Jet and Shock Wave from Collapse of Two Cavitation Bubbles

A Promising Therapeutic Strategy of Combining Acoustically Stimulated Nanobubbles and Existing Cancer Treatments

In recent years, ultrasound-stimulated microbubbles (USMBs) have gained great attention because of their wide theranostic applications. However, due to their micro-size, reaching the targeted site remains a challenge. At present, ultrasound-stimulated nanobubbles (USNBs) have attracted particular interest, and their small size allows them to extravasate easily in the blood vessels penetrating deeper into the tumor vasculature. Incorporating USNBs with existing cancer therapies such as chemotherapy, immunotherapy, and/or radiation therapy in several preclinical models has been demonstrated to have a profound effect on solid tumors. In this review, we provide an understanding of the composition and formation of nanobubbles (NBs), followed by the recent progress of the therapeutic combinatory effect of USNBs and other cancer therapies in cancer treatment.

Real-Time Cavitation Monitoring During Optical Coherence Tomography Guided Photo-Mediated Ultrasound Therapy of the Retina

OBJECTIVE

Photo-mediated ultrasound therapy (PUT) is a novel antivascular therapeutic modality based on cavitation-induced bioeffects. During PUT, synergistic combinations of laser pulses and ultrasound bursts are used to remove the targeted microvessels selectively and precisely without harming nearby tissue. In the current study, an integrated system combining PUT and spectral domain optical coherence tomography (SD-OCT) was developed, where the SD-OCT system was used to guide PUT by detecting cavitation in real time in the retina of the eye.

METHOD

We first examined the capability of SD-OCT in detecting cavitation on a vascular-mimicking phantom and compared the results with those from a passive cavitation detector. The performance of the integrated system in treatment of choroidal microvessels was then evaluated in rabbit eyes in vivo.

RESULTS

During the in vivo PUT experiments, several biomarkers at the subretinal layer in the rabbit eye were identified on OCT images. The findings indicate that, by evaluating biomarkers of treatment effect, real-time SD-OCT monitoring could help to avoid micro-hemorrhage, which is a potential major side effect.

CONCLUSION

Real-time OCT monitoring can thus improve the safety and efficiency of PUT in removing the retinal and choroidal microvasculature.

Investigations on the shock wave induced by collapse of a toroidal bubble

When bubbles collapse near a wall, they typically experience an asymmetric deformation. This collapse leads to the creation of a jet that strikes the bubble interface, causing the formation of a toroidal bubble and the subsequent release of a water-hammer shock. In this study, we present a systematic analysis of the collapse of a toroidal bubble in an open field or adjacent to a flat wall using high-fidelity numerical simulation. To maintain the sharpness of the interface, we employ the interface compression technique and the boundary variation diminishing approach within the two-phase model. Our findings demonstrate that shock waves emitted from the toroidal bubble consistently propagate toward the central axis of the torus, resulting in significant pressure shocks along the axis, similar to the water-hammer shock formed during the collapse of a spherical bubble. In contrast, weak pressure waves are generated in the transverse directions, leading to relatively weaker pressure peaks. Furthermore, the wall-pressure peak induced by the toroidal bubble is approximately three times higher than that induced by the spherical bubble. Based on the directional characteristics of pressure wave propagation from collapsing toroidal bubbles, toroidal-shaped pressure vessels can be designed as buoyancy materials for deep submersibles. This design enables the focused release of energy in a specific direction, effectively minimizing the destructive chain reaction caused by the implosion.

Observation of neutron emission during acoustic cavitation of deuterated titanium powder

Possibility of nuclear reactions in solid state is intriguing for two reasons: (1) It provides a means of studying nuclear processes in conditions that are much different from traditional plasma-filled reactors or particle accelerators; (2) it dramatically lowers the cost and complexity of the experimental setups by eliminating the highly capital intensive components such as plasma/vacuum systems and particle accelerators. In this article we report the observation of neutron emission coincident with acoustic cavitation of deuterated titanium powder suspended in mineral oil. The resulting neutron emission was detected using an assembly of 3He proportional neutron counters. The peak neutron count rate was in excess of 6500 CPM, more than 10,000 times in excess of background. The observed neutron emission was coincident with the application of acoustic influence. The neutrons were present only when secondary acoustic waves originating from the complex bubble interactions inside the reactor constructively interfered resulting in massive, sharp pressure peaks on the order of a few thousand psi. We were able to sustain the neutron production for several hours and repeated the experiment multiple times under various conditions. We hypothesize that the observed neutrons originate from nuclear fusion of deuterium ions dissolved in titanium lattice due to the mechanical action of the impinging cavitation jets, although other processes (such as spallation) still need to be ruled out.

