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Review Article| Volume 159, ISSUE 3, P140-148, March 2012

Molecular imaging of disease with targeted contrast ultrasound imaging

Published:January 06, 2012DOI:https://doi.org/10.1016/j.trsl.2011.12.001
      To enhance clinical care for patients, methods for noninvasive imaging of specific disease-related molecular changes are being developed to expand and improve diagnostic capabilities. These new techniques are used in research programs to characterize pathophysiology and as a surrogate end point for therapeutic efficacy. Molecular imaging with contrast-enhanced ultrasound relies on the detection of microbubbles or other acoustically active particulate agents that are targeted to and retained at sites of disease. This review describes the progress that has been made in the development and testing of methods for contrast ultrasound molecular imaging with a specific focus on cardiovascular disease. Specific topics addressed include probe development, detection methods, and specific biologic processes that are important in clinical cardiovascular medicine and that have been targeted with microbubble contrast agents.

      Abbreviations:

      ACS (acute coronary syndrome), ECG (electrocardiography), PS (phosphatidylserine), VCAM (vascular cellular adhesion molecule)
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      References

        • Kaufmann B.A.
        • Wei K.
        • Lindner J.R.
        Contrast echocardiography.
        Curr Probl Cardiol. 2007; 32: 51-96
        • Dayton P.A.
        • Morgan K.E.
        • Klibanov A.L.
        • Brandenburger G.H.
        • Ferrara K.W.
        Optical and acoustical observations of the effects of ultrasound on contrast agents.
        IEEE Trans Ultrason Ferroelectr Freq Control. 1999; 46: 220-232
        • Church C.C.
        • Carstensen E.L.
        “Stable” inertial cavitation.
        Ultrasound Med Biol. 2001; 27: 1435-1437
        • Jayaweera A.R.
        • Edwards N.
        • Glasheen W.P.
        • Villanueva F.S.
        • Abbott R.D.
        • Kaul S.
        In vivo myocardial kinetics of air-filled albumin microbubbles during myocardial contrast echocardiography. Comparison with radiolabeled red blood cells.
        Circ Res. 1994; 74: 1157-1165
        • Lindner J.R.
        • Song J.
        • Jayaweera A.R.
        • Sklenar J.
        • Kaul S.
        Microvascular rheology of Definity microbubbles after intra-arterial and intravenous administration.
        J Am Soc Echocardiogr. 2002; 15: 396-403
        • Lindner J.R.
        • Coggins M.P.
        • Kaul S.
        • Klibanov A.L.
        • Brandenburger G.H.
        • Ley K.
        Microbubble persistence in the microcirculation during ischemia/reperfusion and inflammation is caused by integrin- and complement-mediated adherence to activated leukocytes.
        Circulation. 2000; 101: 668-675
        • Tsutsui J.M.
        • Xie F.
        • Cano M.
        • et al.
        Detection of retained microbubbles in carotid arteries with real-time low mechanical index imaging in the setting of endothelial dysfunction.
        J Am Coll Cardiol. 2004; 44: 1036-1046
        • Lindner J.R.
        • Song J.
        • Xu F.
        • et al.
        Noninvasive ultrasound imaging of inflammation using microbubbles targeted to activated leukocytes.
        Circulation. 2000; 102: 2745-2750
        • Lindner J.R.
        • Dayton P.A.
        • Coggins M.P.
        • et al.
        Noninvasive imaging of inflammation by ultrasound detection of phagocytosed microbubbles.
        Circulation. 2000; 102: 531-538
        • Kondo I.
        • Ohmori K.
        • Oshita A.
        • et al.
        Leukocyte-targeted myocardial contrast echocardiography can assess the degree of acute allograft rejection in a rat cardiac transplantation model.
        Circulation. 2004; 109: 1056-1061
        • Christiansen J.P.
        • Leong-Poi H.
        • Klibanov A.L.
        • Kaul S.
        • Lindner J.R.
        Noninvasive imaging of myocardial reperfusion injury using leukocyte-targeted contrast echocardiography.
        Circulation. 2002; 105: 1764-1767
        • Anderson D.R.
        • Tsutsui J.M.
        • Xie F.
        • Radio S.J.
        • Porter T.R.
        The role of complement in the adherence of microbubbles to dysfunctional arterial endothelium and atherosclerotic plaque.
        Cardiovasc Res. 2007; 73: 597-606
        • Lankford M.
        • Behm C.Z.
        • Yeh J.
        • Klibanov A.L.
        • Robinson P.
        • Lindner J.R.
        Effect of microbubble ligation to cells on ultrasound signal enhancement: implications for targeted imaging.
        Invest Radiol. 2006; 41: 721-728
        • Kaufmann B.A.
        • Carr C.L.
        • Belcik T.
        • et al.
        Effect of acoustic power on in vivo molecular imaging with targeted microbubbles: implications for low-mechanical index real-time imaging.
        J Am Soc Echocardiogr. 2010; 23: 79-85
        • Hamm C.W.
        • Goldmann B.U.
        • Heeschen C.
        • Kreymann G.
        • Berger J.
        • Meinertz T.
        Emergency room triage of patients with acute chest pain by means of rapid testing for cardiac troponin T or troponin I.
