Emerging Applications of Ultrasound-Contrast Agents in Radiation Therapy.


Journal

Ultrasound in medicine & biology
ISSN: 1879-291X
Titre abrégé: Ultrasound Med Biol
Pays: England
ID NLM: 0410553

Informations de publication

Date de publication:
06 2021
Historique:
received: 17 11 2020
revised: 25 01 2021
accepted: 30 01 2021
pubmed: 4 3 2021
medline: 18 9 2021
entrez: 3 3 2021
Statut: ppublish

Résumé

Radiation therapy (RT) causes DNA damage through ionization, leading to double-strand breaks. In addition, it generates reactive oxygen species (ROS), which are toxic to tumor cells and the vasculature. However, hypoxic regions in the tumor have been shown to not only decrease treatment response but also increase the likelihood of recurrence and metastasis. Ultrasound-sensitive micro-bubbles are emerging as a useful diagnostic and therapeutic tool within RT. Contrast-enhanced ultrasound (CEUS) has shown great promise in early prediction of tumor response to RT. Ultrasound-triggered micro-bubble cavitation has also been shown to induce bio-effects that can sensitize angiogenic tumor vessels to RT. Additionally, ultrasound can trigger the release of drugs from micro-bubble carriers via localized micro-bubble destruction. This approach has numerous applications in RT, including targeted oxygen delivery before radiotherapy. Furthermore, micro-bubbles can be used to locally create ROS without radiation. Sonodynamic therapy uses focused ultrasound and a sonosensitizer to selectively produce ROS in the tumor region and has been explored as a treatment option for cancer. This review summarizes emerging applications of ultrasound contrast agents in RT and ROS augmentation.

Identifiants

pubmed: 33653626
pii: S0301-5629(21)00057-0
doi: 10.1016/j.ultrasmedbio.2021.01.032
pmc: PMC8044052
mid: NIHMS1669667
pii:
doi:

Substances chimiques

Contrast Media 0

Types de publication

Journal Article Research Support, N.I.H., Extramural Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1465-1474

Subventions

Organisme : NCI NIH HHS
ID : R01 CA238241
Pays : United States
Organisme : NIBIB NIH HHS
ID : R01 EB026881
Pays : United States

Informations de copyright

Copyright © 2021 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflict of interest Dr. Eisenbrey receives grant and equipment support from GE Healthcare, equipment support from Siemens, and contrast agent support and consultancy fees from Lantheus Medical Imaging. The remaining authors have no conflicts of interest.

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Auteurs

Quezia Lacerda (Q)

School of Biomedical Engineering and Health Sciences, Drexel University, Philadelphia, Pennsylvania, USA; Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Mohamed Tantawi (M)

Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Dennis B Leeper (DB)

Department of Radiation Oncology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Margaret A Wheatley (MA)

School of Biomedical Engineering and Health Sciences, Drexel University, Philadelphia, Pennsylvania, USA.

John R Eisenbrey (JR)

Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA. Electronic address: John.Eisenbrey@jefferson.edu.

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