目的:测定HIFU经过羊肩胛或人体离体颅骨形成的声压场及焦域,研究骨骼对HIFU聚焦的影响。方法:单阵元换能器发射超声波,经羊肩胛骨或者人体颅骨聚焦,通过水听器测量形成声场,通过含蛋清仿组织体模测量不同辐照条件形成的焦域大小。结果:羊肩胛骨及人体颅骨均可对声压造成极大的衰减;经骨骼后在激励功率达80 W时焦点声压与纯水中激励功率2 W相近,羊肩胛骨激励条件250 W、辐照时间3 min下可使仿体组织产生焦域;颅骨则在最大强度300 W、5 min下无焦域产生。结论:HIFU经骨骼聚焦时,增大输入功率或辐照时间,焦域体积增大。在单阵元换能器辐照环境下,经骨骼聚焦困难,焦点声压较低,形成焦域较小或无焦域形成,增大时间骨骼易产生热损伤。
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[1]孙武军,张弥左,李文龙,等.高强度聚焦超声换能器温度场的数值仿真[J].生物物理学报,2009,25(5):366
[2]王韶林,肖雪刚,陈晓瑞,等.高强度聚焦超声焦域的实验研究[J].中国超声医学杂志,2012,28(5):385
[3]于廷和.超声治癌的机制[J].国外医学:肿瘤学分册,1997,24(5):301
[4]危安,周启昌.HIFU 治疗肝癌疗效评价及超声在评价中的应用价值[Z],2006:123
[5]Labuda C P, Church C C. Augmentation of HIFU-induced heating with fibers embedded in a phantom[J].Ultrasound Med Biol,2011,37(3):442
[6]薛凡凡,常诗卉,菅喜岐.血管对高强度聚焦超声焦域影响的体模实验研究[J].天津医科大学学报,2014,20(4):275
[7]Lee K I, Choi M J. Prediction and measurement of the size of thermal lesion induced by high intensity focused ultrasound in a Tissue-Mimicking phantom[J].Jpn J Appl Phys,2009,48(2):27003
[8]Wang J C, Shieh J, Chen B T, et al. A study of latent heat effects in temperature profiles and lesion formation[J].Int J Heat Mass Transf,2014,71:285
[9]Tang S C, Clement G T. Standing wave suppression for transcranial ultrasound by random-modulation[C]//8TH INTERNATIONAL SYMPOSIUM ON THERAPEUTIC ULTRASOUND,1113,2009:3
[10]Pernot M, Aubry J F, Tanter M, et al. Prediction of the skull overheating during high intensity focused ultrasound transcranial brain therapy[C]//Ultrasonics Symposium, 2004 IEEE,2,2004:1005
[1]薛凡凡,常诗卉,菅喜岐.血管对高强度聚焦超声焦域影响的体模实验研究[J].天津医科大学学报,2014,20(04):275.
XUE Fan-fan,CHANG Shi-hui,JIAN Xi-qi.Experimental study on the effect of blood vessel on high intensity focused ultrasound focal region in phantom[J].Journal of Tianjin Medical University,2014,20(04):275.
[2]钱宇晗,张艳秋,霍 然,等.HIFU经颅脑肿瘤治疗参数筛选的数值仿真研究001[J].天津医科大学学报,2018,24(05):369.
QIAN Yu-han,ZHANG Yan-qiu,HUO Ran,et al.Study on parameters screening for the numerical simulation of transcranial tumor treatment with high intensity focused ultrasound[J].Journal of Tianjin Medical University,2018,24(04):369.
基金项目 国家自然科学基金资助项目(81272495)
作者简介 曾苗苗(1990-),女,硕士在读,研究方向:超声医学;通信作者:菅喜岐,E-mail:jianxiqi@tmu.edu.cn。