Figure 1.
A) Typical MCA approach to USMI: Circulating targeted MCAs adhere to vascular markers and accumulate over time. Targeted MCAs remaining after the number of free-circulating MCAs has diminished enhance local contrast over background. B) A PCCA-based approach in which circulating PCCAs target vascular markers and are activated by a high-energy vaporization pulse. After activation, the remaining adherent microbubbles will provide high contrast compared to circulating liquid-state PCCAs. B) Alternatively, circulating PCCAs may be able to extravasate via the enhanced permeability and retention effect and target interstitial markers. Subsequent vaporization by a high-energy vaporization pulse would activate agents, resulting in targeted, high-contrast interstitial MCAs.