Skip to main content
Erschienen in: International Journal of Computer Assisted Radiology and Surgery 4/2014

01.07.2014 | Original Article

MRI-compatible positioning device for guiding a focused ultrasound system for transrectal treatment of prostate cancer

verfasst von: Christos Yiallouras, Nicos Mylonas, Christakis Damianou

Erschienen in: International Journal of Computer Assisted Radiology and Surgery | Ausgabe 4/2014

Einloggen, um Zugang zu erhalten

Abstract

Background   

High-intensity focused ultrasound (HIFU) is a promising treatment method for many common cancers, including prostate cancer. Magnetic resonance image (MRI) guidance of HIFU permits targeting and monitoring of therapy. A prototype MRI-compatible positioning device that navigates a HIFU transducer was designed, fabricated and tested.

Materials and methods   

The positioning device has two PC-controlled and one manually driven stage that allow endorectal access to the prostate. The positioning device was constructed using a 3-D rapid prototype manufacturing device. Software was developed that controls the motion of the positioning device and enables activation of a HIFU transducer. In vitro testing of the system was performed in a 1.5T MRI scanner using ex vivo turkey tissue. Optical encoders were employed to enhance the accuracy of this positioning device.

Result   

The positioning device was successfully tested for MRI compatibility. The movement error of the positioning device is approximately 20 \(\upmu \)m. The robot has the ability to accurately move the transducer for creation of discrete and overlapping lesions.

