Technical characterization of an ultrasound source for noninvasive thermoablation by high-intensity focused ultrasound.
OBJECTIVE
To develop a generator for high-intensity focused ultrasound (HIFU, a method of delivering ultrasonic energy with resultant heat and tissue destruction to a tight focus at a selected depth within the body), designed for extracorporeal coupling to allow various parenchymal organs to be treated.


METHODS
The ultrasound generated by a cylindrical piezo-ceramic element is focused at a depth of 10 cm using a parabolic reflector with a diameter of 10 cm. A diagnostic B-mode ultrasonographic transducer is integrated into the source to allow the focus to be located in the target area. The field distribution of the sound pressure was measured in degassed water using a needle hydrophone. An ultrasound-force balance was used to determine the acoustic power. These measurements allowed the spatially averaged sound intensity to be calculated. The morphology and extent of tissue necrosis induced by HIFU was examined on an ex-vivo kidney model.


RESULTS
The two-dimensional field distribution resulted in an approximately ellipsoidal focus of 32 x 4 mm (- 6 dB). The spatially maximum averaged sound intensity was 8591 W/cm2 at an electrical power of 400 W. The lesion caused to the ex-vivo kidney at this maximum generator power with a pulse duration of 2 s was a clearly delineated ellipsoidal coagulation necrosis up to 8.8 x 2.3 mm (length x width) and with central liquefied necrosis of 7.9 x 1.9 mm.


CONCLUSIONS
This newly developed ultrasound generator with a focal length of 10 cm can induce clear necrosis in parenchymal tissue. Because of its specific configuration and the available power range of the ultrasound generator, there is potential for therapeutic noninvasive ablation of tissue deep within a patient's body.
Department of Urology, Hospital Mannheim, Faculty of Clinical Medicine, Ruprecht-Karls-University of Heidelberg, Germany. kai.uwe.koehrmann@uro.ma.uni-heidelberg.de
K U
KU
Köhrmann
M S
MS
Michel
A
A
Steidler
E
E
Marlinghaus
O
O
Kraut
P
P
Alken
D000818:Animals; D017115:Catheter Ablation / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D007668:Kidney; D013552:Swine; D014464:Ultrasonic Therapy / Q000295:instrumentation / Q000379:methods*