A proposed enhancement to the in air sensitivity test for ultrasound quality assurance

PurposeA number of guidelines for ultrasound quality assurance recommend the use of the in air reverberation depth as a proxy measure for sensitivity. The test is quantised, i.e. it depends on the brightness of the deepest in air reverberation. The aim of this study was to investigate a possible enhancement to the test, where the gain is reduced to determine the “reverberation threshold”.MethodsThe test was introduced in several ultrasound departments. Results were audited to determine agreement with annual tests of sensitivity using a tissue mimicking test object.ResultsThe new test was performed on 100 probes. A change in reverberation threshold was demonstrated in 9 probes; 8 of these also had changes in penetration and/or grey level in a tissue mimicking test object. Reduced penetration but no change in reverberation threshold was seen in 2 probes.ConclusionsThe reverberation threshold provides a simple enhancement to the in air sensitivity test. Periodic sensitivity testing with a tissue mimicking test object remains important.     

Ultrasound induced strain cytoskeleton rearrangement: An experimental and simulation study

Cytoskeleton and specially actin filaments are responsible for mechanical modulation of cellular behavior. These structures could be fluidized in response to transient mechanical cues. Ultrasound devices have been widely used in medicine which their generated ultrasonic waves could disrupt/fluidize actin filaments in cytoskeleton and thus could affect cellular organization. Present research aims at revealing the mechanism of fluidization caused by ultrasound induced strains. First, a numerical simulation was performed to reveal the effect of oscillating ultrasonic pressure on induced deformation in the cell with respect to different cell geometries and exposure conditions. The model revealed that higher pressure and frequencies induce higher levels of strain in the cell. The results also showed that spread cells are more exposed to cytomechanical remodeling due to higher level of ultrasound induced deformations but also the effect of harmonic excitation decreases with spreading. Furthermore, strain values found to be less in the nucleus comparing the value in the cytoplasm, but still these strains can affect the behavior of the cell through mechanotransduction mechanisms. Then, different experimental ultrasound protocols were used to evaluate their effects on cell viability and actin cytoskeleton distribution. Results of Live/Dead assay indicated that high pressure and duration of the exposure had negative effects on the viability of C2C12 cells, while the viability ratio still remained above 85%. In addition, actin fluorescent staining showed that high levels of filament disruption could occur with increasing the pressure. The results of this study shed light on cellular response to mechanical stimuli applied by ultrasonic waves.     

Spatial-dependent mechanical properties of the heel pad by shear wave elastography

The heel pad plays an important role in gait, and its biomechanical behavior and functionality are determined by its specialized architecture and mechanical properties. The purpose of this study was to apply supersonic shear wave elastography, an ultrasound-based noninvasive modality that can quantitatively estimate the shear stiffness of the tissue, to investigate the spatial-dependent mechanical properties of the heel pad. Measurements were conducted in 40 heel pads of 20 normal participants aged between 20 and 30 years by shear wave elastography. The continuous change in local shear stiffness of the heel pad along the depth direction of the heel pad was measured. The result showed that the mechanical properties of the heel pad were highly heterogeneous but followed a simple and specific pattern that local heel pad shear stiffness was highest beneath the plantar skin and decreased continuously with increasing depth. This finding provides a better understanding of the heel pad biomechanics and basis for further investigation of the heterogeneous properties of the heel pad.     

Impact of ankle foot orthosis stiffness on Achilles tendon and gastrocnemius function during unimpaired gait

Ankle foot orthoses (AFOs) are designed to improve gait for individuals with neuromuscular conditions and have also been used to reduce energy costs of walking for unimpaired individuals. AFOs influence joint motion and metabolic cost, but how they impact muscle function remains unclear. This study investigated the impact of different stiffness AFOs on medial gastrocnemius muscle (MG) and Achilles tendon (AT) function during two walking speeds. We performed gait analyses for eight unimpaired individuals. Each individual walked at slow and very slow speeds with a 3D printed AFO with no resistance (free hinge condition) and four levels of ankle dorsiflexion stiffness: 0.25 Nm/°, 1 Nm/°, 2 Nm/°, and 3.7 Nm/°. Motion capture, ultrasound, and musculoskeletal modeling were used to quantify MG and AT lengths with each AFO condition. Increasing AFO stiffness increased peak AFO dorsiflexion moment with decreased peak knee extension and peak ankle dorsiflexion angles. Overall musculotendon length and peak AT length decreased, while peak MG length increased with increasing AFO stiffness. Peak MG activity, length, and velocity significantly decreased with slower walking speed. This study provides experimental evidence of the impact of AFO stiffness and walking speed on joint kinematics and musculotendon function. These methods can provide insight to improve AFO designs and optimize musculotendon function for rehabilitation, performance, or other goals.     

