Real-Time Implementation of a Dual-Mode Ultrasound Array System: In Vivo Results

A real-time dual-mode ultrasound array (DMUA) system for imaging and therapy is described. The system utilizes a concave (40-mm radius of curvature) 3.5 MHz, 32 element array, and modular multichannel transmitter/receiver. The system is capable of operating in a variety of imaging and therapy modes (on transmit) and continuous receive on all array elements even during high-power operation. A signal chain consisting of field-programmable gate arrays and graphical processing units is used to enable real time, software-defined beamforming and image formation. Imaging data, from quality assurance phantoms as well as in vivo small- and large-animal models, are presented and discussed. Corresponding images obtained using a temporally-synchronized and spatially-aligned diagnostic probe confirm the DMUA's ability to form anatomically-correct images with sufficient contrast in an extended field of view around its geometric center. In addition, high-frame rate DMUA data also demonstrate the feasibility of detection and localization of echo changes indicative of cavitation and/or tissue boiling during high-intensity focused ultrasound exposures with 45-50 dB dynamic range. The results also show that the axial and lateral resolution of the DMUA are consistent with its fnumber and bandwidth with well-behaved speckle cell characteristics. These results point the way to a theranostic DMUA system capable of quantitative imaging of tissue property changes with high specificity to lesion formation using focused ultrasound.

[1]  Yayun Wan,et al.  Imaging with concave large-aperture therapeutic ultrasound arrays using conventional synthetic-aperture beamforming , 2008, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[2]  K. Hynynen MRI-guided focused ultrasound treatments. , 2010, Ultrasonics.

[3]  M. Fink,et al.  Optimal transcostal high-intensity focused ultrasound with combined real-time 3D movement tracking and correction , 2011, Physics in medicine and biology.

[4]  Emad S. Ebbini,et al.  Real-Time 2-D Temperature Imaging Using Ultrasound , 2010, IEEE Transactions on Biomedical Engineering.

[5]  C. Moonen,et al.  Real‐time MR‐thermometry and dosimetry for interventional guidance on abdominal organs , 2010, Magnetic resonance in medicine.

[6]  Wen-Zhi Chen,et al.  Advanced hepatocellular carcinoma: treatment with high-intensity focused ultrasound ablation combined with transcatheter arterial embolization. , 2005, Radiology.

[7]  Charles Mougenot,et al.  High intensity focused ultrasound with large aperture transducers: a MRI based focal point correction for tissue heterogeneity. , 2012, Medical physics.

[8]  Treatment of rabbit liver cancer in vivo using miniaturized image-ablate ultrasound arrays. , 2011, Ultrasound in medicine & biology.

[9]  M. Oelze,et al.  Temperature dependent ultrasonic characterization of biological media. , 2011, The Journal of the Acoustical Society of America.

[10]  R. F. Wagner,et al.  Fundamental correlation lengths of coherent speckle in medical ultrasonic images , 1988, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[11]  Dalong Liu,et al.  Realtime control of multiple-focus phased array heating patterns based on noninvasive ultrasound thermography , 2010, 2010 IEEE International Ultrasonics Symposium.

[12]  G. Gardiner Uterine Leiomyomas: MR Imaging–guided Focused Ultrasound Surgery—Results of Different Treatment Protocols , 2008 .

[13]  A. Hurrell,et al.  Thin-film sparse boundary array design for passive acoustic mapping during ultrasound therapy , 2012, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[14]  Adam C. Luchies,et al.  Quantitative ultrasonic characterization of diffuse scatterers in the presence of structures that produce coherent echoes , 2012, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[15]  G Montaldo,et al.  MR-guided adaptive focusing of ultrasound , 2010, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[16]  M Pernot,et al.  MR-guided adaptive focusing of therapeutic ultrasound beams in the human head. , 2012, Medical physics.

[17]  M. Fink,et al.  Shear modulus imaging with 2-D transient elastography , 2002, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[18]  Lorena Petrusca,et al.  An MR-compliant phased-array HIFU transducer with augmented steering range, dedicated to abdominal thermotherapy. , 2011, Physics in medicine and biology.

