Search Results (74)

Background: Transcranial pulse stimulation (TPS) is an innovative non-invasive brain stimulation technique using ultrasonic waves. Despite its application in first clinical trials, so far, no systematic overview of its effects across different patient populations has been conducted. Objectives: This systematic review and meta-analysis examines the effects of TPS on cognitive, motor, and mental health outcomes as well as on patient safety in neurological and psychiatric disorders. Methods: We conducted a literature search in MEDLINE, PsycINFO & PsycArticles, CENTRAL, Web of Science, and Google Scholar, covering the period from January 2013 to December 2024. Two independent reviewers conducted the study selection, data extraction, and quality assessment. To evaluate the risk of bias, the RoB2 tool was used for randomized studies and the ROBINS-I tool for non-randomized studies. Results: A total of fifteen studies (five randomized controlled trials and ten non-blinded, single-arm trials) including both adolescent and adult and elderly patient populations (Alzheimer’s disease, mild cognitive impairment, Parkinson’s disease, major depressive disorder, autism spectrum disorder, attention-deficit hyperactivity disorder) were included. Positive effects of TPS intervention on cognitive, motor, and mental health outcomes, as well as a high safety profile, were demonstrated in a majority of the studies and outcome parameters. However, limitations of the included studies persist due to small sample sizes, lack of control groups, retrospective analyses, and heterogeneity of study protocols and measurements. Conclusions: TPS is a safe and promising method for treating neurological and psychiatric disorders. To better assess the potential of this innovative technique, standardized protocol procedures and larger, sham-controlled trials are needed. Full article

Pulse wave velocity (PWV) is a useful biomarker in the monitoring and risk stratification of various cardiovascular diseases including hypertension. The current gold standard for non-invasive measurement is carotid-femoral PWV (cfPWV) measurement via direct tonometry. However, cfPWV provides only a global PWV measure, which emphasises the need for an alternative capable of local PWV assessment. There are several alternatives for local PWV measurement proposed in the literature and one promising alternative is ultrasound, which offers good penetration depth, accessibility, and a relatively low cost, making it well-suited for non-invasive, real-time acquisition of haemodynamic parameters for PWV estimation. This paper aims to evaluate the different approaches for ultrasound-based acquisition while considering technical and physiological constraints to optimise the accuracy, reliability, and reproducibility of the parameters collected for estimation. In particular, this paper focuses on the flow-area (QA) and lnDiameter-velocity (lnDU) methods, which require local area and velocity data for PWV estimation. Accordingly, this paper discusses the use of ultrasound imaging in vessel data acquisition, highlights various challenges and considerations to be managed during acquisition and processing, outlines the different ultrasound-based imaging modalities for acquiring area and velocity data, and compares the simultaneous and non-simultaneous acquisition of data for PWV estimation. Full article

We demonstrate coating-free optoacoustic generation and focusing of ultrasound using a mechanically Q-switched (MQS) erbium-doped yttrium aluminum garnet (Er:YAG) source (~100 ns, ≤20 mJ) combined with a concave water interface that simultaneously serves as converter and acoustic lens. Axial, lateral, and focal-point measurements mapped the pressure field while varying beam diameter (2w = 5–15 mm) and pulse energy (E = 10–20 mJ). The maximum focal positive pressure (P_max = 7 MPa) occurs at an intermediate diameter (~10 mm), whereas the tightest lateral/axial confinement and strongest spectral enhancement arise at larger diameters (14–15 mm) with f_c = ~5 MHz and −6 dB bandwidth up to 7 MHz. Pressure increases nearly monotonically with energy. For equal fluence, larger diameters yield higher focal pressures due to greater focusing gain. Small beams (2w ≈ 5–7 mm) show shorter apparent time-of-flight (TOF) and waveform broadening, consistent with early shock-like emission from locally vaporizing region. These results provide practical rules for tuning amplitude, spectrum, and confinement, enabling sub-millimeter focusing for contamination-sensitive and therapeutic applications. Full article

