Interaction between parallel polymer fibers insonificated by ultrasound of low/mild intensity: an analytical theory and experiments.

The purpose of this article is to develop a simple mathematical model to address some bioeffects which may be caused by a static attractive force between two long neighboring parallel thin fibers (for example, a pair of collagen bundles of connective tissue) when they are insonificated by a continuous (CW) traveling plane ultrasound (US) under the condition that the fiber length (L)≫the distance between them (h) and h≪the wavelength of US (λ). The theory predicts that there is an attractive force between these fibers when they are exposed to the CW US with an intensity of a magnitude of 100mW/cm(2). The relationship between the relative approaching velocity of the fibers and the acoustic pressure amplitude can be calculated using the theory. An experiment was performed to verify the theoretical predictions. A plastic test chamber (diameter × height=6mm × 3.5mm) with a cap made of a sound-absorbing material and filled full with distilled water was placed on a microscope stage. A polymer fiber pair of 100µm diameter (d) and 4mm length (L) were immersed in water and aligned parallel in a plane which is normal to the US propagation direction. They floated at the central area of the chamber and h ≤10d. A 25mm diameter, 1MHz quartz crystal was used as an ultrasound source as well as the bottom of the test chamber. The quartz crystal was gold-coated on both sides, but a 5mm diameter center was left transparent (electrode free) to enable optical observation via a microscope. The maximum acoustic intensity, I(max), of the CW wave generated by the source was set at 300mW/cm(2); the corresponding acoustic pressure amplitude was 100kPa. The magnitude of the average approaching velocity of the fiber pair due to the attractive force was found in agreement with that predicted by the theory.

Biomedical applications of radiation force of ultrasound: historical roots and physical basis.

Radiation force is a universal phenomenon in any wave motion, electromagnetic or acoustic. Although acoustic and electromagnetic waves are both characterized by time variation of basic quantities, they are also both capable of exerting a steady force called radiation force. In 1902, Lord Rayleigh published his classic work on the radiation force of sound, introducing the concept of acoustic radiation pressure, and some years later, further fundamental contributions to the radiation force phenomenon were made by L. Brillouin and P. Langevin. Many of the studies discussing radiation force published before 1990 were related to techniques for measuring acoustic power of therapeutic devices; also, radiation force was one of the factors considered in the search for noncavitational, nonthermal mechanisms of ultrasonic bioeffects. A major surge in various biomedical applications of acoustic radiation force started in the 1990s and continues today. Numerous new applications emerged including manipulation of cells in suspension, increasing the sensitivity of biosensors and immunochemical tests, assessing viscoelastic properties of fluids and biological tissues, elasticity imaging, monitoring ablation of lesions during ablation therapy, targeted drug and gene delivery, molecular imaging and acoustical tweezers. We briefly present in this review the major milestones in the history of radiation force and its biomedical applications. In discussing the physical basis of radiation force and its applications, we present basic equations describing the relationship of radiation stress with parameters of acoustical fields and with the induced motion in the biological media. Momentum and force associated with a plane-traveling wave, equations for nonlinear and nonsteady-state acoustic streams, radiation stress tensor for solids and biological tissues and radiation force acting on particles and microbubbles are considered.

Ultrasound, cavitation bubbles and their interaction with cells.

This article reviews the basic physics of ultrasound generation, acoustic field, and both inertial and non-inertial acoustic cavitation in the context of localized gene and drug delivery as well as non-linear oscillation of an encapsulated microbubble and its associated microstreaming and radiation force generated by ultrasound. The ultrasound thermal and mechanical bioeffects and relevant safety issues for in vivo applications are also discussed.

The risk of exposure to diagnostic ultrasound in postnatal subjects: nonthermal mechanisms.

This review examines the nonthermal physical mechanisms by which ultrasound can harm tissue in postnatal patients. First the physical nature of the more significant interactions between ultrasound and tissue is described, followed by an examination of the existing literature with particular emphasis on the pressure thresholds for potential adverse effects. The interaction of ultrasonic fields with tissue depends in a fundamental way on whether the tissue naturally contains undissolved gas under normal physiologic conditions. Examples of gas-containing tissues are lung and intestine. Considerable effort has been devoted to investigating the acoustic parameters relevant to the threshold and extent of lung hemorrhage. Thresholds as low as 0.4 MPa at 1 MHz have been reported. The situation for intestinal damage is similar, although the threshold appears to be somewhat higher. For other tissues, auditory stimulation or tactile perception may occur, if rarely, during exposure to diagnostic ultrasound; ultrasound at similar or lower intensities is used therapeutically to accelerate the healing of bone fractures. At the exposure levels used in diagnostic ultrasound, there is no consistent evidence for adverse effects in tissues that are not known to contain stabilized gas bodies. Although modest tissue damage may occur in certain identifiable applications, the risk for induction of an adverse biological effect by a nonthermal mechanism due to exposure to diagnostic ultrasound is extremely small.

Ultrasound, contrast agents and biological cells; a simplified model for their interaction during in vitro experiments.

A model based on simplifying assumptions is described for the time course of an in vitro experiment in which a beam of ultrasound passes through a suspension of biological cells and gaseous contrast agents (UCAs). It is assumed that cavitation-related activation events (AEs) occur, during each of which a UCA is destroyed or becomes nonfunctional and, at the same time, nearby cells are lysed or otherwise altered. If the UCAs are highly concentrated, the ultrasound attenuation is high and may significantly affect the action. The number of cells affected by each AE depends on the concentrations of cells and UCAs as well as the concentration ratio.

Lauriston S. Taylor Lecture: Assuring the safety of medical diagnostic ultrasound.

In 1980, the NCRP formed Scientific Committee 66 with an assignment to address the subject of "biological effects of ultrasound and exposure criteria." It was recognized that the primary source of exposure to ultrasound was through medical applications and, especially, through procedures employing diagnostic ultrasound. While the risk to patients from these procedures was believed small, it was considered important for users to understand it, in view of the widespread use of diagnostic ultrasound. In proceeding with this assignment, much emphasis has been given to the mechanisms by which ultrasound can bring about changes in biological structures or processes. Thermal effects are possible; the local temperature can rise especially rapidly where ultrasound impinges on bone. From theory for heat production and transport, and by analysis of experimental results with mammals, information has been obtained for guiding users in avoiding harm from temperature elevation. Nonthermal effects, such as capillary rupture, can occur when ultrasound is incident on tissue that normally contains gas-filled cavities, as in adult lung or intestine, or on any tissue containing gaseous contrast agents. Theory from fluid dynamics, together with experimental findings, has led to quantitative guidance for avoiding damage from acoustically activated cavities. It is felt that good practice in applying diagnostic ultrasound is best assured by making it possible for users to be well informed on safety matters so that they can feel justifiably confident in making appropriate choices of operating conditions. A promising and useful approach is in the display of safety information on the diagnostic ultrasound screen, which is now a feature of United States standards.