Effect of a Radiotherapeutic Megavoltage Beam on Ultrasound Contrast Agents

Gonzalo Collado-Lara*, Sophie V. Heymans, Jeremy Godart, Emiliano D'Agostino, Jan D'hooge, Koen Van Den Abeele, Hendrik J. Vos, Nico de Jong

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

6 Citations (Scopus)

Abstract

Collateral damage to healthy surrounding tissue during conventional radiotherapy increases when deviations from the treatment plan occur. Ultrasound contrast agents (UCAs) are a possible candidate for radiation dose monitoring. This study investigated the size distribution and acoustic response of two commercial formulations, SonoVue/Lumason and Definity/Luminity, as a function of dose on clinical megavoltage photon beam exposure (24 Gy). SonoVue samples exhibited a decrease in concentration of bubbles smaller than 7 µm, together with an increase in acoustic attenuation and a decrease in acoustic scattering. Definity samples did not exhibit a significant response to radiation, suggesting that the effect of megavoltage photons depends on the UCA formulation. For SonoVue, the influence of the megavoltage photon beam was especially apparent at the second harmonic frequency, and can be captured using pulse inversion and amplitude modulation (3.5-dB decrease for the maximum dose), which could eventually be used for dosimetry in a well-controlled environment.

Original languageEnglish
Pages (from-to)1857-1867
Number of pages11
JournalUltrasound in Medicine and Biology
Volume47
Issue number7
DOIs
Publication statusPublished - 1 Jul 2021

Bibliographical note

Funding Information:
The authors acknowledge the team of the Cancer Research institute of Erasmus MC for their assistance during the calibration and performance of photon irradiation. The authors also thank Mark Borden for stimulating discussions, Robert Beurskens and Alex Brouwer for help on the setup and Klazina Kooiman, Joop Kouijzer, and Marcus Ingram for their support performing the experiments. This work was supported by the European Union's Horizon 2020 research and innovation program under Grant Agreement NO. 766456 (?AMPHORA?). The authors declare no conflict of interest.

Funding Information:
The authors acknowledge the team of the Cancer Research institute of Erasmus MC for their assistance during the calibration and performance of photon irradiation. The authors also thank Mark Borden for stimulating discussions, Robert Beurskens and Alex Brouwer for help on the setup and Klazina Kooiman, Joop Kouijzer, and Marcus Ingram for their support performing the experiments. This work was supported by the European Union's Horizon 2020 research and innovation program under Grant Agreement NO. 766456 (“AMPHORA”).

Publisher Copyright:
© 2021 The Authors

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