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    • 1. 发明申请
    • REAL-TIME MONITORING AND CONTROL OF HIFU THERAPY IN MULTIPLE DIMENSIONS
    • HIFU治疗多维度实时监测与控制
    • WO2011161559A1
    • 2011-12-29
    • PCT/IB2011/051855
    • 2011-04-27
    • KONINKLIJKE PHILIPS ELECTRONICS N.V.ANAND, AjayPETRUZZELLO, JohnZHOU, ShiweiSETHURAMAN, Shriram
    • ANAND, AjayPETRUZZELLO, JohnZHOU, ShiweiSETHURAMAN, Shriram
    • A61N7/02A61B8/00
    • A61N7/00A61B8/4488A61B8/485A61B2090/378A61N7/02A61N2007/0052A61N2007/0082A61N2007/0095
    • Energy is transferred (336) to cause a mechanical property of biological tissue to change, as in ablation. An effect of the transferring is examined in more than one spatial dimension to, for example, make an ablation halting decision for a treatment region, i.e., line (312)or layer (314), or for a location (316) within the region. Halting decisions can be based on lesion-central and/or lesion-peripheral longitudinal displacement of treated tissue evaluated in real time against a characteristic curve. Steering in the azimuthal and/or elevation direction is afforded by, for example, linear, or 2D, multi-channel ultrasound arrays for therapy and imaging. Protocols includable are region-wide scanning (SI 010) and location-by-location completion for both (HIFU) therapy and tracking (acoustic-radiation-forced-based) displacement of treated tissue. Fine, location- to-location monitoring can be used for relatively inhomogeneous tissue; whereas, quicker, sparser and more generalized monitoring (1 100, 1200) can be employed for relatively homogeneous tissue.
    • 转移能量(336)以使生物组织的机械性能发生变化,如消融。 在多于一个空间维度中检查转移的效果,以便例如对处理区域(即,线路(312)或层(314))或区域(316)进行消融停止决定 。 暂停决定可以基于对特征曲线实时评估的处理组织的病变中心和/或病变周边纵向位移。 方位角和/或仰角方向的转向由例如用于治疗和成像的线性或2D多通道超声阵列提供。 可包括的协议是针对处理组织的(HIFU)治疗和跟踪(基于声辐射的强制)位移的区域扫描(SI 010)和位置逐个完成。 精细的位置到位置监测可用于相对不均匀的组织; 而对于相对均匀的组织,可以采用更快,更稀疏和更广泛的监测(1100,1200)。