Visualization of myocardial cellular architecture using acoustic microscopy

Noninvasive Quantification of Contractile Dynamics in Cardiac Cells, Spheroids, and Organs-on-a-Chip Using High-Frequency Ultrasound

Cell-based models that mimic in vivo heart physiology are poised to make significant advances in cardiac disease modeling and drug discovery. In these systems, cardiomyocyte (CM) contractility is an important functional metric, but current measurement methods are inaccurate and low-throughput or require complex setups. To address this need, we developed a standalone noninvasive, label-free ultrasound technique operating at 40-200 MHz to measure the contractile kinetics of cardiac models, ranging from single adult CMs to 3D microtissue constructs in standard cell culture formats. The high temporal resolution of 1000 fps resolved the beat profile of single mouse CMs paced at up to 9 Hz, revealing limitations of lower speed optical based measurements to resolve beat kinetics or characterize aberrant beats. Coupling of ultrasound with traction force microscopy enabled the measurement of the CM longitudinal modulus and facile estimation of adult mouse CM contractile forces of 2.34 ± 1.40 μN, comparable to more complex measurement techniques. Similarly, the beat rate, rhythm, and drug responses of CM spheroid and microtissue models were measured, including in configurations without optical access. In conclusion, ultrasound can be used for the rapid characterization of CM contractile function in a wide range of commonly studied configurations ranging from single cells to 3D tissue constructs using standard well plates and custom microdevices, with applications in cardiac drug discovery and cardiotoxicity evaluation.

Age-dependent acoustic and microelastic properties of red blood cells determined by vector contrast acoustic microscopy

Variations of the mechanical properties of red blood cells that occur during their life span have long been an intriguing task for investigations. The research presented is based on noninvasive monitoring of red blood cells of different ages performed by scanning acoustic microscopy with magnitude and phase contrast. The characteristic signature of fixed cells from groups of three different ages fractionated according to mass density is obtained from the acoustic microscope images, with the data represented in polar graphs. The analysis of these data enables the determination of averaged values for the velocities of ultrasound propagating in the cells from the different groups ranging from (1,681 ± 16) m s(-1) in the youngest to (1,986 ± 20) m s(-1) in the oldest group. The determined bulk modulus varies with age from (3.04 ± 0.05) GPa to (4.34 ± 0.08) GPa. An approach to determine for an age-mixed population of red blood cells, collected from a healthy person, the age of the individual cells and the age dependence of the cell parameters including density, velocity, and attenuation of longitudinal polarized ultrasonic waves traveling in the cells is demonstrated.

Identification of hibernating myocardium by acoustic microscopy

Hibernating myocardium is viable myocardium that recovers after revascularization. The observation of loss of contractile proteins (myofibrils) and accumulation of glycogen in hibernating cardiomyocytes provide the basis for diagnosing hibernating myocardium. In this pilot study, acoustic microscopy was used to identify the cellular structure of normal vs. hibernating myocardium. Sections cut at 5-microm of archival paraffin blocks on glass slides were used for this study. Acoustic microscopy of normal cardiomyocytes showed intracellular linear echoes suggestive of myofibrils, and cardiomyocytes of hibernating myocardium revealed absence of myofibrils and dense intracellular echoes that corresponded to glycogen accumulation on optical microscopy. This modality of visualization allows a definitive diagnosis of hibernating myocardium.

Detection of Barrett's epithelium by acoustic microscopy

Barrett's esophagus is associated with increased risk of adenocarcinoma of the gastroesophageal junctional region. The presence of goblet cells (intestinal metaplasia) in columnar cell-lined esophageal mucosa defines Barrett's change. The diagnosis of Barrett's esophagus is based on the presence of intestinal metaplasia in a biopsy from an endoscopically visualized abnormal columnar epithelium. In this pilot study, acoustic microscopy was used to identify the mucosal structure of 10 distal esophageal biopsies. Sections cut at 5 microm of archival paraffin blocks on glass slides were used for this study. Acoustic microscopy permitted the identification of low- and high-power images of epithelial architecture and cellular detail, including Barrett's epithelium. This modality of visualization has the potential to detect lesions such as Barrett's metaplasia, low- and high-grade dysplasia and early carcinoma. If it can be applied to in vivo endoscopy, acoustic microscopy has the potential to increase the accuracy of the diagnosis of Barrett's esophagus, dysplasia and malignancy by providing a method of accurately directing biopsies at endoscopy.

Evaluation of progression in nonrheumatic aortic valvular stenosis by scanning acoustic microscopy

To investigate distributions of hardness and thickness in nonrheumatic aortic stenosis (AS), scanning acoustic microscopy was used. The acoustic propagation speed (APS: m/s) and thickness at three sites (tip, middle and base) of aortic valve were measured in 18 cusps from 7 surgical patients with AS (late lesion), 27 showing mild lesions from 9 autopsy cases (early lesion) and 18 healthy from 6 autopsy cases (healthy). These were measured in each layer of cusps: fibrosa (F), spongiosa (S) or ventricularis (V). In early lesions, an increase in APS preceded the thickening and distributed in the tip (1666 +/- 107), the three layers of the middle (F: 1782 +/- 121; S: 1590 +/- 38; V: 1636 +/- 59) and the fibrosa of the base (1736 +/- 203). In late lesions, APS of the tip and three layers of the base were markedly increased. Progressive nonrheumatic AS is characterized by increased hardness that precedes the thickening, and its distribution may be related to mechanical stress.

