Abstract

Dual-modality photoacoustic tomography (PAT) and 4D ultrasound (4DUS) imaging have shown promise for cardiovascular applications, but their use in murine atherosclerosis imaging is limited. This study used PAT and 4DUS to correlate altered arterial strain and hemodynamics to morphological changes and lipid localization in a murine partial carotid ligation (PCL) model of atherosclerosis. Validation experiments showed a positive correlation between the PAT signal-to-noise ratio and plaque lipid composition obtained from oil-red O histology. Cross-sectional in situ PAT and longitudinal in vivo ultrasound imaging was performed using a 40 MHz transducer. Ultrasound timepoints included days 0, 1, 4, 7, 10, and 14 for hemodynamic and strain assessment, and 1100 nm and 1210 nm PAT was implemented at the study end point for hemoglobin and lipid characterization. These study groups were then separated into day 4 post-PCL with (n = 5) and without (n = 6) Western diet feeding, as well as days 7 (n = 8), 10 (n = 8), and 14 (n = 8) post-PCL, in addition to a sham control group on a Western diet (n = 5). Overall, our data revealed a substantial decrease in left carotid artery pulsatility by day 7. The hemodynamic results suggested greater disturbed flow in the caudal regions resulting in earlier vessel stenosis and greater lipid deposition than cranial regions. Morphological and compositional data revealed heterogeneous vascular remodeling between days 0 and 7, with a rapid decrease in the vessel volume/length and the presence of both intraplaque hematoma and lipid deposition at day 10 post-PCL. These results highlight the utility of utilizing dual-modality PAT and 4DUS to study atherosclerosis progression.

Highlights

  • Development of dual-modality photoacoustic tomography (PAT) and ultrasound imaging is an emerging area of biomedical research, as these complementary modalities allow for advanced visual and quantitative interpretation for a plethora of multifaceted diseases

  • Ultrasound uses high-frequency sound waves to measure the acoustic impedance between tissue boundaries, allowing the user to obtain a variety of information regarding tissue morphology and hemodynamics

  • We evaluated the hypothesis that vascular regions of disturbed flow and decreased vessel pulsatility are more susceptible to lipid deposition during plaque formation

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Summary

Introduction

Development of dual-modality photoacoustic tomography (PAT) and ultrasound imaging is an emerging area of biomedical research, as these complementary modalities allow for advanced visual and quantitative interpretation for a plethora of multifaceted diseases. Cardiovascular disease, in particular, remains one of the leading causes of death globally with atherosclerosis resulting in a variety of complications ranging from impaired lower-limb mobility to ischemic myocardial infarction and strokes.[2] Current cardiovascular applications of dual-modality PAT and ultrasound are primarily focused on diagnosis of atherosclerosis,[3,4,5,6,7,8,9] identification of thrombus,[10,11] or ablation of cardiac arrhythmias.[12,13,14] Developmental efforts in intravascular photoacoustic imaging have especially shown potential to quantify plaque burden in the hopes to identify rupture-prone vulnerable plaques vs benign stable plaques.[15,16] recent advances in 4D ultrasound (4DUS) imaging have opened opportunities to improve kinematic characterization of cardiac[17] and vascular[18] tissues

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