scholarly journals HIFU Varicose Vein Treatment Using Veinsound Device Feasibility Study On Sheep

2021 ◽  
Author(s):  
Thomas Charrel ◽  
Bernard Greillier

The purpose of this nonclinical study was to evaluate the performance (in terms of vein occlusion) and the local tissue effects of echo-guided HIFU (High Intensity Focused Ultrasound) treatments in sheep’s saphenous veins.HIFU treatments were used to treat 4 saphenous veins. Two HIFU doses were evaluated 4s/60J and 7s/105J with and without tumescence injection in perivenous tissues. Before and after treatment, ultrasound scans were performed (at Day 0, 3, 7 and 21). Sheep were then euthanized at D21. Local tissue effects were evaluated based on the macroscopic observations, while the evaluation of the device performance was based on ultrasonic scan.Macroscopically throughout the study duration, for dose of 4s/60J and with tumescence, significant lumens diameter reduction of 84% was observed without skin burns. For doses of 4s/60J without tumescence and 7s/105J skin burns of slight to severe grade was observed along the vein, while no thrombus nor lumen reduction were observed.


Author(s):  
Jingsen Ma ◽  
Aswin Gnanaskandan ◽  
Chao-Tsung Hsiao ◽  
Georges L. Chahine

Abstract Microbubble enhanced High Intensity Focused Ultrasound (HIFU) is of great interest to tissue ablation for tumor treatment such as in liver and brain cancers, where microbubbles are injected to the targeted region to promote focal heating while reducing pre-focal damage. To accurately characterize the acoustic and thermal fields during this process, a compressible Euler-Lagrange model is used, and a domain decomposition based MPI parallelization scheme is developed for its speedup. The Eulerian computational domain is subdivided into several subdomains, and the Lagrangian bubbles are subdivided based on their locations corresponding to each subdomain. During each time step, MPI processors, each handling one subdomain, are sequentially used to execute 1) the fluid, and 2) bubble computations, 3) followed by the coupling which maps the void fraction from Lagrangian bubbles into Eulerian grids. Steps 1) and 2) are relatively straightforward by routinely following regular MPI procedures. However, step 3) becomes challenging as a bubble near borders needs to spread its effects to cells in different subdomains. This is addressed by a special utilization of ghost cells surrounding each fluid subdomain, which allows bubbles to spread their void effects across subdomain edges without the need of directly exchanging bubble information between subdomains and significantly increasing overhead. This is verified by gas volume conservation before and after spreading the bubble effects. Bubbles' thermal effects are handled in a similar way. This parallelization scheme is validated and illustrated on a typical microbubble enhanced HIFU problem, followed by parallelization scaling tests and efficiency analysis.



Author(s):  
Jingsen Ma ◽  
Aswin Gnanaskandan ◽  
Chao-Tsung Hsiao ◽  
Georges L. Chahine

Abstract Microbubble enhanced High Intensity Focused Ultrasound (HIFU) is of great interest to tissue ablation for tumor treatment such as in liver and brain cancers, in which ultrasonic contrast agent microbubbles are injected to the targeted region to promote local heating while reducing pre-focal damage. To accurately characterize the acoustic and thermal fields during this process, a compressible Euler-Lagrange model is used. The non-linear ultrasound field is modeled using compressible N-S equations on an Eulerian grid, while the microbubbles are tracked as discrete singularities in a Lagrangian fashion with their dynamics computed. Their intimate coupling is realized through the local void fraction, which is computed from the instantaneous bubble volumes and locations, and then fed to the fluid continuum model. Owing to demanding computational cost in real applications, schemes for significant speedup are highly desirable. We present here a MPI parallelization scheme based on domain decomposition for both the continuum fluid and the discrete bubbles. The Eulerian computational domain is subdivided into several subdomains having each the same number of grids, while the bubbles are subdivided based on their locations corresponding to each subdomain. During each computation time step, MPI processors, each handling one subdomain, are 1) first used to execute the fluid computation, and 2) then to execute the bubble computations, 3) followed by the coupling procedure, which maps the void fraction from the Lagrangian bubble solutions into the Eulerian grids. Steps 1) and 2) are relatively straightforward by routinely following regular MPI procedures. However, step 3) becomes challenging as the effect of the bubbles through the void fraction at an Eulerian point near a subdomain border will require information from bubbles located in different subdomains. Similarly, a bubble near a border between subdomains will spread its contribution to the void fraction of different subdomains. This is addressed by a special utilization of ghost cells surrounding each fluid subdomain, which allows bubbles to spread their void fraction effects across subdomain edges without the need of exchanging directly bubble information between subdomains and significantly increasing overhead. This void fraction implementation is verified by gas volume conservation before and after spreading the bubble effects. Other bubble effects such as thermal effects are handled in a similar way. This parallelization scheme is validated and illustrated on a typical microbubble enhanced HIFU problem, followed by parallelization scaling tests and efficiency analysis.



