Evidence map›Paper›PMID 31985636›Full record

ArticlePlastic and reconstructive surgery2020

Noncontact Phased-Array Ultrasound Facilitates Acute Wound Healing in Mice.

Nao Wakabayashi, Atsushi Sakai, Hiroya Takada, Takayuki Hoshi, Hitomi Sano, Shizuko Ichinose, Hidenori Suzuki, Rei Ogawa

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nao WakabayashiFrom the Departments of Plastic, Reconstructive, and Aesthetic Surgery and Pharmacology, Nippon Medical School; and the Department of R&D, Pixie Dust Technologies.
Atsushi SakaiFrom the Departments of Plastic, Reconstructive, and Aesthetic Surgery and Pharmacology, Nippon Medical School; and the Department of R&D, Pixie Dust Technologies.
Hiroya TakadaFrom the Departments of Plastic, Reconstructive, and Aesthetic Surgery and Pharmacology, Nippon Medical School; and the Department of R&D, Pixie Dust Technologies.
Takayuki HoshiFrom the Departments of Plastic, Reconstructive, and Aesthetic Surgery and Pharmacology, Nippon Medical School; and the Department of R&D, Pixie Dust Technologies.
Hitomi SanoFrom the Departments of Plastic, Reconstructive, and Aesthetic Surgery and Pharmacology, Nippon Medical School; and the Department of R&D, Pixie Dust Technologies.
Shizuko IchinoseFrom the Departments of Plastic, Reconstructive, and Aesthetic Surgery and Pharmacology, Nippon Medical School; and the Department of R&D, Pixie Dust Technologies.
Hidenori SuzukiFrom the Departments of Plastic, Reconstructive, and Aesthetic Surgery and Pharmacology, Nippon Medical School; and the Department of R&D, Pixie Dust Technologies.
Rei OgawaFrom the Departments of Plastic, Reconstructive, and Aesthetic Surgery and Pharmacology, Nippon Medical School; and the Department of R&D, Pixie Dust Technologies.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe authors developed a noncontact low-frequency ultrasound device that delivers high-intensity mechanical force based on phased-array technology. It may aid wound healing because it is likely to be associated with lower risks of infection and heat-induced pain compared with conventional ultrasound methods. The authors hypothesized that the microdeformation it induces accelerates wound epithelialization. Its effects on key wound-healing processes (angiogenesis, collagen accumulation, and angiogenesis-related gene transcription) were also examined.

methodsImmediately after wounding, bilateral acute wounds in C57BL/6J mice were noncontact low-frequency ultrasound- and sham-stimulated for 1 hour/day for 3 consecutive days (10 Hz/90.6 Pa). Wound closure (epithelialization) was recorded every 2 days as the percentage change in wound area relative to baseline. Wound tissue was procured on days 2, 5, 7, and 14 (five to six per time point) and subjected to histopathology with hematoxylin and eosin and Masson trichrome staining, CD31 immunohistochemistry, and quantitative polymerase-chain reaction analysis.

resultsCompared to sham-treated wounds, ultrasound/phased-array-treated wounds exhibited significantly accelerated epithelialization (65 ± 27 percent versus 30 ± 33 percent closure), angiogenesis (4.6 ± 1.7 percent versus 2.2 ± 1.0 percent CD31 area), and collagen deposition (44 ± 14 percent versus 28 ± 13 percent collagen density) on days 5, 2, and 5, respectively (all p < 0.05). The expression of Notch ligand delta-like 1 protein (Dll1) and Notch1, which participate in angiogenesis, was transiently enhanced by treatment on days 2 and 5, respectively.

conclusionsThe authors' noncontact low-frequency ultrasound phased-array device improved the wound-healing rate. It was associated with increased early neovascularization that was followed by high levels of collagen-matrix production and epithelialization. The device may expand the mechanotherapeutic proangiogenesis field, thereby helping stimulate a revolution in infected wound care.

Indexed as

AnimalsCollagenMaleMiceMice, Inbred C57BLNeovascularization, PhysiologicSkinUltrasonic TherapyWound HealingWounds and InjuriesCollagen

Identifiers

PMID31985636
PMCPMC7004446

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.