Document Detail


Ultrasound-induced thermal elevation in clotted blood and cranial bone.
MedLine Citation:
PMID:  17490808     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ultrasound thermal effects have been hypothesized to contribute to ultrasound-assisted thrombolysis. To explore the thermal mechanism of ultrasound-enhanced thrombolysis with recombinant tissue plasminogen activator (rt-PA) for the treatment of ischemic stroke, a detailed investigation is needed of the heating produced in skull, brain and blood clots. A theoretical model is developed to provide an estimate for the worst-case scenario of the temperature increase in blood clots and on the surface of cranial bone exposed to 0.12- to 3.5-MHz ultrasound. Thermal elevation was also assessed experimentally in human temporal bone, human clots and porcine clots exposed to 0.12 to 3.5-MHz pulsed ultrasound in vitro with a peak-to-peak pressure of 0.25 MPa and 80% duty cycle. Blood clots exposed to 0.12-MHz pulsed ultrasound exhibited a small temperature increase (0.25 degrees C) and bone exposed to 1.0-MHz pulsed ultrasound exhibited the highest temperature increase (1.0 degrees C). These experimental results were compared with the predicted temperature elevations.
Authors:
Volodymyr Nahirnyak; T Douglas Mast; Christy K Holland
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Publication Detail:
Type:  In Vitro; Journal Article; Research Support, N.I.H., Extramural     Date:  2007-05-09
Journal Detail:
Title:  Ultrasound in medicine & biology     Volume:  33     ISSN:  0301-5629     ISO Abbreviation:  Ultrasound Med Biol     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-01     Completed Date:  2007-11-13     Revised Date:  2013-06-06    
Medline Journal Info:
Nlm Unique ID:  0410553     Medline TA:  Ultrasound Med Biol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1285-95     Citation Subset:  IM    
Affiliation:
Department of Biomedical Engineering, University of Cincinnati, Cincinnati, OH 45267-0586, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Blood Coagulation
Combined Modality Therapy
Heating
Humans
Models, Biological
Recombinant Proteins / therapeutic use
Stroke / therapy*
Sus scrofa
Temperature
Temporal Bone / physiology*
Thrombolytic Therapy*
Tissue Plasminogen Activator / therapeutic use*
Ultrasonic Therapy*
Grant Support
ID/Acronym/Agency:
R01 NS047603/NS/NINDS NIH HHS; R01 NS047603-04/NS/NINDS NIH HHS; R01-NS047603/NS/NINDS NIH HHS
Chemical
Reg. No./Substance:
0/Recombinant Proteins; EC 3.4.21.68/Tissue Plasminogen Activator
Comments/Corrections

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