Radiation enhancement using focussed ultrasound-stimulated microbubbles for breast cancer: A Phase 1 clinical trial

BACKGROUND

Preclinical studies have demonstrated that tumour cell death can be enhanced 10- to 40-fold when radiotherapy is combined with focussed ultrasound-stimulated microbubble (FUS-MB) treatment. The acoustic exposure of microbubbles (intravascular gas microspheres) within the target volume causes bubble cavitation, which induces perturbation of tumour vasculature and activates endothelial cell apoptotic pathways responsible for the ablative effect of stereotactic body radiotherapy. Subsequent irradiation of a microbubble-sensitised tumour causes rapid increased tumour death. The study here presents the mature safety and efficacy outcomes of magnetic resonance (MR)-guided FUS-MB (MRgFUS-MB) treatment, a radioenhancement therapy for breast cancer.

METHODS AND FINDINGS

This prospective, single-center, single-arm Phase 1 clinical trial included patients with stages I-IV breast cancer with in situ tumours for whom breast or chest wall radiotherapy was deemed adequate by a multidisciplinary team (clinicaltrials.gov identifier: NCT04431674). Patients were excluded if they had contraindications for contrast-enhanced MR or microbubble administration. Patients underwent 2 to 3 MRgFUS-MB treatments throughout radiotherapy. An MR-coupled focussed ultrasound device operating at 800 kHz and 570 kPa peak negative pressure was used to sonicate intravenously administrated microbubbles within the MR-guided target volume. The primary outcome was acute toxicity per Common Terminology Criteria for Adverse Events (CTCAE) v5.0. Secondary outcomes were tumour response at 3 months and local control (LC). A total of 21 female patients presenting with 23 primary breast tumours were enrolled and allocated to intervention between August/2020 and November/2022. Three patients subsequently withdrew consent and, therefore, 18 patients with 20 tumours were included in the safety and LC analyses. Two patients died due to progressive metastatic disease before 3 months following treatment completion and were excluded from the tumour response analysis. The prescribed radiation doses were 20 Gy/5 fractions (40%, n = 8/20), 30 to 35 Gy/5 fractions (35%, n = 7/20), 30 to 40 Gy/10 fractions (15%, n = 3/20), and 66 Gy/33 fractions (10%, n = 2/20). The median follow-up was 9 months (range, 0.3 to 29). Radiation dermatitis was the most common acute toxicity (Grade 1 in 16/20, Grade 2 in 1/20, and Grade 3 in 2/20). One patient developed grade 1 allergic reaction possibly related to microbubbles administration. At 3 months, 18 tumours were evaluated for response: 9 exhibited complete response (50%, n = 9/18), 6 partial response (33%, n = 6/18), 2 stable disease (11%, n = 2/18), and 1 progressive disease (6%, n = 1/18). Further follow-up of responses indicated that the 6-, 12-, and 24-month LC rates were 94% (95% confidence interval [CI] [84%, 100%]), 88% (95% CI [75%, 100%]), and 76% (95% CI [54%, 100%]), respectively. The study's limitations include variable tumour sizes and dose fractionation regimens and the anticipated small sample size typical for a Phase 1 clinical trial.

CONCLUSIONS

MRgFUS-MB is an innovative radioenhancement therapy associated with a safe profile, potentially promising responses, and durable LC. These results warrant validation in Phase 2 clinical trials.

TRIAL REGISTRATION

clinicaltrials.gov, identifier NCT04431674.

