PMID- 35067798 OWN - NLM STAT- MEDLINE DCOM- 20230926 LR - 20230926 IS - 1613-2254 (Electronic) IS - 1346-4523 (Print) IS - 1346-4523 (Linking) VI - 49 IP - 2 DP - 2022 Apr TI - Promoting the effect of microbubble-enhanced ultrasound on hyperthermia in rabbit liver. PG - 133-142 LID - 10.1007/s10396-021-01187-y [doi] AB - PURPOSE: The heat-sink effect is one reason for the insufficient temperature increase in hyperthermia (HT) treatment for cancer. Microbubbles (MBs) nucleate inertial cavitation under therapeutic ultrasound (TUS) exposure, which form microbubble-enhanced ultrasound (MEUS), which results in blocking blood perfusion in the targeted liver tissues. This study aimed to determine if synergistic effects exist during HT in the liver when combined with MEUS. METHODS: Forty rabbits with surgically exposed livers were randomly divided into TUS + MB + HT, MB + HT, normal saline + HT, and MB + sham groups (n = 10 in each group). Liver perfusion was evaluated using contrast-enhanced ultrasound. The temperatures of the liver tissues were monitored using thermocouples. Pathological changes were determined by hematoxylin and eosin (H&E) staining. Serum hepatic transaminases were evaluated. RESULTS: MEUS pretreatment almost completely blocked the perfusion of targeted areas. The TUS + MB + HT and MB + HT groups showed significantly higher temperatures in treated areas than those in the other groups. However, the TUS + MB + HT group exhibited a more stable and regular increase in temperatures in the fitting curves compared with the MB + HT group. H&E staining revealed swelling hepatocytes, hemorrhage, and thrombosis in the portal area in the TUS + MB + HT group. CONCLUSION: MEUS reduced the blood perfusion in the targeted liver tissues, and, therefore, overcame the heat-sink effect during the HT procedure in rabbits. MEUS pretreatment might have the potential to enhance the therapeutic effect of HT. CI - (c) 2022. The Author(s). FAU - Yang, Yuwen AU - Yang Y AD - The First Affiliated Hospital of Jinan University, Guangzhou, China. AD - Department of Medical Ultrasound, Guangzhou First People's Hospital, School of Medicine, South China University of Technology, Guangzhou, China. FAU - Luo, Huanqian AU - Luo H AD - Department of Medical Ultrasound, Dongguan People's Hospital, Southern Medical University, Dongguan, China. FAU - Zhao, Yang AU - Zhao Y AD - Department of Ultrasound, Xinqiao Hospital, Chongqing, China. FAU - Li, Lu AU - Li L AD - Department of Ultrasound, Xinqiao Hospital, Chongqing, China. FAU - He, Yan AU - He Y AD - Department of Medical Ultrasound, Guangzhou First People's Hospital, School of Medicine, South China University of Technology, Guangzhou, China. FAU - Xi, Fen AU - Xi F AD - Department of Medical Ultrasound, Guangzhou First People's Hospital, School of Medicine, South China University of Technology, Guangzhou, China. FAU - Jin, Hai AU - Jin H AD - Department of Medical Ultrasound, Guangzhou First People's Hospital, School of Medicine, South China University of Technology, Guangzhou, China. FAU - Gao, Ruru AU - Gao R AD - Department of Medical Ultrasound, Guangzhou First People's Hospital, School of Medicine, South China University of Technology, Guangzhou, China. FAU - Luo, Qiong AU - Luo Q AD - Department of Medical Ultrasound, Guangzhou First People's Hospital, School of Medicine, South China University of Technology, Guangzhou, China. FAU - Liu, Jianhua AU - Liu J AUID- ORCID: 0000-0001-8628-0127 AD - The First Affiliated Hospital of Jinan University, Guangzhou, China. liujianhua266@163.com. AD - Department of Medical Ultrasound, Guangzhou First People's Hospital, School of Medicine, South China University of Technology, Guangzhou, China. liujianhua266@163.com. LA - eng GR - 82071935/National Natural Science Foundation of China/ GR - 20201A010008/Guangzhou General Science and Technology Project of Health and Family Planning/ GR - 20130319c/Guangdong Planned Project of Science and Technology, China/ PT - Journal Article DEP - 20220124 PL - Japan TA - J Med Ultrason (2001) JT - Journal of medical ultrasonics (2001) JID - 101128385 SB - IM MH - Animals MH - Rabbits MH - Liver/pathology MH - *Microbubbles MH - *Ultrasonic Therapy/methods MH - Ultrasonography/methods PMC - PMC9038817 OTO - NOTNLM OT - Cavitation OT - Hyperthermia OT - Liver OT - Microbubble OT - Microbubble-enhanced ultrasound COIS- The authors declare no conflicts of interest. EDAT- 2022/01/25 06:00 MHDA- 2022/04/28 06:00 PMCR- 2022/01/24 CRDT- 2022/01/24 05:49 PHST- 2021/03/26 00:00 [received] PHST- 2021/11/22 00:00 [accepted] PHST- 2022/01/25 06:00 [pubmed] PHST- 2022/04/28 06:00 [medline] PHST- 2022/01/24 05:49 [entrez] PHST- 2022/01/24 00:00 [pmc-release] AID - 10.1007/s10396-021-01187-y [pii] AID - 1187 [pii] AID - 10.1007/s10396-021-01187-y [doi] PST - ppublish SO - J Med Ultrason (2001). 2022 Apr;49(2):133-142. doi: 10.1007/s10396-021-01187-y. Epub 2022 Jan 24.