medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: July 18, 2024
Transcranial
focused
ultrasound
(tFUS)
is
an
emerging
neuromodulation
approach
that
has
been
demonstrated
in
animals
but
difficult
to
translate
humans
because
of
acoustic
attenuation
and
scattering
the
skull.
Optimal
dose
delivery
requires
subject-specific
skull
porosity
estimates
which
traditionally
done
using
CT.
We
propose
a
deep
learning
(DL)
estimation
from
T1-weighted
MRI
images
removes
need
for
radiation-inducing
CT
scans.
Journal of Medical Imaging,
Journal Year:
2023,
Volume and Issue:
10(05)
Published: Sept. 22, 2023
Transcranial
focused
ultrasound
(tFUS)
is
a
therapeutic
method
that
focuses
sound
through
the
skull
to
small
region
noninvasively
and
often
under
magnetic
resonance
imaging
(MRI)
guidance.
CT
used
estimate
acoustic
properties
vary
between
individual
skulls
enable
effective
focusing
during
tFUS
procedures,
exposing
patients
potentially
harmful
radiation.
A
parameters
in
without
need
for
desirable.
NeuroImage,
Journal Year:
2023,
Volume and Issue:
282, P. 120411 - 120411
Published: Oct. 14, 2023
Transcranial
focused
ultrasound
(tFUS),
in
which
acoustic
energy
is
on
a
small
region
the
brain
through
skull,
non-invasive
therapeutic
method
with
high
spatial
resolution
and
depth
penetration.
Image-guided
navigation
has
been
widely
utilized
to
visualize
location
of
focus
cranial
cavity.
However,
this
system
often
inaccurate
because
significant
aberrations
caused
by
skull.
Therefore,
simulations
using
numerical
solver
have
adopted
compensate
for
inaccuracy.
Although
simulation
can
predict
intracranial
pressure
field,
real-time
application
during
tFUS
treatment
almost
impossible
due
computational
cost.
In
study,
we
propose
neural
network-based
framework
test
its
feasibility
implementing
simulation-guided
(SGN)
system.
Real-time
performed
3D
conditional
generative
adversarial
network
(3D-cGAN)
model
featuring
residual
blocks
multiple
loss
functions.
This
was
trained
conventional
program
(i.e.,
k-Wave).
The
SGN
then
implemented
integrating
image-guided
proposed
provide
results
frame
rate
5
Hz
about
0.2
s),
including
all
processing
times.
validation
(3D-cGAN
vs.
k-Wave),
average
peak
error
6.8
±
5.5%,
position
5.3
7.7
mm.
experimental
skull
phantom
actual
measurement),
4.5%,
6.6
These
demonstrate
that
field
according
transducer
placement
real-time.
Physics in Medicine and Biology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: May 22, 2024
Magnetic
resonance
guided
transcranial
focused
ultrasound
holds
great
promises
for
treating
neurological
disorders.
This
technique
relies
on
skull
aberration
correction
which
requires
computed
tomography
(CT)
scans
of
the
patients.
Recently,
ultra-short
time-echo
(UTE)
magnetic
(MR)
sequences
have
unleashed
MRI
potential
to
reveal
internal
bone
structures.
In
this
study,
we
measure
efficacy
using
UTE
images.
Approach.
We
compare
CT
based
four
skulls
and
two
targets
a
clinical
device
(Exablate
Neuro,
Insightec,
Israel).
also
evaluate
performance
custom
ray
tracing
algorithm
both
estimates
acoustic
properties
these
against
manufacturer's
proprietary
software.
Main
results.
estimated
maps
in
Hounsfield
units
(HU)
had
mean
absolute
error
242
±
20
HU
(n=4).
The
were
sufficiently
accurate
improve
pressure
at
target
(no
correction:
0.44
0.10,
0.79
0.05,
manufacturer
CT:
0.80
0.05),
confinement
ratios
0.45
0.81
targeting
1.06
0.42
mm,
0.30
0.23
0.32
0.22)
(n=8
all
values).
When
CT,
our
performed
slightly
better
than
with
(UTE:
0.84
0.04),
0.17
0.15).
Significance.
These
3D
measurements
suggest
that
could
replace
case
MR
minimal
reduction
will
avoid
ionizing
radiation
exposure
patients
reduce
procedure
time
cost.
.
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Nov. 15, 2024
Abstract
Magnetic
resonance
acoustic
radiation
force
imaging
(MR-ARFI)
is
an
exceptionally
promising
technique
to
non-invasively
confirm
targeting
accuracy
and
estimate
exposure
of
low-intensity
transcranial
focused
ultrasound
stimulation.
MR-ARFI
uses
magnetic
field
motion
encoding
gradients
visualize
the
MR
phase
changes
generated
by
microscopic
displacements
at
focus.
Implementing
in
human
central
nervous
system
has
been
hindered
1)
distortion
caused
subject
motion,
2)
insufficient
signal-to-noise
ratio
low
(<1.0
MPa)
pressures.
The
purpose
this
study
was
optimize
allow
reduced
while
same
time
being
robust
bulk
physiological
motion.
We
demonstrate
that
a
series
single-shot
spiral
acquisitions,
triggering
on
off
blocks,
provides
ARFI
maps
with
correction
are
largely
immune
pulsatile
brain
Furthermore,
approach
allows
for
reduction
per
slice
improving
robustness
scan
time.
beam
can
be
visualized
80
second
our
protocol,
enabling
iteration
image-guided
targeting.
demonstrated
signals
expected
target
4
participants.
