Real-time spatiotemporal control of high-intensity focused ultrasound thermal ablation using echo decorrelation imaging in ex vivo bovine liver

摘要

The ability to control high-intensity focused ultrasound (HIFU) thermal ablation using echo decorrelation imaging feedback was evaluated in ex vivo bovine liver. Sonications were automatically ceased when the minimum cumulative echo decorrelation within the region of interest exceeded an ablation control threshold, determined from preliminary experiments as −2.7 (log10-scaled decorrelation per millisecond), corresponding to 90% specificity for local ablation prediction. Controlled HIFU thermal ablation experiments were compared with uncontrolled experiments employing 2, 5, or 9 sonication cycles. Means and standard errors of the lesion width, area and depth, as well as receiver operating characteristic curves testing ablation prediction performance, were computed for each group. Controlled trials showed significantly smaller average lesion area, width, and treatment time than 5-cycle or 9-cycle uncontrolled trials, and also showed significantly greater prediction capability than 2-cycle uncontrolled trials. These results suggest echo decorrelation imaging is an effective approach to real-time HIFU ablation control.