2012 ◽  
Vol 118 (5) ◽  
pp. 851-862 ◽  
Author(s):  
R. Del Vescovo ◽  
F. Pisanti ◽  
V. Russo ◽  
S. Battisti ◽  
R. L. Cazzato ◽  
...  


2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Tomasz Lozinski ◽  
Justyna Filipowska ◽  
Piotr Krol ◽  
Anna Kubaty ◽  
Piotr Wegrzyn

Objectives. The aim of the study was to evaluate the clinical efficacy of magnetic resonance-guided High-Intensity Focused Ultrasound (HIFU) in patients with symptomatic uterine fibroids (myomata) after application of oxytocin. Methods. 156 women with symptomatic uterine fibroids were treated using MR-guided HIFU procedure. 51 patients had additional IV administration of 40 IU of oxytocin in 5% Glucose or 0,9% NaCl solution during therapy. Before and after the procedure we performed MR and measured initial perfused volume, final perfused volume, nonperfused volume (NPV), and treated volume ratio (TVR). The follow-up was up to 15 months to assess efficacy of treatment and relief of symptoms. Results. Nonperfused volume was statistically significantly larger in oxytocin group than in control group (p=0.0019). The remaining parameters did not show significant difference between both groups. Conclusion. Oxytocin administration seems to improve efficiency of HIFU therapy although further research is required to assess its value. This study’ clinical registration number is DRKS00014794.



2020 ◽  
Vol 10 (21) ◽  
pp. 7888
Author(s):  
Vu Hoang Minh Doan ◽  
Van Tu Nguyen ◽  
Jaeyeop Choi ◽  
Sumin Park ◽  
Junghwan Oh

The objective of this study is to design a therapeutic method combining a portable high intensity focused ultrasound (HIFU) design which is suitable for the laboratory environment and a tailored integrated photo-acoustic imaging (PAI) system for monitoring thermal treatment. The electrical HIFU design is fabricated with changeable operating frequency and justified output power for resonating with different kinds of commercial transducers. The system’s control interface is built based on a touch screen to create a companionable interaction for users. The embedded fuzzy logic controller using the thermal input from the thermocouple sensor precisely drives the target temperature during HIFU exposure to achieve the expectedly coagulating results. The PAI system with 532-nm laser excitation is also integrated to define the affected region before and after HIFU treatment. The proposed fuzzy controller-integrated HIFU setup compatible with the PAI system is a feasible instrument in thermal therapy for ex vivo artificial tumors management.



2011 ◽  
Vol 56 (4) ◽  
pp. 214-219
Author(s):  
G-B He ◽  
W Luo ◽  
X-D Zhou ◽  
L-W Liu ◽  
M Yu ◽  
...  