Conclusion   

An MRI-compatible HIFU positioning system was developed that has the ability to create thermal lesions with MRI guidance for endorectal treatment of prostate cancer.
Literatur
1.
Zurück zum Zitat Lizzi F, Coleman J, Driller J, Franzen L, Jakobiec F (1978) Experimental, ultrasonically induced lesions in the retina, choroid, and sclera. Invest Ophthalmol Visual Sci 205:350–360 Lizzi F, Coleman J, Driller J, Franzen L, Jakobiec F (1978) Experimental, ultrasonically induced lesions in the retina, choroid, and sclera. Invest Ophthalmol Visual Sci 205:350–360
2.
Zurück zum Zitat Chapelon JY, Margonari J, Vernier F, Gorry F, Ecochard R, Gelet A (1992) In vivo effects of high-intensity ultrasound on prostatic adenocarcinoma Dunning R3327. Cancer Res 52(22):6353–6357PubMed Chapelon JY, Margonari J, Vernier F, Gorry F, Ecochard R, Gelet A (1992) In vivo effects of high-intensity ultrasound on prostatic adenocarcinoma Dunning R3327. Cancer Res 52(22):6353–6357PubMed
3.
Zurück zum Zitat ter Haar G, Sinnett D, Rivens I (1989) High intensity focused ultrasound: a surgical technique for the treatment of discrete liver tumors. Phys Med Biol 34(11):1743–1750PubMedCrossRef ter Haar G, Sinnett D, Rivens I (1989) High intensity focused ultrasound: a surgical technique for the treatment of discrete liver tumors. Phys Med Biol 34(11):1743–1750PubMedCrossRef
4.
Zurück zum Zitat Lele PP (1962) A simple method for production of trackless focal lesions with focused ultrasound. J Physiol 160:494–512PubMedCentralPubMed Lele PP (1962) A simple method for production of trackless focal lesions with focused ultrasound. J Physiol 160:494–512PubMedCentralPubMed
5.
Zurück zum Zitat Vykhodtseva NI, Hynynen K, Damianou C (1994) Pulse duration and peak intensity during focused ultrasound surgery: theoretical and experimental effects in rabbit brain in vivo. Ultrasound Med Biol 20(9):987–1000PubMedCrossRef Vykhodtseva NI, Hynynen K, Damianou C (1994) Pulse duration and peak intensity during focused ultrasound surgery: theoretical and experimental effects in rabbit brain in vivo. Ultrasound Med Biol 20(9):987–1000PubMedCrossRef
6.
Zurück zum Zitat Linke C, Carteensen EL, Frizzell LA, Elbdawi A, Fridd CW (1973) Localized tissue destruction by high intensity focused ultrasound. Arch Surg 107(6):887–891PubMedCrossRef Linke C, Carteensen EL, Frizzell LA, Elbdawi A, Fridd CW (1973) Localized tissue destruction by high intensity focused ultrasound. Arch Surg 107(6):887–891PubMedCrossRef
7.
Zurück zum Zitat Hynynen K, Damianou CA, Colucci V, Unger E, Cline HH, Jolesz FA (1995) MR monitoring of focused ultrasonic surgery of renal cortex: experimental and simulation studies. J Magn Reson Imag 5(3):259–266CrossRef Hynynen K, Damianou CA, Colucci V, Unger E, Cline HH, Jolesz FA (1995) MR monitoring of focused ultrasonic surgery of renal cortex: experimental and simulation studies. J Magn Reson Imag 5(3):259–266CrossRef
8.
Zurück zum Zitat Damianou Christakis, Pavlou M, Velev O, Kyriakou K, Trimikliniotis M (2004) High intensity focused ultrasound ablation of kidney guided by MRI. J Ultrasound Med Biol 30(3):397–404CrossRef Damianou Christakis, Pavlou M, Velev O, Kyriakou K, Trimikliniotis M (2004) High intensity focused ultrasound ablation of kidney guided by MRI. J Ultrasound Med Biol 30(3):397–404CrossRef
9.
Zurück zum Zitat Hynynen K, Pomeroy O, Smith DN, Huber PE, McDannold NJ, Kettenbach J, Baum J, Singer S, Jolesz FA (2001) MR imaging-guided focused ultrasound surgery of fibroadenomas in the breast: a feasibility study. Radiology 219(1):176–185PubMedCrossRef Hynynen K, Pomeroy O, Smith DN, Huber PE, McDannold NJ, Kettenbach J, Baum J, Singer S, Jolesz FA (2001) MR imaging-guided focused ultrasound surgery of fibroadenomas in the breast: a feasibility study. Radiology 219(1):176–185PubMedCrossRef
10.
