期859-862,共4页
目的 研制一种新型的直径在数微米范围内的含蔗糖白蛋白微泡超声造影剂。方法 以全氟化碳及少量氧气为微泡中的气体介质 ,用超声空化方法进行微泡制备。研究了蔗糖对白蛋白包膜微泡半衰期、微泡尺寸保持及热稳定性的影响 ,测定了含 4 ... 目的 研制一种新型的直径在数微米范围内的含蔗糖白蛋白微泡超声造影剂。方法 以全氟化碳及少量氧气为微泡中的气体介质 ,用超声空化方法进行微泡制备。研究了蔗糖对白蛋白包膜微泡半衰期、微泡尺寸保持及热稳定性的影响 ,测定了含 4 0 %蔗糖白蛋白包膜微泡的谐波特性等。结果 常温下 ( 2 0℃ ) ,在一定范围内 ,随着糖的加入及浓度的增加 ,白蛋白微泡的稳定性不断加强 ;当糖质量浓度达到 4 0 % ,微泡半衰期可延长至 5 0d以上 ,96%微泡尺寸分布在 2 - 5 μm ,常温下保存一月后微泡之间无明显合并现象 ,同时比未含蔗糖微泡耐热性明显加强 ,4℃下将制得的微泡保存半年 ,未观测到微泡数量及尺寸有明显变化 ,制备出的微泡有较强的非线性特征 ,在 2次谐波上的反射幅度远高于背景散射源及对比金属板。结论 含 4 0 %蔗糖的以全氟化碳及少量氧气为气体介质的白蛋白包膜微泡可以成为一种性能优良的超声造影剂。 展开更多
关键词 超声造影剂 微泡 蔗糖 白蛋白包膜 UCA
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声诺维(Sono Vue)增强超声辐照对HepG2细胞膜通透性的影响 被引量:14
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作者 岳殿超 徐辉雄 +3 位作者 吕明德 汤庆 李宝金 向邦德 《中国医学影像技术》 CSCD 北大核心 2005年第4期510-512,共3页
目的 探讨超声辐照对人肝癌细胞株HepG2 细胞通透性的影响以及声学造影剂声诺维(SonoVue)的增强作用。方法 用连续多普勒超声辐照人肝癌细胞株HepG2,超声发射频率1.9 MHz,软组织热指数(TIS)为0.8,增益设定为80%,输出声强(ⅠSATA)为80.... 目的 探讨超声辐照对人肝癌细胞株HepG2 细胞通透性的影响以及声学造影剂声诺维(SonoVue)的增强作用。方法 用连续多普勒超声辐照人肝癌细胞株HepG2,超声发射频率1.9 MHz,软组织热指数(TIS)为0.8,增益设定为80%,输出声强(ⅠSATA)为80.0 mW/cm2,辐照时间均持续60 s。照射时添加或不添加超声造影剂声诺维(SonoVue)。用流式细胞仪检测细胞荧光染色阳性的阳性率。结果 荧光染色阳性细胞的百分率:无超声辐照组或单纯添加SonoVue组分别为(3.06±1.57)%和(1.4±0.04)%,经超声辐照后为(23.72±14.4)%,添加SonoVue辐照后显著增加至(54.78±43.6)%(均P<0.05)。结论 超声辐照能改变HepG2细胞膜通透性,添加超声造影剂后能显著增强这种作用,有希望成为肿瘤分子生物学治疗的介导手段。 展开更多
关键词 超声造影剂 微泡 空化效应 肝细胞 膜通透性
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微泡超声造影剂:一种新型的药物靶向载体 被引量:17
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作者 逯敏飞 程永清 +1 位作者 李丽君 罗亮 《中国医学影像技术》 CSCD 北大核心 2005年第4期513-515,共3页
药物携载是目前重要的研究领域,如何使得药物安全、有效、靶向性地导入体内特定器官、组织并使其释放在靶细胞内是研究的重点。微泡超声造影剂作为一种新型的体内药物载体,受到国内外学者的广泛关注。本文对有关微泡超声造影剂作为药物... 药物携载是目前重要的研究领域,如何使得药物安全、有效、靶向性地导入体内特定器官、组织并使其释放在靶细胞内是研究的重点。微泡超声造影剂作为一种新型的体内药物载体,受到国内外学者的广泛关注。本文对有关微泡超声造影剂作为药物载体的作用原理、制备要求、制备方法、特点和应用等方面的研究作了介绍。 展开更多
关键词 超声造影剂 微泡 药物携载 治疗学
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