EFFECT OF TEMPERATURE ON THE SIZE DISTRIBUTION, SHELL PROPERTIES, AND STABILITY OF DEFINITY®

Physical characterization of an ultrasound contrast agent (UCA) aids in its safe and effective use in diagnostic and therapeutic applications. The goal of this study was to investigate the impact of temperature on the size distribution, shell properties, and stability of Definity (R), a U.S. Food and Drug Administration-approved UCA used for left ventricular opacification. A Coulter counter was modified to enable particle size measurements at physiologic temperatures. The broadband acoustic attenuation spectrum and size distribution of Definity (R) were measured at room temperature (25 degrees C) and physiologic temperature (37 degrees C) and were used to estimate the viscoelastic shell properties of the agent at both temperatures. Attenuation and size distribution was measured over time to assess the effect of temperature on the temporal stability of Definity (R). The attenuation coefficient of Definity (R) at 37 degrees C was as much as 5 dB higher than the attenuation coefficient measured at 25 degrees C. However, the size distributions of Definity (R) at 25 degrees C and 37 degrees C were similar. The estimated shell stiffness and viscosity decreased from 1.76 +/- 0.18 N/m and 0.21 x 10(-6) +/- 0.07 x 10(-6) kg/s at 25 degrees C to 1.01 +/- 0.07 N/m and 0.04 x 10(-6) +/- 0.04 x 10(-6) kg/s at 37 degrees C, respectively. Size-dependent differences in dissolution rates were observed within the UCA population at both 25 degrees C and 37 degrees C. Additionally, cooling the diluted UCA suspension from 37 degrees C to 25 degrees C accelerated the dissolution rate. These results indicate that although temperature affects the shell properties of Definity (R) and can influence the stability of Definity (R), the size distribution of this agent is not affected by a temperature increase from 25 degrees C to 37 degrees C. (E-mail: himanshu. shekhar@ uc. edu) (C) 2018 World Federation for Ultrasound in Medicine & Biology. All rights reserved.