Zurück zum Zitat Jolesz FA, Jakab PD (1991) Acoustic pressure wave generation within a magnetic resonance imaging system: potential medical applications. J Magn Reson Imag 1(5):609–613CrossRef Jolesz FA, Jakab PD (1991) Acoustic pressure wave generation within a magnetic resonance imaging system: potential medical applications. J Magn Reson Imag 1(5):609–613CrossRef
11.
Zurück zum Zitat Hynynen K, Darkazanli A, Unger E, Schenck JF (1993) MRI-guided noninvasive ultrasound surgery. Med Phys 20(1):107–115PubMedCrossRef Hynynen K, Darkazanli A, Unger E, Schenck JF (1993) MRI-guided noninvasive ultrasound surgery. Med Phys 20(1):107–115PubMedCrossRef
12.
Zurück zum Zitat Ettinger R, Cline H, Watkins R, Rohling K (1994) Inventors general electric company, assignee. Magnetic resonance guided ultrasound therapy system with inclined track to move transducers in a small vertical space. United States patent US5275165 Ettinger R, Cline H, Watkins R, Rohling K (1994) Inventors general electric company, assignee. Magnetic resonance guided ultrasound therapy system with inclined track to move transducers in a small vertical space. United States patent US5275165
13.
Zurück zum Zitat Cline H, Rohling K, Abeling W (1995) Inventors general electric company, assignee. Mechanical positioner for magnetic resonance guided ultrasound therapy. United States patent US5443068 Cline H, Rohling K, Abeling W (1995) Inventors general electric company, assignee. Mechanical positioner for magnetic resonance guided ultrasound therapy. United States patent US5443068
14.
Zurück zum Zitat Yehezkeli O, Freundlich D, Magen N, Marantz C, Medan Y, Vitek S, Weinreb A (2002) Inventors, INSIGHTEC-TXSONICSLTD, assignee. Mechanical positioner for MRI guided ultrasound therapy system WO0209812 Yehezkeli O, Freundlich D, Magen N, Marantz C, Medan Y, Vitek S, Weinreb A (2002) Inventors, INSIGHTEC-TXSONICSLTD, assignee. Mechanical positioner for MRI guided ultrasound therapy system WO0209812
15.
Zurück zum Zitat Tempany CM, Stewart EA, McDannold N, Quade B, Jolesz F, Hynynen K (2003) MRI guided focused ultrasound surgery (FUS) of uterine leiomyomas: a feasibility study. Radiology 227:897– 905CrossRef Tempany CM, Stewart EA, McDannold N, Quade B, Jolesz F, Hynynen K (2003) MRI guided focused ultrasound surgery (FUS) of uterine leiomyomas: a feasibility study. Radiology 227:897– 905CrossRef
16.
Zurück zum Zitat Stewart EA, Rabinovici J, Tempany C, Inbar Y, Regan L, Gostout B, Hesley G, Kim HS, Hengst S, Gedroyc W (2006) Clinical outcomes of focused ultrasound surgery for the treatment of uterine fibroids. Fertil Steril 85(1):22–29PubMedCrossRef Stewart EA, Rabinovici J, Tempany C, Inbar Y, Regan L, Gostout B, Hesley G, Kim HS, Hengst S, Gedroyc W (2006) Clinical outcomes of focused ultrasound surgery for the treatment of uterine fibroids. Fertil Steril 85(1):22–29PubMedCrossRef
17.
Zurück zum Zitat Kim HS, Baik JH, Pham LD, Jacobs MA (2011) MR-guided high-intensity focused ultrasound treatment for symptomatic uterine leiomyomata long-term outcomes. Acad Radiol 18(8):970– 976 Kim HS, Baik JH, Pham LD, Jacobs MA (2011) MR-guided high-intensity focused ultrasound treatment for symptomatic uterine leiomyomata long-term outcomes. Acad Radiol 18(8):970– 976
18.
Zurück zum Zitat Behera MA, Leong M, Johnson L, Brown H (2010) Eligibility and accessibility of magnetic resonance guided focused ultrasound (MRgFUS) for the treatment of uterine leiomyomas. Fertil Steril 94(5):1864–1868PubMedCrossRef Behera MA, Leong M, Johnson L, Brown H (2010) Eligibility and accessibility of magnetic resonance guided focused ultrasound (MRgFUS) for the treatment of uterine leiomyomas. Fertil Steril 94(5):1864–1868PubMedCrossRef
19.
Zurück zum Zitat Funaki K, Fukunishi H, Funaki T, Kawakami C (2007) Mid-term outcome of magnetic resonance-guided focused ultrasound surgery for uterine myomas: from 6 to 12 months after volume reduction. J Minim Invasive Gynecol 14(5):616–621PubMedCrossRef Funaki K, Fukunishi H, Funaki T, Kawakami C (2007) Mid-term outcome of magnetic resonance-guided focused ultrasound surgery for uterine myomas: from 6 to 12 months after volume reduction. J Minim Invasive Gynecol 14(5):616–621PubMedCrossRef
