Shape-recovery of implanted shape-memory devices remotely triggered via image-guided ultrasound heating

Abstract Shape-memory materials hold great potential to impart medical devices with functionalities useful during implantation, locomotion, drug delivery, and removal. However, their clinical translation is limited by a lack of non-invasive and precise methods to trigger and control the shape recove...

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Main Authors: Yang Zhu, Kaicheng Deng, Jianwei Zhou, Chong Lai, Zuwei Ma, Hua Zhang, Jiazhen Pan, Liyin Shen, Matthew D. Bucknor, Eugene Ozhinsky, Seungil Kim, Guangjie Chen, Sang-ho Ye, Yue Zhang, Donghong Liu, Changyou Gao, Yonghua Xu, Huanan Wang, William R. Wagner
Format: Article
Language:English
Published: Nature Portfolio 2024-02-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-024-45437-2
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author Yang Zhu
Kaicheng Deng
Jianwei Zhou
Chong Lai
Zuwei Ma
Hua Zhang
Jiazhen Pan
Liyin Shen
Matthew D. Bucknor
Eugene Ozhinsky
Seungil Kim
Guangjie Chen
Sang-ho Ye
Yue Zhang
Donghong Liu
Changyou Gao
Yonghua Xu
Huanan Wang
William R. Wagner
author_facet Yang Zhu
Kaicheng Deng
Jianwei Zhou
Chong Lai
Zuwei Ma
Hua Zhang
Jiazhen Pan
Liyin Shen
Matthew D. Bucknor
Eugene Ozhinsky
Seungil Kim
Guangjie Chen
Sang-ho Ye
Yue Zhang
Donghong Liu
Changyou Gao
Yonghua Xu
Huanan Wang
William R. Wagner
author_sort Yang Zhu
collection DOAJ
description Abstract Shape-memory materials hold great potential to impart medical devices with functionalities useful during implantation, locomotion, drug delivery, and removal. However, their clinical translation is limited by a lack of non-invasive and precise methods to trigger and control the shape recovery, especially for devices implanted in deep tissues. In this study, the application of image-guided high-intensity focused ultrasound (HIFU) heating is tested. Magnetic resonance-guided HIFU triggered shape-recovery of a device made of polyurethane urea while monitoring its temperature by magnetic resonance thermometry. Deformation of the polyurethane urea in a live canine bladder (5 cm deep) is achieved with 8 seconds of ultrasound-guided HIFU with millimeter resolution energy focus. Tissue sections show no hyperthermic tissue injury. A conceptual application in ureteral stent shape-recovery reduces removal resistance. In conclusion, image-guided HIFU demonstrates deep energy penetration, safety and speed.
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spelling doaj.art-0c9e33818a6643c8a8fb954efbea5d612024-03-05T19:32:33ZengNature PortfolioNature Communications2041-17232024-02-0115111210.1038/s41467-024-45437-2Shape-recovery of implanted shape-memory devices remotely triggered via image-guided ultrasound heatingYang Zhu0Kaicheng Deng1Jianwei Zhou2Chong Lai3Zuwei Ma4Hua Zhang5Jiazhen Pan6Liyin Shen7Matthew D. Bucknor8Eugene Ozhinsky9Seungil Kim10Guangjie Chen11Sang-ho Ye12Yue Zhang13Donghong Liu14Changyou Gao15Yonghua Xu16Huanan Wang17William R. Wagner18MOE Key Laboratory of Macromolecular Synthesis and Functionalization, Department of Polymer Science and Engineering, Zhejiang UniversityMOE Key Laboratory of Macromolecular Synthesis and Functionalization, Department of Polymer Science and Engineering, Zhejiang UniversitySchool of Electromechanical and Energy Engineering, NingboTech UniversityDepartment of Urology, First Affiliated Hospital, School of Medicine, Zhejiang UniversityMcGowan Institute for Regenerative Medicine, University of PittsburghCollege of Animal Sciences, Zhejiang UniversityCollege of Animal Sciences, Zhejiang UniversityMOE Key Laboratory of Macromolecular Synthesis and Functionalization, Department of Polymer Science and Engineering, Zhejiang UniversityRadiology and Biomedical Imaging, University of CaliforniaRadiology and Biomedical Imaging, University of CaliforniaMcGowan Institute for Regenerative Medicine, University of PittsburghDepartment of Urology, The Children’s Hospital, School of Medicine, National Clinical Research Center for Child Health, Zhejiang UniversityMcGowan Institute for Regenerative Medicine, University of PittsburghSan Francisco Veterans Affairs Medical Center, University of CaliforniaCollege of Biosystems Engineering and Food Science, National-Local Joint Engineering Laboratory of Intelligent Food Technology and Equipment, Zhejiang Key Laboratory for Agro-Food Processing, Zhejiang UniversityMOE Key Laboratory of Macromolecular Synthesis and Functionalization, Department of Polymer Science and Engineering, Zhejiang UniversityDepartment of Imaging and Interventional Radiology, Zhongshan-Xuhui Hospital of Fudan University/Shanghai Xuhui Central HospitalCollege of Animal Sciences, Zhejiang UniversityMcGowan Institute for Regenerative Medicine, University of PittsburghAbstract Shape-memory materials hold great potential to impart medical devices with functionalities useful during implantation, locomotion, drug delivery, and removal. However, their clinical translation is limited by a lack of non-invasive and precise methods to trigger and control the shape recovery, especially for devices implanted in deep tissues. In this study, the application of image-guided high-intensity focused ultrasound (HIFU) heating is tested. Magnetic resonance-guided HIFU triggered shape-recovery of a device made of polyurethane urea while monitoring its temperature by magnetic resonance thermometry. Deformation of the polyurethane urea in a live canine bladder (5 cm deep) is achieved with 8 seconds of ultrasound-guided HIFU with millimeter resolution energy focus. Tissue sections show no hyperthermic tissue injury. A conceptual application in ureteral stent shape-recovery reduces removal resistance. In conclusion, image-guided HIFU demonstrates deep energy penetration, safety and speed.https://doi.org/10.1038/s41467-024-45437-2
spellingShingle Yang Zhu
Kaicheng Deng
Jianwei Zhou
Chong Lai
Zuwei Ma
Hua Zhang
Jiazhen Pan
Liyin Shen
Matthew D. Bucknor
Eugene Ozhinsky
Seungil Kim
Guangjie Chen
Sang-ho Ye
Yue Zhang
Donghong Liu
Changyou Gao
Yonghua Xu
Huanan Wang
William R. Wagner
Shape-recovery of implanted shape-memory devices remotely triggered via image-guided ultrasound heating
Nature Communications
title Shape-recovery of implanted shape-memory devices remotely triggered via image-guided ultrasound heating
title_full Shape-recovery of implanted shape-memory devices remotely triggered via image-guided ultrasound heating
title_fullStr Shape-recovery of implanted shape-memory devices remotely triggered via image-guided ultrasound heating
title_full_unstemmed Shape-recovery of implanted shape-memory devices remotely triggered via image-guided ultrasound heating
title_short Shape-recovery of implanted shape-memory devices remotely triggered via image-guided ultrasound heating
title_sort shape recovery of implanted shape memory devices remotely triggered via image guided ultrasound heating
url https://doi.org/10.1038/s41467-024-45437-2
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