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高强度聚焦超声下组织力学特性对空化效应的影响

The influence of tissue mechanical properties on cavitation effect under high intensity focused ultrasound

  • 摘要: 高强度聚焦超声(high intensity focused ultrasound,HIFU)是一种新型的肿瘤治疗方法,空化效应在超声治疗中有重要作用,为保证HIFU治疗的安全性和有效性,在制定HIFU临床治疗方案时,需要考虑靶区组织的力学特性并合理选择HIFU辐照剂量,以控制空化活动的剧烈程度,文章探究了组织力学特性对空化效应的影响。焦区在HIFU作用下出现大气泡,大气泡造成的声波反射有利于激发空化,降低空化阈值。仿真结果表明,随着组织杨氏模量增加,焦区气泡生长膨胀减小,因此降低了冲击散射从而提高了空化阈值。通过被动空化监测系统,对离体组织空化情况进行监测,杨氏模量较低的脂肪组织在42W和56W声功率下便能达到稳态空化阈值和惯性空化阈值,并具有最高的空化活动强度,而杨氏模量较高的肌肉组织和牛肝组织则分别在56、77W声功率达到稳态空化阈值,在77、84W声功率达到惯性空化阈值,空化活动强度也随之降低。实验结果表明组织空化阈值与杨氏模量成正比,空化强度与杨氏模量成反比。此研究为HIFU临床治疗方案的制定提供参考依据,对于减少HIFU治疗的不良影响、提高HIFU临床安全性具有重要意义。

     

    Abstract: High Intensity Focused Ultrasound ( HIFU ) is a new type of tumor treatment method. Cavitation effect is one of the important biological effects in HIFU treatment. In order to ensure the safety and effectiveness of HIFU treatment, it is necessary to consider the mechanical properties of the target tissue and reasonably to select the HIFU irradiation dose When formulating the HIFU clinical treatment plan to control the intensity of cavitation activity.This paper explores the influence of tissue mechanical properties on cavitation effect. Large bubbles appear in the focal region under the action of HIFU, and the impact scattering caused by large bubbles is beneficial to stimulate cavitation and reduce the cavitation threshold. The simulation results show that as the Young 's modulus of the tissue increases, the expansion of bubble growth in the focal region decreases, thus reducing the impact scattering and increasing the cavitation threshold. The passive cavitation monitoring system is used to monitor the cavitation of isolated tissues. The fat with loer Young 's modulus can reach the steady-state cavitation threshold and inertial cavitation threshold at 42W and 56W sound power, and has the highest cavitation activity intensity. Pork and bovine liver with higher Young 's modulus reach the steady-state cavitation threshold at 56W and 77W sound power, and reach the inertial cavitation threshold at 77W and 84W sound power, respectively. And, the intensity of cavitation activity also decreases. The experimental results show that the tissue cavitation threshold is proportional to Young 's modulus, and the cavitation intensity is inversely proportional to Young 's modulus.This study provides a reference for the formulation of HIFU clinical treatment plan, Which is of great significance for reducing the adverse effects of HIFU treatment and improving the clinical safety of HIFU.

     

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