Nonlinear 3-D simulation of high-intensity focused ultrasound therapy in the kidney

Kidney cancer is a severe disease which can be treated non-invasively using high-intensity focused ultrasound (HIFU) therapy. However, tissue in front of the transducer and the deep location of kidney can cause significant losses to the efficiency of the treatment. The effect of attenuation, refract...

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Main Authors: Suomi, V, Jaros, J, Treeby, B, Cleveland, R
Format: Conference item
Published: IEEE 2016
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author Suomi, V
Jaros, J
Treeby, B
Cleveland, R
author_facet Suomi, V
Jaros, J
Treeby, B
Cleveland, R
author_sort Suomi, V
collection OXFORD
description Kidney cancer is a severe disease which can be treated non-invasively using high-intensity focused ultrasound (HIFU) therapy. However, tissue in front of the transducer and the deep location of kidney can cause significant losses to the efficiency of the treatment. The effect of attenuation, refraction and reflection due to different tissue types on HIFU therapy of the kidney was studied using a nonlinear ultrasound simulation model. The geometry of the tissue was derived from a computed tomography (CT) dataset of a patient which had been segmented for water, bone, soft tissue, fat and kidney. The combined effect of inhomogeneous attenuation and sound-speed was found to result in an 11.0 dB drop in spatial peak-temporal average (SPTA) intensity in the kidney compared to pure water. The simulation without refraction effects showed a 6.3 dB decrease indicating that both attenuation and refraction contribute to the loss in focal intensity. The losses due to reflections at soft tissue interfaces were less than 0.1 dB. Focal point shifting due to refraction effects resulted in -1.3, 2.6 and 1.3 mm displacements in x-, y- and z-directions respectively. Furthermore, focal point splitting into several smaller subvolumes was observed. The total volume of the secondary focal points was approximately 46% of the largest primary focal point. This could potentially lead to undesired heating outside the target location and longer therapy times.
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spelling oxford-uuid:3916e0df-4ffa-41cb-911f-845a10631e7c2022-03-26T13:53:37ZNonlinear 3-D simulation of high-intensity focused ultrasound therapy in the kidneyConference itemhttp://purl.org/coar/resource_type/c_5794uuid:3916e0df-4ffa-41cb-911f-845a10631e7cSymplectic Elements at OxfordIEEE2016Suomi, VJaros, JTreeby, BCleveland, RKidney cancer is a severe disease which can be treated non-invasively using high-intensity focused ultrasound (HIFU) therapy. However, tissue in front of the transducer and the deep location of kidney can cause significant losses to the efficiency of the treatment. The effect of attenuation, refraction and reflection due to different tissue types on HIFU therapy of the kidney was studied using a nonlinear ultrasound simulation model. The geometry of the tissue was derived from a computed tomography (CT) dataset of a patient which had been segmented for water, bone, soft tissue, fat and kidney. The combined effect of inhomogeneous attenuation and sound-speed was found to result in an 11.0 dB drop in spatial peak-temporal average (SPTA) intensity in the kidney compared to pure water. The simulation without refraction effects showed a 6.3 dB decrease indicating that both attenuation and refraction contribute to the loss in focal intensity. The losses due to reflections at soft tissue interfaces were less than 0.1 dB. Focal point shifting due to refraction effects resulted in -1.3, 2.6 and 1.3 mm displacements in x-, y- and z-directions respectively. Furthermore, focal point splitting into several smaller subvolumes was observed. The total volume of the secondary focal points was approximately 46% of the largest primary focal point. This could potentially lead to undesired heating outside the target location and longer therapy times.
spellingShingle Suomi, V
Jaros, J
Treeby, B
Cleveland, R
Nonlinear 3-D simulation of high-intensity focused ultrasound therapy in the kidney
title Nonlinear 3-D simulation of high-intensity focused ultrasound therapy in the kidney
title_full Nonlinear 3-D simulation of high-intensity focused ultrasound therapy in the kidney
title_fullStr Nonlinear 3-D simulation of high-intensity focused ultrasound therapy in the kidney
title_full_unstemmed Nonlinear 3-D simulation of high-intensity focused ultrasound therapy in the kidney
title_short Nonlinear 3-D simulation of high-intensity focused ultrasound therapy in the kidney
title_sort nonlinear 3 d simulation of high intensity focused ultrasound therapy in the kidney
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AT treebyb nonlinear3dsimulationofhighintensityfocusedultrasoundtherapyinthekidney
AT clevelandr nonlinear3dsimulationofhighintensityfocusedultrasoundtherapyinthekidney