This study investigated whether a
microbubble-containing ultrasound contrast agent had a role in the antivascular action of physiotherapy ultrasound on tu
mor neovasculature. Ultrasound i
mages (B-
mode and contrast-enhanced power Doppler [0.02
mL Definity]) were
made of 22
murine
melano
mas (K1735
22). The tu
mor was insonated (I
SATA = 1.7 W c
m–2, 1 MHz, continuous output) for 3
min and the power Doppler observations of the pre- and postinsonation tu
mor vascularities were analyzed. Significant reductions (
p = 0.005 for analyses of color-weighted fractional area) in vascularity occurred when a contrast-enhanced power Doppler study occurred before insonation. Vascularity was unchanged in tu
mors without a pretherapy Doppler study. Histologic studies revealed tissue structural changes that correlated with the ultrasound findings. The underlying etiology of the interaction between the physiotherapy ultrasound bea
m, the
microbubble-containing contrast agent and the tu
mor neovasculature is unknown. It was concluded that contrast agents play an i
mportant role in the antivascular effects induced by physiotherapy ultrasound. (E-
mail:
mailto:sehgalc@uphs.upenn.edu"">sehgalc@uphs.upenn.edu)