        N Engl J Med. 1997; 337: 1648-1653
        • Pope J.H.
        • Aufderheide T.P.
        • Ruthazer R.
        • et al.
        Missed diagnoses of acute cardiac ischemia in the emergency department.
        N Engl J Med. 2000; 342: 1163-1170
        • Rinkevich D.
        • Kaul S.
        • Wang X.Q.
        • et al.
        Regional left ventricular perfusion and function in patients presenting to the emergency department with chest pain and no ST-segment elevation.
        Eur Heart J. 2005; 26: 1606-1611
        • Dilsizian V.
        Metabolic imaging for identifying antecedent myocardial ischemia and acute coronary syndrome in the emergency department.
        Curr Cardiol Rep. 2011; 13: 96-99
        • Ley K.
        Molecular mechanisms of leukocyte recruitment in the inflammatory process.
        Cardiovasc Res. 1996; 32: 733-742
        • Lindner J.R.
        • Song J.
        • Christiansen J.
        • Klibanov A.L.
        • Xu F.
        • Ley K.
        Ultrasound assessment of inflammation and renal tissue injury with microbubbles targeted to P-selectin.
        Circulation. 2001; 104: 2107-2112
        • Kaufmann B.A.
        • Lewis C.
        • Xie A.
        • Mirza-Mohd A.
        • Lindner J.R.
        Detection of recent myocardial ischaemia by molecular imaging of P-selectin with targeted contrast echocardiography.
        Eur Heart J. 2007; 28: 2011-2017
        • Villanueva F.S.
        • Lu E.
        • Bowry S.
        • et al.
        Myocardial ischemic memory imaging with molecular echocardiography.
        Circulation. 2007; 115: 345-352
        • Hamilton A.J.
        • Huang S.L.
        • Warnick D.
        • et al.
        Intravascular ultrasound molecular imaging of atheroma components in vivo.
        J Am Coll Cardiol. 2004; 43: 453-460
        • Kaufmann B.A.
        • Sanders J.M.
        • Davis C.
        • et al.
        Molecular imaging of inflammation in atherosclerosis with targeted ultrasound detection of vascular cell adhesion molecule-1.
        Circulation. 2007; 116: 276-284
        • Kaufmann B.A.
        • Carr C.L.
        • Belcik J.T.
        • et al.
        Molecular imaging of the initial inflammatory response in atherosclerosis: implications for early detection of disease.
        Arterioscler Thromb Vasc Biol. 2010; 30: 54-59
        • Lanza G.M.
        • Abendschein D.R.
        • Hall C.S.
        • et al.
        In vivo molecular imaging of stretch-induced tissue factor in carotid arteries with ligand-targeted nanoparticles.
        J Am Soc Echocardiogr. 2000; 13: 608-614
        • McCarty O.J.
        • Conley R.B.
        • Shentu W.
        • et al.
        Molecular imaging of activated von Willebrand factor to detect high-risk atherosclerotic phenotype.
        JACC Cardiovasc Imaging. 2010; 3: 947-955
        • Alonso A.
        • Della Martina A.
        • Stroick M.
        • et al.
        Molecular imaging of human thrombus with novel abciximab immunobubbles and ultrasound.
        Stroke. 2007; 38: 1508-1514
        • Gould K.L.
        • Lipscomb K.
        • Hamilton G.W.
        Physiologic basis for assessing critical coronary stenosis. Instantaneous flow response and regional distribution during coronary hyperemia as measures of coronary flow reserve.
        Am J Cardiol. 1974; 33: 87-94
        • Xie F.
        • Lof J.
        • Matsunaga T.
        • Zutshi R.
        • Porter T.R.
        Diagnostic ultrasound combined with glycoprotein IIb/IIIa-targeted microbubbles improves microvascular recovery after acute coronary thrombotic occlusions.
        Circulation. 2009; 119: 1378-1385
        • Birnbaum Y.
        • Luo H.
        • Nagai T.
        • et al.
        Noninvasive in vivo clot dissolution without a thrombolytic drug: recanalization of thrombosed iliofemoral arteries by transcutaneous ultrasound combined with intravenous infusion of microbubbles.
        Circulation. 1998; 97: 130-134
        • Molina C.A.
        • Barreto A.D.
        • Tsivgoulis G.
        • et al.
        Transcranial ultrasound in clinical sonothrombolysis (TUCSON) trial.
        Ann Neurol. 2009; 66: 28-38
        • Molina C.A.
        • Ribo M.
        • Rubiera M.
        • et al.
        Microbubble administration accelerates clot lysis during continuous 2-MHz ultrasound monitoring in stroke patients treated with intravenous tissue plasminogen activator.
        Stroke. 2006; 37: 425-429
        • Leong-Poi H.
        • Christiansen J.
        • Klibanov A.L.
        • Kaul S.
        • Lindner J.R.
        Noninvasive assessment of angiogenesis by ultrasound and microbubbles targeted to alpha(v)-integrins.
        Circulation. 2003; 107: 455-460
        • Behm C.Z.
        • Kaufmann B.A.
        • Carr C.
        • et al.
        Molecular imaging of endothelial vascular cell adhesion molecule-1 expression and inflammatory cell recruitment during vasculogenesis and ischemia-mediated arteriogenesis.
        Circulation. 2008; 117: 2902-2911
        • Palmowski M.
        • Huppert J.
        • Ladewig G.
        • et al.
        Molecular profiling of angiogenesis with targeted ultrasound imaging: early assessment of antiangiogenic therapy effects.
        Mol Cancer Ther. 2008; 7: 101-109