20.
Zurück zum Zitat Polina Laveena, Nyapathy Vinay, Mishra Anindita, Yellamanthili Himabindu, Vallabhaneni Mythri P (2012) Noninvasive treatment of focal adenomyosis with MR-guided focused ultrasound in two patients. Indian J Radiol Imaging 22(2):93–97PubMedCentralPubMedCrossRef Polina Laveena, Nyapathy Vinay, Mishra Anindita, Yellamanthili Himabindu, Vallabhaneni Mythri P (2012) Noninvasive treatment of focal adenomyosis with MR-guided focused ultrasound in two patients. Indian J Radiol Imaging 22(2):93–97PubMedCentralPubMedCrossRef
21.
Zurück zum Zitat Rabinovici J, Inbar Y, Eylon-Cohen S, Schiff E, Hananel A, Freundlich D (2006) Pregnancy and live birth after focused ultrasound surgery for symptomatic focal adenomyosis: a case report. Hum Reprod 21(5):1255–1259PubMedCrossRef Rabinovici J, Inbar Y, Eylon-Cohen S, Schiff E, Hananel A, Freundlich D (2006) Pregnancy and live birth after focused ultrasound surgery for symptomatic focal adenomyosis: a case report. Hum Reprod 21(5):1255–1259PubMedCrossRef
22.
Zurück zum Zitat Zini C, Hipp E, Thomas S, Napoli A, Catalano C, Oto A (2012) Ultrasound- and MR-guided focused ultrasound surgery for prostate cancer. World J Radiol 4(6):247–252PubMedCentralPubMedCrossRef Zini C, Hipp E, Thomas S, Napoli A, Catalano C, Oto A (2012) Ultrasound- and MR-guided focused ultrasound surgery for prostate cancer. World J Radiol 4(6):247–252PubMedCentralPubMedCrossRef
23.
Zurück zum Zitat Napoli A, Anzidei M, De Nunzio C, Cartocci G, Panebianco V, De Dominicis C, Catalano C, Petrucci F, Leonardo C (2013) Real-time magnetic resonance-guided high-intensity focused ultrasound focal therapy for localised prostate cancer: preliminary experience. Eur Urol 63:395–398PubMedCrossRef Napoli A, Anzidei M, De Nunzio C, Cartocci G, Panebianco V, De Dominicis C, Catalano C, Petrucci F, Leonardo C (2013) Real-time magnetic resonance-guided high-intensity focused ultrasound focal therapy for localised prostate cancer: preliminary experience. Eur Urol 63:395–398PubMedCrossRef
24.
Zurück zum Zitat Gombos EC, Kacher DF, Furusawa H, Namba K (2006) Breast focused ultrasound surgery with magnetic resonance guidance. Top Magn Reson Imaing 17:181–188CrossRef Gombos EC, Kacher DF, Furusawa H, Namba K (2006) Breast focused ultrasound surgery with magnetic resonance guidance. Top Magn Reson Imaing 17:181–188CrossRef
25.
Zurück zum Zitat Furusawa H, Namba K, Thomasen S, Akiyama F, Bendet A, Tanaka C, Yasuda Y, Nakahara H (2006) Magnetic resonance-guided focused ultrasound surgery of breast cancer: reliability and effectiveness. J Am Coll Surg 203(1):54–63PubMedCrossRef Furusawa H, Namba K, Thomasen S, Akiyama F, Bendet A, Tanaka C, Yasuda Y, Nakahara H (2006) Magnetic resonance-guided focused ultrasound surgery of breast cancer: reliability and effectiveness. J Am Coll Surg 203(1):54–63PubMedCrossRef
26.
Zurück zum Zitat Khiat A, Gianfelice D, Amara M, Boulanger Y (2006) Influence of post-treatment delay on the evaluation of the response to focused ultrasound surgery of breast cancer by dynamic contrast enhanced MRI. British J Radiol 79:308–314CrossRef Khiat A, Gianfelice D, Amara M, Boulanger Y (2006) Influence of post-treatment delay on the evaluation of the response to focused ultrasound surgery of breast cancer by dynamic contrast enhanced MRI. British J Radiol 79:308–314CrossRef
27.
Zurück zum Zitat Gianfelice D, Abdesslem K, Boulanger Y, Amara M, Belblidia A (2003) MR imaging-guided focused ultrasound surgery of breast cancer: correlation of dynamic contrast-enhanced MRI with histopathologic findings. Breast Cancer Res Treat 82:93–101PubMedCrossRef Gianfelice D, Abdesslem K, Boulanger Y, Amara M, Belblidia A (2003) MR imaging-guided focused ultrasound surgery of breast cancer: correlation of dynamic contrast-enhanced MRI with histopathologic findings. Breast Cancer Res Treat 82:93–101PubMedCrossRef
28.
