Intra-operative ultrasound hand-held strain imaging for the visualization of ablations produced in the liver with a toroidal HIFU transducer: first in vivo results.

Jérémy Chenot 1, * David Melodelima 1 William Apoutou N'Djin 1 Rémi Souchon 1 Michel Rivoire 1 Jean-Yves Chapelon 1
* Auteur correspondant
1 Applications des ultrasons à la thérapie
Abstract : The use of hand-held ultrasound strain imaging for the intra-operative real-time visualization of HIFU (high-intensity focused ultrasound) ablations produced in the liver by a toroidal transducer was investigated. A linear 12 MHz ultrasound imaging probe was used to obtain radiofrequency signals. Using a fast cross-correlation algorithm, strain images were calculated and displayed at 60 frames s(-1), allowing the use of hand-held strain imaging intra-operatively. Fourteen HIFU lesions were produced in four pigs. Intra-operative strain imaging of HIFU ablations in the liver was feasible owing to the high frame rate. The correlation between dimensions measured on gross pathology and dimensions measured on B-mode images and on strain images were R = 0.72 and R = 0.94 respectively. The contrast between ablated and non-ablated tissue was significantly higher (p < 0.05) in the strain images (22 dB) than in the B-mode images (9 dB). Strain images allowed equivalent or improved definition of ablated regions when compared with B-mode images. Real-time intra-operative hand-held strain imaging seems to be a promising complement to conventional B-mode imaging for the guidance of HIFU ablations produced in the liver during an open procedure. These results support that hand-held strain imaging outperforms conventional B-mode ultrasound and could potentially be used for the assessment of thermal therapies.
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Physics in Medicine and Biology, IOP Publishing, 2010, 55 (11), pp.3131-44. 〈10.1088/0031-9155/55/11/010〉
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Jérémy Chenot, David Melodelima, William Apoutou N'Djin, Rémi Souchon, Michel Rivoire, et al.. Intra-operative ultrasound hand-held strain imaging for the visualization of ablations produced in the liver with a toroidal HIFU transducer: first in vivo results.. Physics in Medicine and Biology, IOP Publishing, 2010, 55 (11), pp.3131-44. 〈10.1088/0031-9155/55/11/010〉. 〈inserm-00496006〉

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