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Abstract #2925

Investigations on Ultrasound Focal Therapy for MRI-Guided Transurethral Treatment of the Prostate: Dual-Frequency Ultrasound Heating in Gel Phantom

William Apoutou N'DJIN1, 2, Charles MOUGENOT3, Ilya KOBELEVSKIY1, Elizabeth RAMSAY1, Michael BRONSKILL1, 2, Rajiv CHOPRA1, 2

1Imaging Research, Sunnybrook Research Institute, Toronto, ON, Canada; 2Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada; 3Philips Healthcare, Toronto, ON, Canada

The feasibility of transurethral dual-frequency ultrasound focal therapy under MR-thermometry guidance has been investigated experimentally in gel phantom. The therapeutic applicator was inserted into an anatomical gel phantom including clinically approved human prostate geometry and prostate tumor mimics. Full prostate gland therapy and focal therapy strategies have been tested successfully, and allowed accurate and fast treatments (~ half an hour) of all tumor mimics spread in a large prostate (52 cm2). Focal therapy was faster and less aggressive, which can be promising for future clinical studies on MR-guided transurethral ultrasound treatment of localized prostate cancer.

Keywords

acoustic adapt adjusted allowed anatomical apex applicator autonomy better boundaries boundary cancer coil completed complications container containing contribute control controlled cover coverage created database deposition device diagnosed diameter disease driven dual effectively element elements enables enhance enhanced enough ensure ensured entire error every experimentally exposures fast feasibility features feedback flexibility focal foundation frequency full fundamental future geometry gland greater guided harmonic healthy heat heating human institute invasive investigated largest length life linear localized long made material medical mimic mimics mode models mounted nine offers optimal optimize optimized orthogonal participants patient patients pelvic phantom phys pilot planning positioned power probe procedure process promising prostate quality radii radiotherapy ranging real recently reconstructed regard represented respectively risk safe safety settings sexual shorter slice smallest sound strategy successfully suited support surface surrounding target targeting temperature terry therapy thermometry third tissue tissues torso transducer treat treatment treatments tumor tumors ultrasound uncertainty urinary validated various volume volunteers