Method for examining and aiming treatment with untrasound

• US 5,080,101 A
• Filed: 06/19/1989
• Issued: 01/14/1992
• Est. Priority Date: 12/14/1983
• Status: Expired due to Term

• Current Assignee: Technomed Medical Systems SA
• Original Assignee: Edap Intl, S.A.
• Inventors: Dory, Jacques
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US07/368,906
• Time in Patent Office: 939 Days
• Field of Search: 128/24 AA, 128/399, 128/804, 128/660.03
• US Class Current: 600/439
• CPC Class Codes: A61B 17/2258 integrated in a central portion of the shock wave apparatus
• CPC Class Codes: A61B 2017/00154 pulsed
• CPC Class Codes: A61B 2017/22028 arrays, e.g. phased arrays
• CPC Class Codes: A61B 8/08 Detecting organic movements or changes, e.g. tumours, cysts, swellings A61B8/02 - A61B8/06 take precedence
• CPC Class Codes: A61N 7/00 Ultrasound therapy lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 ; using ultrasound for introducing media into the body A61M37/0092
• CPC Class Codes: A61N 7/02 Localised ultrasound hyperthermia hyperthermia in general A61F7/00
• CPC Class Codes: G01S 15/899 Combination of imaging systems with ancillary equipment

Abstract

The disclosure relates to a method of ultrasonically locating and aiming treatment at a body target and displaying real time images of the body target. A treatment transducer produces a treatment beam of wave vibrations focused on said target and a separate scanning transducer displays images of said target on a display device during treatment with said beam together with a coincident image of a cursor which identifies the focal spot of the treatment beam.

Claims

1. A method for examining, localizing and treating a zone within a body comprising the steps of:

(a) generating a first treatment beam from a first transducer focused on said zone;

(b) successively discharging said first beam to treat said zone with said first beam;

(c) generating a second imaging scanning beam from a separate second transducer;

(d) effecting a scanning of said zone with said second beam within the path of the treatment beam by sweeping said second beam across said zone to effect imaging of said zone;

(e) receiving the echoes formed through reflection of said second beam on reflecting surfaces of said zone and converting said echoes into electrical signals; and

displaying said signals during treatment at least between successive treatment discharges as serial real time images;

further including;

(f) exciting treatment vibrations with said first beam, in treatment discharges which are separated by time intervals, to form a treatment sequence of discharges;

(g) effecting the separate generation of imaging scanning pulses with said second beam during at least said intervals in said treatment sequence to form images of said zone by sweeping said second beam through water across an angular sector containing said zone; and

(h) effecting and maintaining coincidence of said images with a mark which indicates during treatment the position of a focal point of said treatment beam.

2. A method as set forth in claim 1 wherein said treatment is for effecting hyperthermia by causing local heating at the treatment beam focus in said zone.

3. A method as set forth in claim 1 wherein said treatment beam is an ultrasonic beam.

4. A method as set forth in claim 1 wherein said treatment is for causing a therapeutic increase in the temperature of said zone by local heating at the focus of the treatment beam.

5. A method as set forth in claim 1 wherein said second beam is emitted within said path of said treatment beam.

6. A method for treating a body zone comprising the steps of:

(a) generating an interrupted wave treatment beam having a focus from a first treatment beam generator;

(b) treating said zone with said treatment beam;

(c) generating a separate echography imaging scanning ultrasound beam from a second generator distinct from said first treatment generator;

(d) effecting a scanning of said zone with said echography beam at least during interruptions of said treatment beam by sweeping said echography beam across said zone to effect imaging of said zone;

(e) receiving echoes formed through reflection of said echography beam on said zone and converting said echoes into electrical signals to display images of said zone;

(f) displaying real time images of said zone on a display device coincident with a cursor mark displayed on said device which indicates the position of said focus of said treatment beam; and

(g) maintaining said images of said zone in coincidence with said cursor mark while scanning said zone with said echography beam.

7. A method according to claim 6 in which said treatment beam is displaced to bring said mark into coincidence with said real time images.

8. A method as set forth in claim 6 wherein said treatment is for effecting hyperthermia by causing local heating at the treatment beam focus in said zone.

9. A method as set forth in claim 6 wherein said treatment beam is an ultrasonic beam.

10. A method as set forth in claim 6 wherein said treatment is for causing a therapeutic increase in the temperature of said zone by local heating at the focus of the treatment beam.

