这项工作是由来自西弗吉尼亚大学的玛丽·巴布兰多夫癌症中心多萝西·雷德福D.捐赠基金的支持。使用西弗吉尼亚大学动物模型和影像设备（AMIF）和显微成像设备（MIF）的（由玛丽·巴布兰多夫癌症研究中心和美国国立卫生研究院资助P20 RR16440支持，P30 RR032138 / GM103488和S10 RR026378）表示感谢。

在这个协议证明所有动物的程序进行了审查，并根据协议11-0412和14-0514批准西弗吉尼亚大学动物护理和使用委员会，并按照NIH指南中列出的照顾和使用的原则和程序进行动物。 1.动物的制备<ol><li>麻醉一个单一的鼠标使用3％异氟烷与1.5升/分钟100％的氧气混合感应室。除去从吸气室和地点的动物在预热至40℃之间，37-42℃（ 图2A）维护的成像平台上仰卧位置。由于缺乏响应脚趾捏麻醉确认。 </li><li>连接到麻醉系统在鼻锥内将鼠标吻。应用麻醉维持稳态镇静（1.5％异氟烷以1.5升/分钟100％的氧气混合）。 </li><li>敷眼润滑剂的每只眼睛以防止dryinG。应用电极凝胶到电极，并使用磁带的每个的四个爪固定到相应的电极上。电极焊盘将发送动物的心电图，以在成像系统，以允许监测心脏速率和呼吸速率。润滑和插入直肠温度探头进行连续监测体温。正常小鼠体温36.9℃。 1-2℃的变化是正常的，而在麻醉下。 </li><li>使用脱毛霜从鼠标的颈部取下毛皮。冲洗颈部用清水浸泡过的纱布去除毛发和多余的脱毛膏。任选地，使用的脱毛霜额外的应用以除去任何剩余的体毛（ 图2B）。 </li></ol> 2.识别和图像采集鼠颈淋巴结使用HFUS <ol><li>首先，涂上一层温暖的超声波凝胶的颈部区域缺乏皮草。使用凝胶的最佳图像自由主义的应用质量（ 图2C）。避免引入气泡在应用过程中的凝胶，它可以与超声成像造成干扰。 </li><li>调整成像平台20-30°使鼠标定位，微微隆起的头部。这个位置有助于确保最佳呼吸速率为鼠标。放置40兆赫传感器横向于所述安装系统和小心降低，直到换能器扫描头的前浸在超声凝胶（ 图2C）。 注意：一定不要把过多的压力到鼠标的脖子，因为它可能会导致不必要的呼吸窘迫。此外，它是有帮助的用于成像具有换能器和鼠标之间的凝胶的缓冲。 </li></ol>淋巴结B型成像与检测： <ol start="3"><li>利用计算机控制HFUS采集软件，调节亮度（B-）模式设置以下参数：增益22分贝，深度10.00毫米，宽14.08毫米。 注意：这些设置建议的出发点，可能需要略微调整为不同的应用程序之间的最佳图像采集。周围的高回声区域内观察正常宫颈淋巴结肿大为附近的皮肤表面椭圆形低回声结构。的患病淋巴结的外观可以模型之间变化。为了系统图像颈部区域内的所有淋巴结使用以下步骤： <ol><li>使用Y轴扫描颈部在颅尾鳍方式朝向胸部区域。使用X轴居中图像。 </li><li>确定主要景点：口腔，舌头和甲状腺（ 图3A，B和C，分别）;倾斜成像平台水平调节鼠标颈的腹面，使得颈部两侧，即使在B模式图像显示。倾侧量取决于每个单独小鼠的生理学。 </li></ol></l我&gt; <li>对整个颈部区域的三维扫描从口腔/舌区域甲状腺，以图淋巴结和关联的地标整个颈部。 <ol><li>找到舌头/口腔区域（ 图3A），并注意在Y尺度数值位置。 </li><li>找到甲状腺（ 图3C），并注意在Y尺度数值位置。 </li><li>计算（2.4.1）和（2.4.2）所获得的值之间的差，以确定被成像颈部区域的总长度在毫米。 </li><li>使用Y旋钮居中传感器上所确定的总长度的中点。 </li><li>按“3D”。进入总长度。为3D的步长，使用0.076毫米以获取图像系列堆栈为整个颈部区域。 </li></ol></li><li>一旦扫描完成后，选择脖子的右侧或左侧和中心的传感器感兴趣的个人淋巴结上，然后抬起40兆赫传感器关闭鼠标。删除40 MHz的换能器和更换50兆赫的Microscan换能器（也处于横向位置​​），以获得更高分辨率的图像。补充鼠标颈部超声凝胶，降低了50兆赫传感器到超声波凝胶。 </li></ol> 3D能量多普勒显像<ol start="6"><li>行为3D扫描与能量多普勒到驴的体积和个别颈部淋巴结如下血管： <ol><li>按下电源按钮系统键盘上获得权力和多普勒调整以下供电模式设置：PRF 4千赫，多普勒获得34分贝，2D增益调整30 dB的深度5.00毫米，宽4.73毫米。注：如前，这些设置是一个建议的出发点，并根据需要在各种型号的最佳图像采集可被修改。 </li><li>找到颅点最感兴趣的淋巴结，并注意在Y刻度的位置。 </li><li>找到相同的节点和票据的最尾端点在Y刻度的位置。 </li><li>计算距离差来确定淋巴结的总长度（见步骤2.4.3）。 </li><li>围绕所确定的总长度的中点的换能器，使用Y标尺位置。 </li><li>按“3D”，进入总淋巴结长度。使用0.051毫米为步长。 注意：由于该换能器到胸部区域的附近，在50兆赫传感器可能导致不稳定的多普勒图像由于检测正常呼吸运动。这可以通过使用“呼吸门控”选项中的“生理”标签下被淘汰。 </li><li>与周围的黄色框指定的区域由能量多普勒进行分析，并选择“3D扫描”，以获取图像选定的淋巴结。提高换能器关闭鼠标的，并将其移动到颈部的相对侧。降低换能器上的鼠标，重复上述对伊马的步骤在颈部的这一边戈淋巴结。 </li></ol></li><li>保存图像集进行后续分析。 </li></ol> 3.颈淋巴结活检<ol><li>选择用于活检所需淋巴结和保持HFUS成像的50兆赫传感器。选择了最大可见颈部淋巴结在小鼠颈部的每一侧。淋巴结肿大通常指示炎症反应，因此这样的节点是理想候选活检。 注意：我们已经发现这是很困难的，进行活组织切片检查的颈部淋巴结小于10 立方毫米。 </li><li>通过将1ml注射器与一个附加的27克，0.5英寸针头插入注射器座准备的针头和注射器活检。调整针保持器以定向针90°到鼠标颈部（ 图4A）。 </li><li>通过升高整个鼠标平台到针的水平制备。通过去除三维电机和切换到一个较高platf实现这一ORM，或者将合适的高度了坚实的对象下所提供的短期平台。使用塑料离心管架用于此目的。如果必要，可旋转平台180°，以位于所述颈部的侧相对的针头装置活检节点。 </li><li>通过选择“首选项”，然后通过选择“最大和扩展缓冲区”调整收购设置。放大的视场，以8.00毫米，宽9.73毫米的深度。使用屏幕按键转盘转动的导针。导针将预测在屏幕上的针的路径，并允许用户排队感兴趣的淋巴结中的正确位置活检。 </li><li>确保淋巴结由定心淋巴结中的中间或稍中心在屏幕（ 图4B）左侧恒定地保持在图。以获得该过程的整个电影回放，按系统键盘上预触发开始活检之前。 </li><li>调整针支架，直到针尖进入视野并接触皮肤（ 图4B）。推进针坚定，快速推穿刺皮肤。继续推进针，直到针尖也刺穿胶囊（ 图4C），并且是髓质（ 图4D）中可见。 </li><li>一旦针头被适当地定位在节点内，轻轻拉动针筒柱塞背面的200-300微升界线之间进行活检（ 图4D和4E）。需要注意的是活检材料通常不是注射器内可见。 </li><li>轻轻地取出从鼠标的脖子针。驱逐注射器内容到1.5 ml离心管。从注射器除去针，留在管中的针。收集1毫升活检培养基（从等分试样，分离了库存源）具有相同的注射器，然后重新连接针的注射器，同时保持在第针Ë管。 <ol><li>由排出所述活检介质插入管冲洗注射器和针头与活检介质。 注意：不要拉回到了活塞，而针被安装在切片后的任何一点。这减少了损失的活检材料的风险由于小样本大小。 </li></ol></li><li>确认通过组织学装置（ 图4F）淋巴结内容和通过另外的方法（组织化学，流式细胞术， 等 ）在适当分析。 </li><li>一旦活检完成后，关闭麻醉和删除直肠温度探头。从小鼠中取出多余的超声凝胶用纱布并从每个爪子取出磁带。 </li><li>从成像平台移开鼠标并返回到笼子。从活检部位出血极少可能会发生，但是这没有停止干预。监测恢复过程中鼠标，直到充分的活动重新开始。 </li></ol> 4.图像颈淋巴结分析<ol><lI&gt;在超声的软件，选择图像进行分析，然后导航到“图像处理”选项卡。选择“加载到3D”。 </li><li>在左上角选择“3D重建图像”，点击“显示单一窗口”按钮。使用变焦功能，如果需要的放大图像。切换“显示布局”，以仅在B模式，这从图中移除功率多普勒叠加查看图像。这使得更容易地看到在随后的3-D分析的淋巴结的边缘。滚动图像系列以定位淋巴结的开头。 </li><li>要外接淋巴结，定位到“3D设置”选项卡。选择“音量”，那么“开始”按钮旁边的“水货”。 </li><li>通过滚动周围绘制单个图像中感兴趣的区域轮廓。继续，直到包括整个淋巴结图像标记。选择“完成”完成分析。 </li><li>在图像的底部，3D体积和％血管将自动显示。 注：3D体积对应于淋巴结体积，以及百分之血管表示淋巴结阳性用于通过功率多普勒血流量的百分比。 </li><li>切换“显示布局”，以查看电源多普勒成像为B-模式图像上叠加。在表面视图观察感兴趣体积区域的净图。在标记的图像文件（TIF）格式或三维扫描图像导出为动画（.AVI）继续使用。 </li></ol>

