Annular phased-array high-intensity focused ultrasound device for image-guided therapy of uterine fibroids

作者: R.T. Held , V. Zderic , Thuc Nghi Nguyen , S. Vaezy

DOI: 10.1109/TUFFC.2006.1593372

关键词:

摘要: An ultrasound (US), image-guided high-intensity focused (HIFU) device was developed for noninvasive ablation of uterine fibroids. The HIFU an annular phased array, with a focal depth range 30-60 mm, natural focus 50 and resonant frequency 3 MHz. in-house control software to operate the electronics drive system inducing tissue coagulation at different distances from array. A novel imaging algorithm minimize HIFU-induced noise in US images. able produce lesions bovine serum albumin-embedded polyacrylamide gels excised pig liver. could be seen on images as hyperechoic regions. Depths ranging 30 60 mm were sonicated acoustic intensities 4100 6100 W/cm/sup 2/ 15 s each, latter producing average lesion volumes least 63% larger than former. Tissue sonication patterns that began distal transducer produced longer those proximally. variation dimensions indicates possible development protocols increase throughput shorten tumor treatment times.

参考文章(38)
L. Fedele, F. Parazzini, L. Luchini, R. Mezzopane, L. Tozzi, L. Villa, Recurrence of fibroids after myomectomy: a transvaginal ultrasonographic study Human Reproduction. ,vol. 10, pp. 1795- 1796 ,(1995) , 10.1093/OXFORDJOURNALS.HUMREP.A136176
A Keshavarzi, S Vaezy, P J Kaczkowski, G Keilman, R Martin, E Y Chi, R Garcia, V Y Fujimoto, Attenuation coefficient and sound speed in human myometrium and uterine fibroid tumors. Journal of Ultrasound in Medicine. ,vol. 20, pp. 473- 480 ,(2001) , 10.7863/JUM.2001.20.5.473
Elizabeth A. Stewart, Wladyslaw M.W. Gedroyc, Clare M.C. Tempany, Bradley J. Quade, Yael Inbar, Tilman Ehrenstein, Asher Shushan, Jonathan T. Hindley, Robert D. Goldin, Matthias David, Miri Sklair, Jaron Rabinovici, Focused ultrasound treatment of uterine fibroid tumors: safety and feasibility of a noninvasive thermoablative technique. American Journal of Obstetrics and Gynecology. ,vol. 189, pp. 48- 54 ,(2003) , 10.1067/MOB.2003.345
Tariq A. Siddiqi, Menachem Miodovnik, Richard A. Meyer, William D. O’Brien, In vivo ultrasonographic exposimetry: human tissue-specific attenuation coefficients in the gynecologic examination. American Journal of Obstetrics and Gynecology. ,vol. 180, pp. 866- 874 ,(1999) , 10.1016/S0002-9378(99)70657-5
Nathan McDannold, Mark Moss, Ron Killiany, Douglas L. Rosene, Randy L. King, Ferenc A. Jolesz, Kullervo Hynynen, MRI-guided focused ultrasound surgery in the brain: tests in a primate model. Magnetic Resonance in Medicine. ,vol. 49, pp. 1188- 1191 ,(2003) , 10.1002/MRM.10453
Arthur H. Chan, Victor Y. Fujimoto, Donald E. Moore, Roy W. Martin, Shahram Vaezy, An image-guided high intensity focused ultrasound device for uterine fibroids treatment. Medical Physics. ,vol. 29, pp. 2611- 2620 ,(2002) , 10.1118/1.1513990
G ter Haar, C R Hill, M Dworkin, P Carnochan, H Young, J P M Bensted, L Chen, Effect of blood perfusion on the ablation of liver parenchyma with high-intensity focused ultrasound. Physics in Medicine and Biology. ,vol. 38, pp. 1661- 1673 ,(1993) , 10.1088/0031-9155/38/11/011
Xuegong Shi, Roy W. Martin, Shahram Vaezy, Lawrence A. Crum, Quantitative investigation of acoustic streaming in blood The Journal of the Acoustical Society of America. ,vol. 111, pp. 1110- 1121 ,(2002) , 10.1121/1.1428544
Romana A. Nowak, Fibroids: pathophysiology and current medical treatment. Best Practice & Research in Clinical Obstetrics & Gynaecology. ,vol. 13, pp. 223- 238 ,(1999) , 10.1053/BEOG.1999.0019