1. Acoustic and Elastic Properties of a Blood Clot during Microbubble-Enhanced Sonothrombolysis: Hardening of the Clot with Inertial Cavitation
- Author
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Ayache Bouakaz, Jean-Michel Escoffre, Damien Fouan, Laurent Auboire, Jean-Marc Gregoire, Frédéric Ossant, Camille Plag, Imagerie et cerveau (iBrain - Inserm U1253 - UNIV Tours ), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Tours (UT), Escoffre, Jean-Michel, Université de Tours (UT)-Institut National de la Santé et de la Recherche Médicale (INSERM), and Université de Tours-Institut National de la Santé et de la Recherche Médicale (INSERM)
- Subjects
elastography ,Materials science ,medicine.medical_treatment ,Pharmaceutical Science ,01 natural sciences ,Article ,microbubbles ,03 medical and health sciences ,Pharmacy and materia medica ,0302 clinical medicine ,Thrombolytic drug ,0103 physical sciences ,medicine ,010301 acoustics ,[SDV.IB] Life Sciences [q-bio]/Bioengineering ,medicine.diagnostic_test ,business.industry ,ultrasound ,Ultrasound ,Wave speed ,ultrafast imaging ,stroke ,3. Good health ,RS1-441 ,Cavitation ,Microbubbles ,[SDV.IB]Life Sciences [q-bio]/Bioengineering ,Elastography ,rtPA ,business ,030217 neurology & neurosurgery ,Hardening (computing) ,High frequency ultrasound ,Biomedical engineering - Abstract
Stroke is the second leading cause of death worldwide. Existing therapies present limitations, and other therapeutic alternatives are sought, such as sonothrombolysis with microbubbles (STL). The aim of this study was to evaluate the change induced by STL with or without recombinant tissue-type plasminogen activator (rtPA) on the acoustic and elastic properties of the blood clot by measuring its sound speed (SoS) and shear wave speed (SWS) with high frequency ultrasound and ultrafast imaging, respectively. An in-vitro setup was used and human blood clots were submitted to a combination of microbubbles and rtPA. The results demonstrate that STL induces a raise of SoS in the blood clot, specifically when combined with rtPA (p <, 0.05). Moreover, the combination of rtPA and STL induces a hardening of the clot in comparison to rtPA alone (p <, 0.05). This is the first assessment of acoustoelastic properties of blood clots during STL. The combination of rtPA and STL induce SoS and hardening of the clot, which is known to impair the penetration of thrombolytic drugs and their efficacy.
- Published
- 2021