Arthur R Martin, Straube William L, Starman Jared D, Moros Eduardo G
Department of Electrical Engineering, Washington University in St. Louis, St. Louis, Missouri 63130, USA.
Med Phys. 2003 Jun;30(6):1021-9. doi: 10.1118/1.1570373.
Hyperthermia has been used as a cancer treatment in which tumors are elevated to cytotoxic temperatures to aid in their control. A noninvasive method for volumetrically determining temperature distribution during treatment would greatly enhance the ability to uniformly heat tumors at therapeutic levels. Ultrasound is an attractive modality for this purpose. We investigated changes in backscattered energy (CBE) from pulsed ultrasound with temperature. Our predicted changes in backscattered energy were matched by in vitro measurements in samples of bovine liver, turkey breast, and pork rib muscle. We studied CBE in tissue regions with multiple scatterers, of isolated individual scatterers, and in collections of individual scatterers. The latter appears to have the most potential. We measured the CBE with a focused circular transducer with a center frequency of 7.5 MHz. The standard deviation of the CBE of 75-125 scattering regions from 0.3 to 0.5 cm3 volumes increased nearly monotonically from 37 degrees C to 50 degrees C in each tissue type. Although the slopes were different, the curve for each type of tissue was well matched by a second-degree polynomial, with a correlation coefficient of 0.99 in each case. Thus the use of the CBE of ultrasound for temperature estimation may have clinical promise with a convenient, low cost modality. Because our approach exploits the inhomogeneities present in tissue, we believe that if it is successful in vitro, it holds promise for in vivo application.
热疗一直被用作一种癌症治疗方法,即把肿瘤升温至细胞毒性温度以帮助控制肿瘤。一种用于在治疗过程中体积性确定温度分布的非侵入性方法将极大地增强在治疗水平上均匀加热肿瘤的能力。超声是用于此目的的一种有吸引力的模态。我们研究了脉冲超声的背向散射能量(CBE)随温度的变化。我们预测的背向散射能量变化与在牛肝、火鸡胸和猪肋骨肌肉样本中的体外测量结果相匹配。我们研究了具有多个散射体的组织区域、单个孤立散射体以及单个散射体集合中的CBE。后者似乎具有最大的潜力。我们使用中心频率为7.5 MHz的聚焦圆形换能器测量CBE。在每种组织类型中,来自0.3至0.5 cm³体积的75 - 125个散射区域的CBE标准偏差从37℃到50℃几乎单调增加。尽管斜率不同,但每种组织类型的曲线都能很好地用二次多项式拟合,每种情况下相关系数均为0.99。因此,利用超声的CBE进行温度估计可能具有临床前景,是一种方便且低成本的模态。由于我们的方法利用了组织中存在 的不均匀性,我们相信如果它在体外取得成功,那么它在体内应用也有前景。