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2
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IEEE Trans Ultrason Ferroelectr Freq Control. 2018 Nov;65(11):2131-2140. doi: 10.1109/TUFFC.2018.2869689. Epub 2018 Sep 12.
3
A Combined Intravascular MRI Endoscope and Intravascular Ultrasound (IVUS) Transducer for High-Resolution Image-Guided Ablation.一种用于高分辨率图像引导消融的血管内磁共振成像内窥镜与血管内超声(IVUS)换能器组合装置
Proc Int Soc Magn Reson Med Sci Meet Exhib Int Soc Magn Reson Med Sci Meet Exhib. 2017 Apr;25:1178.
4
Intravascular forward-looking ultrasound transducers for microbubble-mediated sonothrombolysis.用于微泡介导的超声溶栓的血管内前向超声换能器。
Sci Rep. 2017 Jun 14;7(1):3454. doi: 10.1038/s41598-017-03492-4.
5
Non-Invasive Thrombolysis Using Microtripsy in a Porcine Deep Vein Thrombosis Model.在猪深静脉血栓形成模型中使用微粉碎术进行非侵入性溶栓
Ultrasound Med Biol. 2017 Jul;43(7):1378-1390. doi: 10.1016/j.ultrasmedbio.2017.01.028. Epub 2017 Apr 28.
6
Gastric hypomotility after second-generation cryoballoon ablation-Unrecognized silent nerve injury after cryoballoon ablation.第二代冷冻球囊消融术后胃动力减退——冷冻球囊消融术后未被识别的隐匿性神经损伤
Heart Rhythm. 2017 May;14(5):670-677. doi: 10.1016/j.hrthm.2017.01.028.
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High-Intensity Focused Ultrasound for the Treatment of Prostate Cancer: A Review.高强度聚焦超声治疗前列腺癌:综述
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Cryoballoon or Radiofrequency Ablation for Paroxysmal Atrial Fibrillation.冷冻球囊或射频消融治疗阵发性心房颤动。
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微型腔内前向超声换能器用于组织消融。

Miniaturized Intracavitary Forward-Looking Ultrasound Transducer for Tissue Ablation.

出版信息

IEEE Trans Biomed Eng. 2020 Jul;67(7):2084-2093. doi: 10.1109/TBME.2019.2954524. Epub 2019 Nov 22.

DOI:10.1109/TBME.2019.2954524
PMID:31765299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7269183/
Abstract

OBJECTIVE

This paper aims to develop a miniaturized forward-looking ultrasound transducer for intracavitary tissue ablation, which can be used through an endoscopic device. The internal ultrasound (US) delivery is capable of directly interacting with the target tumor, resolving adverse issues of currently available US devices, such as unintended tissue damage and insufficient delivery of acoustic power.

METHODS

To transmit a high acoustic pressure from a small aperture (<3 mm), a double layer transducer (1.3 MHz) was designed and fabricated based on numerical simulations. The electric impedance and the acoustic pressure of the actual device was characterized with an impedance analyzer and a hydrophone. Ex vivo tissue ablation tests and temperature monitoring were then conducted with porcine livers.

RESULTS

The acoustic intensity of the transducer was 37.1 W/cm under 250 V and 20% duty cycle. The tissue temperature was elevated to 51.8 °C with a 67 Hz pulse-repetition frequency. The temperature profile in the tissue indicated that ultrasound energy was effectively absorbed inside the tissue. During a 5-min sonification, an approximate tissue volume of 2.5 × 2.5 × 1.0 mm was ablated, resulting in an irreversible lesion.

CONCLUSION

This miniaturized US transducer is a promising medical option for the precise tissue ablation, which can reduce the risk of unintended tissue damage found in noninvasive US treatments.

SIGNIFICANCE

Having a small aperture (2 mm), the intracavitary device is capable of ablating a bio tissue in 5 min with a relatively low electric power (<17 W).

摘要

目的

本文旨在开发一种用于腔内组织消融的小型透视超声换能器,可通过内镜设备使用。内部超声(US)输送能够直接与目标肿瘤相互作用,解决目前可用的 US 设备存在的不良问题,如意外组织损伤和超声功率输送不足。

方法

为了从小孔径(<3mm)传输高声压,根据数值模拟设计并制造了一种双层换能器(1.3MHz)。使用阻抗分析仪和声压计对实际设备的电阻抗和声压进行了表征。然后使用猪肝脏进行了离体组织消融测试和温度监测。

结果

在 250V 和 20%占空比下,换能器的声强为 37.1W/cm。当脉冲重复频率为 67Hz 时,组织温度升高至 51.8°C。组织内的温度分布表明超声能量有效地被组织吸收。在 5 分钟的超声处理中,消融了大约 2.5×2.5×1.0mm 的组织,导致不可逆损伤。

结论

这种小型化的超声换能器是一种有前途的精确组织消融的医疗选择,可以降低非侵入性 US 治疗中发现的意外组织损伤的风险。

意义

该腔内设备的孔径较小(2mm),仅需小于 17W 的低电功率即可在 5 分钟内消融生物组织。