Abstract
Microbubbles interact with ultrasound in various ways to enable their applications
in ultrasound imaging and diagnosis. To generate high contrast and maximize therapeutic
efficacy, microbubbles of high uniformity are required. Microfluidic technology, which
enables precise control of small volumes of fluid at the sub-millimeter scale, has
provided a versatile platform on which to produce highly uniform microbubbles for
potential applications in ultrasound imaging and diagnosis. Here, we describe fundamental
microfluidic principles and the most common types of microfluidic devices used to
produce sub-10 μm microbubbles, appropriate for biomedical ultrasound. Bubbles can
be engineered for specific applications by tailoring the bubble size, inner gas and
shell composition and by functionalizing for additional imaging modalities, therapeutics
or targeting ligands. To translate the laboratory-scale discoveries to widespread
clinical use of these microfluidic-based microbubbles, increased bubble production
is needed. We present various strategies recently developed to improve scale-up. We
conclude this review by describing some outstanding problems in the field and presenting
areas for future use of microfluidics in ultrasound.
Key Words
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References
- Nanomechanics of lipid encapsulated microbubbles with functional coatings.Langmuir. 2013; 29: 4096-4103
- Poly(ethylene glycol) lipid-shelled microbubbles: Abundance, stability, and mechanical properties.Langmuir. 2014; 30: 5557-5563
- Generation of multilayered structures for biomedical applications using a novel tri-needle coaxial device and electrohydrodynamic flow.J R Soc Interface. 2008; 5: 1255-1261
- Recent advances in stealth coating of nanoparticle drug delivery systems.Wiley Interdiscip Rev Nanomed Nanobiotechnol. 2012; 4: 219-233
- Ultrasound molecular imaging of tumor angiogenesis with an integrin targeted microbubble contrast agent.Invest Radiol. 2011; 46: 215-224
- Recombinant protein-stabilized monodisperse microbubbles with tunable size using a valve-based microfluidic device.Langmuir. 2014; 30: 12610-12618
- Droplets and bubbles in microfluidic devices.Annu Rev Fluid Mech. 2016; 48: 285-309
- Formation of dispersions using “flow focusing” in microchannels.Appl Phys Lett. 2003; 82: 364-366
- Spectral imaging toolbox: Segmentation, hyperstack reconstruction, and batch processing of spectral images for the determination of cell and model membrane lipid order.BMC Bioinformatics. 2017; 18: 1-8
- Targeted drug delivery to tumors: Myths, reality and possibility.J Control Release. 2011; 153: 198-205
- Engineered in vitro disease models.Annu Rev Pathol Mech Dis. 2015; 10: 195-262
- Phospholipid/carbocyanine dye-shelled microbubbles as ultrasound-modulated fluorescent contrast agents.Soft Matter. 2013; 9: 2384
- Microfluidics for cell separation.Med Biol Eng Comput. 2010; 48: 999-1014
- Organ-on-a-chip platforms for studying drug delivery systems.J Control Release. 2014; 190: 82-93
- Preparation of monodisperse polymer particles and capsules by ink-jet printing.Colloids Surf A. 2006; 289: 96-104
- The effect of contact line pinning favors the mass production of monodisperse microbubbles.Microfluid Nanofluidics. 2016; 20: 21
- Facile and cost-effective production of microscale PDMS architectures using a combined micromilling-replica moulding (μMi-REM) technique.Biomed Microdevices. 2016; 18: 4
- Microbubble generation in a co-flow device operated in a new regime.Lab Chip. 2011; 11: 2023-2029
- Production of monodispersed micron-sized bubbles at high rates in a microfluidic device.Appl Phys Lett. 2009; 95144101
- Commercialization of microfluidic point-of-care diagnostic devices.Lab Chip. 2012; 12: 2118
- Microbubble-size dependence of focused ultrasound-induced blood–brain barrier opening in mice in vivo.IEEE Trans Biomed Eng. 2010; 57: 145-154
- Threshold of fragmentation for ultrasonic contrast agents.J Biomed Opt. 2001; 6: 141-150
- Microfluidic methods for generating continuous droplet streams.J Phys D Appl Phys. 2007; 40: R319-R336
- Imaging vulnerable plaque by ultrasound.J Am Coll Cardiol. 2006; 47: 32-39
