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. 2023 May 30;15(6):1625. doi: 10.3390/pharmaceutics15061625

Table 1.

Current clinically approved MB ultrasound contrast agents.

Contrast Agent Manufacturer Indications Shell Gas Concentration
(MBs/mL)
Size
(Diameter)
Half-Life (min) Volume Dose
(μL/kg) a
Mechanical Properties Reference
Optison GE Healthcare LVO/EBD Protein:
HSA
ψ0 = −9.5 to −25.3 mV
C3F8 5–8 × 108 3.0–4.5 μm
(max. 32 μm)
95% < 10 μm
0.5 ± 0.3 6 f = 2–4 MHz
χ = 0.9 N/m
[39,40,41,42,43]
Definity Lantheus LVO/EBD, breast, liver, vascular. Phospholipid:
DPPC, DPPA, DPPE-mPEG5000
ψ0 = −1.1 to −4.2 mV
C3F8 1.2 × 1010 1.1–3.3
(max. 20 μm)
98% < 10 μm
2.0 ± 0.3 10 f = 2–6 MHz
χ = 0.5–2.5 N/m
[40,42,43,44,45,46]
SonoVue Bracco LVO/EBD, breast, liver, vascular, urinary tract. Phospholipid:
DSPC, DPPG, PA
ψ0 = −28.3 mV
SF6 1.5–2.5 × 108 1.5–2.5
(max. 20 μm)
99% < 10 μm
1.04 ± 0.15 25 f = 1.5–2 MHz
χ = 0.2–0.3 N/m
[40,44,47,48,49]
Sonazoid GE Healthcare Myocardial perfusion, liver, breast. Phospholipid:
H-EPS
ψ0 = −76 to −82 mV
C4F10 1.2 × 109 1.0–5.0
(max. 10 μm)
99.9% < 7 μm
2.6 ± 0.2 15 f = 4–6 MHz
χ = 0.6 N/m
[50,51,52]

EBD = endocardial border definition; LVO = left ventricular opacification; HSA = human serum albumin; DPPC = 1,2-dipalmitoyl-sn-glycero-3-phosphocholine; DPPA = 1,2-dipalmitoyl-sn-glycero-3-phosphate; DPPE-mPEG5000 = 1,2- dipalmitoyl-sn-glycero-3-phosphoethanolamine-N-[methoxy(polyethylene glycol)-5000]; DSPC = 1,2-distearoyl-sn-glycero-3-phosphocholine; DPPG = 1,2-dipalmitoyl-sn-glycero-3-phospho-(1′-rac-glycerol); PA = palmitic acid; H-EPS = hydrogenated egg phosphatidylserine sodium; ψ0 = zeta potential measured; C3F8 = perfluoropropane; SF6 = sulfur hexafluoride, C4F10 = perfluorobutane; MBs = microbubbles; a Bolus intravenous injection; f = resonance frequency; χ = shell elasticity. Adapted with permission from references [4,5,21].