Decades of research and applications have demonstrated that low-intensity pulsed ultrasound (LIPUS) has a certain therapeutic effect on diseases involving bone remodeling. LIPUS operates in a pulsed-wave mode at low intensity, ensuring efficient transmission of acoustic energy to target tissues, thereby providing non-invasive physical stimulation for therapeutic purposes. Bone remodeling refers to the dynamic renewal process of bone tissue that is jointly completed by multiple cells in the bone metabolic microenvironment. LIPUS influences the basic biological processes of bone remodeling in the skeletal system through mechanical, piezoelectric, and thermal effects on bone tissue, triggering a series of biochemical reactions. This article begins with the discovery of ultrasound and research on bone remodeling, introduces the basic parameters and application devices of LIPUS, and reviews the clinical applications of and basic research on LIPUS in bone remodeling disorders. Focusing on the intersection and integration of biomedical fundamentals and ultrasound science, it analyzes the biological and physical mechanisms of LIPUS in research on and applications of bone remodeling disorders and investigates the basic research questions and clinical transformation application scenarios in this field. Full article

Natural food colourants are gaining momentum in the food industry due to their clean-label appeal, safety, and potential health benefits. However, their practical application is often constrained by instability under environmental stressors such as pH fluctuations, heat, light, and oxygen. In response, both traditional and innovative strategies have emerged to improve pigment stability, with some studies reporting up to 50–80% retention of colour intensity under optimised conditions. Most existing research focuses on extraction, with limited emphasis on post-processing stability. This article reviews a wide range of food processing strategies aimed at enhancing the stability of natural pigments. It covers conventional and emerging approaches, including natural chemical stabilisers such as co-pigments, antioxidants, and metal ion chelators, physicochemical methods such as micro- and nanoencapsulation using biopolymers, and physical interventions involving drying technologies, particle size modification, and protective packaging. Modern technologies such as high-pressure processing, pulsed electric fields, ultrasound, and cold plasma are discussed as promising non-thermal alternatives, demonstrating 20–70% improvement in pigment retention compared to untreated controls. By integrating these diverse approaches, this article highlights current advancements, identifies knowledge gaps, and discusses future directions to support the development of stable, sustainable, and functional natural colourant systems for next-generation food products. Collectively, these approaches demonstrate significant potential to improve the performance and resilience of natural pigments in complex food systems. Full article

The repeated head impacts experienced by athletes have attracted significant interest from both the public and the scientific community; however, the neurobiological effects following the games are not well understood. For example, a single football match carries the risk of repeated concussive and subconcussive head impacts, which can increase the risk of developing neurodegenerative diseases. Chronic traumatic encephalopathy (CTE) is one of the neurodegenerative conditions athletes often face or are unaware of. However, addressing the disease progression in CTE is difficult to determine due to several reasons, such as the failure to identify risk factors, difficulty in differentiating CTE from other neurodegenerative diseases, and the lack of a specific mechanism by which CTE leads to tau protein accumulation. In addition, CTE symptoms overlap with other neurodegenerative conditions, such as Alzheimer’s disease (AD) and Parkinson’s disease (PD), which poses a challenge to producing specific targeted therapy. In this case, ultrasound represents a promising non-invasive technique that enables clear visualization of brain structures and may modulate neuronal activity. The term ultrasound encompasses various modalities; for example, high-intensity focused ultrasound (HIFU) employs thermal energy to ablate cells, whereas low-intensity pulsed ultrasound (LIPUS) delivers mechanical energy that activates molecular signaling pathways to impede the progression of CTE. Therefore, the LIPUS application could potentially minimize the risk of damage in the surrounding tissues of the brain and reduce the disease progression in individuals with CTE. Nevertheless, limited studies have been reported in the literature, with a poor mechanistic approach. Hence, this review aims to highlight the molecular signaling pathways, such as AKT, MAPK, and ERK, affected by LIPUS and emphasize the need for additional research to clarify its mechanistic effects in CTE management. Ultimately, this review aims to contribute to a nuanced understanding of LIPUS as a therapeutic strategy in addressing the complexities of CTE and its associated neurodegenerative disorders. Full article

