The effect of temperature dependent tissue parameters on acoustic radiation force induced displacements

TL;DR

This study investigates how temperature-induced changes in tissue properties affect acoustic radiation force-induced displacements during HIFU therapy, emphasizing the importance of continuous displacement monitoring for effective treatment.

Contribution

It quantifies temperature-dependent tissue property changes and demonstrates their impact on ARF-induced displacements through experiments and simulations, highlighting the need for real-time monitoring.

Findings

Fractional Zener model fits viscoelastic data better than conventional models

Displacement amplitude decreases at 60-70 C due to combined effects

Attenuation influences displacement before thermal ablation

Abstract

Multiple ultrasound elastography techniques rely on acoustic radiation force (ARF) in monitoring high-intensity focused ultrasound (HIFU) therapy. However, ARF is dependent on tissue attenuation and sound speed, both of which are also known to change with temperature making the therapy monitoring more challenging. Furthermore, the viscoelastic properties of tissue are also temperature dependent, which affects the displacements induced by ARF. The aim of this study is to quantify the temperature dependent changes in the acoustic and viscoelastic properties of liver and investigate their effect on ARF induced displacements by using both experimental methods and simulations. Furthermore, the temperature dependent viscoelastic properties of liver are experimentally measured over a frequency range of 0.1-200 Hz at temperatures reaching 80 C, and both conventional and fractional Zener models are used to fit the data. The fractional Zener model was found to fit better with the experimental viscoelasticity data with respect to the conventional model with up to two magnitudes lower sum of squared errors (SSE). The characteristics of experimental displacement data were also seen in the simulations due to the changes in attenuation coefficient and lesion development. At low temperatures before thermal ablation, attenuation was found to affect the displacement amplitude. At higher temperature, the decrease in displacement amplitude occurs approximately at 60-70 C due to the combined effect of viscoelasticity changes and lesion growth overpowering the effect of attenuation. The results suggest that it is necessary to monitor displacement continuously during HIFU therapy in order to ascertain when ablation occurs.