Zurück zum Zitat Hynynen K, Pomeroy O, Smith D, Huber P, McDannold N, Kettenbach J, Baum J, Singer S, Jolesz F (2001) MR imaging-guided focused ultrasound surgery of fibroadenomas in the breast: a feasibility study. Radiology 219:176–185PubMedCrossRef Hynynen K, Pomeroy O, Smith D, Huber P, McDannold N, Kettenbach J, Baum J, Singer S, Jolesz F (2001) MR imaging-guided focused ultrasound surgery of fibroadenomas in the breast: a feasibility study. Radiology 219:176–185PubMedCrossRef
29.
Zurück zum Zitat Okada A, Murakami T, Mikami K, Onishi H, Tanigawa N (2006) A case of hepatocellular carcinoma treated by MR-guided focused ultrasound ablation with respiratory gating. Magn Reson Med Sci 5(3):167–171PubMedCrossRef Okada A, Murakami T, Mikami K, Onishi H, Tanigawa N (2006) A case of hepatocellular carcinoma treated by MR-guided focused ultrasound ablation with respiratory gating. Magn Reson Med Sci 5(3):167–171PubMedCrossRef
30.
Zurück zum Zitat Kopelman D, Inbar Y, Hanannel A, Dank G, Freundlich D (2006) Magnetic resonance-guided focused ultrasound surgery (MRgFUS). Four ablation treatments of a single canine hepatocellular adenoma. HPB 8:292–298PubMedCentralPubMedCrossRef Kopelman D, Inbar Y, Hanannel A, Dank G, Freundlich D (2006) Magnetic resonance-guided focused ultrasound surgery (MRgFUS). Four ablation treatments of a single canine hepatocellular adenoma. HPB 8:292–298PubMedCentralPubMedCrossRef
31.
Zurück zum Zitat Napoli A, Anzidei M, Marincola BC, Brachetti G, Ciolina F, Cartocci G, Marsecano C, Zaccagna F, Marchetti L, Cortesi E, Catalano C (2013) Primary pain palliation and local tumor control in bone metastases treated with magnetic resonance-guided focused ultrasound. Invest Radiol 48(6):351–358 Napoli A, Anzidei M, Marincola BC, Brachetti G, Ciolina F, Cartocci G, Marsecano C, Zaccagna F, Marchetti L, Cortesi E, Catalano C (2013) Primary pain palliation and local tumor control in bone metastases treated with magnetic resonance-guided focused ultrasound. Invest Radiol 48(6):351–358
32.
Zurück zum Zitat Lee JE, Yoon SW, Kim KA, Lee JT, Shay L, Lee KS (2011) Successful use of magnetic resonance-guided focused ultrasound surgery for long-term pain palliation in a patient suffering from metastatic bone tumor. J Korean Soc Radiol 65(2):133–138 Lee JE, Yoon SW, Kim KA, Lee JT, Shay L, Lee KS (2011) Successful use of magnetic resonance-guided focused ultrasound surgery for long-term pain palliation in a patient suffering from metastatic bone tumor. J Korean Soc Radiol 65(2):133–138
33.
Zurück zum Zitat Kopelman D, Inbar Y, Hanannel A, Pfeffer RM, Dogadkin O, Freundlich D, Liberman B, Catane R (2008) Magnetic resonance guided focused ultrasound surgery. Ablation of soft tissue at bone–muscle interface in a Porcine model. Eur J Clin Invest 38:268–275PubMedCrossRef Kopelman D, Inbar Y, Hanannel A, Pfeffer RM, Dogadkin O, Freundlich D, Liberman B, Catane R (2008) Magnetic resonance guided focused ultrasound surgery. Ablation of soft tissue at bone–muscle interface in a Porcine model. Eur J Clin Invest 38:268–275PubMedCrossRef
34.
Zurück zum Zitat Catane R, Beck A, Inbar Y, Rabin T, Shabshin N, Hengst S, Pfeffer RM, Hanannel A, Dogadkin O, Liberman B, Kopelman D (2006) MR-guided focused ultrasound surgery (MRgFUS) for the palliation of pain in patients with bone metastases-preliminary clinical experience. Ann Oncol 18(1):163–167PubMedCrossRef Catane R, Beck A, Inbar Y, Rabin T, Shabshin N, Hengst S, Pfeffer RM, Hanannel A, Dogadkin O, Liberman B, Kopelman D (2006) MR-guided focused ultrasound surgery (MRgFUS) for the palliation of pain in patients with bone metastases-preliminary clinical experience. Ann Oncol 18(1):163–167PubMedCrossRef
35.
Zurück zum Zitat McDannold N, Clement G, Black P, Jolesz F, Kullervo Hynynen K (2010) Transcranial MRI-guided focused ultrasound surgery of brain tumors: initial findings in three patients. Neurosurgery 66(2):323–332PubMedCentralPubMedCrossRef McDannold N, Clement G, Black P, Jolesz F, Kullervo Hynynen K (2010) Transcranial MRI-guided focused ultrasound surgery of brain tumors: initial findings in three patients. Neurosurgery 66(2):323–332PubMedCentralPubMedCrossRef
