J. Wu, N. Sanghvi, M. Phillips, M. Kunetsov, R. Foster, R. Bihrle, T. A. Gardner, S. Umemura
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引用次数: 8
摘要
一种“分裂束”换位器的安排适用于现有的良性前列腺增生(BPH)高强度聚焦超声(HIFU)治疗设备sonabate -200/sup TM/(由Focus Surgery Inc., Indianapolis, IN制造),用于治疗局限性前列腺癌。在分束配置中,HIFU光束被分成几束,每次超声照射产生更大的治疗体积,从而减少总体治疗时间。本研究的目的是比较“单束”和“分束”操作配置所产生的坏死体积和温度模式。实验在不同的测试对象上进行,包括聚酯薄膜条、有机玻璃、火鸡乳房组织(体外)和狗前列腺。结果表明,在保持直肠壁附近温度在安全水平的情况下,在相同的照射时间内,劈开光束配置产生了更大的病变体积。因此,分束换能器(split beam transducer, SET)的配置在前列腺癌治疗的临床应用中应该是有效和高效的。
Experimental studies of using of split beam transducer for prostate cancer therapy in comparison to single beam transducer
A "split beam" transducer arrangement was adapted for the existing benign prostatic hyperplasia (BPH) high intensity focused ultrasound (HIFU) treatment device, Sonablate-200/sup TM/ (manufactured by Focus Surgery Inc., Indianapolis, IN) for the treatment of localized prostate cancer. In the split beam configuration the HIFU beam is divided into several beams to create a larger treatment volume per ultrasound exposure which can reduce the overall treatment time. The objective of current study was to compare the necrosis volume and temperature patterns produced from "single beam" and "split beam" operating configurations. Experiments were performed on different test objects including Mylar strip, plexiglass, turkey breast tissue (in-vitro) and in vivo dog prostates. The results showed that the split beam configuration created larger lesion volume for the same exposure time while keeping the temperature near the rectal wall at the safe levels. Thus split beam transducer (SET) configuration should be effective and efficient in clinical application for the prostate cancer treatment.