Background: Boiling histotripsy (BH) uses high-amplitude, short-pulse focused ultrasound to disrupt tissue mechanically. Oncolytic virotherapy using reovirus has shown modest clinical benefit in pancreatic cancer patients. Here, reovirus and BH were used to treat pancreatic tumours, and their effects on the immune transcriptome of these tumours were characterised. Methods: Orthotopic syngeneic murine pancreatic KPC tumours grown in immune-competent subjects, were allocated to control, reovirus, BH and combined BH and reovirus treatment groups. Acoustic cavitation was monitored using a passive broadband cavitation sensor. Treatment effects were assessed histologically with hematoxylin and eosin staining. Single-cell multi-omics combining whole-transcriptome analysis with the expression of surface-expressed immune proteins was used to assess the effects of treatments on tumoural leukocytes. Results: Acoustic cavitation was detected in all subjects exposed to BH, causing cellular disruption in tumours 6 h after treatment. Distinct cell clusters were identified in the pancreatic tumours 24 h post-treatment. These included neutrophils and cytotoxic T cells overexpressing genes associated with an N2-like and an exhaustion phenotype, respectively. Reovirus decreased macrophages, and BH decreased regulatory T cells compared to controls. The combined treatments increased neutrophils and the ratio of various immune cells to Treg. All treatments overexpressed genes associated with an innate immune response, while ultrasound treatments downregulated genes associated with the transporter associated with antigen processing (TAP) complex. Conclusions: Our results show that the combined BH and reovirus treatments maximise the overexpression of genes associated with the innate immune response compared to that seen with each individual treatment, and illustrate the anti-immune phenotype of key immune cells in the pancreatic tumour microenvironment. Full article

The valorization of agri-food waste has emerged as a global priority. In this context, fruit seed waste is being investigated for oil extraction due to its richness in bioactive compounds with remarkable health benefits. This review (2020–2025) focuses on the current state of eco-friendly extraction techniques for obtaining high-yield oils enriched with compounds such as tocopherols, polyphenols, fatty acids, phytosterols, and carotenoids. A comparison of the present method with conventional extraction techniques reveals several notable distinctions. Conventional methods are generally characterized by prolonged extraction times, elevated temperatures, and high amounts of solvents and/or energy. The findings of this review suggest that the extraction methodologies employed exerts a substantial influence on the yield and bioactive composition of the oil, which in turn affects its health-promoting properties. Furthermore, the results have demonstrated that alternative methodologies (microwave-assisted extraction, ultrasound-assisted extraction, pressurized liquid extraction, electric pulse extraction, enzyme-assisted extraction, subcritical extraction, and combinations thereof) have analogous oil yields in comparison with conventional methods. In addition, these oils present a superior bioactive profile with feasible potential in industrial and health applications. The novelty of this work lies in its emphasis on the valorization of fruit seed waste, as well as its sustainable approach. This sustainable approach utilizes experimental design strategies, the implementation of developments that employ comprehensive ecological metrics, and the latest trends in the application of artificial intelligence. Full article

Meat is a vital source of high-quality proteins, amino acids, vitamins, and minerals essential for human health. Growing demand for healthier lifestyles and technological advancements has heightened the focus on meat products, whose quality depends on meat protein properties, such as texture, water holding capacity (WHC), and structural integrity. Non-thermal processing technologies are gaining attention for enhancing the gelation properties of meat protein gels (MPGs) by optimizing solubilization, denaturation, and aggregation while preserving nutritional and sensory qualities and avoiding the drawbacks of thermal treatments. This review focuses on advanced non-thermal processing techniques, including high-pressure processing (HPP), pulsed electric fields (PEFs), ultrasound, and cold plasma, and their impact on MPGs. It also examines vibrational spectroscopy methods, such as Fourier Transform Infrared (FTIR) and Raman spectroscopy, for non-invasive analysis of MPGs. The integration of these approaches with hyperspectral imaging and machine learning is also explored as a tool to improve quality control and assessment. Full article

