Pitt Shield

Investigation of a large-area phased array for focused ultrasound surgery through the skull.

Authors: Clement GT, White J, Hynynen K

Non-invasive treatment of brain disorders using ultrasound would require a transducer array that can propagate ultrasound through the skull and still produce sufficient acoustic pressure at a specific location within the brain. Additionally, the array must not cause excessive heating near the skull or in other regions of the brain. A hemisphere-shaped transducer is proposed which disperses the ultrasound over a large region of the skull. The large surface area covered allows maximum ultrasound gain while minimizing undesired heating. To test the feasibility of the transducer two virtual arrays are simulated by superposition of multiple measurements from an 11-element and a 40-element spherically concave test array. Each array is focused through an ex vivo human skull at four separate locations around the skull surface. The resultant ultrasound field is calculated by combining measurements taken with a polyvinylidene difluoride needle hydrophone providing the fields from a 44-element and a 160-element virtual array covering 88% and 33% of a hemisphere respectively. Measurements are repeated after the phase of each array element is adjusted to maximize the constructive interference at the transducer's geometric focus. An investigation of mechanical and electronic beam steering through the skull is also performed with the 160-element virtual array, phasing it such that the focus of the transducer is located 14 mm from the geometric centre. Results indicate the feasibility of focusing and beam steering through the skull using an array spread over a large surface area. Further, it is demonstrated that beam steering through the skull is plausible.

Introduction

Purpose This article aimed to experimentally prove the feasbility of using large array to focus ultrasound through the skull without creating any damages and harm outside the focal region.
Study Objective This research aimed to experimentally test the feabiliy of using large array FUS transducer for treatment. To reach the goal, researchers first tested the transducer parameters in normal water conditions without the skull, then tested both transducers' performances with the skull. Researchers also demonstrated the feasibility of both mechnical and electronic beam steering method of the transducers by moving the skull 15mm distance away and repeating the experimental procedures.
Animal model / Human subject two human skull bone: SK1, SK2
Disease model not available
Targeted brain region(s) Human Skull Bone

Outcomes and Safety

Brain Region

Ultrasound Parameters

Ultrasound instrument There have two transducers: First Transducer: 11 elements, however, moved to four locations over a 16cm diameter hemisphere to emulate 44 element array. Second Transducer: 64 elements in total, 40 of its elements were performed in the experiment: However, it is moved to four locations over on a 20cm diameter hemisphere to emulate a 160 element array. Signals of transducers are generated by a home-made phased array driving system.
FUS Frequency First transducer: 0.665MHz Second transducer: 0.510MHz
FUS Intensity not mentioned
FUS Pressure Reported pressure in comparison to water pressure: Transducer 1: SK1: resulted peak acoustic pressure to less than 26% of the value in water. SK2: a reconstructed peak pressure amplitude equal to 35% of the value in water for SK2. Transducer 2: SK1: The uncorrected acoustic pressure had a peak amplitude equal to 26% of the peak value in water. The phase corrected measurement had a peak value equal to 42% of the peak in water. SK2: peak values of 22% uncorrected and 34% phase corrected were observed.
FUS Mode not specifically mentioned, possibly continous
Focal Characteristics FWHM of Transducer 1 for the diameter of the central lobe of the acoustic pressure: 1.8cm both with and without the skull FWHM of Transducer 2: Without the skull: 1.58mm With the skull: 1.76mm

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