Amplification of Supersonic Microjets by Resonant Inertial Cavitation-Bubble Pair

We reveal for the first time by experiments that within a narrow parameter regime, two cavitation bubbles with identical energy generated in antiphase develop a supersonic jet. High-resolution numerical simulation shows a mechanism for jet amplification based on toroidal shock wave and bubble necking interaction. The microjet reaches velocities in excess of 1000  m s^{-1}. We demonstrate that potential flow theory established for Worthington jets accurately predicts the evolution of the bubble gas-liquid interfaces unifying compressible and incompressible jet amplification.

Simultaneous High-Frame-Rate Acoustic Plane-Wave and Optical Imaging of Intracranial Cavitation in Polyacrylamide Brain Phantoms during Blunt Force Impact

Blunt and blast impacts occur in civilian and military personnel, resulting in traumatic brain injuries necessitating a complete understanding of damage mechanisms and protective equipment design. However, the inability to monitor in vivo brain deformation and potential harmful cavitation events during collisions limits the investigation of injury mechanisms. To study the cavitation potential, we developed a full-scale human head phantom with features that allow a direct optical and acoustic observation at high frame rates during blunt impacts. The phantom consists of a transparent polyacrylamide material sealed with fluid in a 3D-printed skull where windows are integrated for data acquisition. The model has similar mechanical properties to brain tissue and includes simplified yet key anatomical features. Optical imaging indicated reproducible cavitation events above a threshold impact energy and localized cavitation to the fluid of the central sulcus, which appeared as high-intensity regions in acoustic images. An acoustic spectral analysis detected cavitation as harmonic and broadband signals that were mapped onto a reconstructed acoustic frame. Small bubbles trapped during phantom fabrication resulted in cavitation artifacts, which remain the largest challenge of the study. Ultimately, acoustic imaging demonstrated the potential to be a stand-alone tool, allowing observations at depth, where optical techniques are limited.

Simulation of fluid dynamics and turbulence during phacoemulsification using the new propeller turbo tip

PURPOSE

To investigate the fluid dynamics and turbulence in the anterior chamber during phacoemulsification with a new propeller turbo tip using computational fluid dynamics methods.

METHODS

A theoretical study, three-dimensional model with the corresponding mathematical equations for the propeller turbo phaco tip, anterior chamber and lens capsular bag was developed. A simulation was performed for the new propeller turbo tip with various parameter settings (vacuum, irrigation bottle height and phaco power). Fluid dynamics and turbulence in the anterior chamber, lens capsular bag and phaco tip were evaluated. The linear relationship between the different setting parameters and a stable anterior chamber pressure was assessed.

RESULTS

The fluid dynamic turbulence was mainly symmetrically distributed in the anterior chamber. Propeller turbo phaco tip vibration caused increased fluid velocity and asymmetrical fluid turbulence in the metal lumen but had little influence on dynamic intraocular pressure. Reasonable phaco machine parameter settings can maintain a stable intraocular pressure during phacoemulsification.

CONCLUSIONS

Evaluation of phacoemulsification fluid dynamics using computational simulation methods could provide detailed information about the influence of the propeller on dynamic intraocular pressure during phacoemulsification, which is useful for a better understanding of this procedure.

Radiation combined with ultrasound and microbubbles: A potential novel strategy for cancer treatment

Cancer is one of the leading causes of death worldwide. Several emerging technologies are helping to battle cancer. Cancer therapies have been effective at killing cancer cells, but a large portion of patients still die to this disease every year. As such, more aggressive treatments of primary cancers are employed and have been shown to be capable of saving a greater number of lives. Recent research advances the field of cancer therapy by employing the use of physical methods to alter tumor biology. It uses microbubbles to enhance radiation effect by damaging tumor vasculature followed by tumor cell death. The technique can specifically target tumor volumes by conforming ultrasound fields capable of microbubbles stimulation and localizing it to avoid vascular damage in surrounding tissues. Thus, this new application of ultrasound-stimulated microbubbles (USMB) can be utilized as a novel approach to cancer therapy by inducing vascular disruption resulting in tumor cell death. Using USMB alongside radiation has showed to augment the anti-vascular effect of radiation, resulting in enhanced tumor response. Recent work with nanobubbles has shown vascular permeation into intracellular space, extending the use of this new treatment method to potentially further improve the therapeutic effect of the ultrasound-based therapy. The significant enhancement of localized tumor cell kill means that radiation-based treatments can be made more potent with lower doses of radiation. This technique can manifest a greater impact on radiation oncology practice by increasing treatment effectiveness significantly while reducing normal tissue toxicity. This review article summarizes the past and recent advances in USMB enhancement of radiation treatments. The review mainly focuses on preclinical findings but also highlights some clinical findings that use USMB as a therapeutic modality in cancer therapy.

