Tissue aberration corrections in ultrasound therapy

• US 8,088,067 B2
• Filed: 12/23/2002
• Issued: 01/03/2012
• Est. Priority Date: 12/23/2002
• Status: Active Grant

• Current Assignee: InSightec Ltd.
• Original Assignee: InSightec Ltd.
• Inventors: Vortman, Kobi, Vitek, Shuki
• Primary Examiner(s): MEHTA, PARIKHA SOLANKI
• Application Number:
  US10/328,584
• Publication Number:
  US 20040122323A1
• Time in Patent Office: 3,298 Days
• Field of Search: 600/439, 600/427, 601 2- 4
• US Class Current: 600/437
• CPC Class Codes: A61B 2090/374 NMR or MRI
• CPC Class Codes: A61B 2090/376 using X-rays, e.g. fluoroscopy
• CPC Class Codes: A61B 2090/378 using ultrasound
• CPC Class Codes: A61B 8/0816 using echo-encephalography
• CPC Class Codes: A61B 8/0858 involving measuring tissue layers, e.g. skin, interfaces
• CPC Class Codes: A61N 7/02 Localised ultrasound hyperthermia hyperthermia in general A61F7/00

Abstract

A system for focusing ultrasonic energy through intervening tissue into a target site within a tissue region includes a transducer array including transducer element, an imager for imaging the tissue region, a processor receiving images from the imager to determine boundaries between different tissue types within the intervening tissue and generate correction factors for the transducer elements to compensate for refraction occurring at the boundaries between the tissue types and/or for variations in speed of sound. A controller is coupled to the processor and the transducer array to receive the correction factors and provide excitation signals to the transducer elements based upon the correction factors. The correction factors may include phase and/or amplitude correction factors, and the phases and/or amplitudes of excitation signals provided to the transducer elements may be adjusted based upon the phase correction factors to focus the ultrasonic energy to treat tissue at the target site.

Claims

1. A system for delivering acoustic energy through intervening tissue into a target site within a tissue region, comprising:

a transducer array comprising a plurality of transducer elements configured for transmitting acoustic energy along respective pass zones through the intervening tissue towards the target site;

an imager for imaging the tissue region, the imager generating image data indicating tissue types of the intervening tissue;

a processor coupled to the imager for receiving the image data, the processor configured to determine boundaries between a plurality of tissue types within the intervening tissue and generate correction factors for the transducer elements to compensate for refraction occurring as the acoustic energy passes through the tissue types within the intervening tissue and for variations in speed of sound of the acoustic energy as it passes through the plurality of tissue types within the respective pass zones; and

a controller coupled to the processor and the transducer array, the controller configured for receiving the correction factors from the processor and providing excitation signals to the transducer elements based upon the respective correction factors to focus the acoustic energy transmitted by the transducer elements at the target site.

2. The system of claim 1, wherein the imager comprises at least one of a magnetic resonance imager, a computer tomography imager, and an ultrasound imager.

3. The system of claim 1, wherein the imager is configured for generating intensity data comprising a relative density of respective tissue types, and wherein the processor is configured for analyzing the intensity data to identify the plurality of tissue types.

4. The system of claim 1, wherein the imager is configured for generating a plurality of two-dimensional images comprising the intervening tissue.

5. The system of claim 4, wherein the processor is configured for converting the plurality of two-dimensional images into one or more three-dimensional renderings comprising the intervening tissue.

6. The system of claim 5, wherein the processor is configured for automatically determining the boundaries between the plurality of tissue types within the intervening tissue based upon the one or more three-dimensional renderings.

7. The system of claim 5, further comprising:

a display configured to display the one or more three-dimensional renderings; and

a user interface configured to interact with the one or more three-dimensional renderings to identify tissue types within the intervening tissue.

8. The system of claim 4, wherein the processor is configured for automatically determining the boundaries between the plurality of tissue types based upon the two-dimensional images.

9. The system of claim 1, wherein the correction factors comprise phase correction factors associated with respective transducer elements, and wherein the controller comprises a phase adjuster configured to adjust phases of excitation signals provided to the respective transducer elements based upon the phase correction factors.

10. The system of claim 9, wherein the excitation factors comprise amplitude correction factors associated with respective transducer elements, and wherein the controller further comprises one or more amplifiers coupled to the phase adjuster configured to amplify the excitation signals provided to the respective transducer elements based upon the amplitude correction factors.

