The present invention relates to the use of a vortex, and more particularly to a vortexed-acoustic-field method for creating cell permeability and opening a blood-brain barrier.
In the treatment of thrombus-related diseases, such as myocardial infarction, deep venous thrombosis, ischemic stroke, and others, the common thrombolytic therapy in clinic requires intravenous injection of a thrombolytic agent within a few hours after the onset of symptoms. The thrombolytic drugs include anticoagulants and thrombolytics. However, some hazards exist due to the different constitutions of the patients, and bleeding complications can occur when the dosage is too high.
Besides the thrombolytic agents, ultrasound is a common therapy in thrombolytic treatment, which uses a low-frequency ultrasound of 20 kHz to 2 MHz. The low-frequency ultrasound beams can penetrate a depth and then be focused, to reduce the therapeutic dose of a thrombolytic agent. In the field of ultrasonic emission technologies, generally the focusing of focused or non-focused ultrasound is created by phase modulation. In order to reduce the dose of the thrombolytic agent and the risk of bleeding and take into account the thrombolytic effect, an interventional catheter is used to deliver the thrombolytic agent directly to the site of thrombus. However, the use of a catheter to deliver the thrombolytic agent in combination with the general phase modulation to produce an ultrasound to enhance the thrombus ablation by the agent remains an invasive treatment and is a generally accepted prior art.
Moreover, with the aid of an ultrasonic contrast agent in the form of microbubbles, the therapeutic effect of thrombolysis can be promoted. However, the previous practice is to inject microbubbles intravenously, and then irradiate with a pulsed ultrasound after the microbubbles reach the blood vessels in the brain with the blood flow, upon which the microbubbles will absorb the energy of the ultrasonic waves to allow their volumes to periodically expand and contract. This process increases the cell membrane permeability of vascular endothelial cells or disrupts the tight junctions between the endothelial cells, resulting in the opening of the blood-brain barrier. Irradiation of ultrasound is non-invasive, and intravenous injection of microbubbles is invasive. For the use in glioma, Alzheimer's disease, and amyotrophic lateral sclerosis, this technology is still under clinical trials (clinical trials. gov; NCT02986932, NCT03119961, NCT03321487, NCT02343991, and NCT03551249).
Generally, common phase modulation produces an ultrasound to enhance the thrombus ablation by a drug to achieve an enhanced thrombolytic effect. However, the common phase modulation is different from the thrombolysis technology disclosed in the present invention that produces vortexed acoustic field by phase modulation. In view of this, the technical effect of the present invention adopting phase modulation to generate a vortexed-acoustic-field differs in that the common phase modulation and the phase modulation of the present invention that generates a vortexed-acoustic-field are two completely different technologies. The probe emitting a vortexed-acoustic-field in the present invention has a piezoelectric patch comprising at least one inner channel. When there is a plurality of inner channels, a phase difference is generated between each two channels, which is used by an ultrasonic transducer to generate a vortexed-acoustic-field. In short, although phase modulation is adopted in both technologies, the techniques are not the same. The thrombolysis effect can be improved, and the present invention can further be promoted by a combination of the phase modulation in the present invention to generate a vortexed-acoustic-field with a microbubble input device.
The problem to be solved by the present invention is to provide a vortexed-acoustic-field method for creating cell permeability and opening blood-brain barrier, and use thereof. In this method, only an ultrasound of vortexed acoustic field is irradiated, which is non-invasive, so as to improve the traditional invasive means in which a common phase-regulated ultrasound (US) is used to enhance the thrombus ablation by a drug. The main improvement in the present invention is that the opening of cell permeability and increased thrombolysis are achieved without intravenous injection of microbubbles. Another improvement in the present invention is that not only an ultrasound of vortexed acoustic field is irradiated, but also a microbubble input device can be used to facilitate the generation of microbubbles for treatment.
An object of the present invention is to provide a vortexed-acoustic-field method for creating cell permeability, which comprises using an ultrasonic transducer; using a probe emitting a vortexed acoustic field, the probe emitting a vortexed acoustic field having a piezoelectric patch comprising at least one inner channel, where when there is a plurality of inner channels, a phase difference is generated between each two channels, which is used by the ultrasonic transducer to generate a vortexed acoustic field; and enabling the cells to have permeability by the vortexed acoustic field, where the vortexed acoustic field has the following parameters: frequency: 20 kHz to 20 MHz, and acoustic pressure: 0.1 to 10 MPa.