Multiscale interactions of liquid, bubbles and solid phases in ultrasonic fields revealed by multiphysics modelling and ultrafast X-ray imaging

The volume of fluid (VOF) and continuous surface force (CSF) methods were used to develop a bubble dynamics model for the simulation of bubble oscillation and implosion dynamics under ultrasound. The model was calibrated and validated by the X-ray image data acquired by ultrafast synchrotron X-ray. Coupled bubble interactions with bulk graphite and freely moving particles were also simulated based on the validated model. Simulation and experiments quantified the surface instability developed along the bubble surface under the influence of ultrasound pressure fields. Once the surface instability exceeds a certain amplitude, bubble implosion occurs, creating shock waves and highly deformed, irregular gas-liquid boundaries and smaller bubble fragments. Bubble implosion can produce cyclic impulsive stresses sufficient enough to cause µs fatigue exfoliation of graphite layers. Bubble-particle interaction simulations reveal the underlying mechanisms for efficient particle dispersion or particle wrapping which are all strongly related to the oscillation dynamics of the bubbles and the particle surface properties.

Investigation of the Effect of Nozzle on Underwater Detonation Shock Wave and Bubble Pulsation

The subject of a gas jet generated by underwater detonation is an important issue in the field of underwater propulsion. The experimental system of underwater detonation is established, which utilizes a high-speed camera to record the morphological changes in bubbles and various pressure sensors to measure the flow field pressure. The effect of nozzles and the pressure of the flow field are analyzed thoroughly. The comparison of the bubble and field pressure shows that the shrinking nozzle increases the peak pressure of the transmitted shock wave generated by underwater detonation compared with that of the straight nozzle. Simultaneously, the water–air mixing phenomenon caused by the gas jet is enhanced. Under the influence of the reflected shock wave and the converging angle of the nozzle, the pulsation process of the bubble is inhibited enormously, which results in the bubble energy being substantially below that of the straight nozzle. The bubble pulsation period is 24.2 ms when the shrinking nozzle is installed, and the pressure of the bubble pulsation is quite small, only 9.8 kPa. On the contrary, the expansion angle increases the velocity of the gas jet, suppressing the water–gas mixing phenomenon while enhancing the bubble pulsation process. The bubble pulsation period is 33.0 ms when the expanding nozzle is equipped, which is larger than the 31.2 ms of the straight nozzle and the bubble pulsation pressure is higher, at 26.1 kPa. Although the bubble energy is increased when the expanding nozzle is installed, thus generating a higher pulsation pressure, the peak pressure and direction of the shock wave are changed in the water.

Collapse pressure measurement of single hollow glass microsphere using single-beam acoustic tweezer

Microbubbles are widely used in medical ultrasound imaging and drug delivery. Many studies have attempted to quantify the collapse pressure of microbubbles using methods that vary depending on the type and population of bubbles and the frequency band of the ultrasound. However, accurate measurement of collapse pressure is difficult as a result of non-acoustic pressure factors generated by physical and chemical reactions such as dissolution, cavitation, and interaction between bubbles. In this study, we developed a method for accurately measuring collapse pressure using only ultrasound pulse acoustic pressure. Under the proposed method, the collapse pressure of a single hollow glass microsphere (HGM) is measured using a high-frequency (20-40 MHz) single-beam acoustic tweezer (SBAT), thereby eliminating the influence of additional factors. Based on these measurements, the collapse pressure is derived as a function of the HGM size using the microspheres' true density. We also developed a method for estimating high-frequency acoustic pressure, whose measurement using current hydrophone equipment is complicated by limitations in the size of the active aperture. By recording the transmit voltage at the moment of collapse and referencing it against the corresponding pressure, it is possible to estimate the acoustic pressure at the given transmit condition. These results of this study suggest a method for quantifying high-frequency acoustic pressure, provide a potential reference for the characterization of bubble collapse pressure, and demonstrate the potential use of acoustic tweezers as a tool for measuring the elastic properties of particles/cells.

