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术中聚焦超声治疗脑肿瘤的热消融数值研究。

A numerical study on thermal ablation of brain tumor with intraoperative focused ultrasound.

机构信息

Department of Mechanical Engineering, K. N. Toosi University of Technology, Tehran, Iran.

Department of Mechanical Engineering, K. N. Toosi University of Technology, Tehran, Iran.

出版信息

J Therm Biol. 2019 Jul;83:119-133. doi: 10.1016/j.jtherbio.2019.05.019. Epub 2019 May 23.

Abstract

Focused ultrasound surgery (FUS) is a non-invasive thermal therapeutic method which has been emerged in the field of brain tumors treatment. During intraoperative brain surgery, application of FUS can significantly increase the accuracy of thermal ablation of tumor while reducing undesirable damage to healthy brain tissue. The main objective of this study is acquiring acoustic transducer specifications to achieve optimum thermal treatment in the tumoral tissue. 2D and 3D models are constructed from patient-specific brain MRI images which consist of a malignant vascular tumor. Acoustic pressure and temperature are obtained by using homogenous Helmholtz and bio-heat transfer equations according to insignificant nonlinear effect. Besides that, thermal lesion induced by FUS is obtained by the thermal dose function. Results show the significance of blood vessels' cooling effect on the temperature profile. Moreover, correlation between temperature profile and transducer's operating parameter including power, frequency and duty cycle is obtained. Artificial neural network analysis is conducted to estimate required transducer parameters for optimum temperature rise.

摘要

聚焦超声手术(FUS)是一种非侵入性热疗方法,已应用于脑肿瘤的治疗领域。在脑外科手术过程中,FUS 的应用可以显著提高肿瘤热消融的准确性,同时减少对健康脑组织的不必要损伤。本研究的主要目的是获取换能器规格,以实现肿瘤组织的最佳热治疗。根据可忽略的非线性效应,使用均匀的亥姆霍兹和生物传热方程从患者特定的脑 MRI 图像构建 2D 和 3D 模型,其中包括恶性血管肿瘤。通过热剂量函数获得 FUS 引起的热损伤。结果表明血管冷却效应对温度分布的重要性。此外,还获得了温度分布与换能器工作参数(包括功率、频率和占空比)之间的相关性。进行了人工神经网络分析,以估计最佳温升所需的换能器参数。

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