In the recently published 2021 European Resuscitation Council Guidelines on Adult Advanced Life Support, focused echocardiography was upgraded to a target recommendation. Several key recommendations were made, including that point-of-care ultrasound (POCUS) should only be used during CPR performed by experienced users and prolonged interruptions longer than 10 s (as accepted for pulse checking) during chest compressions should be avoided. Ultrasound does not replace clinical evaluation nor awareness of the clinical scenario. However, in addition to other assessments such as laboratory analyses, ultrasound can help to directly identify a cause for the peri-arrest state. The advantage of ultrasound is that examinations can be performed at the bedside while other tests are being carried out and repeated as frequently as required. This article focusses on how to use ultrasound during peri-arrest situations, requirements for ultrasound equipment, reversible causes of cardiac arrest, and the use of the RUSH protocol, focused echocardiography, and “deresuscitation” (post resuscitation/return of spontaneous circulation). Full article

In this study, we designed an ultrasound transmit–receive sequence to achieve high-frame-rate vascular wall velocity estimation and high-contrast B-mode imaging. The proposed sequence extends conventional dual-transmission schemes by incorporating a third transmission with 180° phase inversion, enabling harmonic imaging via the pulse inversion (PI) method. To mitigate the frame rate reduction caused by the additional transmission, the number of simultaneously transmitted focused beams was increased from two to four, resulting in a frame rate of 231 Hz. A two-dimensional phase-sensitive motion estimator was employed for motion estimation. In vitro experiments using a chicken thigh moving in two dimensions yielded RMSE values of 3% (vertical) and 16% (horizontal). In vivo experiments on a human carotid artery demonstrated that the PI method achieved a lumen-to-tissue contrast improvement of 0.96 dB and reduced artifacts. Velocity estimation of the posterior vascular wall showed generally robust performance. These findings suggest that the proposed method has strong potential to improve atherosclerosis diagnostics by combining artifact-suppressed imaging with accurate motion analysis. Full article

The olive leaf is one of the main by-products from the olive oil industry. This by-product is a rich source of phenolic compounds that have been shown to possess beneficial health activities, which are due in part to their antioxidant activities. Therefore, the revaluation of this by-product would be of great importance for the food industry. For this reason, this study focuses on the pretreatment of olive leaves with a technology based on the use of pulsed electric fields (PEF) and their following extraction by ultrasounds in order to obtain an extract enriched in phenolic compounds. A Box-Behnken design of 15 experiments with three independent factors has been carried out: electric field strength (kV/cm), frequency (Hz) and total treatment time (s). The response variables were the sum of phenolic compounds, hydroxytyrosol and oleuropein measured by HPLC-MS-ESI-TOF and the antioxidant activity measured by DPPH. The validity of the experimental design was confirmed by ANOVA and the optimal conditions were established by using the response surface methodology in combination with a desirability function. The PEF optimal conditions were 0.6 kV/cm at 90 Hz for 11 s, which allowed for obtaining an olive leaf extract with 26.8, 21.7 and 15.6% higher contents of hydroxytyrosol, oleuropein and total phenolic compounds, respectively, compared to the non-treated sample with PEF. The antioxidant activity measured by DPPH was increased significantly by 32.3%. The data confirmed that the pre-treatment with PEF under these optimal conditions has proven to be effective in improving the extraction of phenolic compounds in olive leaves. Full article