- Liquid flooded flow-focusing microfluidic device for in situ generation of monodisperse microbubbles.Microfluid Nanofluidics. 2013; 14: 457-467
- In vivo imaging of microfluidic-produced microbubbles.Biomed Microdevices. 2015; 17: 23
- Enhanced intracellular delivery of a model drug using microbubbles produced by a microfluidic device.Ultrasound Med Biol. 2013; 39: 1267-1276
- In vitro sonothrombolysis enhancement by transiently stable microbubbles produced by a flow-focusing microfluidic device.Ann Biomed Eng. 2018; 46: 222-232
- Microfluidic synthesis of advanced microparticles for encapsulation and controlled release.Lab Chip. 2012; 12: 2135
- Effect of ligand density, receptor density, and nanoparticle size on cell targeting.Nanomedicine. 2014; 9: 194-201
- Physical properties of surfactant bilayer membranes: Thermal transitions, elasticity, rigidity, cohesion, and colloidal interactions.J Phys Chem. 1987; 91: 4219-4228
- Microbubbling by co-axial electrohydrodynamic atomization.Med Biol Eng Comput. 2007; 45: 781-789
- Preparation of suspensions of phospholipid-coated microbubbles by coaxial electrohydrodynamic atomization.J R Soc Interface. 2009; 6: 271-277
- Microbubble size isolation by differential centrifugation.J Colloid Interface Sci. 2009; 329: 316-324
- Perfectly monodisperse microbubbling by capillary flow focusing.Phys Rev Lett. 2001; 87274501
- Laplace pressure of individual H2 nanobubbles from pressure—Addition electrochemistry.Nano Lett. 2016; 16: 6691-6694
- Honey, I shrunk the bubbles: Microfluidic vacuum shrinkage of lipid-stabilized microbubbles.Soft Matter. 2017; 13: 4011-4016
- Droplet microfluidics for high-throughput biological assays.Lab Chip. 2012; 12: 2146
- On-chip generation of microbubbles as a practical technology for manufacturing contrast agents for ultrasonic imaging.Lab Chip. 2007; 7: 463-468
- Controllable microfluidic synthesis of multiphase drug-carrying lipospheres for site-targeted therapy.Biotchnol Prog. 2009; 25: 938-945
- Oscillations of polymeric microbubbles: Effect of the encapsulating shell.J Acoust Soc Am. 2000; 107: 2272-2280
- Mapping microbubble viscosity using fluorescence lifetime imaging of molecular rotors.Proc Natl Acad Sci. 2013; 110: 9225-9230
- Interplay between materials and microfluidics.Nat Rev Mater. 2017; 2: 17016
- Acoustic characterization in whole blood and plasma of site-targeted nanoparticle ultrasound contrast agent for molecular imaging.J Acoust Soc Am. 2005; 117: 964-972
- Antivascular ultrasound therapy.J Ultrasound Med. 2015; 34: 275-287
- A molecular imaging primer: Modalities, imaging agents, and applications.Physiol Rev. 2012; 92: 897-965
- The effect of stabilizer on the mechanical response of double-emulsion-templated polymersomes.Macromol Rapid Commun. 2015; 36: 378-384
- Tuning the mechanical properties of recombinant protein-stabilized gas bubbles using triblock copolymers.ACS Macro Lett. 2016; 5: 371-376
- Recent developments in scale-up of microfluidic emulsion generation via parallelization.Korean J Chem Eng. 2016; 33: 1757-1766
- Liter-scale production of uniform gas bubbles via parallelization of flow-focusing generators.Lab Chip. 2017; 17: 2667-2673
- Droplet microfluidics—A tool for single-cell analysis.Angew Chem Int Ed. 2012; 51: 12176-12192
- Membrane emulsification—A literature review.J Memb Sci. 2000; 169: 107-117
- Rapid prototyping of microfluidic devices with a wax printer.Lab Chip. 2007; 7: 384-387
- Targeted polymeric therapeutic nanoparticles: design, development and clinical translation.Chem Soc Rev. 2012; 41: 2971-3010
- Micropipette aspiration of double emulsion-templated polymersomes.Soft Matter. 2011; 7: 9863
- Controlled droplet microfluidic systems for multistep chemical and biological assays.Chem Soc Rev. 2017; 46: 6210-6226
- Microfluidic manufacture of rt-PA-loaded echogenic liposomes.Biomed Microdevices. 2016; 18: 48
- Acoustic responses of monodisperse lipid-encapsulated microbubble contrast agents produced by flow focusing.Bubble Sci Eng Technol. 2010; 2: 33-40
- Quantum-dot-modified microbubbles with bi-mode imaging capabilities.Nanotechnology. 2009; 20425105