<ol>
	<li>Montone, K. T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Infectious+diseases+of+the+head+and+neck:+a+review.">Infectious diseases of the head and neck: a review.</a> Am J Clin Pathol. 128 (1), 35-67 (2007).</li><li>Bryson, T. C., Shah, G. V., Srinivasan, A., Mukherji, S. K. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cervical+lymph+node+evaluation+and+diagnosis.">Cervical lymph node evaluation and diagnosis.</a> Otolaryngol Clin North Am. 45 (6), 1363-1383 (2012).</li><li>Joshi, P. S., Pol, J., Sudesh, A. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Ultrasonography+-+A+diagnostic+modality+for+oral+and+maxillofacial+diseases.">Ultrasonography - A diagnostic modality for oral and maxillofacial diseases.</a> Contemp Clin Dent. 5 (3), 345-351 (2014).</li><li>Oz, F., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Evaluation+of+clinical+and+sonographic+features+in+55+children+with+tularemia.">Evaluation of clinical and sonographic features in 55 children with tularemia.</a> Vector Borne Zoonotic Dis. 14 (8), 571-575 (2014).</li><li>Niedzielska, G., Kotowski, M., Niedzielski, A., Dybiec, E., Wieczorek, P. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cervical+lymphadenopathy+in+children--incidence+and+diagnostic+management.">Cervical lymphadenopathy in children--incidence and diagnostic management.</a> Int J Pediatr Otorhinolaryngol. 71 (1), 51-56 (2007).</li><li>Ying, M., Bhatia, K. S., Lee, Y. P., Yuen, H. Y., Ahuja, A. T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Review+of+ultrasonography+of+malignant+neck+nodes:+greyscale,+Doppler,+contrast+enhancement+and+elastography.">Review of ultrasonography of malignant neck nodes: greyscale, Doppler, contrast enhancement and elastography.</a> Cancer Imaging. 13 (4), 658-669 (2013).</li><li>Stoeckli, S. J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Initial+staging+of+the+neck+in+head+and+neck+squamous+cell+carcinoma:+a+comparison+of+CT,+PET/CT,+and+ultrasound-guided+fine-needle+aspiration+cytology.">Initial staging of the neck in head and neck squamous cell carcinoma: a comparison of CT, PET/CT, and ultrasound-guided fine-needle aspiration cytology.</a> Head Neck. 34 (4), 469-476 (2012).</li><li>Rottey, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Evaluation+of+metastatic+lymph+nodes+in+head+and+neck+cancer:+a+comparative+study+between+palpation,+ultrasonography,+ultrasound-guided+fine+needle+aspiration+cytology+and+computed+tomography.">Evaluation of metastatic lymph nodes in head and neck cancer: a comparative study between palpation, ultrasonography, ultrasound-guided fine needle aspiration cytology and computed tomography.</a> Acta Clin Belg. 61 (5), 236-241 (2006).</li><li>Greco, A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Ultrasound+biomicroscopy+in+small+animal+research:+applications+in+molecular+and+preclinical+imaging.">Ultrasound biomicroscopy in small animal research: applications in molecular and preclinical imaging.</a> J Biomed Biotechnol. 2012, (2012).</li><li>Chen, J. J., Fu, S. Y., Chiang, C. S., Hong, J. H., Yeh, C. K. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Characterization+of+tumor+vasculature+distributions+in+central+and+peripheral+regions+based+on+Doppler+ultrasound.">Characterization of tumor vasculature distributions in central and peripheral regions based on Doppler ultrasound.</a> Med Phys. 39 (12), 7490-7498 (2012).</li><li>El Kaffas, A., Giles, A., Czarnota, G. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Dose-dependent+response+of+tumor+vasculature+to+radiation+therapy+in+combination+with+Sunitinib+depicted+by+three-+dimensional+high-frequency+power+Doppler+ultrasound.">Dose-dependent response of tumor vasculature to radiation therapy in combination with Sunitinib depicted by three- dimensional high-frequency power Doppler ultrasound.</a> Angiogenesis. 16 (2), 443-454 (2013).</li><li>Bachawal, V. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Earlier+detection+of+breast+cancer+with+ultrasound+molecular+imaging+in+a+transgenic+mouse+model.">Earlier detection of breast cancer with ultrasound molecular imaging in a transgenic mouse model.</a> Cancer Res. 73 (6), 1689-1698 (2013).</li><li>Loveless, M. E., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+method+for+assessing+the+microvasculature+in+a+murine+tumor+model+using+contrast-enhanced+ultrasonography.">A method for assessing the microvasculature in a murine tumor model using contrast-enhanced ultrasonography.</a> J Ultrasound Med. 27, 12-1699 (2008).</li><li>Snyder, C. S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Complementarity+of+ultrasound+and+fluorescence+imaging+in+an+orthotopic+mouse+model+of+pancreatic+cancer.">Complementarity of ultrasound and fluorescence imaging in an orthotopic mouse model of pancreatic cancer.</a> BMC Cancer. 9, 106 (2009).</li><li>Kodama, T., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Volumetric+and+angiogenic+evaluation+of+antitumor+effects+with+acoustic+liposome+and+high-frequency+ultrasound.">Volumetric and angiogenic evaluation of antitumor effects with acoustic liposome and high-frequency ultrasound.</a> Cancer Res. 71 (22), 6957-6964 (2011).</li><li>Hwang, M., Hariri, G., Lyshchik, A., Hallahan, D. E., Fleischer, A. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Correlation+of+quantified+contrast-enhanced+sonography+with+in+vivo+tumor+response.">Correlation of quantified contrast-enhanced sonography with in vivo tumor response.</a> J Ultrasound Med. 29 (4), 597-607 (2010).</li><li>Li, L., Mori, S., Sakamoto, M., Takahashi, S., Kodama, T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Mouse+model+of+lymph+node+metastasis+via+afferent+lymphatic+vessels+for+development+of+imaging+modalities.">Mouse model of lymph node metastasis via afferent lymphatic vessels for development of imaging modalities.</a> PLoS One. 8 (2), e55797 (2013).</li><li>Springer, D. A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Investigation+and+identification+of+etiologies+involved+in+the+development+of+acquired+hydronephrosis+in+aged+laboratory+mice+with+the+use+of+high-frequency+ultrasound+imaging.">Investigation and identification of etiologies involved in the development of acquired hydronephrosis in aged laboratory mice with the use of high-frequency ultrasound imaging.</a> Pathobiol Aging Age Relat Dis. 4, (2014).</li><li>Papadopoulos, G., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+Mouse+Model+for+Pathogen-induced+Chronic+Inflammation+at+Local+and+Systemic+Sites.">A Mouse Model for Pathogen-induced Chronic Inflammation at Local and Systemic Sites.</a> J Vis Exp. (90), (2014).</li><li>Vulcano, A. B., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Oral+infection+with+enteropathogenic+Escherichia+coli+triggers+immune+response+and+intestinal+histological+alterations+in+mice+selected+for+their+minimal+acute+inflammatory+responses.">Oral infection with enteropathogenic Escherichia coli triggers immune response and intestinal histological alterations in mice selected for their minimal acute inflammatory responses.</a> Microbiol Immunol. 58 (6), 352-359 (2014).</li><li>Myers, J. N., Holsinger, F. C., Jasser, S. A., Bekele, B. N., Fidler, I. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=An+orthotopic+nude+mouse+model+of+oral+tongue+squamous+cell+carcinoma.">An orthotopic nude mouse model of oral tongue squamous cell carcinoma.</a> Clin Cancer Res. 8 (1), 293-298 (2002).</li><li>Kanojia, D., Vaidya, M. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=4-nitroquinoline-1-oxide+induced+experimental+oral+carcinogenesis.">4-nitroquinoline-1-oxide induced experimental oral carcinogenesis.</a> Oral Oncol. 42 (7), 655-667 (2006).</li><li>Van den Broeck, W., Derore, A., Simoens, P. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Anatomy+and+nomenclature+of+murine+lymph+nodes:+Descriptive+study+and+nomenclatory+standardization+in+BALB/cAnNCrl+mice.">Anatomy and nomenclature of murine lymph nodes: Descriptive study and nomenclatory standardization in BALB/cAnNCrl mice.</a> J Immunol Methods. 312 (1-2), 12-29 (2006).</li><li>Walk, E. L., McLaughlin, S., Coad, J., Weed, S. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Use+of+high+frequency+ultrasound+to+monitor+cervical+lymph+node+alterations+in+mice.">Use of high frequency ultrasound to monitor cervical lymph node alterations in mice.</a> PLoS One. 9 (6), e100185 (2014).</li><li>Pezold, J. C., Zinn, K., Talbert, M. A., Desmond, R., Rosenthal, E. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Validation+of+ultrasonography+to+evaluate+murine+orthotopic+oral+cavity+tumors.">Validation of ultrasonography to evaluate murine orthotopic oral cavity tumors.</a> ORL J Otorhinolaryngol Relat Spec. 68 (3), 159-163 (2006).</li><li>Sano, D., Myers, J. N. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Metastasis+of+squamous+cell+carcinoma+of+the+oral+tongue.">Metastasis of squamous cell carcinoma of the oral tongue.</a> Cancer Metastasis Rev. 26 (3-4), 645-662 (2007).</li><li>Sano, D., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+effect+of+combination+anti-endothelial+growth+factor+receptor+and+anti-vascular+endothelial+growth+factor+receptor+2+targeted+therapy+on+lymph+node+metastasis:+a+study+in+an+orthotopic+nude+mouse+model+of+squamous+cell+carcinoma+of+the+oral+tongue.">The effect of combination anti-endothelial growth factor receptor and anti-vascular endothelial growth factor receptor 2 targeted therapy on lymph node metastasis: a study in an orthotopic nude mouse model of squamous cell carcinoma of the oral tongue.</a> Arch Otolaryngol Head Neck Surg. 135 (4), 411-420 (2009).</li><li>Tang, X. H., Knudsen, B., Bemis, D., Tickoo, S., Gudas, L. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Oral+cavity+and+esophageal+carcinogenesis+modeled+in+carcinogen-treated+mice.">Oral cavity and esophageal carcinogenesis modeled in carcinogen-treated mice.</a> Clin Cancer Res. 10 (1 Pt 1), 301-313 (2004).</li><li>Vitale-Cross, L., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Chemical+carcinogenesis+models+for+evaluating+molecular-+targeted+prevention+and+treatment+of+oral+cancer.">Chemical carcinogenesis models for evaluating molecular- targeted prevention and treatment of oral cancer.</a> Cancer Prev Res (Phila). 2, 419-422 (2009).</li></ol>