Our aim was to explore the clinical application value of high-intensity focused ultrasound (HIFU) therapy for tubal pregnancy. Forty hospitalized patients with tubal pregnancies (28 cases of non-ruptured tubal pregnancy and 12 cases of ruptured tubal pregnancy) were selected to receive HIFU therapy. Serum human chorionic gonadotropin (β-HCG) concentrations were compared before and after treatment. Serum β-HCG was measured weekly and patients received observation only if the concentration decreased by 15% or more, compared with the previous value. Patients were given supplement HIFU therapy if the decrease in the serum β-HCG was <15% within two weeks. Ultrasound was used to detect the volume changes in the ectopic lesions before and after treatment, and changes in vital signs and complications were recorded. Contrast-enhanced ultrasonography was used to assess fallopian tube patency after treatment. HIFU treatment was successful in 33 of the 40 patients (82%). Seven patients failed HIFU treatment and received surgical therapy (18%). Before and after treatment, serum β-HCG concentrations and lesion volume were significantly different ( P < 0.05, P < 0.01, respectively). Post-treatment tubal contrast-enhanced ultrasonography showed tubal patency on the affected side in 21 cases (64%) at six months and in 27 cases (82%) at 12 months. In conclusion, HIFU is safe and effective, and can be a treatment option for tubal pregnancy.



1998 ◽  
Vol 20 (3) ◽  
pp. 160-177 ◽  
Author(s):  
M. Ribault ◽  
J.Y. Chapelon ◽  
D. Cathignol ◽  
A. Gelet

High intensity focused ultrasound (HIFU) is an effective technique for creating coagulative necrotic lesions in biological tissue, with a view to treating localized tumors. Although good results have already been obtained, notably in urology, current systems lack a real time monitoring system to check the efficacy of the treatment procedures. This study describes the development and assessment of a noninvasive system for making local measurements of attenuation variations during HIFU treatment procedures. An apparatus (Ablatherm, Edap-Technomed, France), combining a 2.5 MHz therapeutic transducer and a 5.5 MHz twin plane imaging probe (connected to an ultrasound scanner), was used to produce lesions. The rf signals needed to calculate the attenuation were recorded as outputs from the ultrasound scanner, before and after the high intensity firing sequences, which were performed on ten pieces of porcine liver. Each firing sequence involved producing a lesion volume comprising 42 individual lesions. A number of recordings were also made without producing lesions, in order to test the reproducibility of the measurements. The attenuation function was evaluated locally using the centroid and the multinarrowband methods. Initially, changes in the integrated attenuation αbar; (mean attenuation in the 4–7 MHz range) and the attenuation slope β were examined for the lesion volume. β values did not vary significantly within this range, whereas α values varied significantly (in the region of 86% of the initial level) in comparison to measurements performed without forming lesions. The differential attenuation Δα (representing local variations in α) was subsequently used to generate images revealing the lesion areas. There was a strong similarity between these ‘Δα images’ and the lesion volumes defined by the operator. ‘Δα images’ offer several advantages over existing attenuation imaging techniques. Any problems related to the heterogeneity of the medium are eliminated, since only the change in attenuation is taken into account. Furthermore, there is no need to compensate for diffraction when estimating Δα, as the rf signals are captured in exactly the same positions before and after treatment. This technique can be used during in vivo treatment procedures. It can be implemented in real time, since the computational algorithms (based primarily on FFT calculations) are very fast. The technique should provide clinical practitioners with valuable qualitative and quantitative information for use in HIFU ultrasound surgery.



2006 ◽  
Vol 175 (4S) ◽  
pp. 86-86
Author(s):  
Makoto Sumitomo ◽  
Junichi Asakuma ◽  
Yasumasa Hanawa ◽  
Kazuhiko Nagakura ◽  
Masamichi Hayakawa


2005 ◽  
Vol 173 (4S) ◽  
pp. 379-380
Author(s):  
James E. Kennedy ◽  
Rowland O. Illing ◽  
Feng Wu ◽  
Gail R. ter Haar ◽  
Rachel R. Phillips ◽  
...  


1994 ◽  
Vol 4 (2) ◽  
pp. 383-395 ◽  
Author(s):  
Narendra T. Sanghvi ◽  
Robert H. Hawes


Sign in / Sign up

Export Citation Format

Share Document