High frequency ultrasound imaging of whole blood gelation and retraction during in vitro coagulation

Acoustic and Elastic Properties of a Blood Clot during Microbubble-Enhanced Sonothrombolysis: Hardening of the Clot with Inertial Cavitation

Stroke is the second leading cause of death worldwide. Existing therapies present limitations, and other therapeutic alternatives are sought, such as sonothrombolysis with microbubbles (STL). The aim of this study was to evaluate the change induced by STL with or without recombinant tissue-type plasminogen activator (rtPA) on the acoustic and elastic properties of the blood clot by measuring its sound speed (SoS) and shear wave speed (SWS) with high frequency ultrasound and ultrafast imaging, respectively. An in-vitro setup was used and human blood clots were submitted to a combination of microbubbles and rtPA. The results demonstrate that STL induces a raise of SoS in the blood clot, specifically when combined with rtPA (p < 0.05). Moreover, the combination of rtPA and STL induces a hardening of the clot in comparison to rtPA alone (p < 0.05). This is the first assessment of acoustoelastic properties of blood clots during STL. The combination of rtPA and STL induce SoS and hardening of the clot, which is known to impair the penetration of thrombolytic drugs and their efficacy.

Photoelastic ultrasound detection using ultra-high-Q silica optical resonators

As a result of its non-invasive and non-destructive nature, ultrasound imaging has found a variety of applications in a wide range of fields, including healthcare and electronics. One accurate and sensitive approach for detecting ultrasound waves is based on optical microcavities. Previous research using polymer microring resonators demonstrated detection based on the deformation of the cavity induced by the ultrasound wave. An alternative detection approach is based on the photoelastic effect in which the ultrasound wave induces a strain in the material that is converted to a refractive index change. In the present work, photoelastic-based ultrasound detection is experimentally demonstrated using ultra high quality factor silica optical microcavities. As a result of the increase in Q and in coupled power, the noise equivalent pressure is reduced, and the device response is increased. A finite element method model that includes both the acoustics and optics components of this system is developed, and the predictive accuracy of the model is determined.