Ultrasound Super‐Resolution Imaging of Neonatal Cerebral Vascular Reorganization

Abstract During the first days of neonatal growth, the central nervous system (CNS) develops self‐regulatory mechanisms to ensure constant cerebral perfusion. However, this vascular neogenesis takes place at a microscopic scale that cannot be observed with current clinical imaging techniques. Ultras...

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Main Authors: Simone Schwarz, Louise Denis, Emmanuel Nedoschill, Adrian Buehler, Vera Danko, Alina C. Hilger, Francisco Brevis Nuñez, Nikola R. Dürr, Martin Schlunz‐Hendann, Friedhelm Brassel, Ursula Felderhoff‐Müser, Heiko Reutter, Joachim Woelfle, Jörg Jüngert, Christian Dohna‐Schwake, Nora Bruns, Adrian P. Regensburger, Olivier Couture, Henriette Mandelbaum, Ferdinand Knieling
Format: Article
Language:English
Published: Wiley 2025-03-01
Series:Advanced Science
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Online Access:https://doi.org/10.1002/advs.202415235
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author Simone Schwarz
Louise Denis
Emmanuel Nedoschill
Adrian Buehler
Vera Danko
Alina C. Hilger
Francisco Brevis Nuñez
Nikola R. Dürr
Martin Schlunz‐Hendann
Friedhelm Brassel
Ursula Felderhoff‐Müser
Heiko Reutter
Joachim Woelfle
Jörg Jüngert
Christian Dohna‐Schwake
Nora Bruns
Adrian P. Regensburger
Olivier Couture
Henriette Mandelbaum
Ferdinand Knieling
author_facet Simone Schwarz
Louise Denis
Emmanuel Nedoschill
Adrian Buehler
Vera Danko
Alina C. Hilger
Francisco Brevis Nuñez
Nikola R. Dürr
Martin Schlunz‐Hendann
Friedhelm Brassel
Ursula Felderhoff‐Müser
Heiko Reutter
Joachim Woelfle
Jörg Jüngert
Christian Dohna‐Schwake
Nora Bruns
Adrian P. Regensburger
Olivier Couture
Henriette Mandelbaum
Ferdinand Knieling
author_sort Simone Schwarz
collection DOAJ
description Abstract During the first days of neonatal growth, the central nervous system (CNS) develops self‐regulatory mechanisms to ensure constant cerebral perfusion. However, this vascular neogenesis takes place at a microscopic scale that cannot be observed with current clinical imaging techniques. Ultrasound localization microscopy (ULM) allows us to observe micro‐vessels of the order of a few microns at depths of several centimeters. This can be done using conventional clinical ultrasound scanners and contrast sequences (CEUS). In this study, ULM is used to observe the human microvasculature in neonatal patients undergoing treatment for life‐threatening malformations forming direct connections between the cerebral arterial and venous systems. It is observed that neuroendovascular treatment of neonatal arteriovenous malformations causes remodeling and reorganization of the cerebral vasculature by also activating corticomedullary vascular connections. ULM enables us to follow microvascular changes in human neonates with high spatio‐temporal resolution. ULM may provide a novel clinical translatable tool, particularly including cerebral imaging in very young patients.
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spelling doaj-art-ec2ec5dd090e464ca5726cf15984e3152025-08-20T01:49:42ZengWileyAdvanced Science2198-38442025-03-011212n/an/a10.1002/advs.202415235Ultrasound Super‐Resolution Imaging of Neonatal Cerebral Vascular ReorganizationSimone Schwarz0Louise Denis1Emmanuel Nedoschill2Adrian Buehler3Vera Danko4Alina C. Hilger5Francisco Brevis Nuñez6Nikola R. Dürr7Martin Schlunz‐Hendann8Friedhelm Brassel9Ursula Felderhoff‐Müser10Heiko Reutter11Joachim Woelfle12Jörg Jüngert13Christian Dohna‐Schwake14Nora Bruns15Adrian P. Regensburger16Olivier Couture17Henriette Mandelbaum18Ferdinand Knieling19Department of Neonatology and Pediatric Intensive Care Medicine Sana Clinics Duisburg Zu den Rehwiesen 9 47055 Duisburg GermanyLaboratoire d'Imagerie Biomédicale Sorbonne Université CNRS INSERM 15 Rue de l'Ecole de Médecine 75006 Paris FranceDepartment of Pediatrics and Adolescent Medicine University Hospital Erlangen Loschgestraße 15 91054 Erlangen GermanyDepartment of Pediatrics and Adolescent Medicine University Hospital Erlangen Loschgestraße 15 91054 Erlangen GermanyDepartment of Pediatrics and Adolescent Medicine University Hospital Erlangen Loschgestraße 15 91054 Erlangen GermanyDepartment of Pediatrics and Adolescent Medicine University Hospital Erlangen