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所描述的协议允许可视化，并在使用非侵入HFUS成像鼠颈部淋巴结原位评价。利用B模式和功率多普勒成像可视颈部淋巴结形态，体积和淋巴结血流提供类似于用于颈椎病人节点在临床实践中表征的临床前小鼠模型系统的实验分析。监测通过细针活检颈部平面淋巴结的能力还提供了用于检测免疫细胞的改变，外细胞类型或细菌的过程中在小鼠口腔疾病诱导淋巴结病的存在下一种有用的技术。使用和低成本的具有HFUS相关联的容易允许的颈淋巴结状态在各种动物模型的快速筛选。 在这个协议中的一个关键步骤是最初的成功鉴定HFUS图像颈部淋巴结。我们的工厂有HFUS TRAN的分类sducers所描述的，所以我们用它们来获得最高质量的图像。然而，如果我们描述了换能器是不可用的，这是可能的，以适应使用其它换能器的成像。为了这个目的，调整图像的深度和宽度，以获得足够的图像是所有需要。这种图像的分辨率可能会发生变化，但它应该仍然有可能通过使用HFUS以获得高质量的图像。口腔和甲状腺的成像地标，将大大有助于定向用户所在的淋巴结被定位在适当的区域。特色椭圆形，低回声性质和位置表浅紧贴皮肤表面允许适当的颈部区域内快速识别验证颈淋巴结。虽然所有三个节点可以是在一个单一的成像平面（ 图3B）可见，通常为一个或两个节点成像期间捕获。换能器位置的细微调整可进行到裂呃不同成像平面可见，允许在颈部的单侧的所有节点的可视化。 虽然我们已经发现所描述的技术可靠识别颈部淋巴结，也有具体的限制，以在成像和活检技术。小鼠颈部淋巴结浅表性赋予过度的流动性时，即使轻微的压力被施加到通过所述换能器头在皮肤上。这可以通过缓慢应用传感器头放入超声波凝胶鼠标的脖子，直到里程碑意义的图像识别来抵消。淋巴结迁移率也可以用较高的分辨率（50兆赫）范围的换能器特别是当复杂的微细针活检。活检淋巴结居中图像通常被推出的视场由于刺穿覆盖皮肤和胶囊所需的活检针的力。这可以通过在淋巴结的偏离中心的定位来补救朝针进入的方向，对于淋巴结提供空间可以跨被推但仍活检期间保持在视野内。根据我们的经验，淋巴结“10 mm 3的非常难以活检，并且通过所述针中针前进经常推而不是穿透。因此，活检最好为淋巴结肿大其中该尺寸为保留“10 立方毫米，以确保在颈部区域内具有足够的节点目标的尺寸和稳定性。另外，活检材料可能不包含用于在需要较大的细胞数目（ 例如 ，流式细胞术）的程序足够的细胞数量。 HFUS已成功地用于可视原位HNSCC肿瘤25，并具有监测小鼠颈淋巴结转移口腔肿瘤24的潜力。除了 ​​超声，生物发光成像也被用于可视化在活体小鼠-26,27-原位口服肿瘤形成和颈淋巴结转移。作为一个alternative方法，生物发光成像具有能够直接量化肿瘤进展和转移负担随着时间的推移，在相同的动物在HFUS明显的优势。虽然不可否认有用，生物发光成像是无法衡量由许多可视化HFUS的参数，包括淋巴结形态，节点卷或血流。生物发光成像也需要专门的黑盒子成像过程中保持小鼠，使这种技术不适用于为适应细针活检。 此外，生物发光成像需要生产的肿瘤细胞的稳定表达荧光素酶，从而使该技术仅可在原位异种移植物的与荧光素酶转染的肿瘤细胞在免疫受损小鼠中，或与该限制萤光素酶表达诱导组织特异的转基因系统的情况下在特定肿瘤起源组织一个时空方式。相比之下，HFUS可以为used的与在这些模型中的生物发光图像结合，以及能够成像中的致癌物诱导口服肿瘤模型颈部淋巴结小鼠完整免疫系统28,29的。而HFUS可能更适合于口腔癌，可以从生物发光和HFUS成像系统中获得的组合信息最小鼠模型，其中肿瘤细胞表达的萤光素酶可以提供颈淋巴结受累比单独成像模态的一个更全面的了解。 识别并检测小鼠颈部淋巴结实时的能力允许在口腔疾病的大多数模型导致炎性淋巴结病，其中所述动物能保持在根据短期麻醉的倒置位置要使用这种技术。检测淋巴结转移或细菌感染，并在活的动物上淋巴结形态随之而来的影响提出了比传统方法显著的好处需要淋巴结从死亡的动物进行组织学处理来去除。结合HFUS细针穿刺活检可用于进行颈部淋巴结肿大，类似于在门诊进行，为监测疾病进展的口腔疾病最新的小鼠模型的改进方法，常规病理分析手段。