Our
results
provide
persuasive
proof-of-principle
used
as
tool
guide
ultrasound-based
precision
neural
circuit
therapeutics.
IEEE Open Journal of Ultrasonics Ferroelectrics and Frequency Control,
Journal Year:
2023,
Volume and Issue:
3, P. 146 - 156
Published: Jan. 1, 2023
Optical
tracking
is
a
real-time
transducer
positioning
method
for
transcranial
focused
ultrasound
(tFUS)
procedures,
but
the
predicted
focus
from
optical
typically
does
not
incorporate
subject-specific
skull
information.
Acoustic
simulations
can
estimate
pressure
field
when
propagating
through
cranium
rely
on
accurately
replicating
of
and
in
simulated
space.
Here,
we
develop
characterize
accuracy
workflow
that
creates
simulation
grids
based
information
neuronavigated
phantom
with
without
transmission
an
ex
vivo
cap.
The
software
pipeline
could
replicate
geometry
tFUS
procedure
within
limits
system
(transcranial
target
registration
error
(TRE):
3.9±0.7
mm).
free-field
by
had
low
Euclidean
distance
errors
0.5±0.1
1.2±0.4
mm
cap,
respectively,
some
skull-specific
effects
were
captured
simulation.
However,
TRE
informed
was
4.6
±
0.2,
which
as
large
or
greater
than
focal
spot
size
used
many
systems.
By
updating
position
using
original
offset,
reduced
to
1.1
0.4
mm.
Our
study
describes
treatment
planning,
evaluates
its
accuracy,
demonstrates
approach
MR-acoustic
radiation
force
imaging
improve
dosimetry.
Overall,
our
helps
acoustic
exposure,
highlights
need
image
feedback
increase
Current Opinion in Behavioral Sciences,
Journal Year:
2024,
Volume and Issue:
59, P. 101430 - 101430
Published: July 29, 2024
Significant
strides
have
been
made
in
the
translation
of
ultrasound
neuromodulation
for
use
humans.
These
advancements
pivotal
overcoming
challenges
associated
with
delivering
to
brain
through
skull.
This
undertaking
has
necessitated
development
specialized
hardware,
integration
precise
image
guidance
systems,
and
extensive
research
improve
methods
best
plan
enact
transcranial
focused
(FUS)
therapy.
To
validate
optimize
FUS
procedures,
various
devised
transmit,
simulate,
measure
pressure
fields.
Here,
we
cover
latest
breakthroughs
technology,
a
particular
focus
on
efforts
undertaken
therapeutic
interventions,
ensuring
their
safety
efficacy
across
diverse
range
subjects.
JASA Express Letters,
Journal Year:
2023,
Volume and Issue:
3(5)
Published: May 1, 2023
Transcranial
ultrasound
simulations
are
increasingly
used
to
predict
in
situ
exposure
parameters
for
therapies
the
brain.
However,
there
can
be
considerable
uncertainty
estimating
acoustic
medium
properties
of
skull
and
brain
from
computed
tomography
(CT)
images.
This
paper
shows
how
resulting
simulated
field
predicted
a
computationally
efficient
way
using
linear
propagation.
Results
representative
transcranial
simulation
focused
bowl
transducer
at
500
kHz
show
good
agreement
with
unbiased
estimates
obtained
Monte
Carlo.
Brain stimulation,
Journal Year:
2024,
Volume and Issue:
17(4), P. 958 - 969
Published: July 1, 2024
Transcranial
focused
ultrasound
(tFUS)
neuromodulation
has
shown
promise
in
animals
but
is
challenging
to
translate
humans
because
of
the
thicker
skull
that
heavily
scatters
waves.
iRadiology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Dec. 19, 2024
Abstract
Transcranial
focused
ultrasound
(tFUS)
is
an
emerging
modality
with
strong
potential
for
non‐invasively
treating
brain
disorders.
However,
the
inhomogeneity
and
complex
structure
of
skull
induce
substantial
phase
aberrations
pressure
attenuation;
these
can
distort
shift
acoustic
focus,
thus
hindering
efficiency
tFUS
therapy.
To
achieve
effective
treatments,
phased
array
transducers
combined
aberration
correction
algorithms
are
commonly
implemented.
The
present
report
aims
to
provide
a
comprehensive
review
current
methods
used
correction.
We
first
searched
PubMed
Web
Science
databases
studies
on
algorithms,
identifying
54
articles
review.
Relevant
information,
including
principles
refocusing
performances,
were
then
extracted
from
selected
articles.
involved
two
main
steps:
field
estimation
transmitted
pulse
adjustment.
Our
identified
key
benchmarks
evaluating
effectiveness
each
which
was
in
at
least
three
studies.
These
included
intensity,
positioning
error,
focal
region
size,
peak
sidelobe
ratio,
computational
efficiency.
Algorithm
performances
varied
under
different
benchmarks,
highlighting
importance
application‐specific
algorithm
selection
achieving
optimal
therapy
outcomes.
provides
thorough
overview
comparison
various
may
offer
valuable
guidance
researchers
when
selecting
appropriate
specific
applications.