Tissue characterization of myocardial cells by use of high-frequency acoustic microscopy: differential myocyte sound speed and its transmural variation in normal, pressure-overload hypertrophic, and amyloid myocardium

The purpose of the present study was to evaluate the acoustic properties of myocytes in normal, pressure-overload hypertrophic, and amyloid myocardium. Myocardial tissue specimens at autopsy were obtained from 10 subjects without cardiovascular disease, six patients with left ventricular (LV) hypertrophy, and six patients with cardiac amyloidosis. Sound speed of myocytes was measured at subendocardial and subepicardial regions in myocardium by use of a high-frequency (450 MHz) acoustic microscope. In normal myocardium, the sound speed of myocytes was significantly higher in subendocardial region (1,728+/-19 m/sec) than in subepicardial region (1,645+/-22 m/sec) (p<0.0001). A significantly higher sound speed of myocytes was observed in the subendocardial region in LV hypertrophic myocardium (1,779+/-19 m/sec) than that in normal myocardium (p<0.001). In amyloid myocardium, a significantly lower sound speed of myocytes was observed in subendocardial (1,560+/-8 m/sec) and subepicardial (1,594+/-48 m/sec) regions than that in respective regions of the normal myocardium (p<0.0001 and p<0.05, respectively). Transmural variation in sound speed of myocytes measured by high-frequency acoustic microscopy existed in normal left ventricle. The differential myocyte sound speed and its transmural variation was observed in LV hypertrophic and amyloid myocardium as compared with normal myocardium. High-frequency acoustic microscopy can be a promising technique for myocardial tissue characterization at the myocyte level.

An investigation of possible effects of high-frequency ultrasound on cellular integrity of cultured fibroblasts

Several investigators have demonstrated the feasibility of imaging at the cellular level using acoustical microscopy. It has also been proposed that acoustical microscopy technology might be adopted for in vivo applications. Before such applications are implemented, it is important to demonstrate that any major deleterious effects are highly unlikely. To this end, we have repeatedly scanned NIH/3T3 mouse fibroblasts in culture using an Olympus UH3 acoustical microscope operating at 600 MHz. No adverse effects were observed even after exposures for 1 h. Spatial peak temporal averaged intensities were estimated to be below 300 mW/cm2.

Characterization of collagen by high-frequency ultrasound: evidence for different acoustic properties based on collagen fiber morphologic characteristics

Fibrous tissue on conventional ultrasound images appears as an echo-bright area. We have observed that on high-frequency ultrasonography images of thin sections of myocardium, fibrous tissue may appear as either a dark or light area. This study was designed to test the hypothesis that echo characteristics of fibrous tissue on high-frequency ultrasonography are determined by collagen fiber morphologic characteristics. We examined 16 tissue specimens from human beings and rats containing different forms of fibrosis. The specimens were sectioned at 5 microns, placed on a glass slide, and imaged with a 600 MHz transducer. On ultrasound images, collagen appeared either as a dark amorphous area or a light area that had a fibrillar pattern. The same specimens were then stained with picrosirius red and examined with polarized light. When viewed with polarized light microscopy, thick collagen fibers appear red or orange and thin fibers appear green or yellow. Polarized light microscopy revealed that dark areas on ultrasound images corresponded to thick collagen fibers that were predominantly longitudinally sectioned. In contrast, light areas corresponded to regions of thin, loosely packed fibers, or to thick collagen fibers that were obliquely sectioned. Collagen has different appearances on high-frequency ultrasound images depending on collagen fiber morphologic characteristics. If such variation in echo intensity also occurs with lower frequency transducers used in clinical echocardiography, the differentiation between normal myocardium and immature scar may be difficult.

High-frequency ultrasound: determination of the lowest frequency required for cellular imaging and detection of myocardial disease

We have previously demonstrated that a 600 MHz transducer enables the visualization of cellular detail in specimens of myocardium. However, lower-frequency transducers are more practical and provide better tissue penetration for possible in vivo application of this technique. This study was designed to ascertain the lowest frequency at which cellular detail can be imaged. We performed ultrasound imaging of 5 microns sections of 14 samples of myocardium. Each specimen was examined serially with 600 MHz, 400 MHz, 200 MHz, and 100 MHz transducers. Normal cardiac myocytes and pathologic phenomena such as fibrosis, cell fallout, and round cell infiltration were clearly identified with a 600 MHz transducer. Although there was a slight decrease in resolution, normal and pathologic phenomena were also identified with 400 and 200 MHz transducers. However, cellular detail could not be adequately identified with a 100 MHz transducer. In conclusion, transducer frequencies of 600 to 200 MHz enable visualization of cell detail and detection of pathologic changes in the myocardium. A transducer frequency of at least 200 MHz is probably required for possible in vivo application of this technique.