间质组织液淋巴引流是为传播在口腔颌面部1,2产生的感染性微生物和癌症的主要方法。颈部淋巴结临床评价是用来确定在口腔中是起源的疾病的存在或进展的共同诊断实践。这强调了收集颈部淋巴结肿大为有价值的解剖部位为口腔疾病的诊断3的重要性。一些专门的成像方法在临床上用于识别病变颈淋巴结肿大。这些包括正电子发射断层扫描（PET），计算机断层扫描（CT）和磁共振成像（MR）。而高度有价值的，这些方法都需要进行大量的患者准备，高度专业化的设备和/或化学输注进入循环，以启用或增强在成像过程。 超声成像（超声;美国）是用于一般即时通讯应用技术年龄颈部淋巴结肿大淋巴结病是由于感染或转移性参与4-6呈现。美国往往是结合PET-CT和磁共振成像提供病人淋巴结状况的全面表现，帮助确定手术切除7肿瘤分期和必要性。美国的非侵入性的性质也比其他成像模态，包括易用性，成本低，最小患者不适和制剂固有的优点。大多数颈淋巴结的表浅皮下位置允许我们引导微创细针穿刺活检增加精确度，提高诊断的准确性8。 商业高频（HF）美国提供内部解剖结构以30微米9具体的解决。使用的换能器范围从22-70兆赫，HFUS已容易地应用于各种实验啮齿类系统，以允许在体内的内部器官的实时成像。; HFUS已适应于肿瘤形成中常规亮度（B）中-mode可视化，以及与一些一般的和专业的对比度增强agents9。使用能量多普勒与HFUS提供监控内小鼠肿瘤的血流量，从而在活体小鼠血管10,11灌注进行全面评估的能力。 HFUS已被用来在主体腔内可视患病小鼠的淋巴结，表明该技术的平行效用临床实践。特别是，炎性和转移性内脏淋巴结改变在癌症窝藏乳房12,13，胰腺癌14，结肠15和肺16肿瘤，以及纤维状histocytomas 17，和获得积水18的老化小鼠模型的小鼠模型已观察。这些例子固化HFUS作为促进肿瘤诱发淋巴结在各种各样滚装的强大调查工具的值凹痕系统。 （头颈部鳞癌）21,22已经开发细菌感染19,20和头颈部鳞状细胞癌的几个模型来研究这些疾病在临床前设置。相反，人，小鼠含有淋巴调查从口腔组织（下颌骨，下颌骨颌下腺和肤浅的腮腺23）三种颈淋巴结。最近，我们报道了使用HFUS的映射这些淋巴结的位置和形态，监测头颈部鳞癌24的致癌物诱导小鼠模型的变化在淋巴结体积和血液流动。在这里，我们提供使用HFUS用于识别，成像和分析在活小鼠颈部淋巴结的详细协议。该协议还演示了使用HFUS进行的放大鼠标颈部淋巴结图像 - 引导下细针穿刺活检的可行性，使组织在监测T在颈部淋巴结含量的变化及病理学IME在相同的动物。这个协议是容易适用，以允许颈部淋巴结病理学从任何侵入性口腔疾病的小鼠得到的详细研究。

