Abstract
Purpose
High-intensity focused ultrasound (HIFU) is a promising non-invasive technique for thermal ablation of tumors. Positioning the focal point of the HIFU accurately prior to the procedure is crucial to the success of the treatment. A change in backscattered energy (CBE) in ultrasound images has been shown to allow visualization of thermal information and can be used to locate the focal spot of HIFU prior to ablation. In CBE imaging, however, tailing artifacts may exist below the focal point of HIFU to hinder the identification of the HIFU focal spot.
Methods
This study proposed ultrasound delta CBE (DCBE) imaging that reduces CBE artifacts by local energy subtraction between measured and the reference envelope images. Phantom experiments were performed for validation of the proposed method. A HIFU system operating at a frequency of 2.12 MHz was used to heat phantoms, which were imaged with a clinical ultrasound scanner equipped with a 3-MHz convex transducer for analysis of CBE and DCBE data.
Results
The results showed that the DCBE value increases monotonically with temperature (correlation coefficient = 0.90). Particularly, DCBE imaging can identify the HIFU focal spot, suppress tailing artifacts, and increase the contrast between the focal and artifact zones by 8 dB in comparison with conventional CBE imaging.
Conclusion
Based on this study, DCBE imaging may be an effective method of locating HIFU focal points through ultrasound backscattered energy.
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The experimental data are available by request.
References
Wu, F., Zhou, L., & Chen, W. R. (2007). Host antitumour immune responses to HIFU ablation. International Journal of Hyperthermia, 23(2), 165–171.
O’donnell, M., & Flax, S. W. (1988). Phase aberration measurements in medical ultrasound: Human studies. Ultrasonic Imaging, 10(1), 1–11.
Damianou, C. A., Sanghvi, N. T., Fry, F. J., & Maass-Moreno, R. (1997). Dependence of ultrasonic attenuation and absorption in dog soft tissues on temperature and thermal dose. The Journal of the Acoustical Society of America, 102(1), 628–634.
Han, Y., Hou, G. Y., Wang, S., & Konofagou, E. (2015). High intensity focused ultrasound (HIFU) focal spot localization using harmonic motion imaging (HMI). Physics in Medicine & Biology, 60(15), 5911.
Tyréus, P. D., & Diederich, C. (2004). Two-dimensional acoustic attenuation mapping of high-temperature interstitial ultrasound lesions. Physics in Medicine & Biology, 49(4), 533.
Maass-Moreno, R., & Damianou, C. A. (1996). Noninvasive temperature estimation in tissue via ultrasound echo-shifts. Part I. Analytical model. The Journal of the Acoustical Society of America, 100(4), 2514–2521.
Simon, C., VanBaren, P., & Ebbini, E. S. (1998). Two-dimensional temperature estimation using diagnostic ultrasound. IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control, 45(4), 1088–1099.
Straube, W. L., & Arthur, R. M. (1994). Theoretical estimation of the temperature dependence of backscattered ultrasonic power for noninvasive thermometry. Ultrasound in Medicine & Biology, 20(9), 915–922.
Trobaugh, J. W., Arthur, R. M., Straube, W. L., & Moros, E. G. (2008). A simulation model for ultrasonic temperature imaging using change in backscattered energy. Ultrasound in Medicine & Biology, 34(2), 289–298.
Rangraz, P., Behnam, H., Sobhebidari, P., & Tavakkoli, J. (2014). Real-time monitoring of high-intensity focused ultrasound thermal therapy using the manifold learning method. Ultrasound in Medicine & Biology, 40(12), 2841–2850.
Maraghechi, B., Kolios, M. C., & Tavakkoli, J. (2019). Feasibility of detecting change in backscattered energy of acoustic harmonics in locally heated tissues. International Journal of Hyperthermia, 36(1), 963–973.
Seo, J., Kim, S. K., Kim, Y. S., Choi, K., Kong, D. G., & Bang, W. C. (2014). Motion compensation for ultrasound thermal imaging using motion-mapped reference model: An in vivo mouse study. IEEE Transactions on Biomedical Engineering, 61(11), 2669–2678.
Arthur, R. M., Straube, W. L., Starman, J. D., & Moros, E. G. (2003). Noninvasive temperature estimation based on the energy of backscattered ultrasound. Medical Physics, 30(6), 1021–1029.
