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Table 1 Published literature regarding ultrasound-mediated vasodilation

From: Towards use of MRI-guided ultrasound for treating cerebral vasospasm

Article

Model

US parameters

Results

Hightower and Intaglietta 2009 [60]

In vivo

Hamster skin ischemia

• 2.5 MHz, continuous wave

• 8 W/cm2

• 0.5 MPa

• 20-min application to skin

• Microcirculation transiently decreased at 0.5 h but increased at 24 h

• iNOS decreased at 2 h

• eNOS increased at 24 h

Miyamoto et al. 2003 [56]

In vivo

Canine coronary artery

• 27 kHz

• 1.4 W/cm2 SPTA

• Pulsed at 300

• 5-, 30-, 60-, and 90-min transcutaneous applications

• 9 % increase in the luminal area after 30 s of US, 19 % increase after 3 min

• Return to baseline 90 min after cessation of US

Alexandrov et al. 2011 [65]

In vivo

Transcranial after acute MCA occlusion

• 2 MHz

• 0.128 or 0.010 W/cm2

• Transcranial application 1-h exposure after acute MCA occlusion

• Decrease in cerebral edema and infarction volume at 0.010 W/cm2

• No effect at 0.128 W/cm2

Suguta et al. 2000 [57]

In vivo

Rabbit thigh adductor muscle

• 490 kHz, continuous wave

• 0.25–1.7 W/cm2 SATA

• 0.35–0.48 W/cm2 SPTA

• Direct application

• NO production increased by 20 %

• NO elaboration increases within 1 min of US application and decreases within 1 min of cessation

• Effect partially ablated by NOS inhibitor L-NMMA

Suchkova et al. 2002 [71]

In vivo

Ischemic rabbit thigh adductor

• 40 kHz

• 0.25–0.75 W/cm2

• Direct application

• Tissue perfusion improves over 60-min US application

• NOS activity increased; effect blocked by NOS inhibitor L-NAME

Altlad et al. 2004 [59]

In vitro

HUVEC and BAEC cultures

• 27 kHz

• 0.025–0.125 W/cm2, continuous wave

• 0.25 W/cm2 pulsed 10 % duty cycle (10 Hz, 270 cycles per burst) SPTP

• Direct exposure of variable duration, 10 s to 30 min

• Significant increase in NO elaboration and eNOS activity

• Effect seen with 10-s application, increased up to 1-min application

• Pulsed 10 % duty cycle yielded greater NO than continuous wave

Iida et al. 2006 [58]

In vivo

Human brachial artery

• 29 kHz

• 1.4 W/cm2 (0.12 W/cm2 ISATA)

• Pulsed at 25 Hz, 30 % duty cycle

• Transcutaneous application for 1, 2, 3, or 5 min

• Artery diameter increased after 2 min of US

• Returned to baseline 21 min after cessation

• Nonresponders were older

Hsu & Huang 2004 [72]

In vitro

BAEC cultures

• 1 MHz 25 % pulsed

• 0.5, 1.0, 1.6, and 2.0 W/cm2 ISATA (attenuated to 0.68 W/cm2)

• 10 min, once daily for 6 days

• Increased extracellular matrix production in response to US

• Culture medium NO increased approximately 50 % at 1.6 W/cm2

• Culture medium Ca2+ increased by approximately 20 % at 1.0, 1.6, and 2.0 W/cm2

Davis et al. 2015 [66]

In vitro

Primary murine brain endothelial cells

• 1.05 MHz

• 0.35, 0.55, 0.90, and 1.30 MPa

• Pulsed at 50 Hz

• Increased production of various vasodilator molecules (e.g., adenosine, metabolites of arachidonic acid) in response to US

• NO levels undetectable

• eNOS phosphorylation unchanged

  1. HUVEC human umbilical vein endothelial cells, BAEC bovine aortic endothelial cells, MCA middle cerebral artery, US ultrasound, SATA spatial average-temporal average, SPTA spatial peak-temporal average, ISATA spatial average-temporal average intensity