Low-Cost Ultrasound Thermometry for HIFU Therapy Using CNN

High intensity focused ultrasound (HIFU)is a noninvasive thermal therapy used for hyperthermia and ablation treatments. Temperature monitoring is important for those procedures to induce a necessary amount of thermal dose to the target area without damaging the surrounding healthy tissues. To this end, various medical imaging techniques have been proposed. Magnetic resonance imaging provides a high accuracy temperature monitoring feature. Ultrasound is a favorable medical imaging modality for thermal monitoring due to its cost-effectiveness, accessibility and non-ionizing radiation. The speed of sound and attenuation of ultrasound waves varies with the temperature, so temperature can be measured using those ultrasound physical properties. In the previous work, we developed an ultrasound thermal monitoring method for HIFU using an external ultrasound element. The system only requires simple hardware additions such as the external ultrasound sensor and computation units, providing a temperature monitoring method at a reduced cost. However, since we use only few external ultrasound sensors, the collected time of flight information is sparse. Moreover, the thermal image reconstruction highly depends on the ultrasound element locations and its accuracy could be highly deteriorated with certain sensor locations. In this paper, we propose to reconstruct thermal images using a neural network. As this method can learn the heat evolution from a large amount of data set, it could be less sensitive to the ultrasound element location. We validated the temperature image reconstruction method on a phantom study. Promising results show the feasibility of a thermal monitoring method using an external ultrasound element and deep learning reconstruction.

[1]  Rajiv Chopra,et al.  Thermometry and ablation monitoring with ultrasound , 2015, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[2]  I. Basarab-Horwath,et al.  Measurement of the temperature distribution in fluids using ultrasonic tomography , 1994, 1994 Proceedings of IEEE Ultrasonics Symposium.

[3]  Jeffrey C Bamber,et al.  Fundamental limitations of noninvasive temperature imaging by means of ultrasound echo strain estimation. , 2002, Ultrasound in medicine & biology.

[4]  F. Jolesz MRI-guided focused ultrasound surgery. , 2007, Annual review of medicine.

[5]  Kim Butts Pauly,et al.  MR thermometry , 2008, Journal of magnetic resonance imaging : JMRI.

[6]  Sergio Silvestri,et al.  CT-based thermometry: An overview , 2014, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[7]  W. Gedroyc,et al.  New Clinical Applications of Magnetic Resonance-Guided Focused Ultrasound , 2006, Topics in magnetic resonance imaging : TMRI.

[8]  Sheng-Wen Huang,et al.  Thermal strain imaging: a review , 2011, Interface Focus.

[9]  Emad Boctor,et al.  A novel 3D ultrasound thermometry method for HIFU ablation using an ultrasound element , 2017, 2017 IEEE International Ultrasonics Symposium (IUS).

[10]  Chloé Audigier,et al.  Physics-Based Simulation to Enable Ultrasound Monitoring of HIFU Ablation: An MRI Validation , 2018, MICCAI.

[11]  D. Cranston,et al.  High intensity focused ultrasound: surgery of the future? , 2003, The British journal of radiology.

[12]  Emad S. Ebbini,et al.  Real-Time Ultrasound Thermography and Thermometry [Life Sciences] , 2018, IEEE Signal Processing Magazine.

[13]  F. Jolesz,et al.  Current status and future potential of MRI‐guided focused ultrasound surgery , 2008, Journal of magnetic resonance imaging : JMRI.