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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.

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。

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本文引用的文献

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Int J Surg Case Rep. 2018;53:441-443. doi: 10.1016/j.ijscr.2018.11.050. Epub 2018 Nov 24.
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