Publication detail

Full modelling of high-intensity focused ultrasound and thermal heating in the kidney of realistic patient models

SUOMI, V. JAROŠ, J. TREEBY, B. CLEVELAND, R.

Original Title

Full modelling of high-intensity focused ultrasound and thermal heating in the kidney of realistic patient models

Type

journal article in Web of Science

Language

English

Original Abstract

Objective: High-intensity focused ultrasound (HIFU) therapy can be used for non-invasive treatment of kidney (renal) cancer, but the clinical outcomes have been variable. In this study, the efficacy of renal HIFU therapy was studied using nonlinear acoustic and thermal simulations in three patients. Methods: The acoustic simulations were conducted with and without refraction in order to investigate its effect on the shape, size and pressure distribution at the focus. The values for the attenuation, sound speed, perfusion and thermal conductivity of the kidney were varied over the reported ranges to determine the effect of variability on heating. Furthermore, the phase aberration was studied in order to quantify the underlying phase shifts using a second order polynomial function. Results: The ultrasound field intensity was found to drop on average 11.1 dB with refraction and 6.4 dB without refraction. Reflection at tissue interfaces was found to result in a loss less than 0.1 dB. Focal point splitting due to refraction significantly reduced the heating efficacy. Of all the tissue parameters, perfusion was found to affect the heating the most. Small changes in temperature were seen with varying attenuation and thermal conductivity, but no visible changes were present with sound speed variations. The aberration study revealed an underlying trend in the spatial distribution of the phase shifts. Conclusion: The results show that the efficacy of HIFU therapy in the kidney could be improved with aberration correction. Significance: A method is proposed by which patient specific pre-treatment calculations could be used to overcome the aberration and therefore make ultrasound treatment possible.

Keywords

High-intensity focused ultrasound, kidney, simulation, aberration, phase shift

Authors

SUOMI, V.; JAROŠ, J.; TREEBY, B.; CLEVELAND, R.

Released

1. 11. 2018

ISBN

0018-9294

Periodical

IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING

Year of study

65

Number

11

State

United States of America

Pages from

2660

Pages to

2670

Pages count

11

URL

https://ieeexplore.ieee.org/document/8464260

BibTex

@article{BUT144401,
  author="Visa {Suomi} and Jiří {Jaroš} and Bradley {Treeby} and Robin {Cleveland}",
  title="Full modelling of high-intensity focused ultrasound and thermal heating in the kidney of realistic patient models",
  journal="IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING",
  year="2018",
  volume="65",
  number="11",
  pages="2660--2670",
  doi="10.1109/TBME.2018.2870064",
  issn="0018-9294",
  url="https://ieeexplore.ieee.org/document/8464260"
}