Abstract

The 34th annual Advances in Contrast Ultrasound (ACU) International Bubble Conference convened in Chicago, IL, USA, on September 5–6, 2019 to feature new directions of research, preclinical and first-in-man clinical trials, and novel clinical applications highlighting the diversity and utility of contrast enhanced ultrasound (CEUS). An expert group comprising clinicians, engineers, basic scientists, government officials, attorneys, and industry partners convened to collaborate on cutting-edge ultrasound enhancement technology. Utilizing this information, the International Contrast Ultrasound Society (ICUS) continues to have cause to advocate for the safe and appropriate use of CEUS with expanding indications and applications.

Highlights

  • The conference opened with world-renowned panelists presenting updates on current clinical trials that investigate the important uses of contrast enhanced ultrasound (CEUS), including contrast enhancement and sonoporation via acoustic cavitation

  • The 34th annual Advances in Contrast Ultrasound (ACU) International Bubble Conference convened in Chicago, IL, USA, on September 5–6, 2019 to feature new directions of research, preclinical and first-in-man clinical trials, and novel clinical applications highlighting the diversity and utility of contrast enhanced ultrasound (CEUS)

  • The conference opened with world-renowned panelists presenting updates on current clinical trials that investigate the important uses of CEUS, including contrast enhancement and sonoporation via acoustic cavitation

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Summary

Gene and drug therapy

At 6-month follow-up, patients receiving sonothrombolysis emergently before percutaneous coronary intervention (PCI) were more likely to have decreased infarct size, greater improvement in left ventricular ejection fraction, and decreased rate of implantable cardioverter defibrillator placements compared to those who had not received sonothrombolysis. Given these positive results, this exciting work will continue into the phase as a larger multicenter, multinational trial in the High Ultrasound mechanical index and microbuBBLEs to reduce acute myocardial infarction burden I (HUBBLE-I) study. This provides pathophysiologic and mechanistic insights into understanding the recent discrepant clinical trial results (CoAPT and MitraFR) and an explanation why patients with severe left ventricular dilation and dysfunction appear to experience diminished benefits from the MitraClip procedure, re-emphasizing

Advanced clinical applications
Novel acoustic imaging
CEUS cellular physiology
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