- Scaled-up production of monodisperse, dual layer microbubbles using multiarray microfluidic module for medical imaging and drug delivery.Bubble Sci Eng Technol. 2012; 4: 12-20
- Functional and molecular ultrasound imaging: concepts and contrast agents.Curr Med Chem. 2009; 16: 627-642
- Mechanical properties and microstructure of polycrystalline phospholipid monolayer shells: Novel solid microparticles.Langmuir. 2003; 19: 8455-8466
- Targeted microbubbles: Ultrasound contrast agents for molecular imaging.in: Bulte JWM Modo MMJ Nanoparticles in biomedical imaging. Springer New York, New York2008: 327-341
- Preparation of targeted microbubbles: Ultrasound contrast agents for molecular imaging.Med Biol Eng Comput. 2009; 47: 875-882
- Effect of surfactant type on microbubble formation behavior using Shirasu porous glass (SPG) membranes.Colloids Surf A. 2008; 326: 129-137
- Effect of the membrane wettability on the size and size distribution of microbubbles formed from Shirasu-porous-glass (SPG) membranes.Colloids Surf A. 2008; 317: 146-154
- Double casting prototyping with a thermal aging step for fabrication of 3-D microstructures in poly(dimethylsiloxane).AIMS Biophys. 2016; 3: 553-562
- Stabilization and fabrication of microbubbles: Applications for medical purposes and functional materials.Soft Matter. 2015; 11: 2067-2079
- Microbubbles used for contrast enhanced ultrasound and theragnosis: A review of principles to applications.Biomed Eng Lett. 2017; 7: 59-69
- Drug loaded microbubble design for ultrasound triggered delivery.Soft Matter. 2009; 5: 2161
- Modeling of thermal effects in antivascular ultrasound therapy.J Acoust Soc Am. 2012; 131: 540
- Preparation of PDMS microfluidic devices based on drop-on-demand generation of wax molds.Anal Methods. 2014; 6: 4716-4722
- Microfluidic technology: Uncovering the mechanisms of nanocrystal nucleation and growth.Acc Chem Res. 2017; 50: 1248-1257
- Why microfluidics? Merits and trends in chemical synthesis.Lab Chip. 2017; 17: 3960-3978
- Integrin αvβ3-targeted cancer therapy.Drug Dev Res. 2008; 69: 329-339
- Combining microbubbles and ultrasound for drug delivery to brain tumors: Current progress and overview.Theranostics. 2014; 4: 432-444
- Synthesis of micro and nanostructures in microfluidic systems.Chem Soc Rev. 2010; 39: 1183
- Generation of microbubbles for diagnostic and therapeutic applications using a novel device.J Drug Target. 2008; 16: 494-501
- Novel methods for preparing phospholipid coated microbubbles.Eur Biophys J. 2008; 37: 515-520
- A microfluidic approach to chemically driven assembly of colloidal particles at gas–liquid interfaces.Angew Chem Int Ed. 2009; 48: 5300-5304
- Microbubbles loaded with nanoparticles: A route to multiple imaging modalities.ACS Nano. 2010; 4: 6579-6586
- Small, stable, and monodispersed bubbles encapsulated with biopolymers.Macromol Rapid Commun. 2010; 31: 222-227
- Microvessels-on-a-chip to assess targeted ultrasound-assisted drug delivery.ACS Appl Mater Interfaces. 2016; 8: 31541-31549
- Acoustic characterization of monodisperse lipid-coated microbubbles: Relationship between size and shell viscoelastic properties.J Acoust Soc Am. 2014; 136: 1077-1084
- Expanding 3-D geometry for enhanced on-chip microbubble production and single step formation of liposome modified microbubbles.Lab Chip. 2012; 12: 4544-4552
- On-chip preparation of nanoscale contrast agents towards high-resolution ultrasound imaging.Lab Chip. 2016; 16: 679-687
- Acoustic response of compliable microvessels containing ultrasound contrast agents.Phys Med Biol. 2006; 51: 5065-5088
- Ultrasound contrast microbubbles in imaging and therapy: Physical principles and engineering.Phys Med Biol. 2009; 54: 1-42
- Effect of chain length and unsaturation on elasticity of lipid bilayers.Biophys J. 2000; 79: 328-339
- The present and future role of microfluidics in biomedical research.Nature. 2014; 507: 181-189
- Organelle targeting: Third level of drug targeting.Drug Des Devel Ther. 2013; 7: 585-599
- Acoustic bubble sorting for ultrasound contrast agent enrichment.Lab Chip. 2014; 14: 1705-1714