High-frequency Ultrasound Imaging of Mouse Cervical Lymph Nodes

High-frequency ultrasound (HFUS) is widely employed as a non-invasive method for imaging internal anatomic structures in experimental small animal systems. HFUS has the ability to detect structures as small as 30 µm, a property that has been utilized for visualizing superficial lymph nodes in rodents in brightness (B)-mode. Combining power Doppler with B-mode imaging allows for measuring circulatory blood flow within lymph nodes and other organs. While HFUS has been utilized for lymph node imaging in a number of mouse  model systems, a detailed protocol describing HFUS imaging and characterization of the cervical lymph nodes in mice has not been reported. Here, we show that HFUS can be adapted to detect and characterize cervical lymph nodes in mice. Combined B-mode and power Doppler imaging can be used to detect increases in blood flow in immunologically-enlarged cervical nodes. We also describe the use of B-mode imaging to conduct fine needle biopsies of cervical lymph nodes to retrieve lymph tissue for histological  analysis. Finally, software-aided steps are described to calculate changes in lymph node volume and to visualize changes in lymph node morphology following image reconstruction. The ability to visually monitor changes in cervical lymph node biology over time provides a simple and powerful technique for the non-invasive monitoring of cervical lymph node alterations in preclinical mouse models of oral cavity disease.     

Assessment of intramuscular activation patterns using ultrasound M-mode strain

The intramuscular activation pattern can be connected to the motor unit recruitment strategy of force generation and fatigue resistance. Electromyography has earlier been used in several studies to quantify the spatial inhomogeneity of the muscle activation. We applied ultrasound M-mode strain to study the activation pattern through the tissue deformation. Correlation values of the strain at different force levels were used to quantify the spatial changes in the activation. The assessment was done including the biceps brachii muscle of 8 healthy subjects performing isometric elbow flexion contractions ranging from 0% to 80% of maximum voluntary contraction. The obtained results were repeatable and demonstrated consistent changes of the correlation values during force regulation, in agreement with previously presented EMG-results. Both intra-subject and inter-subject activation patterns of strain were considered along and transverse the fiber direction. The results suggest that ultrasound M-mode strain can be used as a complementary method to study intramuscular activation patterns with high spatial resolution.     

Engineering of lipid microbubbles-coated copper and selenium nanoparticles: Ultrasound-stimulated radiation of anticancer activity ian human ovarian cancer cells

In this study, we have designed developed the microbubbles (MBs) coated Cu-Se nanoparticles (MBs@Cu-Se NPs) was efficiently synthesized and combined with the Ultrasound for potential anticancer effects in ovarian carcinoma cells. The fabricated nanoparticles are perceived as the well-known spherical size by SEM and TEM analysis. The hydrodynamic parameters of the MBs@Cu-Se NPs confirm via DLA analysis. Further, in vitro cancer potential of the Cu-Se, MBs@Cu-Se NPs and MBs@Cu-Se NPs with Ultrasound efficiently kills the ovarian cancer cells (A2780 and CisRA2780) and reduced the cell viability in a dose-dependent manner. The MBs@Cu-Se NPs with Ultrasound displayed remarkably higher amounts of apoptosis of the ovarian cancers, which was confirmed by the various biochemical assays (AO-EB), and Hoechst-33,258 by nuclear staining. Additionally, we examined the apoptosis mechanism through the flow cytometry technique. The results reveal that the MBs@Cu-Se NPs with Ultrasound significantly induce apoptosis in both cancer cells. These results suggest that the in vitro cytotoxicity potential of MBs@Cu-Se NPs with Ultrasound combination therapy against ovarian carcinoma. Overall, new approaches of combination therapy of MBs@Cu-Se NPs with Ultrasound could be a promising alternative strategy and efficient chemotherapy as well as radiotherapy.     

Acoustic-based chemical tools for profiling the tumor microenvironment

Acoustic-based imaging modalities (e.g. ultrasonography and photoacoustic imaging) have emerged as powerful approaches to noninvasively visualize the interior of the body due to their biocompatibility and the ease of sound transmission in tissue. These technologies have recently been augmented with an array of chemical tools that enable the study and modulation of the tumor microenvironment at the molecular level. In addition, the application of ultrasound and ultrasound-responsive materials has been used for drug delivery with high spatiotemporal control. In this review, we highlight recent advances (in the last 2–3 years) in acoustic-based chemical tools and technologies suitable for furthering our understanding of molecular events in complex tumor microenvironments.     

Effect of ultrasound and addition of bacterial product on hydrolysis of by-products from the meat-processing industry

The hydrolysis efficiency of ultrasound (US) and bacterial product (BP; Liquid Certizyme 5™) was studied as a pre-treatment for anaerobic digestion (AD) of four animal by-products (ABP) from the meat-processing industry (digestive tract content + drumsieve waste, dissolved air flotation (DAF) sludge, grease trap sludge and the mixture of these). The change in volatile solids (VS) based hydrolysis parameters was screened using different specific US energy (Es) inputs (1000-14,000 kJ/kg of total solids (TS)) and durations of BP treatment (3-48 h). The Es of 6000-8500 kJ/kg TS increased most extensively the soluble chemical oxygen demand (COD_sol) and VS ratio, by 45-290%, and soluble nitrogen (N_sol) by 44-99%. Simultaneously, the average particle size (APS) decreased by 45-75%, from the original value. With BP, the highest increases in COD_sol/VS (29-130%), N_sol (35-63%) and decline in APS (40-70%) depended on the raw material (digestive tract content + drumsieve waste: 3 and 24 h; DAF sludge: 3 and 6 h, mixture: 12 and 48 h). BP apparently was more effective at hydrolyzing smaller cellulose particles, while US appeared to enhance the degradation of grease-containing cells.