11. A method as set forth in claim 6 wherein the step of generating an interrupted treatment beam comprises generating groups of treatment waves, each group having a duration during which treatment waves are emitted from said first treatment beam generator, said groups of treatment waves being separated by said interruptions during which no treatment waves are emitted, each of said interruptions having a duration, said duration of each of said groups of treatment waves being longer in time than the duration of each of said interruptions.

12. A method as set forth in claim 6 wherein the step of generating an interrupted wave treatment beam comprises generating from said first treatment beam generator groups of treatment waves separated by said interruption during which no treatment waves are generated, each of said groups of treatment waves comprising at least two treatment waves.

13. A method of treating a zone within a body by focused discharges of treatment vibrations, comprising the steps of:

(a) identifying and locating said zone within said body by ultrasound echography scanning using an ultrasound beam source and displaying an image of said zone on an image display device;

(b) generating a treatment beam of vibrations from a second beam source directed at a focus and focusing said treatment beam onto said zone by bringing and maintaining a cursor mark on said display device, indicating said focus of said treatment beam, into coincidence with said ultrasound image of said zone;

(c) treating said zone with said vibrations from said second source by transmitting said vibrations through water; and

(d) providing a real time echographic image display of said zone by sweeping and scanning ultrasound waves from said first source through said water to check said zone location and treatment progress at least between treatment pulses during treatment of said zone.

14. A method as set forth in claim 13 wherein said treatment is for effecting hyperthermia by causing local heating at the treatment beam focus in said zone.

15. A method as set forth in claim 13 wherein said treatment beam is an ultrasonic beam.

16. A method as set forth in claim 13 wherein said treatment is for causing a therapeutic increase in the temperature of said zone by local heating at the focus of the treatment beam.

17. A method for treating a zone, having a least one reflecting surface for ultrasonic waves and located within a body, by treatment vibrations, said method comprising the steps of:

(a) locating said zone by generating, from a first transducer means having an active surface a first real time scanning ultrasonic beam and sweeping said zone with said first beam, whereby echoes are formed through reflection of said first beam on said at least one reflecting surface;

receiving said echoes upon said active surface;

converting said received echoes into electric signals and forming from said signals two dimensional real time images of said zone through at least one plane;

(b) providing from a second transducer means a focused treatment beam of treatment vibrations converging at a focal point which is located in said at least one plane and is indicated by display of a cursor mark;

(c) displacing said focal point of said second transducer means relative to said zone and placing said mark of said focal point in registration with said images of said zone; and

(d) thereafter treating said zone with treatment vibrations while observing and maintaining coincidence of said mark and images during treatment.

18. A method according to claim 17 in which said treatment beam and said cursor mark which indicates the focal point of said treatment beam are displaced by moving a focusing means of said treatment beam to bring said mark into coincidence with said images before and during treatment.

19. A method as set forth in claim 17 wherein said treatment is for effecting hyperthermia by causing local heating at the treatment beam focus in said zone.

20. A method as set forth in claim 17 wherein said treatment beam is an ultrasonic beam.

21. A method as set forth in claim 17 wherein said treatment is for causing a therapeutic increase in the temperature of said zone by local heating at the focus of the treatment beam.

22. A method for treating a zone, having at least one reflecting surface for ultrasonic waves and located within a body, by treatment vibrations, said method comprising the steps of:

(a) locating said zone by generating from a first transducer means having an active surface a first real time scanning ultrasonic beam and scanning and sweeping said zone with said first beam, whereby echoes are formed through reflection of said first beam on said at least one reflecting surface;

receiving said echoes upon said active surface;

converting said received echoes into electric signals and forming from said signals two dimensional real time images of said zone through at least one plane;

(b) generating and discharging from a second transducer means, at a focal point thereof which is located in said at least one plane, a focused treatment beam providing said treatment vibrations;

(c) displacing said focal point of said second transducer means relative to said zone; and

displaying and maintaining a cursor mark indicating said focal point within said images of said zone.

23. A method as set forth in claim 22 wherein said treatment is for effecting hyperthermia by causing local heating at the treatment beam focus in said zone.