11. A method for focusing acoustic energy transmitted from a plurality of transducer elements of a transducer array through intervening tissue at a target site within a tissue region, the method comprising:

acquiring one or more images of a portion of the tissue region that includes the intervening tissue and the target site;

determining boundaries between a plurality of tissue types within the intervening tissue from the one or more images;

generating respective excitation correction factors for each transducer element of the transducer array to compensate for refraction occurring as the acoustic energy passes through the tissue types within the intervening tissue and to compensate for variations in speed of sound of the acoustic energy as it passes through the plurality of tissue types within pass zones extending from respective transducer elements through the intervening tissue to the target site; and

administering acoustic energy from the transducers to the target site in response to the excitation factors.

12. The method of claim 11, further comprising driving the transducer elements with respective excitation signals based upon the respective excitation correction factors, thereby focusing acoustic energy from the transducer array at the target site.

13. The method of claim 12, wherein sufficient acoustic energy is focused at the target site for sufficient time to ablate tissue at the target site.

14. The method of claim 11, wherein the excitation correction factors comprise phase shift factors, and wherein the step of generating respective excitation correction factors comprises generating the phase shift factors, at least in part, by conducting ray calculations between the target site and each transducer element.

15. The method of claim 11, wherein the excitation correction factors comprise time delays, and wherein the step of generating respective excitation correction factors comprises determining a respective propagation time along a pass zone extending from each transducer element through boundaries between successive tissue types within the intervening tissue to the target site, the propagation time based, at least in part, upon the speed of sound in the successive tissue types, refraction at the boundaries between the successive tissue types, and a distance of the pass zone between the respective transducer element and the target site.

16. The method of claim 11, wherein the respective excitation correction factors are generated to correct for at least one of displacement of a focal zone of the transducer away from the target site and defocusing of a focal zone of the transducer array at the target site.

17. The method of claim 11, wherein the target site comprises a tissue structure within a brain, and the intervening tissue comprises bone tissue.

18. The method of claim 11, wherein the intervening tissue further comprises fat tissue.

19. The method of claim 11, wherein the one or more images comprise a plurality of image slices selected from magnetic resonance images, computer tomography images, or ultrasound images of the tissue region comprising the target site and the intervening tissue.

20. The method of claim 19, wherein the step of determining the boundaries comprises:

volumetrically reconstructing a three-dimension rendering of the tissue region from the image slices;

identifying regions of different tissue types within the tissue region based upon the three-dimensional rendering; and

determining three-dimensional boundaries between the identified regions of different tissue types within the tissue region.

21. A method for focusing acoustic energy to ablate a target site within a tissue region using a transducer array comprising a plurality of transducer elements, the method comprising:

acquiring one or more images of a portion of the tissue region that includes the target site and intervening tissue between the transducer array and the target site;

determining boundaries between a plurality of tissue types within the intervening tissue based upon the one or more images;

generating respective correction factors for each transducer element of the transducer array to compensate for refraction occurring as the acoustic energy passes through the tissue types within pass zones extending from respective transducer elements through the intervening tissue to the target site and for variations in speed of sound of the acoustic energy as it passes through the plurality of tissue types within the pass zones; and

driving the transducer elements with excitation signals based upon the correction factors to focus acoustic energy from the transducer elements at the target site for sufficient time to ablate tissue at the target site.

22. The method of claim 21, wherein the acquired images comprise a plurality of two-dimensional images comprising the intervening tissue.

23. The method of claim 22, wherein the step of determining boundaries comprises:

converting the plurality of two-dimensional images into a three-dimensional rendering comprising the intervening tissue; and

determining the boundaries between the plurality of tissue types within the intervening tissue based upon the three-dimensional rendering.

24. The method of claim 21, wherein the correction factors comprise phase correction factors associated with respective transducer elements, and wherein the phases of excitation signals provided to the respective transducer elements are adjusted based upon the phase correction factors.

25. The method of claim 24, wherein the excitation factors comprise amplitude correction factors associated with respective transducer elements, and wherein the excitation signals provided to the respective transducer elements are amplified based upon the amplitude correction factors.

26. Software to operate an ultrasound therapy system including a transducer array including a plurality of transducer elements, the software residing on a computer readable medium and comprising instructions to cause the system to:

acquire one or more images of a tissue region comprising a target site and intervening tissue between the transducer array and the target site;

determine boundaries between a plurality of tissue types within the intervening tissue based upon the one or more images; and

generate excitation correction factors for the transducer elements to compensate for variations in speed of sound of the acoustic energy as it passes through the plurality of tissue types within pass zones extending from respective transducer elements through the intervening tissue to the target site and to compensate for refraction occurring as the acoustic energy passes through the boundaries between the tissue types within the pass zones.