According to the above object, when the following parameters: frequency: 0.5 MHz to 20 MHz, and acoustic pressure: 0.1 to 10 MPa, proving that the ultrasound of vortexed acoustic field of the present invention is effective and can greatly shorten the time to open the cell permeability.
According to the above object, the probe emitting a vortexed acoustic field of the present invention comprises at least one piezoelectric patch, or consists of an array of at least four piezoelectric patches, or consists of an array of at least three piezoelectric patches.
The probe emitting a vortexed acoustic field of the present invention comprises at least four piezoelectric patches, proving that the ultrasound of vortexed acoustic field of the present invention is more effective and can greatly shorten the time to open the cell permeability.
An object of the present invention is to provide a vortexed-acoustic-field method for creating cell permeability, which comprises using an ultrasonic transducer; using a radial probe emitting a vortexed acoustic field, the radial probe emitting a vortexed acoustic field being capable of performing vortex motion at both sides, and the radial probe emitting a vortexed acoustic field having a piezoelectric patch comprising at least one inner channel, where when there is a plurality of inner channels, a phase difference is generated between each two channels, which is used by the ultrasonic transducer to generate a vortexed acoustic field; and enabling the cells to have permeability by the vortexed acoustic field, where the vortexed acoustic field has the following parameters: frequency: 20 kHz to 20 MHz, and acoustic pressure: 0.1 to 10 MPa.
According to the above object, when the following parameters: frequency: 0.5 MHz to 20 MHz, and acoustic pressure: 0.1 to 10 MPa, proving that the ultrasound of vortexed acoustic field of the present invention is effective and can greatly shorten the time to open the cell permeability.
An object of the present invention is to provide a vortexed-acoustic-field method for opening a blood-brain barrier, which comprises: using an ultrasonic transducer; using a probe emitting a vortexed acoustic field, the probe emitting a vortexed acoustic field having a piezoelectric patch comprising at least one inner channel, where when there is a plurality of inner channels, a phase difference is generated between each two channels, which is used by the ultrasonic transducer to generate a vortexed acoustic field; and opening the blood-brain barrier by using the vortexed acoustic field, where the vortexed acoustic field has the following parameters: frequency: 20 kHz to 20 MHz, and acoustic pressure: 0.1 to 10 MPa.
According to the above object, when the following parameters: frequency: 0.5 MHz to 20 MHz, and acoustic pressure: 0.1 to 10 MPa, provide a vortexed-acoustic-field method for opening a blood-brain barrier. According to the above object, the probe emitting a vortexed acoustic field of the present invention comprises at least one piezoelectric patch, or consists of an array of at least four piezoelectric patches, or consists of an array of at least three piezoelectric patches.
The probe emitting a vortexed acoustic field of the present invention comprises at least four piezoelectric patches, provide a vortexed-acoustic-field method for opening a blood-brain barrier.
An object of the present invention is to provide a vortexed-acoustic-field method for opening a blood-brain barrier, which comprises: using an ultrasonic transducer; using a radial probe emitting a vortexed acoustic field, the radial probe emitting a vortexed acoustic field being capable of performing vortex motion at both sides and the radial probe emitting a vortexed acoustic field having a piezoelectric patch comprising at least one inner channel, where when there is a plurality of inner channels, a phase difference is generated between each two channels, which is used by the ultrasonic transducer to generate a vortexed acoustic field; and opening the blood-brain barrier by using the vortexed acoustic field, where the vortexed acoustic field has the following parameters: frequency: 20 kHz to 20 MHz, and acoustic pressure: 0.1 to 10 MPa.
According to the above object, when the following parameters: frequency: 0.5 MHz to 20 MHz, and acoustic pressure: 0.1 to 10 MPa, provide a vortexed-acoustic-field method for opening a blood-brain barrier.
An object of the present invention is to provide a vortexed-acoustic-field method for creating cell permeability by using an ultrasound and microbubbles in combination, which comprises: using a microbubble input device; using a radial probe emitting a vortexed acoustic field; and using a vortex method for creating cell permeability, to generate a vortexed acoustic field; performing a focusing step to concentrate the microbubbles to a center of the vortexed acoustic field; and performing a manipulation step, to direct the bubbles delivered by a carrier to a site of lesion.
The piezoelectric patch used in the vortexed-acoustic-field method for creating cell permeability of the present invention has a radius of curvature in the range of 10 to 100 mm.
The ultrasound generation step of the present invention is performed by a pulse generator having a frequency in the range of 20 kHz to 20 MHz.