[19]  J. Mari,et al.  Feasibility study of cavitation-induced liposomal doxorubicin release in an AT2 Dunning rat tumor model , 2012, Journal of drug targeting.

[20]  C.A. Cain,et al.  Multiple-focus ultrasound phased-array pattern synthesis: optimal driving-signal distributions for hyperthermia , 1989, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[21]  Carl D. Herickhoff,et al.  Dual-Mode Intracranial Catheter Integrating 3D Ultrasound Imaging and Hyperthermia for Neuro-oncology: Feasibility Study , 2009, Ultrasonic imaging.

[22]  L A Crum,et al.  Real-time visualization of high-intensity focused ultrasound treatment using ultrasound imaging. , 2001, Ultrasound in medicine & biology.

[23]  M Fink,et al.  Ultrasonic focusing through the ribs using the DORT method. , 2009, Medical physics.

[24]  Richard Bihrle,et al.  Noninvasive surgery of prostate tissue by high-intensity focused ultrasound , 1996 .

[25]  Kullervo Hynynen,et al.  MR temperature mapping of focused ultrasound surgery , 1994, Magnetic resonance in medicine.

[26]  E. Ebbini,et al.  6B-3 Viscoelastic Property Measurement in Thin Tissue Constructs Using Ultrasound , 2007, 2007 IEEE Ultrasonics Symposium Proceedings.

[27]  Goutam Ghoshal,et al.  Comparison of Ultrasound Attenuation and Backscatter Estimates in Layered Tissue-Mimicking Phantoms among Three Clinical Scanners , 2012, Ultrasonic imaging.

[28]  Tom Leslie,et al.  Spatiotemporal monitoring of high-intensity focused ultrasound therapy with passive acoustic mapping. , 2012, Radiology.

[29]  C. Lafon,et al.  Dual-mode ultrasound transducer for image-guided interstitial thermal therapy. , 2008, Ultrasound in medicine & biology.

[30]  John R. Ballard,et al.  Adaptive Transthoracic Refocusing of Dual-Mode Ultrasound Arrays , 2010, IEEE Transactions on Biomedical Engineering.

[31]  S. Yoshizawa,et al.  Ultrasonic Coagulation of Large Tissue Region by Generating Multiple Cavitation Clouds in Direction Perpendicular to Ultrasound Propagation , 2011 .

[32]  Shigao Chen,et al.  Shearwave dispersion ultrasound vibrometry (SDUV) for measuring tissue elasticity and viscosity , 2009, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[33]  Ronald A. Roy,et al.  The Correlation Between Bubble-Enhanced HIFU Heating and Cavitation Power , 2010, IEEE Transactions on Biomedical Engineering.

[34]  E. Feleppa,et al.  Quantitative ultrasound in cancer imaging. , 2011, Seminars in oncology.

[35]  E.S. Ebbini,et al.  Post-beamforming second-order Volterra filter for pulse-echo ultrasonic imaging , 2003, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[36]  E. Ebbini,et al.  Real-time monitoring of thermal and mechanical tissue response to modulated phased-array HIFU beams in vivo , 2012 .

[37]  Kullervo Hynynen,et al.  Large improvement of the electrical impedance of imaging and high-intensity focused ultrasound (HIFU) phased arrays using multilayer piezoelectric ceramics coupled in lateral mode , 2012, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[38]  Constantin Coussios,et al.  High intensity focused ultrasound: Physical principles and devices , 2007, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[39]  G Fleury,et al.  Dual-mode transducers for ultrasound imaging and thermal therapy. , 2010, Ultrasonics.

[40]  Jong Seob Jeong,et al.  Design and characterization of dual-curvature 1.5-dimensional high-intensity focused ultrasound phased-array transducer , 2012, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[41]  Emad S Ebbini,et al.  Dual-Mode Ultrasound Phased Arrays for Image-Guided Surgery , 2006, Ultrasonic imaging.