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MITU

Morphofunctional imaging & therapeutic ultrasound

Leader: Dr. Ayache Bouakaz
Co-Leader: Dr. Hervé Boutin

MITU Teams

Our team develops and validates novel technological tools for diagnosis, prognosis, and therapeutic support and monitoring of brain and other somatic disorders (i.e., psychiatric disorders but also neurodegenerative diseases, neurovascular disorders, cancer, obstetrical diseases, etc.). Our approach is rooted in our multimodal expertise in imaging (ultrasound, molecular imaging, and magnetic resonance imaging) and in ultrasound-based therapies. We aimed at transferring our technological developments to clinical practice with a special focus on neurodegenerative and neuropsychiatric disorders.

The team is multidisciplinary by nature including physicists, chemists, radiochemists, mathematicians, biologists, anatomists, pharmacists and medical doctors. Our team hosts state-of-the-art technological facilities and benefits from a strong interface with the hospital.
 

Objectives

  • To develop imaging biomarkers, radiopharmaceuticals and technologies for diagnosis, prognosis, and therapeutic support and monitoring of brain and other somatic disorders
  • To develop therapeutic ultrasound devices

Approach: multimodal-multiscale imaging; multidisciplinary; translational; multi-models

Specific research axis

Imaging technologies and processing

This axis focuses on developing specific measurements and mathematical models to further improve the resolution, sensitivity, and analysis of different imaging technologies. In particular, we develop:

  • Ultraprecise flow measurements for Ultrasound Localization Microscopy Imaging (ULM) to improve perfusion imaging
  • Mathematical models for image analysis and quantification
    • To estimate metabolic connectivity
    • To improve segmentation of atypical brains (e.g., pediatric and geriatric)
    • To better quantify PET images
  • Atlases of the brain, including white matter
  • Anatomical and synthetic ground truth for the development and validation of innovative imaging methods.

Biomedical imaging

We investigate new biomarkers and develop innovative radiotracers that aim to improve the early diagnosis of neurodevelopmental, neuropsychiatric, neurooncological and neurodegenerative disorders, and to improve the imaging diagnosis and the guidance of therapeutic interventions (pharmacological treatments, therapeutic ultrasound and surgery) of these disorders. More specifically, our current projects target:

  • The discovery of ultrasound imaging biomarkers, including tissue elasticity, vascularisation and pulsatility for neuropsychiatric, neurooncological and neurodegenerative disorders
  • The role of α-synuclein and TDP43 proteins in Parkinson’s disease and ALS/FTD, respectively
  • The mechanisms of neuroinflammation in Alzheimer’s disease
  • The development of radiotracers for neuroreceptors linked to various neuropsychiatric conditions and for enzymes linked to neuroinflammation and brain tumours invasiveness
  • The role of serotonin and dopamine receptors in depression

Therapeutic interventions

We design and validate new concepts, protocols and devices for acoustically mediated drug delivery and ultrasound neuromodulation. Our developments are directed to brain diseases and any other diseases/disorders where ultrasound technologies offer an attractive benefit. We are involved in all steps of the validation of new therapeutic devices, protocols and concept from the proof-of-concept to the clinical trials.

Functional groups

Ultrasound: Imaging and therapy

Resp.: Dr. Jean-Michel Escoffre


Objectives:

  • To design and to validate therapeutic ultrasound including drug delivery and ultrasound neuromodulation
  • To develop and to verify ultrasound imaging including B-mode, Doppler, contrast-enhanced ultrasound, ultrasound localization microscopy, photoacoustic imaging
Imagerie ultrasonore du muscle

Several projects are currently underway:

  • Sonococktail (ANR): Cocktail of sonosensitive droplets for BBB opening and brain therapy - Between IDeALS and MITU teams
  • SONOPOREILLE (Fondation de l’audition): Microbubble-assisted ultrasound for inner ear drug delivery - Between IDeALS and MITU teams
  • IRIS (APR-IR Région Centre-Val de Loire): Acoustically-mediated pIL-12 delivery for the treatment of melanoma
  • ONCOSOUND (Ligue Contre le Cancer): Delivery of chemotherapeutic drugs using microbubble-assisted ultrasound in liver metastases of colorectal cancer
  • PROGRAMME IMPULSION NEUROTECHNOLOGIES (Inserm): Investigations of efficacy and safety of ultrasound neuromodulation
  • DEPAC (ANR): Acoustic device for the treatment of depression - Between ExtraPsy and MITU teams
  • DEMUS (FEDER): Development of a Medical Device to Treat Major Depression Using Focal and Repeated Transcranial Ultrasound Stimulations - Between ExtraPsy and IMPULS teams
  • TTUVI (APR-IR Région Centre-Val de Loire): 3D preoperative ultrasound imaging of brain tumor microvasculature
Mesures acoustiques

Molecular imaging, Image analysis and Ground truth

Resp.: Dr. Hervé Boutin


Objectives:

  • To find new diseases’ biomarkers and to develop new PET radiopharmaceuticals to improve diagnostic and biological understanding of brain conditions
  • To investigate biological mechanisms involved in brain health and disease in translational studies
  • To use anatomical data at various scales to develop and to validate innovative imaging methods and original brain atlases
  • To refine quantification methods of PET data to improve accuracy and reliability, to in fine improve clinical meaningfulness and value
Atlas du cerveau

Several projects are currently underway:

  • Syn4Diag (ANR): First pre-clinical validation of fluorinated ligands for the 18F TEP diagnosis of synucleinopathies
  • SeroZeroSEP (ANR): Deciphering the potential of the serotonin 5-HT7 receptor and its innovative ligands for therapeutic applications in multiple sclerosis
  • Sanofi iAward Europe: Targeting the inflammasome as therapeutic pathway of the inflammation-driven processes in Alzheimer’s disease
  • APR IA: Development of an [18F]-labelled radiotracer targeting the 5HT4 receptor to investigate the role of 5HT4R in depression
  • Hyperpain (FRC): Inflammatory mechanisms underlying the comorbidity between ADHD and pain sensitization
  • InnoVinFXS (ANR): Exploring innovative strategies to restore the synaptic function and socio-cognitive behaviours in a mouse model expressing a recurrent human Fragile X missense mutation
  • ASDecode (ANR): Translational research targeting the PTCHD1 pathway involved in neurodevelopmental disorders - Between IDeALS and MITU Teams
  • Sanofi iDEA-iTECH Awards Europe Program: Multimodal central and peripheral evaluation of a new intrabody candidate targeting TDP-43 aggregates in ALS mouse model - Between IDeALS and MITU Teams
  • DeepBrainPhenotyping (PEPR Santé Numérique): High-resolution in vivo imaging data with putstanding instrumental systems resulting from technological innovation led by academic and industrial research players - Between IDeALS and MITU Teams
  • SUMMIT (ANR): Small vessel diseases: Ultra-realistic Microstructure computational Model to refine Individual Treatment
Imagerie TEP