High-frequency rapid B-mode ultrasound imaging for real-time monitoring of lesion formation and gas body activity during high-intensity focused ultrasound ablation.
The goal of this study was to examine the ability of high-frame-rate, high-resolution imaging to monitor tissue necrosis and gas-body activities formed during high-intensity focused ultrasound (HIFU) application. Ex vivo porcine cardiac tissue specimens (n = 24) were treated with HIFU exposure (4.33 MHz, 77 to 130 Hz pulse repetition frequency (PRF), 25 to 50% duty cycle, 0.2 to 1 s, 2600 W/cm(2)). RF data from B-mode ultrasound imaging were obtained before, during, and after HIFU exposure at a frame rate ranging from 77 to 130 Hz using an ultrasound imaging system with a center frequency of 55 MHz. The time history of changes in the integrated backscatter (IBS), calibrated spectral parameters, and echo-decorrelation parameters of the RF data were assessed for lesion identification by comparison against gross sections. Temporal maximum IBS with +12 dB threshold achieved the best identification with a receiver-operating characteristic (ROC) curve area of 0.96. Frame-to-frame echo decorrelation identified and tracked transient gas-body activities. Macroscopic (millimeter-sized) cavities formed when the estimated initial expansion rate of gas bodies (rate of expansion in lateral-to-beam direction) crossed 0.8 mm/s. Together, these assessments provide a method for monitoring spatiotemporal evolution of lesion and gas-body activity and for predicting macroscopic cavity formation.
Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA.
Madhu Sudhan Reddy
MS
Gudur
Ronald E
RE
Kumon
Yun
Y
Zhou
Cheri X
CX
Deng
D000818:Animals; D004452:Echocardiography / Q000295:instrumentation / Q000379:methods*; D005740:Gases / Q000032:analysis* / Q000737:chemistry; D057086:High-Intensity Focused Ultrasound Ablation / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D007091:Image Processing, Computer-Assisted; D009206:Myocardium / Q000473:pathology*; D009336:Necrosis / Q000000981:diagnostic imaging / Q000473:pathology; D012372:ROC Curve; D013552:Swine; D014159:Transducers
D005740:Gases