Real-time Focused Ultrasound Surgery (FUS) Monitoring Using Harmonic Motion Imaging (HMI)

Monitoring changes in tissue mechanical properties to optimally control thermal exposure is important in thermal therapies. The amplitude-modulated (AM) harmonic motion imaging (HMI) for focused ultrasound (HMIFU) technique is a radiation force technique, which has the capability of tracking tissue stiffness during application of an oscillatory force. The feasibility of HMIFU for assessing mechanical tissue properties has been previously demonstrated. In this paper, a confocal transducer, combining a 4.5 MHz FUS transducer and a 3.3 MHz phased array imaging transducer, was used. The FUS transducer was driven by AM wave at 15 Hz with an acoustic intensity was equal to 1050 W/cm(2). A lowpass digital filter was used to remove the spectrum of the higher power beam prior 10 displacement estimation. The resulting axial tissue displacement was estimated using 1D cross-correlation with a correlation window of 2 mm and a 92.5% overlap. A thermocouple was also used to measure the temperature near the ablated region. 2D HMI-images front six-bovine-liver specimens indicated the onset of coagulation necrosis through changes in amplitude displacement after coagulation due to its Simultaneous probing and heating capability. The HMI technique can thus be used to monitor temperature-related stiffness changes of tissues during thermal therapies in real-time, i.e., without interrupting or modifying the treatment protocol.