Ultrasonic technologies in imaging and drug delivery

Abstract
Ultrasonic technologies show great promise for diagnostic imaging and drug delivery in theranostic applications. The development of functional and molecular ultrasound imaging is based on the technical breakthrough of high frame–rate ultrasound. The evolution of shear wave elastography, high-frequency ultrasound imaging, ultrasound contrast imaging, and super-resolution blood flow imaging are described in this review. Recently, the therapeutic potential of the interaction of ultrasound with microbubble cavitation or droplet vaporization has become recognized. Microbubbles and phase-change droplets not only provide effective contrast media, but also show great therapeutic potential. Interaction with ultrasound induces unique and distinguishable biophysical features in microbubbles and droplets that promote drug loading and delivery. In particular, this approach demonstrates potential for central nervous system applications. Here, we systemically review the technological developments of theranostic ultrasound including novel ultrasound imaging techniques, the synergetic use of ultrasound with microbubbles and droplets, and microbubble/droplet drug-loading strategies for anticancer applications and disease modulation. These advancements have transformed ultrasound from a purely diagnostic utility into a promising theranostic tool.
Funding Information
  • Ministry of Science and Technology, Taiwan (MOST 108-2221-E-007-040-MY3, MOST 108-2221-E-007-041-MY3)
  • Ministry of Science and Technology, Taiwan (MOST 108-2638-M-002-001-MY2, MOST 107-2628-E-006-004-MY3, MOST 107-2221-E-006-024-MY3, MOST 109-2636-E-006-024, MOST 110-2321-B-002-010, MOST 108-2221-E-002-176-MY3, MOST 108-2221-E-002-175-MY3)
  • National Tsing Hua University (110Q2510E1)