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一种 8 毫米内镜组织破碎阵列,具有集成的高分辨率超声成像功能。

An 8 mm endoscopic histotripsy array with integrated high-resolution ultrasound imaging.

机构信息

School of Biomedical Engineering, Dalhousie University, Halifax, NS, Canada.

School of Biomedical Engineering, Dalhousie University, Halifax, NS, Canada.

出版信息

Ultrasonics. 2024 Apr;139:107275. doi: 10.1016/j.ultras.2024.107275. Epub 2024 Mar 17.

Abstract

An 8 mm diameter, image-guided, annular array histotripsy transducer was fabricated and characterized. The array was laser etched on a 5 MHz, 1-3 dice and fill, PZT-5H/epoxy composite with a 45 % volume fraction. Flexible PCBs were used to electrically connect to the array elements using wirebonds. The array was backed with a low acoustic impedance epoxy mixture. A 3.6 by 3.8 mm, 64-element, 30 MHz phased array imaging probe was positioned in the center hole, to co-align the imaging plane with the bubble cloud produced by the therapy array. A custom 16-channel high voltage pulse generator was used to test the annular array for focal lengths ranging from 3- to 8-mm. An aluminum lens-focussed transducer with a 7 mm focal length was fabricated using the same piezocomposite and backing material and tested along with the histotripsy array. Simulated results from COMSOL FEM models were compared to measured results for low voltage characterization of the array and lens-focussed transducer. The measured transmit sensitivity of the array ranged from 0.113 to 0.167 MPa/V, while the lens-focussed transducer was 0.192 MPa/V. Simulated values were 0.160 to 0.174 MPa/V and 0.169 MPa/V, respectively. The measured acoustic fields showed a significantly increased depth-of-field compared the lens-focussed transducer, while the beamwidths of the array focus were comparable to the lens. The measured cavitation voltage in water was between 254 V and 498 V depending on the focal length, and 336 V for the lens-focussed transducer. The array had a lower cavitation voltage than the lens-focussed transducer for a comparable operating depth. The histotripsy array was tested in a tissue phantom and an in vivo rat brain. It was used to produce an elongated lesion in the brain by electronically steering the focal length from 3- to 8-mm axially. Real time ultrasound imaging with a Doppler overlay was used to target the tissue and monitor ablation progress, and histology confirmed the targeted tissue was fully homogenized.

摘要

一个 8 毫米直径的、图像引导的、环形阵列式 Histotripsy 换能器被制造并进行了特性测试。该阵列是通过激光在一个 5MHz、1-3 配比的 PZT-5H/环氧复合材料上刻蚀而成,具有 45%的体积分数。柔性 PCB 用于通过线键合将电连接到阵列元件上。该阵列背面采用了低声阻抗的环氧树脂混合物。一个 3.6 乘 3.8 毫米、64 个元件、30MHz 的相控阵成像探头被放置在中心孔中,以将成像平面与治疗阵列产生的气泡云对准。一个定制的 16 通道高压脉冲发生器用于测试环形阵列的焦距范围从 3 毫米到 8 毫米。一个 7 毫米焦距的铝透镜聚焦换能器是使用相同的压电器件复合材料和背衬材料制造的,并与 Histotripsy 阵列一起进行了测试。COMSOL FEM 模型的模拟结果与低电压特性的测量结果进行了比较阵列和透镜聚焦换能器。阵列的测量传输灵敏度范围从 0.113 到 0.167 MPa/V,而透镜聚焦换能器为 0.192 MPa/V。模拟值分别为 0.160 至 0.174 MPa/V 和 0.169 MPa/V。测量的声场显示出与透镜聚焦换能器相比明显增加的景深,而阵列焦点的波束宽度与透镜相当。在水中测量的空化电压取决于焦距,在 254V 到 498V 之间,而透镜聚焦换能器为 336V。在可比的工作深度下,阵列的空化电压低于透镜聚焦换能器。Histotripsy 阵列在组织体模和活体大鼠脑中进行了测试。它通过电子控制焦距从 3 毫米到 8 毫米轴向,用于在大脑中产生一个拉长的病变。实时超声成像与多普勒覆盖层用于瞄准组织并监测消融进展,组织学证实目标组织已完全均质化。

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