<table border="0" cellpadding="0" cellspacing="0" width="1067">
	<colgroup>
		<col />
		<col />
		<col />
		<col />
	</colgroup>
	<tbody>
		<tr height="61">
			<td height="61" style="height:61px;width:577px;">Vevo2100 High Resolution Micro-ultrasound Imaging System, with integrated software Version 1.6.0</td>
			<td style="width:153px;">VisualSonics, Toronto, Ontario, Canada</td>
			<td style="width:139px;">VS-11945</td>
			<td style="width:199px;"></td>
		</tr>
		<tr height="58">
			<td height="58" style="height:58px;width:577px;">Power Dopper Mode and 3D Mode</td>
			<td style="width:153px;">VisualSonics, Toronto, Ontario, Canada</td>
			<td style="width:139px;">VS-11952; VS-11484</td>
			<td></td>
		</tr>
		<tr height="61">
			<td height="61" style="height:61px;">Vevo compact anesthesia system</td>
			<td style="width:153px;">VisualSonics, Toronto, Ontario, Canada</td>
			<td style="width:139px;"></td>
			<td></td>
		</tr>
		<tr height="61">
			<td height="61" style="height:61px;">Vevo integrated rail system including 3D motor and micromanipulator for injections</td>
			<td style="width:153px;">VisualSonics, Toronto, Ontario, Canada</td>
			<td style="width:139px;">SA-11983</td>
			<td></td>
		</tr>
		<tr height="61">
			<td height="61" style="height:61px;">Thermasonic Gel Warmer</td>
			<td style="width:153px;">VisualSonics, Toronto, Ontario, Canada</td>
			<td style="width:139px;"></td>
			<td>Optional</td>
		</tr>
		<tr height="61">
			<td height="61" style="height:61px;">Transducers &#8211; MS-550D (Broadband frequency: 22 MHz - 55 MHz)</td>
			<td style="width:153px;">VisualSonics, Toronto, Ontario, Canada</td>
			<td style="width:139px;">VS-11960</td>
			<td style="width:199px;">Referred to as 40 MHz Transducer</td>
		</tr>
		<tr height="61">
			<td height="61" style="height:61px;">Transducers &#8211; MS-700 (Broadband frequency: 30 MHz - 70 MHz)</td>
			<td style="width:153px;">VisualSonics, Toronto, Ontario, Canada</td>
			<td style="width:139px;">VS-12026</td>
			<td style="width:199px;">Referred to as 50 MHz Transducer</td>
		</tr>
		<tr height="41">
			<td height="41" style="height:41px;">Ophthalmic Ointment</td>
			<td style="width:153px;">Patterson Veterinary</td>
			<td style="width:139px;">07-888-1663</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Electrode gel</td>
			<td style="width:153px;">Parker Laboratories</td>
			<td style="width:139px;">174-1525</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Tape</td>
			<td style="width:153px;">Medical Arts Press</td>
			<td style="width:139px;">174-153000</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Depilatory Cream</td>
			<td style="width:153px;">Carter Products</td>
			<td style="width:139px;"></td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Cotton swabs</td>
			<td style="width:153px;">General Supply</td>
			<td style="width:139px;"></td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Gauze</td>
			<td style="width:153px;">Fisher Scientific</td>
			<td style="width:139px;">22-037-907</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Water</td>
			<td style="width:153px;">General Supply</td>
			<td style="width:139px;"></td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Lubricating gel</td>
			<td style="width:153px;">Parker Laboratories</td>
			<td style="width:139px;">57-05</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Ultrasound gel</td>
			<td style="width:153px;">Parker Laboratories</td>
			<td style="width:139px;">01-50</td>
			<td></td>
		</tr>
		<tr height="61">
			<td height="61" style="height:61px;">Microcentrifuge tube rack</td>
			<td style="width:153px;">General Supply</td>
			<td style="width:139px;"></td>
			<td style="width:199px;">Used to raise mouse platform for optimal biopsy position</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">27G &#189; inch needle with 1 ml syringe</td>
			<td style="width:153px;">Fisher Scientific</td>
			<td style="width:139px;">14-826-87</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">ThinPrep PreservCyt Solution</td>
			<td style="width:153px;">Hologic</td>
			<td style="width:139px;">70097-002</td>
			<td>Refered to as biopsy media</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Microcentrifuge tubes</td>
			<td style="width:153px;">General Supply</td>
			<td style="width:139px;"></td>
			<td></td>
		</tr>
		<tr height="41">
			<td height="41" style="height:41px;">Thinprep 2000 processor</td>
			<td style="width:153px;">Cytyc, Marlborough, MA</td>
			<td style="width:139px;"></td>
			<td>Blue Filter</td>
		</tr>
		<tr height="41">
			<td height="41" style="height:41px;">Olympus AX70 Provis Microscope</td>
			<td style="width:153px;">Olympus, Center Valley, PA</td>
			<td style="width:139px;"></td>
			<td></td>
		</tr>
	</tbody>
</table>

high-frequency ultrasound imaging of mouse cervical lymph nodes

高频超声（HFUS）被广泛地用作用于成像内部解剖结构在实验小动物系统的非侵入性方法。 HFUS具有检测结构小30微米的能力，已被用于可视化浅表淋巴结在啮齿类动物中的亮度（B）模式，一个属性。结合力与多普勒B超成像可以衡量淋巴结等器官内循环的血流量。而HFUS已用于淋巴结成像在多个小鼠模型系统中，一个详细的协议描述在小鼠HFUS成像和颈部淋巴结的鉴定尚未见报道。在这里，我们表明，HFUS可以适于检测和小鼠表征颈部淋巴结。合并的B模式和功率多普勒成像可用于检测的血流增加在免疫学上扩颈淋巴结。我们还描述了使用B型成像进行颈部淋巴结的细针活检无DES检索淋巴组织进行病理分析。最后，软件辅助步骤被描述以计算变化淋巴结体积和形象化以下图像重建在淋巴结形态学变化。在视觉上监测变化在颈部淋巴结生物学随时间的能力提供了一个简单而功能强大的技术在口腔疾病的临床前小鼠模型的非侵入性的监测颈淋巴结改变的。

