Document Detail


Using a toroid transducer for thermal ablation by high-intensity-focused ultrasound increases the coagulated volume.
MedLine Citation:
PMID:  18529305     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Here, we report that a new design of High Intensity Focused Ultrasound transducer can significantly enlarge the coagulated volume over short periods of time, and that treatment in the liver can be guided in real-time using an integrated ultrasound imaging probe. Eight ultrasound emitters, divided into 256 elements, were created by sectioning a single toroid piezocomposite transducer. The focal zone was conical in shape and located 70 mm from the transducer; enabling the treatment of deep-seated tumors. A single thermal lesion was created when the eight emitters performed alternative and consecutive 5 s ultrasound exposures. This paper presents in vivo evidence that the coagulated volume obtained from a 40 s total exposure in the liver was 7.0+/-2.5 cm(3) (min 1.5 - max 20.0 cm(3)). All lesions were visible with high contrast on sonograms. The correlation between the diameter of lesions observed on sonograms and during gross examination was 92%. This method also allowed the user to easily enlarge the coagulated volume by juxtaposing single lesions. This approach may have a role in treating unresectable colorectal liver metastases and may also be used in conjunction with resection to extend its limits.
Authors:
David Melodelima; William N'djin; Hubert Parmentier; Michel Rivoire; Jean Yves Chapelon
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of the Acoustical Society of America     Volume:  123     ISSN:  1520-8524     ISO Abbreviation:  J. Acoust. Soc. Am.     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-06-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7503051     Medline TA:  J Acoust Soc Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2995     Citation Subset:  IM    
Affiliation:
INSERM, U556, 151 Cours Albert Thomas, 69003 Lyon, France, melodelima@lyon.inserm.fr.
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