36.
Zurück zum Zitat Diederich CJ, Stafford RJ, Nau WH, Burdette EC, Price RE, Hazle JD (2004) Transurethral ultrasound applicators with directional heating patterns for prostate thermal therapy: in vivo evaluation using magnetic resonance thermometry. Med Phys 31:405–413PubMedCrossRef Diederich CJ, Stafford RJ, Nau WH, Burdette EC, Price RE, Hazle JD (2004) Transurethral ultrasound applicators with directional heating patterns for prostate thermal therapy: in vivo evaluation using magnetic resonance thermometry. Med Phys 31:405–413PubMedCrossRef
37.
Zurück zum Zitat Pisani L, Ross A, Diederich C, Nau W, Sommer G, Glover G, Butts K (2005) Effects of spatial and temporal resolution for MR image-guided thermal ablation of prostate with transurethral ultrasound. JMRI 22(1):109–118PubMedCrossRef Pisani L, Ross A, Diederich C, Nau W, Sommer G, Glover G, Butts K (2005) Effects of spatial and temporal resolution for MR image-guided thermal ablation of prostate with transurethral ultrasound. JMRI 22(1):109–118PubMedCrossRef
38.
Zurück zum Zitat Ross A, Diederich C, Nau W, Rieke V, Butts K, Sommer G (2005) Curvilinear transurethral ultrasound applicator for prostate thermal therapy under MR guidance. Med Phys 32(6):1555–1565 Ross A, Diederich C, Nau W, Rieke V, Butts K, Sommer G (2005) Curvilinear transurethral ultrasound applicator for prostate thermal therapy under MR guidance. Med Phys 32(6):1555–1565
39.
Zurück zum Zitat Dorenberg EJ, Courivaud F, Ring E, Hald K, Jakobsen JÅ, Fosse E, Hol PK (2013) Volumetric ablation of uterine fibroids using Sonalleve high-intensity focused ultrasound in a 3 Tesla scanner-first clinical assessment. Minim Invasive Ther Allied Technol 22(2):73–79 Dorenberg EJ, Courivaud F, Ring E, Hald K, Jakobsen JÅ, Fosse E, Hol PK (2013) Volumetric ablation of uterine fibroids using Sonalleve high-intensity focused ultrasound in a 3 Tesla scanner-first clinical assessment. Minim Invasive Ther Allied Technol 22(2):73–79
40.
Zurück zum Zitat Chopra R, Baker N, Choy V, Boyes A, Tang K, Bradwell D, Bronskill M J (2008) MRI-compatible transurethral ultrasound system for the treatment of localized prostate cancer using rotational control. Med Phys 35(4):1346–1357 Chopra R, Baker N, Choy V, Boyes A, Tang K, Bradwell D, Bronskill M J (2008) MRI-compatible transurethral ultrasound system for the treatment of localized prostate cancer using rotational control. Med Phys 35(4):1346–1357
41.
Zurück zum Zitat Chopra R, Tang K, Burtnyk M, Boyes A, Sugar L, Appu S, Klotz L, Bronskill M (2009) Analysis of the spatial and temporal accuracy of heating in the prostate gland using transurethral ultrasound therapy and active MR temperature feedback. Phys Med Biol 54:2615–2633PubMedCrossRef Chopra R, Tang K, Burtnyk M, Boyes A, Sugar L, Appu S, Klotz L, Bronskill M (2009) Analysis of the spatial and temporal accuracy of heating in the prostate gland using transurethral ultrasound therapy and active MR temperature feedback. Phys Med Biol 54:2615–2633PubMedCrossRef
42.
Zurück zum Zitat Chopra R, Curiel L, Staruch R, Morrison L, Hynynen K (2009) An MRI-compatible system for focused ultrasound experiments in small animal models. Med Phys 36(5):1867–1874PubMedCentralPubMedCrossRef Chopra R, Curiel L, Staruch R, Morrison L, Hynynen K (2009) An MRI-compatible system for focused ultrasound experiments in small animal models. Med Phys 36(5):1867–1874PubMedCentralPubMedCrossRef
43.
Zurück zum Zitat McDannold M, Ziso H, Assif B, Hananel A, Vykhodtseva N, Gretton P, Pilatou M, Haker S, Tempany C, MRI-guided focused ultrasound (MRgFUS) system for thermal ablation of prostate cancer: pre-clinical evaluation in canines. In: Thomas PR (ed) Energy-based treatment of tissue and assessment V, Proc of SPIE, vol 7181 McDannold M, Ziso H, Assif B, Hananel A, Vykhodtseva N, Gretton P, Pilatou M, Haker S, Tempany C, MRI-guided focused ultrasound (MRgFUS) system for thermal ablation of prostate cancer: pre-clinical evaluation in canines. In: Thomas PR (ed) Energy-based treatment of tissue and assessment V, Proc of SPIE, vol 7181