Coffee and cocoa agribusinesses generate large volumes of byproducts, including coffee husk, coffee pulp, parchment skin, silver skin, and cocoa bean shell. Despite the rich composition of these materials, studies on biomolecule extraction with green solvents are still scarce, and further research is needed. Extraction methods using alternative solvents to obtain biomolecules must be developed to enhance the byproducts’ value and align with biorefinery concepts. This article reviews the compositions of coffee and cocoa byproducts, their potential applications, and biomolecule extraction methods, focusing on alternative solvents. The extraction methods currently studied include microwave-assisted, ultrasound-assisted, pulsed electric field-assisted, supercritical fluid, and pressurized liquid extraction. At the same time, the alternative solvents encompass the biobased ones, supercritical fluids, supramolecular, ionic liquids, and eutectic solvents. Considering the biomolecule caffeine, using alternative solvents such as pressurized ethanol, supercritical carbon dioxide, ionic liquids, and supramolecular solvents resulted in extraction yields of 2.5 to 3.3, 4.7, 5.1, and 1.1 times higher than conventional solvents. Similarly, natural deep eutectic solvents led to a chlorogenic acid extraction yield 84 times higher than water. The results of this research provide a basis for the development of environmentally friendly and efficient biomolecule extraction methods, improving the utilization of agricultural waste. Full article

Despite the massive efforts of modern medicine to stop the evolution of Alzheimer’s disease (AD), it affects an increasing number of people, changing individual lives and imposing itself as a burden on families and the health systems. Considering that the vast majority of conventional drug therapies did not lead to the expected results, this review will discuss the newly developing therapies as an alternative in the effort to stop or slow AD. Focused Ultrasound (FUS) and its derived Transcranial Pulse Stimulation (TPS) are non-invasive therapeutic approaches. Singly or as an applied technique to change the permeability of the blood–brain–barrier (BBB), FUS and TPS have demonstrated the benefits of use in treating AD in animal and human studies. Adipose-derived stem Cells (ADSCs), gene therapy, and many other alternative methods (diet, sleep pattern, physical exercise, nanoparticle delivery) are also new potential treatments since multimodal approaches represent the modern trend in this disorder research therapies. Full article

Background and Objectives: Cartilage repair remains a critical challenge in orthopaedic medicine due to the tissue’s limited self-healing ability, contributing to degenerative joint conditions such as osteoarthritis (OA). In response, regenerative medicine has developed advanced therapeutic strategies, including cell-based therapies, gene editing, and bioengineered scaffolds, to promote cartilage regeneration and restore joint function. This narrative review aims to explore the latest developments in cartilage repair techniques, focusing on mesenchymal stem cell (MSC) therapy, gene-based interventions, and biomaterial innovations. It also discusses the impact of patient-specific factors, such as age, defect size, and cost efficiency, on treatment selection and outcomes. Materials and Methods: This review synthesises findings from recent clinical and preclinical studies published within the last five years, retrieved from the PubMed, Scopus, and Web of Science databases. The search targeted key terms such as “cartilage repair”, “stem cell therapy”, “gene editing”, “biomaterials”, and “tissue engineering”. Results: Advances in MSC-based therapies, including autologous chondrocyte implantation (ACI) and platelet-rich plasma (PRP), have demonstrated promising regenerative potential. Gene-editing tools like CRISPR/Cas9 have facilitated targeted cellular modifications, while novel biomaterials such as hydrogels, biodegradable scaffolds, and 3D-printed constructs have improved mechanical support and tissue integration. Additionally, biophysical stimuli like low-intensity pulsed ultrasound (LIPUS) and electromagnetic fields (EMFs) have enhanced chondrogenic differentiation and matrix production. Treatment decisions are influenced by patient age, cartilage defect size, and financial considerations, highlighting the need for personalised and multimodal approaches. Conclusions: Combining regenerative techniques, including cell-based therapies, gene modifications, and advanced scaffolding, offers a promising pathway towards durable cartilage repair and joint preservation. Future research should focus on refining integrated therapeutic protocols, conducting long-term clinical evaluations, and embracing personalised treatment models driven by artificial intelligence and predictive algorithms. Full article