Loschgestraße 15 91054 Erlangen GermanyDepartment of Neonatology and Pediatric Intensive Care Medicine Sana Clinics Duisburg Zu den Rehwiesen 9 47055 Duisburg GermanyClinic for Radiology and Neuroradiology Sana Clinics Duisburg Zu den Rehwiesen 9 47055 Duisburg GermanyClinic for Radiology and Neuroradiology Sana Clinics Duisburg Zu den Rehwiesen 9 47055 Duisburg GermanyClinic for Radiology and Neuroradiology Sana Clinics Duisburg Zu den Rehwiesen 9 47055 Duisburg GermanyDepartment of Pediatrics I University Hospital Essen University of Duisburg‐Essen Hufelandstraße 55 45147 Essen GermanyDepartment of Pediatrics and Adolescent Medicine University Hospital Erlangen Loschgestraße 15 91054 Erlangen GermanyDepartment of Pediatrics and Adolescent Medicine University Hospital Erlangen Loschgestraße 15 91054 Erlangen GermanyDepartment of Pediatrics and Adolescent Medicine University Hospital Erlangen Loschgestraße 15 91054 Erlangen GermanyDepartment of Pediatrics I University Hospital Essen University of Duisburg‐Essen Hufelandstraße 55 45147 Essen GermanyDepartment of Pediatrics I University Hospital Essen University of Duisburg‐Essen Hufelandstraße 55 45147 Essen GermanyDepartment of Pediatrics and Adolescent Medicine University Hospital Erlangen Loschgestraße 15 91054 Erlangen GermanyLaboratoire d'Imagerie Biomédicale Sorbonne Université CNRS INSERM 15 Rue de l'Ecole de Médecine 75006 Paris FranceDepartment of Pediatrics and Adolescent Medicine University Hospital Erlangen Loschgestraße 15 91054 Erlangen GermanyDepartment of Pediatrics and Adolescent Medicine University Hospital Erlangen Loschgestraße 15 91054 Erlangen GermanyAbstract During the first days of neonatal growth, the central nervous system (CNS) develops self‐regulatory mechanisms to ensure constant cerebral perfusion. However, this vascular neogenesis takes place at a microscopic scale that cannot be observed with current clinical imaging techniques. Ultrasound localization microscopy (ULM) allows us to observe micro‐vessels of the order of a few microns at depths of several centimeters. This can be done using conventional clinical ultrasound scanners and contrast sequences (CEUS). In this study, ULM is used to observe the human microvasculature in neonatal patients undergoing treatment for life‐threatening malformations forming direct connections between the cerebral arterial and venous systems. It is observed that neuroendovascular treatment of neonatal arteriovenous malformations causes remodeling and reorganization of the cerebral vasculature by also activating corticomedullary vascular connections. ULM enables us to follow microvascular changes in human neonates with high spatio‐temporal resolution. ULM may provide a novel clinical translatable tool, particularly including cerebral imaging in very young patients.https://doi.org/10.1002/advs.202415235CEUSmicrobubblessuper‐resolution imagingultrasound localization microscopyultrasoundVein of Galen malformation
spellingShingle Simone Schwarz
Louise Denis
Emmanuel Nedoschill
Adrian Buehler
Vera Danko
Alina C. Hilger
Francisco Brevis Nuñez
Nikola R. Dürr
Martin Schlunz‐Hendann
Friedhelm Brassel
Ursula Felderhoff‐Müser
Heiko Reutter
Joachim Woelfle
Jörg Jüngert
Christian Dohna‐Schwake
Nora Bruns
Adrian P. Regensburger
Olivier Couture
Henriette Mandelbaum
Ferdinand Knieling
Ultrasound Super‐Resolution Imaging of Neonatal Cerebral Vascular Reorganization
Advanced Science
CEUS
microbubbles
super‐resolution imaging
ultrasound localization microscopy
ultrasound
Vein of Galen malformation
title Ultrasound Super‐Resolution Imaging of Neonatal Cerebral Vascular Reorganization
title_full Ultrasound Super‐Resolution Imaging of Neonatal Cerebral Vascular Reorganization
title_fullStr Ultrasound Super‐Resolution Imaging of Neonatal Cerebral Vascular Reorganization
title_full_unstemmed Ultrasound Super‐Resolution Imaging of Neonatal Cerebral Vascular Reorganization
title_short Ultrasound Super‐Resolution Imaging of Neonatal Cerebral Vascular Reorganization
title_sort ultrasound super resolution imaging of neonatal cerebral vascular reorganization
topic CEUS
microbubbles
super‐resolution imaging
ultrasound localization microscopy
ultrasound
Vein of Galen malformation
url https://doi.org/10.1002/advs.202415235
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