Gas-filled microbubbles, with the size of several micrometres, are strong s
catterers of ultrasound waves used in diagnostic imaging. Application of th
ese microbubbles as ultrasound contrast materials is discussed, in view of
the design of materials capable of selectively targeting the diseased tissu
es/organs. Methods of preparation, mechanisms of action, biodistribution an
d stability in vitro and in vivo are reviewed. Targeted microbubbles with v
arious ligands (antibodies, peptides) attached to the shells have been prep
ared and tested ih vitro and in vivo. Examples of specific application in d
iagnostic imaging and possible therapeutic use are discussed. (C) 1999 Else
vier Science B.V. All rights reserved.