Thermal properties and changes of acoustic parameters in an egg white phantom during heating and coagulation by high intensity focused ultrasound.

A polyacrylamide phantom containing egg white has been proposed previously as an adequate tissue-mimicking material for high intensity focused ultrasound (HIFU) application. In this work, we report on measurements of egg white phantom thermal conductivity and specific heat capacity. We measured changes in acoustical properties which occurred during the heating and the coagulation process. Using a thin thermocouple embedded in the phantom material, we recorded the temperature response in the focus of the ultrasound field during HIFU application and phantom coagulation. The measured values for the thermal conductivity (0.59 +/- 0.06 W/m/ degrees C) and the specific heat capacity (4270 +/- 365 J/kg/ degrees C) are similar to the values of water. The attenuation coefficient decreased in the temperature range between 26 degrees C and 50 degrees C and showed a nonlinear dependence on frequency with an exponent of 1.50 +/- 0.05 that was temperature-independent within the investigated temperature range. Below 65 degrees C, no irreversible changes in material absorption were observed. The coagulation process started at 67 degrees C and no adjacent rapid changes in temperature response were detected. In comparison with the noncoagulated phantom, the coagulated phantom material showed an enhanced absorption and a threefold higher attenuation coefficient at a frequency of 1 MHz.

[Sound-field modification with acoustic lenses for high-intensity focused ultrasound therapy]. / Schallfeldformung mittels akustischer Linsen bei der Therapie mit hochenergetischen fokussierten Ultraschallwellen.

High-intensity focused ultrasound (HIFU) therapy is a minimally invasive method for precise thermal tissue destruction. Most applications make use of spherical, sharply focused fixed-focus transducers. These allow only small ablation rates, thus the treatment of large tumours is a very time-consuming process. The present paper describes the design of ancillary lenses, which combined with a spherical focused ultrasound transducer can be employed to reduce treatment time. The ancillary lenses shift the phase of the focused ultrasound waves, so that instead of one ellipsoidal focus multiple foci are generated. Thus, a single sonication can achieve a larger ablated area. To estimate the therapeutic benefits of the designed lenses, the lesion development during sonication was numerically simulated. Two "optimal" lenses were made of polystyrene and acoustically analysed. Using the designed lenses the theoretical lesion rate was increased by a factor of 3.7-5. There was a good correlation between simulated and measured ultrasound pressure field. The lenses reduced the system efficiency by only 13%. Thus, ancillary lenses present a technically simple and cost-effective method to accelerate ablative ultrasound therapy.

Focal gene induction in the liver of rats by a heat-inducible promoter using focused ultrasound hyperthermia: preliminary results.

OBJECTIVE: We sought to examine high-intensity focused ultrasound (HIFU)-induced hyperthermia in the liver of a rat model to focally induce green-fluorescent protein (GFP). MATERIALS AND METHODS: A total of 25 Copenhagen rats were included in this study. Rats were divided into groups treated with an adenovirus coding for green fluorescent protein (GFP) under the control of a hsp70B promoter and a CMV promoter. Ad-CMV-GFP-treated rats served as positive control. Untreated controls only subjected to MRI +/- HIFU-treatment served to find out optimal power of HIFU in the target area of the liver. Temperature was noninvasively monitored by temperature sensitive magnetic resonance imaging (MRI). RESULTS: Rats treated with Ad-hsp70B-GFP demonstrated localized gene induction within the liver parenchyma, in good correlation with MRI and histology. Applying an acoustic power of 1.92 W a relatively uniform focal temperature up to 42 +/- 5 degrees C within the liver parenchyma could be documented. 3 x 10(9) plaque-forming units proved to account for a very homogeneous liver infection. Number of fluorescent cells in the region of hyperthermia was similar to the control group treated with Ad-CMV-GFP. CONCLUSION: Using the introduced parameters spatially controlled gene induction within a parenchymal organ such as the liver in rats using HIFU under control of MRI is feasible.

[MRI-guided surgery with high intensity focused ultrasound]. / MRT-überwachte Chirurgie mit hochenergetischem fokussiertem Ultraschall.

High-intensity focused ultrasound allows high-precision, non-invasive thermocoagulation of tissues within seconds, with sparing of surrounding areas. The resulting tissue necrosis is so sharply demarcated that the technique is also defined focused ultrasound surgery (FUS). The combination with magnetic resonance imaging (MRI) allows an exact definition of the target volume and a safe guidance of FUS. The present paper describes the physical equipment necessary to perform MRI-guided FUS, and reports an example of application of this technique for the therapy of breast cancer. Finally, the paper outlines further examples of FUS application and future perspectives.