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Journal ArticleDOI

1.5-D high intensity focused ultrasound array for non-invasive prostate cancer surgery

TLDR
The aim of this study is to demonstrate the feasibility of a new spherically curved 1.5-D phased array for the treatment of localized prostatic cancer, designed to conform to the Ablatherm(R) machine.
Abstract
The aim of this study is to demonstrate the feasibility of a new spherically curved 1.5-D phased array for the treatment of localized prostatic cancer. The device is designed to conform to the Ablatherm(R) machine (EDAP-Technomed. France), a commercially available machine in which high intensity focused ultrasound (HIFU) treatment for prostate cancer is administered transrectally. It uses high intensity electronically focused ultrasound to steer a beam along two axes, allowing enough depth to be reached to treat large prostates and eliminating two degrees of mechanical movement. Through computer simulation, it was determined that a curved 1.5-D configuration offered the optimal design. Two configurations were then proposed, and their ability to steer a beam within a target volume centered on the geometric focus of the transducer was simulated. An eight-element prototype was constructed to test the piezo-composite material and its electro-acoustical efficiency. Then, an array was constructed, and a multichannel amplifier and control system were added, to permit remote operation. Acoustical and electrical measurements were made to verify performance. Finally, the 1.5-D array was tested in vitro on samples of pig liver to confirm the ability to induce lesions.

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Citations
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Journal ArticleDOI

High intensity focused ultrasound: physical principles and devices.

TL;DR: The principle of operation of high intensity focused ultrasound, a treatment modality enabling non-invasive tissue heating and ablation for numerous applications, and numerous extra-corporeal, transrectal and interstitial devices have been described here to optimise application-specific treatment delivery.
Journal ArticleDOI

Technology insight: High-intensity focused ultrasound for urologic cancers.

TL;DR: The latest published results suggest that HIFU treatment is a valuable option for well- differentiated and moderately-differentiated tumors, as well as for local recurrence after external-beam radiation therapy.
Journal ArticleDOI

Image-guided ultrasound phased arrays are a disruptive technology for non-invasive therapy

TL;DR: It is expected that their continued development will both greatly improve the safety and efficacy of existing ultrasound therapies as well as enable treatments that are not currently possible with existing technology.
Journal ArticleDOI

Experimental evaluation of lesion prediction modelling in the presence of cavitation bubbles: intended for high-intensity focused ultrasound prostate treatment.

TL;DR: The accuracy of high-intensity focused ultrasound (HIFU) lesion prediction modelling was evaluated for a truncated spherical transducer designed for prostate cancer treatment and a good match was found between the predicted and experimental lesion shapes.
Journal ArticleDOI

Two-dimensional ultrasound phased array design for tissue ablation for treatment of benign prostatic hyperplasia.

TL;DR: The design, construction and evaluation of a two-dimensional ultrasound phased array to be used in the treatment of benign prostatic hyperplasia and indicated the capability of the transducer to ablate tissue using short sonications.
References
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Journal ArticleDOI

The threshold for thermally significant cavitation in dog's thigh muscle in vivo.

TL;DR: The threshold of thermally significant transient cavitation in vivo in dog's thigh muscle was investigated as a function of frequency from 0.246 MHz to 1.68 MHz and it appears that the transient Cavitation can be avoided when perfusion independent high temperature hyperthermia is induced with focused and pulsed ultrasound fields.
Journal ArticleDOI

High intensity focused ultrasound--a surgical technique for the treatment of discrete liver tumours.

TL;DR: The highly echogenic nature of the ultrasonic lesion has been studied, in an attempt to determine whether 'real time' observation of the extent of tissue damage is feasible.
Journal ArticleDOI

Treatment of prostate cancer with transrectal focused ultrasound: early clinical experience.

TL;DR: A satisfactory local control with negative control biopsies was achieved in 50% of the cases in this pilot study, however, this therapy is an investigational procedure: long-term follow-up will be necessary to confirm these early results.
Journal ArticleDOI

Local control of prostate cancer by transrectal high intensity focused ultrasound therapy: preliminary results

TL;DR: Preliminary data suggest that high intensity focused ultrasound represents a valid alternative treatment strategy for patients with localized prostate cancer who are unsuitable for surgery.
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