According to the above object, when the following parameters: frequency: 0.5 MHz to 20 MHz, and acoustic pressure: 0.1 to 10 MPa, proving that the ultrasound of vortexed acoustic field of the present invention is effective and can perform a focusing step to concentrate the microbubbles to a center of the vortexed acoustic field; and performing a manipulation step, to direct the bubbles delivered by a carrier to a site of lesion. The present invention has mainly the following effects. By opening the cell permeability and opening the blood-brain barrier, the substances that cannot pass through the blood-brain barrier are allowed to penetrate through the cerebral blood vessel into the brain tissue, which is a non-invasive treatment for the blood brain barrier and can improve the amount of a chemotherapeutic agent entering the brain tumor, so as to kill more tumor cells and improve the effect and use of the thrombolytic therapy. In addition, the present invention can be further facilitated by a combination of the vortexed acoustic field generated by phase modulation of an ultrasound with microbubbles, by which opening of cell permeability and increased rate of thrombus dissolution and use are achieved, proving that the ultrasound of vortexed acoustic field of the present invention is effective and can also greatly shorten the time to open the cell permeability.
For better understanding of the objects, functions, features and structures of the present invention, the present invention will be described below in connection with preferred embodiments with reference to accompanying drawings.
The single-channel and multi-channel means of generating vortexed acoustic field can be respectively simply embodied as mechanical and electronic means. The familiar multi-channel means is to generate a vortexed acoustic field with at least 4 channels by individually driving a wave form with a phase difference of 2*pi/(channel number) or with time delay to each channel. In addition, the number of channels may be increased to produce a more delicate vortexed acoustic field, provided that the number of channels is an integer multiple of 4. In another embodiment, the multi-channel means is to generate a vortexed acoustic field with at least 3 channels by individually driving a wave form with a phase difference of 2*pi/(channel number) or with time delay to each channel.
Compared to the electronic means, the single-channel means of generating a vortexed acoustic field is as follows. An acoustic lens is added in front of a single-channel piezoelectric patch that has received geometric phase cut. When an ultrasound passes through the phase cut of the acoustic lens via the piezoelectric patch, a waveform of the vortexed acoustic field is produced. The difference between this means and the electronic means is mainly that a vortexed acoustic field can be generated by only a single-channel probe.
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In general, the cell permeability is closed 310, the serum albumin cannot cross the cell membrane barrier, and almost all Evans blue binds to albumin, so the dye cannot pass through the cell membrane barrier, and the nerve tissue is not stained. In contrast, when the cell permeability is opened 320, serum albumin will leak from the blood vessel into the tissue, the Evans blue bound to albumin can enter the cells, and the area where the dye is present will appear blue, that is, the cell permeability is opened 320.
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According to an embodiment of the present invention, the probe 100 emitting a vortexed acoustic field has at least one piezoelectric patch 101 or consists of an array of at least four piezoelectric patches 101. The piezoelectric patch 101 has a curved shape and is cut to have four adjacent channels, and a phase difference is present between two adjacent channels to generate an acoustic vortex.
In particular, the ultrasonic transducer 105 can be embodied as a pulse generator. More specifically, the ultrasonic transducer 105 can be, but is not limited to, a field programmable gate array (FPGA) pulse generator. In addition, the driving signal transmitted by the ultrasonic transducer 105 may be a square wave signal or a sine wave signal. Although not shown in the figures, an amplifier may be provided on the ultrasonic transducer 105 for amplification of the driving signal.
In an embodiment of the present invention, the piezoelectric patch 101 is made of a lead zirconate titanate material. Further, an epoxy resin is provided on the piezoelectric patch 101 and in a casing for filling and sealing the casing; however, the present invention is not limited thereto.
According to an embodiment of the present invention, the radial probe 110 emitting a vortexed acoustic field has at least one piezoelectric patch 101 or consists of an array of at least four piezoelectric patches 101. The piezoelectric patch 101 has a curved shape and is cut to have four adjacent channels, and a phase difference is present between two adjacent channels to generate an acoustic vortex.
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Blood-brain barrier (BBB) refers to a barrier between the blood vessels and the brain that selectively blocks certain substances from entering the brain. The important function of the blood-brain barrier is to prevent the brain from being affected by chemically conductive substances. Since many functions in the body are controlled by the brain by means of secretion of hormones, if chemically conductive substances are allowed to flow freely in the brain, feedback may occur. Therefore, if the brain function is maintained in a normal mode of operation, the presence of a blood-brain barrier will also prevent the brain from being infected by the bacteria.