用于成像和活检程序的整体示意图示于图1。在此过程中的关键步骤包括鼠标用于成像的适当的制备，鉴定颈部淋巴结的，正确制备和导电针活检，B的分析-mode和多普勒图像来测量体积和血管的使用的计算机软件的每个所选节点内的量。 小鼠颈部淋巴结HFUS成像需要施加并保持适当的麻醉整个摄像期间（ 图2A），以及完全去除毛发覆盖整个颈部区域（ 图2B）的。超声凝胶的自由施加到脱毛区域的步骤（ 图2C）期间保证了清晰HFUS信号。 颈部区域的HFUS成像是通过产生特征的超声图像宫颈解剖标志的可视化辅助图图3示出的关键器官的B模式（ 图3D），并在功率多普勒模式（ 图3E）的例子（ 图3A-C）中 ，颈部淋巴结。 在麻醉小鼠实时成像HFUS允许颈部淋巴结类似于在临床实践中进行的引导下细针穿刺活检。活检针和连接的收集注射器向控制微量设备的放置示于图4A中 。随后B模式超声图像显示理想针放置前活组织检查（ 图4B），针尖进入一个颈部淋巴结（ 图4C），和针位置活检（ 图4D）中。特写图像显示淋巴结（ 图4E）的髓质内针尖。活检组件通过离心涂片的处理揭示了丰富的淋巴样细胞团和相关的结缔组织，验证成功的淋巴结活检（ 图4F）。 计算为基础的HFUS图像的分析，可以了解有关淋巴结结构，体积和血管流量要获得详细信息。使用功率多普勒模式和3D体积测量，百分之血管（PV）可从图像系列包含整个节点（ 图5A）来计算。另外，三维成像允许虚拟淋巴结重建，揭示整体淋巴结地形（ 图5B）。 <img alt="图1" src="/files/ftp_upload/52718/52718fig1.jpg" /> 图1：参与小鼠诊断HFUS颈部淋巴结成像的步骤概述概略的关键步骤包括1：准备老鼠HFUS成像和获得含有三种小鼠颈部淋巴结颈部区域40和50兆赫分辨率图像。 2：细针影像引导下的颈部淋巴结和随后的病理切片分析<html>活检的材料。 3：计算机辅助图像分析和三维重建在B模式和多普勒得到确定血管流的各个淋巴结体积和百分比（％）淋巴结图像。 <img alt="图2" src="/files/ftp_upload/52718/52718fig2.jpg" /> 图2：高分辨率为颈部淋巴结评估和活检体内显微成像系统的概述 （ 一 ）HFUS系统被示为具有对颈淋巴结成像制备麻醉小鼠。还示出了微量（MI）和3D-马达阶段（3D MS）的辅助设备。 （ 二）特写视图HFUS成像头发颈部取出准备麻醉鼠标。 （ 三）同一鼠标代替50 MHz传感器在脖子上。注意用于促进颈部成像额外的超声凝胶。 718fig3.jpg“/&gt; 图3：在B模式和功率多普勒代表HFUS宫颈解剖学图像。 （A，B）在口腔的B模式图像，示出了口腔（BC）和舌部（T），通过成像最靠近鼻腔可视化。在颈部的各侧中的3中颈部淋巴结（标记男，下颌; SM，颌下; SP，浅表腮腺），如图（B）中显示为一组低回声结构在一个单成像平面。 （C）的甲状腺（钍），为可视化在上部胸部区域，出现固体，回声蝴蝶形结构。 （AC）显现具有40 MHz的换能器;比例尺= 1毫米。 （D，E）正常（D）的代表性图像和放大（E）的颈部淋巴结与B模式和功率多普勒（红色）的节点。虚线勾勒出个人的淋巴结。比例尺= 0.5毫米。 <img alt="图4" sRC =“/文件/ ftp_upload / 52718 / 52718fig4.jpg”/&gt; 图4：颈部淋巴结活检设置，成像和活检材料的离心涂片分析 （ 一 ）成像平台显示了微注射器和针头位置靠近颈部鼠标。宽的离心管架（橙色块）用于略微抬高平台，可实现合适的针放置，同时仍然允许在3D马达舞台空间。这种安排减少了花费的时间中除去电机阶段每只小鼠。采取全颈HFUS图像使用的50兆赫换能器颈部淋巴结活检的视频- （D B）。 （B）的 HFUS B模式图像显示位置到之前活检颈部侧的针。针尖略低于针导向的成像来表示针轨迹中重叠的位置（绿色虚线）的回声结构。淋巴结是在中心图片。比例尺= 1毫米。 （ 三）针刺进入淋巴结。颈淋巴结（D）活检。 （ 五）颈淋巴结活检缩放。比例尺= 0.5毫米。代表淋巴结活检证实的材料成功活检（F）细胞离心涂片分析。比例尺= 100微米。 <img alt="图5" src="/files/ftp_upload/52718/52718fig5.jpg" /> 图5：3D颈部淋巴结的图像的计算机分析一个淋巴结的（A） 的代表性屏幕截图使用计算机软件进行分析。该节点外接蓝色;分析结果表明，三维体积和百分比血管（PV）所示。 （B）3D分析后，同一节点的A面视图图像。呈现淋巴结基于在A截取测量整个体积。

Watch this Scientific Journal Video about High-frequency Ultrasound Imaging of Mouse Cervical Lymph Nodes at JoVE.com

High-frequency Ultrasound Imaging of Mouse Cervical Lymph Nodes

这个协议描述高频超声（HFUS）的应用为摄像小鼠颈部淋巴结。该技术优化了可视化和颈部淋巴结的形态，体积和血流量量化。颈部淋巴结和淋巴组织进行组织学评价的处理图像引导下穿刺活检还体现。

鼠标颈淋巴结高频超声成像

High-frequency ultrasound (HFUS) is widely employed as a non-invasive method for imaging internal anatomic structures in experimental small animal ...

high-frequency-ultrasound-imaging-of-mouse-cervical-lymph-nodes

Research

JoVE Journal

Medicine

18.8K 次观看.  West Virginia University. 这个协议描述高频超声（HFUS）的应用为摄像小鼠颈部淋巴结。该技术优化了可视化和颈部淋巴结的形态，体积和血流量量化。颈部淋巴结和淋巴组织进行组织学评价的处理图像引导下穿刺活检还体现。 

视频: High-frequency Ultrasound Imaging of Mouse Cervical Lymph Nodes

Murine Echocardiography and Ultrasound Imaging

Rodent models of cardiac pathophysiology represent a valuable research tool to investigate mechanism of disease as well as test new therapeutics.1 Echocardiography provides a powerful, non-invasive tool to serially assess cardiac morphometry and function in a living animal.2 However, using this technique on mice poses unique challenges owing to the small size and rapid heart rate of these animals.3 Until recently, few ultrasound systems were capable of performing quality echocardiography on mice, and those generally lacked the image resolution and frame rate necessary to obtain truly quantitative measurements. Newly released systems such as the VisualSonics Vevo2100 provide new tools for researchers to carefully and non-invasively investigate cardiac function in mice. This system generates high resolution images and provides analysis capabilities similar to those used with human patients. Although color Doppler has been available for over 30 years in humans, this valuable technology has only recently been possible in rodent ultrasound.4,5 Color Doppler has broad applications for echocardiography, including the ability to quickly assess flow directionality in vessels and through valves, and to rapidly identify valve regurgitation. Strain analysis is a critical advance that is utilized to quantitatively measure regional myocardial function.6 This technique has the potential to detect changes in pathology, or resolution of pathology, earlier than conventional techniques. Coupled with the addition of three-dimensional image reconstruction, volumetric assessment of whole-organs is possible, including visualization and assessment of cardiac and vascular structures. Murine-compatible contrast imaging can also allow for volumetric measurements and tissue perfusion assessment.

This video demonstrates use of a rail-mounted high-frequency ultrasound probe to perform echocardiography on an anesthetized mouse. The methods describe both conventional two-dimensional and M-mode measurements of cardiac function in addition to newer, more powerful tools such as color Doppler, strain analysis, as well as general and targeted contrast imaging.

小鼠超声心动图和超声成像

Rodent models of cardiac pathophysiology represent a valuable research tool to investigate mechanism of disease as well as test new therapeutics.1  ...

科研

医学

A Novel Application of Musculoskeletal Ultrasound Imaging

Ultrasound is an attractive modality for imaging muscle and tendon motion during dynamic tasks and can provide a complementary methodological approach for biomechanical studies in a clinical or laboratory setting. Towards this goal, methods for quantification of muscle kinematics from ultrasound imagery are being developed based on image processing. The temporal resolution of these methods is typically not sufficient for highly dynamic tasks, such as drop-landing. We propose a new approach that utilizes a Doppler method for quantifying muscle kinematics. We have developed a novel vector tissue Doppler imaging (vTDI) technique that can be used to measure musculoskeletal contraction velocity, strain and strain rate with sub-millisecond temporal resolution during dynamic activities using ultrasound. The goal of this preliminary study was to investigate the repeatability and potential applicability of the vTDI technique in measuring musculoskeletal velocities during a drop-landing task, in healthy subjects. The vTDI measurements can be performed concurrently with other biomechanical techniques, such as 3D motion capture for joint kinematics and kinetics, electromyography for timing of muscle activation and force plates for ground reaction force. Integration of these complementary techniques could lead to a better understanding of dynamic muscle function and dysfunction underlying the pathogenesis and pathophysiology of musculoskeletal disorders.

