Received:12 October 2016,
Published:30 April 2017
移动端阅览
Jing Wen, Jianzhong Zou, Qi Wang, et al. Efficacy of surface ablation with continuous versus pulsed high-intensity focused ultrasound in isolated bovine liver[J]. Journal of Third Military Medical University, 2017, 39(8): 749-754.
Jing Wen, Jianzhong Zou, Qi Wang, et al. Efficacy of surface ablation with continuous versus pulsed high-intensity focused ultrasound in isolated bovine liver[J]. Journal of Third Military Medical University, 2017, 39(8): 749-754. DOI: 10.16016/j.1000-5404.201610064.
Objective
2
To compare the effect of surface ablation with continuous high-intensity focused ultrasound (CHIFU) and pulsed high-intensity focused ultrasound (PHIFU) and investigate the optimization of surface ablation mode with HIFU.
Methods
2
Forty samples of fresh bovine liver tissues were divided into group A (
n
=30) and group B (
n
=10) for surface ablation with PHIFU and CHIFU
respectively. According to the duty cycles
the samples in group A were divided into 3 equal subgroups with duty cycles of 10% (group A1)
30% (group A2)
and 50% (group A3). With ultrasonographic guidance
the target areas in the liver tissues were irradiated with PHIFU and CHIFU for surface ablation
and the temperature changes in the geometric center of the target area were recorded. After ablation
tissue damages in the peripheral area and the areas within and outside the target area were observed
the energy efficiency factor (EEF) was calculated
and the temperature-time curve was analyzed.
Results
2
Compared with that in group B
the EEF in the 3 subgroups in group A all reduced significantly (
P
<
0.05)
and the reduction became more prominent as the duty cycles increased. Thermal damage outside the target area was observed only in group B. In each group
confined lesions were formed following the ablation
and the irradiated areas showed liquid necrosis in subgroup A1 and coagulation necrosis in the other groups. Within the target area of ablation
the tissue damage was intensified as the duty cycle increased
and the peak temperature in the center of the target area exceeded 60 ℃ in all the groups only with the exception of group A1.
Conclusion
2
Compared with CHIFU surface ablation
PHIFU surface ablation has a greater ablation efficiency and reduces tissue damage outside the target area. In PHIFU peripheral ablation
the temperature and tissue damage of the non-irradiated internal tissue within the target area can be controlled by adjusting the duty cycles.
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