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高强度聚焦超声治疗剂量学与生物学效应的研究

[Study on therapeutic dosimetry and biologic effect of high intensity focused ultrasound].

作者信息

He Xuemei, Xiong Xin, Zou Jianzhong, Li Faqi, Ma Ping, Wang Zhibiao

机构信息

Department of Ultrasound, The Affiliated Second Hospital, Chongqing University of Medicine, Chlongqing 400010, China.

出版信息

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2009 Feb;26(1):72-4, 84.

Abstract

This study was aimed at exploring the high intensity focused ultrasound(HIFU) therapeutic dosimetry and its biologic effect. In-vitro, bovine liver was immersed into 0.9% NS and degassed for application. The JC Model-focused ultrasound tumor therapeutic system was used in the experiment. The HIFU parameters were: frequency 1.6 MHz, depth 20 mm, acoustic power from 16.44 W to 196.32 W. Under each power, at radiating times from is to 20 s, bioptic specimens were obtained from all samples. The results showed when the acoustic power was equal to or higher than 179.96 W, only is of radiating is adequate to induce coagulative necrosis, and when the acoustic power was lower than 65.44 W, the radiating time to produce coagulative necrosis was about 7 s. In the range of 65.44-179.96 W, at each time when the acoustic power was set up with an increment of 16.36 W, the time to produce coagulative necrosis was 1-2 s shorter. The form of biological focal region (BFR) varied with the acoustic power and HIFU irradiation time. The size of BFR increased with the increase of HIFU irradiation dosage (acoustic power x exposure time). There is positive correlation between the size of BFR and the dosage of HIFU irradiation (y = 0.0164x(1.05591), R5 = 0.9238, P < 0.05).

摘要

本研究旨在探索高强度聚焦超声(HIFU)治疗剂量学及其生物学效应。在体外,将牛肝浸入0.9%的生理盐水中并脱气以进行实验。实验中使用JC型聚焦超声肿瘤治疗系统。HIFU参数为:频率1.6MHz,深度20mm,声功率从16.44W到196.32W。在每个功率下,辐射时间从1s到20s,从所有样本中获取活检标本。结果显示,当声功率等于或高于179.96W时,仅1s的辐射就足以诱导凝固性坏死;当声功率低于65.44W时,产生凝固性坏死的辐射时间约为7s。在65.44 - 179.96W范围内,每次声功率以16.36W的增量设置时,产生凝固性坏死的时间缩短1 - 2s。生物焦域(BFR)的形态随声功率和HIFU照射时间而变化。BFR的大小随HIFU照射剂量(声功率×暴露时间)的增加而增大。BFR的大小与HIFU照射剂量之间存在正相关(y = 0.0164x(1.05591),R² = 0.9238,P < 0.05)。

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