We describe a new ultrasound-based vector tissue Doppler imaging technique to measure muscle contraction velocity, strain and strain rate with sub-millisecond temporal resolution during dynamic activities. This approach provides complementary measurements of dynamic muscle function and could lead to a better understanding of mechanisms underlying musculoskeletal disorders.

肌肉骨骼超声成像的一种新应用

Ultrasound is an attractive modality for imaging muscle and tendon  motion during dynamic tasks and can provide a complementary methodological  approach ...

Ultrasound Imaging-guided Intracardiac Injection to Develop a Mouse Model of Breast Cancer Brain Metastases Followed by Longitudinal MRI

Breast cancer brain metastasis, occurring in 30% of breast cancer patients at stage IV, is associated with high mortality. The median survival is only 6 months. It is critical to have suitable animal models to mimic the hemodynamic spread of the metastatic cells in the clinical scenario. Here, we are introducing the use of small animal ultrasound imaging to guide an accurate injection of brain tropical breast cancer cells into the left ventricle of athymic nude mice. Longitudinal MRI is used to assessing intracranial initiation and growth of brain metastases. Ultrasound-guided intracardiac injection ensures not only an accurate injection and hereby a higher successful rate but also significantly decreased mortality rate, as compared to our previous manual procedure. In vivo high resolution MRI allows the visualization of hyperintense multifocal lesions, as small as 310 &#181;m in diameter on T2-weighted images at 3 weeks post injection. Follow-up MRI reveals intracranial tumor growth and increased number of metastases that distribute throughout the whole brain.

A breast cancer brain metastasis mouse model is established with ultrasound imaging-guided intracardiac injection of MDA-MB231/Br-GFP cells. Development of multifocal intracranial metastases has been monitored longitudinally using high-resolution 9.4 T MRI.

超声成像引导下腔内注射到患乳腺癌脑转移其次是纵向的MRI的小鼠模型

Breast cancer brain metastasis, occurring in 30% of breast cancer patients at stage IV, is associated with high mortality. The median survival is only 6 ...

Diagnostic Ultrasound Imaging of Mouse Diaphragm Function

Function analysis of rodent respiratory skeletal muscles, particularly the diaphragm, is commonly performed by isolating muscle strips using invasive surgical procedures. Although this is an effective method of assessing in vitro diaphragm activity, it involves non-survival surgery. The application of non-invasive ultrasound imaging as an in vivo procedure is beneficial since it not only reduces the number of animals sacrificed, but is also suitable for monitoring disease progression in live mice. Thus, our ultrasound imaging method may likely assist in the development of novel therapies that alleviate muscle injury induced by various respiratory diseases. Particularly, in clinical diagnoses of obstructive lung diseases, ultrasound imaging has the potential to be used in conjunction with other standard tests to detect the early onset of diaphragm muscle fatigue. In the current protocol, we describe how to accurately evaluate diaphragm contractility in a mouse model using a diagnostic ultrasound imaging technique.

Diagnostic ultrasound imaging has proven to be effective in diagnosing various respiratory diseases in human and animal subjects. We demonstrate a comprehensive ultrasound protocol utilized by Dr. Zuo's lab to analyze diaphragm kinetics specifically in mouse models. This is also a non-invasive research technique which can provide quantitative information on mouse respiratory muscle function.

小鼠膈肌功能诊断超声成像

Function analysis of rodent respiratory skeletal muscles, particularly the diaphragm, is commonly performed by isolating muscle strips using invasive ...

State of the Art Cranial Ultrasound Imaging in Neonates

Cranial ultrasound (CUS) is a reputable tool for brain imaging in critically ill neonates. It is safe, relatively cheap and easy to use, even when a patient is unstable. In addition it is radiation-free and allows serial imaging. CUS possibilities have steadily expanded. However, in many neonatal intensive care units, these possibilities are not optimally used. We present a comprehensive approach for neonatal CUS, focusing on optimal settings, different probes, multiple acoustic windows and Doppler techniques. This approach is suited for both routine clinical practice and research purposes. In a live demonstration, we show how this technique is performed in the neonatal intensive care unit. Using optimal settings and probes allows for better imaging quality and improves the diagnostic value of CUS in experienced hands. Traditionally, images are obtained through the anterior fontanel. Use of supplemental acoustic windows (lambdoid, mastoid, and lateral fontanels) improves detection of brain injury. Adding Doppler studies allows screening of patency of large intracranial arteries and veins. Flow velocities and indices can be obtained. Doppler CUS offers the possibility of detecting cerebral sinovenous thrombosis at an early stage, creating a window for therapeutic intervention prior to thrombosis-induced tissue damage. Equipment, data storage and safety aspects are also addressed.

Cranial ultrasound (CUS) is a valuable tool for brain imaging in critically ill neonates. This video shows a comprehensive approach for neonatal (Doppler) CUS for both clinical and research purposes, including a bedside demonstration of the technique.

艺术颅超声成像在新生儿的状态

Cranial ultrasound (CUS) is a reputable tool for brain imaging in critically ill neonates. It is safe, relatively cheap and easy to use, even when a ...

Interictal High Frequency Oscillations Detected with Simultaneous Magnetoencephalography and Electroencephalography as Biomarker of Pediatric Epilepsy

Crucial to the success of epilepsy surgery is the availability of a robust biomarker that identifies the Epileptogenic Zone (EZ). High Frequency Oscillations (HFOs) have emerged as potential presurgical biomarkers for the identification of the EZ in addition to Interictal Epileptiform Discharges (IEDs) and ictal activity. Although they are promising to localize the EZ, they are not yet suited for the diagnosis or monitoring of epilepsy in clinical practice. Primary barriers remain: the lack of a formal and global definition for HFOs; the consequent heterogeneity of methodological approaches used for their study; and the practical difficulties to detect and localize them noninvasively from scalp recordings. Here, we present a methodology for the recording, detection, and localization of interictal HFOs from pediatric patients with refractory epilepsy. We report representative data of HFOs detected noninvasively from interictal scalp EEG and MEG from two children undergoing surgery.
The underlying generators of HFOs were localized by solving the inverse problem and their localization was compared to the Seizure Onset Zone (SOZ) as this was defined by the epileptologists. For both patients, Interictal Epileptogenic Discharges (IEDs) and HFOs were localized with source imaging at concordant locations. For one patient, intracranial EEG (iEEG) data were also available. For this patient, we found that the HFOs localization was concordant between noninvasive and invasive methods. The comparison of iEEG with the results from scalp recordings served to validate these findings. To our best knowledge, this is the first study that presents the source localization of scalp HFOs from simultaneous EEG and MEG recordings comparing the results with invasive recordings. These findings suggest that HFOs can be reliably detected and localized noninvasively with scalp EEG and MEG. We conclude that the noninvasive localization of interictal HFOs could significantly improve the presurgical evaluation for pediatric patients with epilepsy.

High Frequency Oscillations (HFOs) have emerged as presurgical biomarkers for the identification of the epileptogenic zone in pediatric patients with medically refractory epilepsy. A methodology for the noninvasive recording, detection, and localization of HFOs with simultaneous scalp electroencephalography (EEG) and magnetoencephalography (MEG) is presented.

同时用脑磁图和脑电图为小儿癫痫的生物标志物检测发作间期高频振动

Crucial to the success of epilepsy surgery is the availability of a robust biomarker that identifies the Epileptogenic Zone (EZ). High Frequency ...