- Uniform scattering and attenuation of acoustically sorted ultrasound contrast agents: Modeling and experiments.J Acoust Soc Am. 2016; 140: 2506-2517
- Stability of monodisperse phospholipid-coated microbubbles formed by flow-focusing at high production rates.Langmuir. 2016; 32: 3937-3944
- Universal equations for the coalescence probability and long-term size stability of phospholipid-coated monodisperse microbubbles formed by flow-focusing.Langmuir. 2017; 33: 10329-10339
- Microfluidic assembly of monodisperse, nanoparticle-incorporated perfluorocarbon microbubbles for medical imaging and therapy.Langmuir. 2010; 26: 13855-13860
- Phase-change contrast agents for imaging and therapy.Curr Pharm Des. 2012; 18: 2152-2165
- Vascular endothelial growth factor (VEGF) and its receptor (VEGFR) signaling in angiogenesis: A crucial target for anti- and pro-angiogenic therapies.Genes Cancer. 2011; 2: 1097-1105
- Flow-focusing regimes for accelerated production of monodisperse drug-loadable microbubbles toward clinical-scale applications.Lab Chip. 2013; 13: 4816-4826
- High frequency ultrasonic imaging.J Med Ultrasound. 2010; 17: 25-30
- Diagnostic ultrasound: Past, present, and future.J Med Biol Eng. 2011; 31: 371-374
- Advances in ultrasound mediated gene therapy using microbubble contrast agents.Theranostics. 2012; 2: 1208-1222
- Novel microbubble preparation technologies.Soft Matter. 2008; 4: 2350
- Long-term stability by lipid coating monodisperse microbubbles formed by a flow-focusing device.Langmuir. 2006; 22: 9487-9490
- Tailoring the size distribution of ultrasound contrast agents: Possible method for improving sensitivity in molecular imaging.Mol Imaging. 2007; 6: 384-392
- Maintaining monodispersity in a microbubble population formed by flow-focusing.Langmuir. 2008; 24: 1745-1749
- Basic microfluidic and soft lithographic techniques.in: Fainman Y Lee LP Psaltis D Yang C Optofluidics: Fundamentals, devices and applications. McGraw-Hill, New York2010: 7-32
- Dynamic pattern formation in a vesicle-generating microfluidic device.Phys Rev Lett. 2001; 86: 4163-4166
- The use of microbubbles to target drug delivery.Cardiovasc Ultrasound. 2004; 2: 23
- Dripping to jetting transitions in coflowing liquid streams.Phys Rev Lett. 2007; 99: 1-4
- Microbubble spectroscopy of ultrasound contrast agents.J Acoust Soc Am. 2007; 121: 648-656
- Vibrating microbubbles poking individual cells: Drug transfer into cells via sonoporation.J Control Release. 2006; 112: 149-155
- Industrial lab-on-a-chip: Design, applications and scale-up for drug discovery and delivery.Adv Drug Deliv Rev. 2013; 65: 1626-1663
- The origins and the future of microfluidics.Nature. 2006; 442: 368-373
- On ultrasound-induced microbubble oscillation in a capillary blood vessel and its implications for the blood–brain barrier.Phys Med Biol. 2012; 57: 1019-1045
- A review of low-intensity ultrasound for cancer therapy.Ultrasound Med Biol. 2015; 41: 905-928
- Characterization of different microbubbles in assisting focused ultrasound-induced blood–brain barrier opening.Sci Rep. 2017; 7: 46689
- Soft lithography.Annu Rev Mater Sci. 1998; 37: 551-575
- Fabrication of ultrasound-responsive microbubbles via coaxial electrohydrodynamic atomization for triggered release of tPA.J Colloid Interface Sci. 2017; 501: 282-293
- A targeting microbubble for ultrasound molecular imaging.PLoS One. 2015; 10: 1-23
- Microfluidics for single cell analysis.Curr Opin Biotechnol. 2012; 23: 110-119
- Nanobubbles for enhanced ultrasound imaging of tumors.Int J Nanomed. 2012; 7: 895-904
- Ultrasound-sensitive siRNA-loaded nanobubbles formed by hetero-assembly of polymeric micelles and liposomes and their therapeutic effect in gliomas.Biomaterials. 2013; 34: 4532-4543
- Multiphase flow microfluidics for the production of single or multiple emulsions for drug delivery.Adv Drug Deliv Rev. 2013; 65: 1420-1446
Article info
Publication history
Published online: September 19, 2018
Accepted:
July 27,
2018
Received in revised form:
July 5,
2018
Received:
April 27,
2018
Identification
Copyright
© 2018 Published by Elsevier Inc. on behalf of World Federation for Ultrasound in Medicine & Biology.