Evans blue is used to assess the permeability of blood brain barrier to macromolecules. In general, the serum albumin cannot cross the barrier, and almost all Evans blue binds to albumin, so the dye cannot pass through the blood brain barrier, and the nerve tissue is not stained. In contrast, when the blood brain barrier is damaged or opened, the albumin will leak from the blood vessel into the peripheral brain tissue, the Evans blue bound to albumin can enter the central nervous system (CNS), and the area where the dye is present will appear blue.
Before sonication, the mice are intravenously injected with Evans blue. In an in-vivo mouse model in the head 300, the dye is not able to pass through the blood-brain barrier at this time. However, after the probe 100 emitting a vortexed acoustic field is used, the blood-brain barrier is opened. It will leak from the blood vessel to the peripheral brain tissue, and the area where the dye is present, that is, the area where the blood brain barrier is opened, will appear blue. In this way, the thrombus 500 in the human or animal can be further treated.
Group treated with a common ultrasound: The mouse head 300 was applied with a conductive gel and sonicated with a common ultrasound (sonication time: 10 minutes).
Group treated with an ultrasound of vortexed acoustic field of the present invention: The mouse head 300 was applied with a conductive gel and irradiated with a probe 100 emitting a vortexed acoustic field of the present invention (sonication time: 10 minutes), where the probe emitting a vortexed acoustic field consisted of an array of four piezoelectric patches.
After sonication, the rat brain was removed, frozen, and sliced, and whether a blue area is present was visually observed. If a blue area is present, it is the area where the blood brain barrier is opened.
The ultrasound has the following parameters:
Frequency: 3.1 MHz, 7 MHz
Acoustic pressure: 1 MPa
Duty cycle: 50%
Time: 10 minutes
Group treated with an ultrasound of vortexed acoustic field of the present invention: The mouse head 300 is applied with a conductive gel and irradiated with a probe 100 emitting a vortexed acoustic field of the present invention (sonication time: 10 minutes). After sonication, the rat brain is removed, frozen, and sliced, and visually observed. The figure shows that several large blue areas are present, indicating that the blood-brain barrier is obviously opened.
According to an embodiment of the present invention, the probe 100 emitting a vortexed acoustic field has at least one piezoelectric patch 101 or consists of an array of at least four piezoelectric patches 101. The piezoelectric patch 101 has a curved shape and is cut to have four adjacent channels, and a phase difference is present between two adjacent channels to generate an acoustic vortex.
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The common ultrasonic contrast agent is a micro-bubble. The ultrasonic contrast agent is a micro-bubble that can be encapsulated by a shell of a biodegradable material. It has the function of enhancing the ultrasonic scattering signal, and has the function of marking and guiding during ultrasonic imaging. When an ultrasound of sufficiently high acoustic pressure is applied to the microbubbles, the microbubbles will be broken. The ultrasonic microbubble contrast agent can be used in imaging and target drug delivery and to accelerate the dissolution of the thrombus 500.
Propidium iodide (PI) cannot penetrate the cell membrane under normal conditions, and the propidium iodide solution can enter cells that lose cell membrane permeability.
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(a) is the control group; (b) is the group treated with an ultrasound of vortexed acoustic field of the present invention; and (c) is the group treated with a common ultrasound. The cells are observed at different times. After staining with propidium iodide, the opening of permeability was observed at different times in a cell experiment.
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The observations at 10 minutes of the control group, the group treated with an ultrasound of 10 minutes of vortexed acoustic field, and the group treated with a common ultrasound of 10 minutes are compared. As can be known from the results of red fluorescence produced by the PI dye entering the cells in each group, the brightness in
Moreover, the same method is used in an in-vivo mouse model to open the blood-brain barrier by a vortexed acoustic field. It has been confirmed that the effect of the vortexed acoustic field to open the cell permeability works well not only in in-vitro experiments, but also in in-vivo experiments.
The piezoelectric patch used in the vortexed-acoustic-field method for creating cell permeability according to an embodiment has a radius of curvature in the range of 10 to 100 mm.
In an embodiment of the present invention, the ultrasound generation step of the present invention is performed by a pulse generator having a frequency in the range of 0.5 to 20 MHz.
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Therefore, the present invention has excellent advancement and practicability in similar products. Moreover, after searching for domestic and foreign technical documents concerning such products, it is true that no identical or similar structure or technology exists before the present application. Therefore, the present invention meets the patent requirements of “Novelty”, “industrial applicability” and “inventive steps”, and applied in accordance with the law.
The above description is merely preferred embodiments of the present invention, and other equivalent structural changes of the present invention made in accordance with the disclosure and the scope of the invention are intended to be embraced in the scope of the present invention.
Number | Date | Country | |
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62934032 | Nov 2019 | US |