44.
Zurück zum Zitat Damianou C, Milonas N, Ioannides K (2008) Positioning device for MRI-guided high intensity focus ultrasound system. CARS 2:335–345CrossRef Damianou C, Milonas N, Ioannides K (2008) Positioning device for MRI-guided high intensity focus ultrasound system. CARS 2:335–345CrossRef
45.
Zurück zum Zitat Mylonas N, Damianou C (2013) MR compatible positioning device for guiding a focused ultrasound system for the treatment of brain diseases. Int J Med Robotics Comput Assist Surg. doi:10.1002/rcs.1501 Mylonas N, Damianou C (2013) MR compatible positioning device for guiding a focused ultrasound system for the treatment of brain diseases. Int J Med Robotics Comput Assist Surg. doi:10.​1002/​rcs.​1501
46.
Zurück zum Zitat Bihrle R, Foster RS, Sanghvi NT et al (1994) High-intensity focused ultrasound in the treatment of prostatic tissue. Urology 43(2 Suppl):21–26PubMedCrossRef Bihrle R, Foster RS, Sanghvi NT et al (1994) High-intensity focused ultrasound in the treatment of prostatic tissue. Urology 43(2 Suppl):21–26PubMedCrossRef
47.
Zurück zum Zitat Gelet A, Chapelon JY, Margonari J et al (1993) High-intensity focused ultrasound experimentation on human benign prostatic hypertrophy. Eur Urol 23(Suppl 1):44–47PubMed Gelet A, Chapelon JY, Margonari J et al (1993) High-intensity focused ultrasound experimentation on human benign prostatic hypertrophy. Eur Urol 23(Suppl 1):44–47PubMed
48.
Zurück zum Zitat Madersbacher S, Pedevilla M, Vingers L et al (1995) Effect of high-intensity focused ultrasound on human prostate cancer in vivo. Cancer Res 55(15):3346–3351PubMed Madersbacher S, Pedevilla M, Vingers L et al (1995) Effect of high-intensity focused ultrasound on human prostate cancer in vivo. Cancer Res 55(15):3346–3351PubMed
49.
Zurück zum Zitat Chaussy C, Thuroff S (2003) The status of high-intensity focused ultrasound in the treatment of localized prostate cancer and the impact of a combined resection. Curr Urol Rep 4(3):248–252PubMedCrossRef Chaussy C, Thuroff S (2003) The status of high-intensity focused ultrasound in the treatment of localized prostate cancer and the impact of a combined resection. Curr Urol Rep 4(3):248–252PubMedCrossRef
50.
Zurück zum Zitat Madersbacher S, Marberger M (2003) High-energy shockwaves and extracorporeal high-intensity focused ultrasound. J Endourol 17(8):667–672PubMedCrossRef Madersbacher S, Marberger M (2003) High-energy shockwaves and extracorporeal high-intensity focused ultrasound. J Endourol 17(8):667–672PubMedCrossRef
51.
Zurück zum Zitat Saleh KY, Smith NB (2005) A 63 element 1.75 dimensional ultrasound phased array for the treatment of benign prostatic hyperplasia. Biomed Eng Online 4(1):39PubMedCentralPubMedCrossRef Saleh KY, Smith NB (2005) A 63 element 1.75 dimensional ultrasound phased array for the treatment of benign prostatic hyperplasia. Biomed Eng Online 4(1):39PubMedCentralPubMedCrossRef
52.
Zurück zum Zitat Hacker A, Köhrmann KU, Back W et al (2005) Extracorporeal application of high-intensity focused ultrasound for prostatic tissue ablation. BJU Int 96(1):71–76PubMedCrossRef Hacker A, Köhrmann KU, Back W et al (2005) Extracorporeal application of high-intensity focused ultrasound for prostatic tissue ablation. BJU Int 96(1):71–76PubMedCrossRef
Metadaten
Titel
MRI-compatible positioning device for guiding a focused ultrasound system for transrectal treatment of prostate cancer
verfasst von
Christos Yiallouras
Nicos Mylonas
Christakis Damianou
Publikationsdatum
01.07.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
International Journal of Computer Assisted Radiology and Surgery / Ausgabe 4/2014
Print ISSN: 1861-6410
Elektronische ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-013-0964-x

Weitere Artikel der Ausgabe 4/2014

International Journal of Computer Assisted Radiology and Surgery 4/2014 Zur Ausgabe

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.