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[Numerical simulation of the focal region modulation to realize uniform temperature distribution during high-intensity focused ultrasound brain tumor therapy].

Authors: Chang S, Wang P, Jian X

The temperature during the brain tumor therapy using high-intensity focused ultrasound (HIFU) should be controlled strictly. This research aimed at realizing uniform temperature distribution in the focal region by adjusting driving signals of phased array transducer. The three-dimensional simulation model imitating craniotomy HIFU brain tumor treatment was established based on an 82-element transducer and the computed tomography (CT) data of a volunteer's head was used to calculate and modulate the temperature distributions using the finite difference in time domain (FDTD) method. Two signals which focus at two preset targets with a certain distance were superimposed to emit each transducer element. Then the temperature distribution was modulated by changing the triggering time delay and amplitudes of the two signals. The results showed that when the distance between the two targets was within a certain range, a focal region with uniform temperature distribution could be created. And also the volume of focal region formed by one irradiation could be adjusted. The simulation results would provide theoretical method and reference for HIFU applying in clinical brain tumor treatment safely and effectively.

Introduction

Purpose Thermal Ablation
Study Objective To achieve a uniform temperature distribution in the HIFU focal region for brain tumor treatment by adjusting the excitation time delay and amplitude of a phased-array transducer using 3D numerical simulation.
Animal model / Human subject Human (Homo sapiens), strain: N/A, age: not specified, sex: not specified
Disease model brain tumor
MRI or image guidance method MRi
Targeted brain region(s) Not Provided
Target coordinates Not provided
Cargo name and characteristics not provided
Route of administration not provided

Outcomes and Safety

Summary of Outcomes In simulated HIFU brain‑tumor treatment, using two-focus phased‑array excitation produced more uniform focal temperature and allowed control of focal shape and volume, with successful control achieved by adjusting the excitation time delay and amplitude between the two signals (for two target points within a certain separation).
Duration of biological effect not specified
Safety-related matter The study highlights the importance of stringent temperature control during HIFU treatment of brain tumors and demonstrates that a homogeneous temperature distribution within the focal zone can be achieved through optimization of phased-array transducer excitation signals. These simulation findings offer a theoretical basis and practical guidance for the safe and effective clinical implementation of HIFU.

Brain Region

Ultrasound Parameters

Ultrasound instrument ExAblate 4000, InSightec, Israel
FUS Frequency 0.7 MHz
FUS Intensity  41.22 W
FUS Pressure Not provided
FUS Mode Not provided
Pulse duration Not provided
Duration of a single FUS session Not provided
Focal Characteristics Not provided
Treatment frequency not provided

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