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用于乳腺肿瘤治疗的 MRI 兼容高强度聚焦超声相控阵换能器的研制。

Development of an MRI-Compatible High-Intensity Focused Ultrasound Phased Array Transducer Dedicated for Breast Tumor Treatment.

出版信息

IEEE Trans Ultrason Ferroelectr Freq Control. 2018 Aug;65(8):1423-1432. doi: 10.1109/TUFFC.2018.2841418. Epub 2018 Jun 1.

Abstract

High-intensity focused ultrasound (HIFU) under magnetic resonance imaging (MRI) guidance can achieve a noninvasive and precise ablation of the solid tumor. In the study, an MRI-compatible 1-MHz 16-channel ring-shaped transducer was developed to minimize the burn risk of breast skin and perform volumetric ablation for short treatment time. The measured electroacoustic conversion efficiency of the transducer was 50.90% ± 5. The transducer could produce a point and a quasi-hollow-cylinder lesion in a thermal-sensitive phantom or an ex vivo pork by tuning the phase of each element. It may achieve volumetric ablation of 1.5 cm when the point lesion is located inside the hollow lesion. Ex vivo ablation experiments showed that the transducer could cause a coagulative necrosis in the pork from the surrounded subcutaneous fat by 5 mm without fat damage. The temperature and region of the pork ablation were quantified by MRI technique. There was no MRI interference from HIFU and vice versa while both systems operated concurrently.

摘要

高强度聚焦超声(HIFU)在磁共振成像(MRI)引导下可以实现对实体肿瘤的无创精确消融。本研究开发了一种 MRI 兼容的 1MHz 16 通道环形换能器,以最大限度降低乳房皮肤灼伤风险,并实现短治疗时间的容积消融。该换能器的电声转换效率测量值为 50.90%±5%。通过调整每个元件的相位,该换能器可以在热敏体模或离体猪肉中产生点状和拟空心圆柱状损伤。当点损伤位于空心损伤内部时,它可以实现 1.5cm 的容积消融。离体消融实验表明,该换能器可以在不损伤脂肪的情况下,从周围皮下脂肪处使猪肉产生 5mm 的凝固性坏死。通过 MRI 技术定量分析了猪肉的消融温度和区域。在两个系统同时运行时,HIFU 没有 MRI 干扰,反之亦然。

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