Ultrasound-driven microbubble dynamics in microvessels

Ultrasound and microbubble induced blood-brain barrier opening has shown success in clinical trials as a promising method to deliver drugs to the brain. Shelled gas bubbles, a few micrometres in diameter, are administered intravenously, and distribute throughout the cardiovascular system. When ultrasound is applied to the brain, the microbubbles expand and contract within the vasculature, temporarily disrupting the blood-brain barrier, and allowing drugs to pass through. While this technique has been shown to be effective at delivering drugs, its mechanisms remain relatively poorly understood. Better understanding how microbubbles interact with tissues could enable refinement of therapies. This thesis investigates the fundamental physical interactions between microbubbles and soft tissues using two distinct but related experimental platforms that utilise high-speed microscopy. Firstly, microbubbles within soft tissue-mimicking hydrogel channels are observed during exposure to typical therapeutic ultrasound pulses. The primary radiation force is shown to be significant, and can cause bubbles to deform the soft gels by several micrometres. Microbubbles are also investigated in brain tissue, using acute cortical slices from the brains of juvenile rats, transcardially perfused post-mortem with a concentrated solution of SonoVue®. This technique is shown to be an effective method of observing microbubbles using optical microscopy within the microvasculature of live brain tissue. Radial oscillations of bubbles within brain microvessels can deform surrounding tissue at both microsecond and millisecond time scales. Extravasation of microbubbles due to the primary radiation force can occur during typical ultrasound pulses, and is common at higher ultrasound pressures (mechanical index of 0.6 and above). These results demonstrate the significance of both radial oscillations and the primary radiation force as ways in which microbubbles can physically impact their surroundings. Additionally, acute brain slices are shown to be a valuable tool to investigate microbubble behaviours and mechanisms of drug delivery in a physiologically relevant environment.Open Acces

Protocols for Dual Tracer PET/SPECT Preclinical Imaging

BACKGROUND: Multi-tracer PET/SPECT imaging enables different modality tracers to be present simultaneously, allowing multiple physiological processes to be imaged in the same subject, within a short time-frame. Fluorine-18 and technetium-99m, two commonly used PET and SPECT radionuclides, respectively, possess different emission profiles, offering the potential for imaging one in the presence of the other. However, the impact of the presence of each radionuclide on scanning the other could be significant and lead to confounding results. Here we use combinations of (18)F and (99m)Tc to explore the challenges posed by dual tracer PET/SPECT imaging, and investigate potential practical ways to overcome them. METHODS: Mixed-radionuclide (18)F/(99m)Tc phantom PET and SPECT imaging experiments were carried out to determine the crossover effects of each radionuclide on the scans using Mediso nanoScan PET/CT and SPECT/CT small animal scanners. RESULTS: PET scan image quality and quantification were adversely affected by (99m)Tc activities higher than 100 MBq due to a high singles rate increasing dead-time of the detectors. Below 100 MBq (99m)Tc, PET scanner quantification accuracy was preserved. SPECT scan image quality and quantification were adversely affected by the presence of (18)F due to Compton scattering of 511 keV photons leading to over-estimation of (99m)Tc activity and increased noise. However, (99m)Tc:(18)F activity ratios of > 70:1 were found to mitigate this effect completely on the SPECT. A method for correcting for Compton scatter was also explored. CONCLUSION: Suitable combinations of injection sequence and imaging sequence can be devised to meet specific experimental multi-tracer imaging needs, with only minor or insignificant effects of each radionuclide on the scan of the other