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基于近红外测温的聚焦超声致离体组织热损伤的最小热剂量

The minimum thermal dose of thermal damage in isolated tissue induced by focused ultrasound based on near-infrared temperature measurement

  • 摘要: 为了给聚焦超声实现临床肿瘤治疗提供参考,文章研究了聚焦超声作用下离体生物组织产生不可逆热损伤的最小热剂量。研究使用高分辨率的红外相机实现聚焦超声辐照过程中组织的温度分布测量,依据热损伤图像和温度变化规律分析了生物组织产生热损伤所需的热剂量,并对比了不同热损伤预测方法得到的结果。实验结果表明,使用“阈值法”,当组织温度超过51 ℃时,离体组织将迅速产生热损伤;使用温度十分位描记码(Tindex),热损伤阈值为T90=56 ℃;使用等效热剂量模型tCEM43,产生热损伤的最小热剂量为(4.7±1.9) min;使用T90的累积等效时间tCEM43,T90,产生热损伤的最小热剂量为(215±96) min。研究表明,采用tCEM43,T90=56 ℃作为热剂量阈值具有更高的置信度,采用tCEM43,T90作为热剂量的量化方法具有更强的鲁棒性。文中的研究可以为超声热疗与热损伤评价提供实验依据,有助于聚焦超声的临床应用。

     

    Abstract: To provide reference for the clinical application of focused ultrasound in tumor treatment, the minimum thermal dose of irreversible thermal damage in isolated biological tissues under the action of focused ultrasound is studied in this paper. In this study, a high-resolution infrared camera is used to measure the temperature distribution of tissues during focused ultrasound irradiation. Based on the thermal damage image and the temperature change rule, the dose required for thermal damage of biological tissues is analyzed, and the results obtained by different thermal damage prediction methods are compared. The experimental results show that by using the "threshold method", when the tissue temperature exceeds 51 ℃, in vitro tissue rapidly undergoes thermal damage. The thermal damage threshold obtained using Tindex is T90=56 ℃. Using the equivalent thermal dose model tCEM43, the minimum thermal dose that can cause thermal damage is (4.7 ± 1.9) min. Using the cumulative equivalent time of T90 (tCEM43,T90), the minimum heat dose for thermal damage is (215 ± 96) min. Research has shown that using T90=56 ℃ as the thermal dose threshold has higher confidence, and using tCEM43,T90 as the quantitative method for thermal dose has stronger robustness. The research in this paper can provide experimental basis for ultrasound hyperthermia and thermal injury evaluation, which is helpful for the clinical application of focused ultrasound.

     

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