Arthur, R. M., Straube, W. L., Trobaugh, J. W., & Moros, E. G. (2005). Non-invasive estimation of hyperthermia temperatures with ultrasound. International Journal of Hyperthermia, 21(6), 589–600.
Tsui, P. H., Chien, Y. T., Liu, H. L., Shu, Y. C., & Chen, W. S. (2012). Using ultrasound CBE imaging without echo shift compensation for temperature estimation. Ultrasonics, 52(7), 925–935.
Choi, K., Kong, D., Park, J., Cho, J., & Lee, H. K. (2012). Noninvasive ultrasound temperature imaging with fusion algorithm. 2012 IEEE International Ultrasonics Symposium. https://doi.org/10.1109/ULTSYM.2012.0233
Zhang, L., Li, Q., Wang, C. Y., & Tsui, P. H. (2018). Ultrasound single-phase CBE imaging for monitoring radiofrequency ablation. International Journal of Hyperthermia, 35(1), 548–558.
Yang, K., Li, Q., Liu, H. L., Chen, C. K., Huang, C. W., Chen, J. R., & Tsui, P. H. (2020). Frequency-domain CBE imaging for ultrasound localization of the HIFU focal spot: A feasibility study. Scientific Reports, 10(1), 5468.
Chan, H. J., Zhou, Z., Fang, J., Tai, D. I., Tseng, J. H., Lai, M. W., & Tsui, P. H. (2021). Ultrasound sample entropy imaging: A new approach for evaluating hepatic steatosis and fibrosis. IEEE Journal of Translational Engineering in Health and Medicine, 9, 1–12.
Xia, J., Li, Q., Liu, H. L., Chen, W. S., & Tsui, P. H. (2013). An approach for the visualization of temperature distribution in tissues according to changes in ultrasonic backscattered energy. Computational and Mathematical Methods in Medicine. https://doi.org/10.1155/2013/682827
Shaswary, E., Assi, H., Yang, C., Kumaradas, J. C., Kolios, M. C., Peyman, G., & Tavakkoli, J. (2021). Real-time non-invasive control of tissue temperature using high-frequency ultrasonic backscattered energy. 2021 IEEE International Ultrasonics Symposium (IUS). https://doi.org/10.1109/IUS52206.2021.9593438
Wang, C. Y., Zhou, Z., Chang, Y. H., Ho, M. C., Lu, C. M., Wu, C. H., & Tsui, P. H. (2022). Ultrasound single-phase CBE imaging for monitoring radiofrequency ablation of the liver tumor: A preliminary clinical validation. Frontiers in Oncology, 12, 894246.
Lee, F. F., He, Q., Gao, J., Pan, A., Sun, S., Liang, X., & Luo, J. (2019). Evaluating HIFU-mediated local drug release using thermal strain imaging: Phantom and preliminary in-vivo studies. Medical physics, 46(9), 3864–3876.
Jahns, M., MacDougall, D., & Adamson, R. B. (2018). Thermoacoustic lensing in ultrasound imaging of nonechogenic tissue during high-intensity focused ultrasound exposure. Ultrasonic Imaging, 40(3), 143–157.
Alvarenga, A. V., Teixeira, C. A., von Krüger, M. A., & Pereira, W. C. (2020). Method for estimating average grey-level’s measurement uncertainty from ultrasound images for non-invasive estimation of temperature in different tissue types. Ultrasonics, 106, 106139.
Funding
This work was supported in part by National Science and Technology Council in Taiwan (NSTC 112–2221-E-182 -006-MY3). This work was supported in part by the Postgraduate Research Innovation Project of Tianjin, China (2021YJSB118) and the Tianjin Natural Science Foundation (22JCZDJC00220).
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All authors contributed to the study conception and design. K.Y., Q.L and X.Z. wrote the manuscript text and prepared figures. P.H.T. supported the HIFU facilities and designed the measurement protocol. C.Y.W. worked on the experiments and data analysis. All authors read and approved the final manuscript.
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Yang, K., Li, Q., Zhou, X. et al. Ultrasound Delta CBE Imaging: A New Approach Based on Local Energy Subtraction to Localization of the HIFU Focal Spot Using Changes in Backscattered Energy. J. Med. Biol. Eng. 44, 618–627 (2024). https://doi.org/10.1007/s40846-024-00887-3
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DOI: https://doi.org/10.1007/s40846-024-00887-3