Laparoscopic Technique for Serial Collection of Liver and Mesenteric Lymph Nodes in Macaques

The mesenteric lymph nodes (MLN) and the liver are exposed to microbes and microbial products from the gastrointestinal (GI) tract, making them immunologically unique. The GI tract and associated MLN are sites of early viral replication in human immunodeficiency virus (HIV) infection and the MLN are likely important reservoir sites that harbor latently-infected cells even after prolonged antiretroviral therapy (ART). The liver has been shown to play a significant role in immune responses to lentiviruses and appears to play a significant role in clearance of virus from circulation. Nonhuman primate (NHP) models for HIV and Acquired Immunodeficiency Syndrome (AIDS) closely mimic these aspects of HIV infection and serial longitudinal sampling of primary sites of viral replication and the associated immune responses in this model will help to elucidate critical events in infection, pathogenesis, and the impact of various intervention strategies on these events. Current published techniques to sample liver and MLN together involve major surgery and/or necropsy, which limits the ability to investigate these important sites in a serial fashion in the same animal. We have previously described a laparoscopic technique for collection of MLN. Here, we describe a minimally invasive laparoscopic technique for serial longitudinal sampling of liver and MLN through the same two port locations required for the collection of MLN. The use of the same two ports minimizes the impact to the animals as no additional incisions are required. This technique can be used with increased sampling frequency compared to major abdominal surgery and reduces the potential for surgical complications and associated local and systemic inflammatory responses that could complicate interpretation of results. This procedure has potential to facilitate studies involving NHP models while improving animal welfare.

Here, we describe a minimally invasive laparoscopic technique for serial sampling of liver and mesenteric lymph nodes (MLN) in macaques that allows for increased sampling frequency, and reduces the potential for surgical complications when compared to performing a laparotomy.

腹腔镜技术在猕猴肝和肠系膜淋巴结的串行采集

The mesenteric lymph nodes (MLN) and the liver are exposed to microbes and microbial products from the gastrointestinal (GI) tract, making them ...

Flow Cytometry Analysis of Immune Cell Subsets within the Murine Spleen, Bone Marrow, Lymph Nodes and Synovial Tissue in an Osteoarthritis Model

Osteoarthritis (OA) is one of the most prevalent musculoskeletal diseases, affecting patients suffering from pain and physical limitations. Recent evidence indicates a potential inflammatory component of the disease, with both T-cells and monocytes/macrophages potentially associated with the pathogenesis of OA. Further studies postulated an important role for subsets of both inflammatory cell lineages, such as Th1, Th2, Th17, and T-regulatory lymphocytes, and M1, M2, and synovium-tissue-resident macrophages. However, the interaction between the local synovial and systemic inflammatory cellular response and the structural changes in the joint is unknown. To fully understand how T-cells and monocytes/macrophages contribute towards OA, it is important to be able to quantitively identify these cells and their subsets simultaneously in synovial tissue, secondary lymphatic organs and systemically (the spleen and bone marrow). Nowadays, the different inflammatory cell subsets can be identified by a combination of cell-surface markers making multi-color flow cytometry a powerful technique in investigating these cellular processes. In this protocol, we describe detailed steps regarding the harvest of synovial tissue and secondary lymphatic organs as well as generation of single cell suspensions. Furthermore, we present both an extracellular staining assay to identify monocytes/macrophages and their subsets as well as an extra- and intra-cellular staining assay to identify T-cells and their subsets within the murine spleen, bone marrow, lymph nodes and synovial tissue. Each step of this protocol was optimized and tested, resulting in a highly reproducible assay that can be utilized for other surgical and non-surgical OA mouse models.

Here, we describe a detailed and reproducible flow cytometry protocol to identify monocyte/macrophage and T-cell subsets using both extra- and intracellular staining assays within the murine spleen, bone marrow, lymph nodes and synovial tissue, utilizing an established surgical model of murine osteoarthritis.

骨关节炎模型中骨髓、骨髓、淋巴结和合成组织内免疫细胞子集的流动细胞测量分析

Osteoarthritis (OA) is one of the most prevalent musculoskeletal diseases, affecting patients suffering from pain and physical limitations. Recent ...

A Modified Cuff Technique for Mouse Cervical Heterotopic Heart Transplantation Model

Cardiac allograft rejection limits the long-term survival of patients after heart transplantation. A mouse heart transplantation model is ideal for investigating the mechanism of cardiac allograft rejection in preclinical studies because of their high homology with human genes. This understanding would help develop unique approaches to improving patients&#39; long-term survival treated with cardiac allografts. In a mouse model, abdominal donor heart implantation is commonly performed with an end-to-end&#160;anastomosis to the recipient&#39;s aorta and inferior vena cava using stitches. In this model, the donor&#39;s heart is implanted by end-to-end anastomosis to the recipient&#39;s carotid artery and jugular vein by the modified-Cuff technique. The transplantation surgery is performed without stitching and thus may increase the survival of the recipient since there is no interference with the blood supply and venous reflux of the lower body. This mouse model would help investigate the mechanisms underlying the immunological and pathological (acute/chronic) rejection of cardiac allografts.

In the present protocol, a mouse heart transplantation model is used for investigating the mechanism of cardiac allograft rejection. In this heterotopic heart transplantation model, operation efficiency is improved, and the survival of cardiac grafts is ensured by a cervical end-to-end anastomosis of heart implantation using a modified Cuff technique.

一种改进的袖带技术用于小鼠颈椎异位心脏移植模型

Cardiac allograft rejection limits the long-term survival of patients after heart transplantation. A mouse heart transplantation model is ideal for ...

Drug Treatment by Central Venous Catheter in a Mouse Model of Angiotensin II Induced Abdominal Aortic Aneurysm and Monitoring by 3D Ultrasound

Since pharmaceutical treatment options are lacking in the clinical management of abdominal aortic aneurysm (AAA), animal models, in particular mouse models, are applied to advance the understanding of the disease pathogenesis and to identify potential therapeutic targets. Testing novel drug candidates to block AAA growth in these models generally requires repeated drug administration during the time course of the experiment. Here, we describe a compiled protocol for AAA induction, insertion of an intravenous catheter to facilitate prolonged therapy, and serial AAA monitoring by 3D ultrasound. Aneurysms are induced in apolipoprotein E (ApoE) deficient mice by angiotensin II release over 28 days from osmotic mini-pumps implanted subcutaneously into the mouse back. Subsequently, the surgical procedure for external jugular vein catheterization is conducted to allow for daily intravenous drug treatment or repeated blood sampling via a subcutaneous vascular access button. Despite the two dorsal implants, the monitoring of AAA development is readily facilitated by sequential semi-automated 3D ultrasound analysis, which yields comprehensive information on the expansion of aortic diameter and volume and on aneurysm morphology, as illustrated by experimental examples.

This protocol describes the consecutive implantation of an osmotic pump to induce abdominal aortic aneurysm by angiotensin II release in apolipoprotein E (ApoE) deficient mice and of a vascular access port with a jugular vein catheter for repeated drug treatment. Monitoring of aneurysm development by 3D ultrasound is effectively conducted despite dorsal implants.

血管紧张素II诱导的腹主动脉瘤小鼠模型中中心静脉导管的药物治疗及3D超声监测

Since pharmaceutical treatment options are lacking in the clinical management of abdominal aortic aneurysm (AAA), animal models, in particular mouse ...