The Proof Is in the Bubbles

The technique enables researchers to visualize tumor activity at the molecular level. "We hope this technique might be helpful for the early detection of disease," said Juergen K. Willmann, lead author of the study and assistant professor of radiology at Stanford University School of Medicine. "It may help save lives by finding cancer – such as breast, ovarian or pancreatic cancer – in the very early stages, when it is still curable."

In the study, researchers intravenously injected microbubbles – gas-filled spheres small enough to travel through vessels – into mice with cancers. The microbubbles, which were paired with a new peptide, were designed to travel through the vascular system and attach to integrin – a well-characterized molecular marker that acts as a "red flag" for tumor vessel growth, or angiogenesis. Tumor vessel growth occurs when active tumor cells create certain pathways to provide the tumor with a sufficient supply of oxygen, nutrients and other factors needed for growth.

Once the gas-filled microbubbles seek out the cancers and attach to their vessel walls, they send out strong signals that are picked up by standard clinical ultrasound scanners. The imaging signals produced by the microbubbles are reflected back to the ultrasound transducer and illuminate the areas that outline the tumor, thus providing researchers with a sonogram of tumor vessel growth on a molecular level.

"Ultrasound holds great promise for the application of molecular imaging because it is widely available, relatively inexpensive and safe. There is no exposure to radiation and repetitive imaging is not a concern," said Willmann. "Furthermore, the targeted microbubbles have great potential for translation from bench to bedside – which will be explored in future studies," said Sanjiv Gambhir, director of the molecular imaging program at Stanford.

Contrast-enhanced ultrasound can be used to image blood perfusion in organs, to measure blood flow rate in the heart and other organs and to perform other applications – such as characterization of focal lesions in the liver. Current interest is focused on modifying contrast agents to make them specifically useful for molecular imaging.; Source: Society of Nuclear Medicine