PMID- 31632546 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 1943-8141 (Print) IS - 1943-8141 (Electronic) IS - 1943-8141 (Linking) VI - 11 IP - 9 DP - 2019 TI - Effects of microbubble-enhanced ultrasound combined with prothrombin on microwave ablation in rabbit VX2 liver tumor. PG - 5764-5775 AB - OBJECTIVE: This study aimed to investigate effects of microbubble-enhanced ultrasound (MEUS) combined with prothrombin on microwave ablation (MWA) on VX2 liver tumors in a rabbit model. METHODS: 80 rabbits with VX2 liver tumors were randomly divided into Group A (sham + NS), Group B (sham + NS + P), Group C (MEUS), and Group D (PMEUS). After treatment, targeted liver tumors were ablated with MWA. On 0, 3, 7 and 14 d, volume of coagulated area was measured. Tissues in ablated area, transition area and surrounding area were collected. RESULTS: On 0, 3, 7 and 14 d, coagulated volume in Group D was larger than remaining three groups (P<0.05). On 7 d and 14 d, tumor volume in Group D was smaller than remaining three groups (P<0.05). Fibrotic band in Group D was wider than in remaining three groups (P<0.05). Cellular ultrastructure injury in ablated area on 0 d and mitochondrial injury in transition area on 7 d were more severe in Group D than in remaining three groups. On 0, 3, 7 and 14 d, proliferative cellular nuclear antigen-positive index in transition area in Group C and Group D was lower than Group A and Group B (P<0.05). On 0, 3 and 7 d, apoptosis index in transition area in Group D was higher than remaining three groups (P<0.05). CONCLUSIONS: MEUS combined with prothrombin on MWA can significantly expand ablation volume, enhance the necrosis of ablated tissues, inhibit tumor growth/metastasis and improve therapeutic effect of MWA on rabbit VX2 liver tumors. CI - AJTR Copyright (c) 2019. FAU - Shi, Ying AU - Shi Y AD - Department of Ultrasound, The Second Hospital of Shanxi Medical University Taiyuan 030001, Shanxi, China. AD - Department of Ultrasound, Xijing Hospital, The Fourth Military Medical University Xi'an 710032, Shaanxi, China. FAU - Yan, Ping AU - Yan P AD - Department of Biochemistry and Molecular Biology, Shanxi Medical University Taiyuan 030001, Shanxi, China. FAU - Luo, Zhenli AU - Luo Z AD - Department of Cardiology, The First Hospital of Yuncheng Yuncheng 044000, China. FAU - Zhang, Junwang AU - Zhang J AD - Department of Gastroenterology, The Second Hospital of Shanxi Medical University Taiyuan 030001, Shanxi, China. FAU - Liu, Qiling AU - Liu Q AD - Department of Epidemic and Health Statistics, College of Public Health in Shaanxi University of Chinese Medicine Xi'an 712046, Shaanxi, China. FAU - Zhou, Xiaodong AU - Zhou X AD - Department of Ultrasound, Xijing Hospital, The Fourth Military Medical University Xi'an 710032, Shaanxi, China. LA - eng PT - Journal Article DEP - 20190915 PL - United States TA - Am J Transl Res JT - American journal of translational research JID - 101493030 PMC - PMC6789283 OTO - NOTNLM OT - Microbubble OT - VX2 liver tumor OT - microwave ablation OT - prothrombin OT - rabbit COIS- None. EDAT- 2019/10/22 06:00 MHDA- 2019/10/22 06:01 PMCR- 2019/09/15 CRDT- 2019/10/22 06:00 PHST- 2019/05/16 00:00 [received] PHST- 2019/08/05 00:00 [accepted] PHST- 2019/10/22 06:00 [entrez] PHST- 2019/10/22 06:00 [pubmed] PHST- 2019/10/22 06:01 [medline] PHST- 2019/09/15 00:00 [pmc-release] PST - epublish SO - Am J Transl Res. 2019 Sep 15;11(9):5764-5775. eCollection 2019.