24. A method as set forth in claim 22 wherein said treatment beam is an ultrasonic beam.

25. A method as set forth in claim 22 wherein said treatment is for causing a therapeutic increase in the temperature of said zone by local heating at the focus of the treatment beam.

26. A method for treatment of a zone within a body of a patient, comprising the steps of:

(a) providing a focusing surface having a focal point at a distance from said surface; and

a first ultrasonic scanning transducer having an axis between said focal point and said surface, said scanning transducer being coupled to said surface and radiating an acoustical signal beam;

(b) locating said zone by sweeping said signal beam across an angular sector including said zone;

(c) detecting reflections of said signal beam and displaying said reflections of said signal beam in real time on a visual display having a mark which indicates the position of said focal point;

(d) positioning said surface to locate said focal point at said zone by bringing said mark into coincidence with displayed reflections from said zone;

(e) generating from a second treatment transducer a treatment wave focused by said surface upon said zone; and

(f) coupling said treatment wave through a portion of said body to concentrate treatment wave energy at said zone.

27. A method as set forth in claim 26 wherein said treatment is for effecting hyperthermia by causing local heating at the focal point in said zone.

28. A method as set forth in claim 26 wherein said treatment wave is an ultrasonic wave.

29. A method as set forth in claim 26 wherein said treatment is for causing a therapeutic increase in the temperature of said zone by local heating at the focus of the treatment wave.

30. A method for operating a wave treatment device which treats a target within a living body comprising:

(a) generating treatment waves from a treatment wave transducer;

(b) focusing said treatment waves through ultrasound coupling means at a focal spot beyond said coupling means;

(c) displaying an image of said target by sweeping an ultrasonic scanning beam through said ultrasound coupling means across said target; and

displaying a visual indication of the position of said focal spot; and

(d) displacing said treatment wave transducer to bring said image and said visual indication into coincidence.

31. A method as set forth in claim 30 wherein said treatment is for effecting hyperthermia by causing local heating at the focal spot.

32. A method as set forth in claim 30 wherein said treatment wave is an ultrasonic wave.

33. A method as set forth in claim 30 wherein said target is a zone to be treated.

34. A method as set forth in claim 30 wherein said treatment is for causing a therapeutic increase in the temperature at said focal spot.

35. A method for treating a zone, having reflecting surfaces for ultrasonic waves and located within a body, by an interrupted beam of treatment vibrations generated from a treatment transducer and converging at a focus, said method comprising the steps of:

(a) locating said zone by generating an echographic ultrasonic beam from an echographic transducer and effecting periodic sweeps of said echographic ultrasonic beam across said zone for scanning said zone with said echographic ultrasonic beam, whereby echoes are formed through reflection of said echographic ultrasonic beam on said reflecting surfaces;

receiving echoes from said surfaces;

converting the received echoes into electric signals;

forming from said signals two dimensional images of the zone through at least one plane in a predetermined area of a display surface; and

displaying a visual indication of said focus within said area in a fixed relative position with respect to said area;

(b) treating said zone by generating treatment beam discharges from said treatment transducer focused on said zone; and

(c) scanning and sweeping said zone at least between treatment discharges with said echographic beam to produce images of treatment progress.

36. A method as set forth in claim 35 wherein said treatment is for effecting hyperthermia by causing local heating at the treatment beam focus in said zone.

37. A method as set forth in claim 35 wherein said treatment beam discharges are ultrasonic.

38. A method as set forth in claim 37 wherein the step of treating said zone comprises generating groups of treatment beam discharges separated by interruptions during which no treatment beam discharges are generated, each of said groups of treatment beam discharges comprising at least two treatment beam discharges.

39. A method as set forth in claim 35 wherein the step of treating said zone comprises generating groups of treatment beam discharges separated by interruptions during which no treatment beam discharges are generated, each group of treatment beam discharges having a duration during which treatment beams are discharged from said treatment transducer, each of said interruptions having a duration, wherein said duration of each group of treatment beam discharges is longer in time than said duration of each of said interruptions.

40. A method as set forth in claim 35 wherein the step of treating said zone comprises generating groups of treatment beam discharges separated by interruptions during which no treatment beam discharges are generated, each of said groups of treatment beam discharges comprising at least two treatment beam discharges.

41. A method as set forth in claim 35 wherein said treatment is for causing a therapeutic increase in the temperature of said zone by local heating at the focus of the treatment beam.