3D-Printed Complex Microstructures with a Self-Sacrificial Structure Enabled by Grayscale Polymerization and Ultrasonic Treatment

Complex three-dimensional (3D) microstructures are attracting more and more attention in many applications such as microelectromechanical systems, biomedical engineering, new materials, new energy, environmental protection, and wearable electronics. However, fabricating complex 3D microstructures by 3D printing techniques, especially those with long suspended structures, needs to introduce additional supporting structures, which are difficult to be removed. Here, we propose a simple method in which the supporting structures can be easily removed by optimizing their size and the grayscale value working with ultrasonic treatment in ethanol solution. The 3D microstructures and the supporting structures made of the same insoluble materials are fabricated simultaneously by using a projection microstereolithography system with a dynamic mask. The results demonstrate that the supporting structures play a key role in the fabrication of the long suspended structures while they can be easily removed. The removal time decreases with the increase in the height of the supporting microstructures, and the breaking force and shearing force of the supporting structures increase with the increase in their grayscale and the diameter. In addition, theory and the multiphysics simulation validate that the stress concentration at the top and the bottom of the supporting structures due to the cavitation from ultrasonic vibration dominates the removal of the supporting structures. Finally, a tree-like structure is precisely fabricated by using our method. The present study provides a new way for the removal of the supporting structures for 3D printed suspended microstructures.

On the thermodynamic behaviors and interactions between bubble pairs: A numerical approach

Thermodynamic behaviors and interactions between bubble pairs are important to better understand the cavitation phenomena. In this study, a compressible two-phase model, accounting for thermal effects to investigate the thermodynamic behaviors and interactions between bubble pairs, is developed in OpenFOAM. The volume of fluid (VOF) method is adopted to capture the interface. Validations are performed by comparing the simulation results of a single bubble and bubble pairs with corresponding experimental data. The dynamical behaviors of bubble pairs and their thermodynamic effect at different relative distances γ are investigated and discussed, which help reveal the bubble cloud dynamics. The quantitative analysis of γ effects on the maximum temperature during bubble collapse is performed with three distinct stages identified. For a single bubble collapsing near the rigid surface, the thermodynamic characteristics at different relative distances are similar to that of the bubble pairs, but the maximum temperature is higher since the single bubble can collapse to a smaller volume.

Study on Bubble Cavitation in Liquids for Bubbles Arranged in a Columnar Bubble Group

In liquids, bubbles usually exist in the form of bubble groups. Due to their interaction with other bubbles, the resonance frequency of bubbles decreases. In this paper, the resonance frequency of bubbles in a columnar bubble group is obtained by linear simplification of the bubbles’ dynamic equation. The correction coefficient between the resonance frequency of the bubbles in the columnar bubble group and the Minnaert frequency of a single bubble is given. The results show that the resonance frequency of bubbles in the bubble group is affected by many parameters such as the initial radius of bubbles, the number of bubbles in the bubble group, and the distance between bubbles. The initial radius of the bubbles and the distance between bubbles are found to have more significant influence on the resonance frequency of the bubbles. When the distance between bubbles increases to 20 times the bubbles’ initial radius, the coupling effect between bubbles can be ignored, and after that the bubbles’ resonance frequency in the bubble group tends to the resonance frequency of a single bubble’s resonance frequency. Fluent software is used to simulate the bubble growth, shrinkage, and collapse of five and seven bubbles under an ultrasonic field. The simulation results show that when the bubble breaks, the two bubbles at the outer field first begin to break and form a micro-jet along the axis line of the bubbles. Our methods and conclusions will provide a reference for further simulations and indicate the significance of the prevention or utilization of cavitation.