重庆医科大学：《超声治疗学》课程教学课件（讲稿）第九章 其他各种超声治疗技术 Emerging Therapeutic Ultrasound

Chap. 9Emerging Therapeutic UltrasoundLi FaqiDepartment of BME of CQMU

Chap. 9 Emerging Therapeutic Ultrasound Li Faqi Department of BME of CQMU

超声治疗学——Chap.9FocusedultrasoundtreatmentofprostatehyperplasiaandprostatecancerKITASATOUni104:06/20/200106/20/2001H29:34PMTransurethra and transrectaProstate thermal therapy with interstitial and transurethral ultrasound applicators

超声治疗学——Chap.9 Focused ultrasound treatment of prostate hyperplasia and prostate cancer Transurethra and transrecta Prostate thermal therapy with interstitial and transurethral ultrasound applicators

超声治疗学Chap.9FocusedUltrasoundhemostasisandvascularocclusionInvasivesurgerycouldbeavoidedbyusing highintensityfocused ultrasound totreat internalbleeding

超声治疗学——Chap.9 Focused Ultrasound hemostasis and vascular occlusion Invasive surgery could be avoided by using high￾intensity focused ultrasound to treat internal bleeding

aD超声治疗ribfracturewithrupturedportable HIFUspleenwithDopplerdHIFUdeviceHIFUdevicespleenlacerationtreatedregiorHowimage-guided ultrasound could treat a casualty with an injured spleen.(a)The injured patient is scanned using ultrasound imaging.The anatomical cross-sectional of the injured spleen. The ultrasound-imaging probe (green) and(b)high-intensityultrasound device(blue)are coupled together toguidethefocal pointoftheacousticenergyduringtreatment(c)An ultrasound image of the spleen before treatment shows lacerations and bleeding(d)After treatment the bleeding has stopped. The bright region on the diagnostic ultrasound imageofthe spleen indicates thetreated region

超声治疗学——Chap.9 How image-guided ultrasound could treat a casualty with an injured spleen. (a) The injured patient is scanned using ultrasound imaging. (b) The anatomical cross-sectional of the injured spleen. The ultrasound-imaging probe (green) and high-intensity ultrasound device (blue) are coupled together to guide the focal point of the acoustic energy during treatment. (c) An ultrasound image of the spleen before treatment shows lacerations and bleeding. (d) After treatment the bleeding has stopped. The bright region on the diagnostic ultrasound image of the spleen indicates the treated region

-Chap.9超声治疗学Annular HIFUArrayImaging ArrayFig.8.Potential configuration of an image-guided,transcutaneous acoustic hemostasissystem

超声治疗学——Chap.9

兴Cl超声治疗ABHIFUappliedArteryVeinDemonstration of successful application ofcimage-guided HIFU for vessel occlusion, using adevice similar to that shown in Fig.5.In A, theDoppler imaging system is used to identify a veinthat is supplying a region of hemorrhage in a porcineliver, in B, the vessel is targeted and HIFU is applied;in C,rescanning with Doppler,the vein in questionshows no flow and thus by implication is occluded.In this manner, rather than treating the entire regionof hemorrhage, the vessels supplying the region ofVeinisnowbleedingareeffectivelyembolized.occluded

超声治疗学——Chap.9

超声治疗学—Chap.9

超声治疗学——Chap.9

超声治疗学一Chap.9VTraumaVfetal medicineVPostpartum hemorrhage

超声治疗学——Chap.9 9Trauma 9fetal medicine 9Postpartum hemorrhage -

Chap.9超声治疗学一fibroidprobeThe transvaginal imaging probe provides a real-time image of the uterus and thefibroids.Meanwhile,a burst of high-intensityfocused ultrasound waves (blue)closes the vessels that supply the blood to the tumours and thereby destroys them

超声治疗学——Chap.9 The transvaginal imaging probe provides a real-time image of the uterus and the fibroids. Meanwhile, a burst of high-intensity focused ultrasound waves (blue) closes the vessels that supply the blood to the tumours and thereby destroys them

-Chap.9超声治疗学MR Angiogram(FISP 3D)After FUSBeforeFUS(with contrast)

超声治疗学——Chap.9