This research study is an inspection of
therapeutic ultrasound. The concept of curative ultrasound is analyzed with
concentration on primaries of ultrasonic physics and ultrasonic medication. Analogy
of therapeutic ultrasound and diagnostic ultrasound is proposed. Low intensity and
high intensity applications of remedial ultrasound are inspected, followed by a
consolidation on High Intensity Focused Ultrasound (HIFU) technology. The
underlying doctrines and the delivery systems are proposed. Moreover, the main utilization
of remedial ultrasonic in prostate cancer curation plus the breast cancer
remedies and finally in abolishing kidney crystals were examined.
Kidney crystals examination and diagnosis of the
pregnancy are the handiest utilization of diagnostic ultrasound. Most recently,
researchers could discover the ultrasonic appliance in curation referred to as
therapeutic ultrasound 1.
First Wood and Loomis in 1927 could discover that
ultrasound can interact with tissues leads to some biological changes 2, 3. Following
this study, in 3 the function of ultrasound healing in hyperthermic cancer
treatment was proposed. 3 representing the various therapeutic applications
of ultrasound. According to this study, tissue heating application of
ultrasound was the first application of ultrasound for example, for treatment
In 2, low power and high power ultrasonic remedy was
inspected. Referring to this study, the low power ultrasonic remedy included
the physiotherapy, fracture repair, sonophoresis and some other utilizations
while, the high power application of ultrasound encompasses the High Intensity
Focused Ultrasound (HIFU) and lithotripsy.
4 is analyzing the high-intensity focused ultrasound
function in noninvasive breast cancer remedy. In 10, targeted microbubbles
are introduced as an innovative tool of kidney crystals curation.
More recently, a thesis published 5 performing of
the multi-physics computational modelling of focused ultrasound therapy.
Besides, 6 is proposing a 2D MRI compatible robot designed and implemented
for prostate cancer medication.
This research study is an explanation for therapeutic
ultrasound. Studding the nature of acoustic waves constructed the first stage
of this study. Followed by the investigating the houses of the acoustic medium.
Density, speed of the sound compressibility and absorption were investigated.
Explaining the acoustic wave equities was covered the
next stage. Inspecting the aftermaths that ultrasonic waves can have on the
tissues was implemented. After elemental explanation of the ultrasonic physics,
the main concepts of ultrasonic curation were presented. HIFU, the most offbeat
technology that used ultrasonic waves for curation purpose was demonstrated.
Underlying doctrines were covered with details. In coming points the utilization
of remedial ultrasonic in prostate cancer curation plus the breast cancer
remedy and finally in abolishing kidney crystals were examined.
2. Ultrasound Physics
Regional variations of the fields inside the
intermediate create sound. Vibrating the molecules is a representor of the engrained
mechanical energy in the medium. Withal, medium’s elasticity forced evicted the
particle to restore it to its initial position. Acoustic energy breeding within
the intermediate in the form of a wave is a resultant of the oscillation and
the interaction between different particles. When sound is the purpose, these
waves referred to as acoustic waves. Consequently, a medium to propagate is
essential for sound.
Intermediate compressions and rarefactions are two
types of acoustic wave reproduction forms. Audible are acoustic waves of
frequencies between 20 Hz and 20 kHz while ultrasound or ultrasonic waves
acquire higher frequencies 6.
2.1. Acoustic Medium Properties
Equities belong to the acoustic nature encompasses
with density, sound speed, absorption and characteristic impedance. Relation of
mass and volume of the intermediate designate the density. Travelling speed of
the sound indoors the median delineate the sound speed. Density and
compressibility are deterministic factors in sound speed. Compressibility on
the other hand, is scoped as the reaction of the volume to the applied
pressure. One more tract of the acoustic
intermediate is absorption, a miracle of conversion of kinetic energy to the
thermal one. The last but ingrained equity of a median is Characteristic
2.2. Acoustic Wave Properties
Acoustic wave erected by acoustic Intensity, reflection
and refraction, diffraction, scattering and attenuation. Breeding of the
kinetic energy in a certain time in an area terminated to acoustic intensity.
Farther eminent estates of acoustic wave are reflection and refraction 6.
Diffraction is illustrated as wave growing resultant
by encroach of an incident wave upon a finite length barrier plus edges. Convey
of the acoustic wave though the dissonant intermediate corresponds to the
scattering. Exponentially reduction of the acoustic pressure and intensity
amplitude determines the attenuation.
2.3. Physical Effects of Ultrasound
Ultrasonic physical effects are pigeonholed in to thermal
effects and nonthermal aftermaths. Thermal aftermaths are merger of temperature
aftereffect of the alteration of acoustic energy into heat. Force of radiation,
acoustic streaming and the microbubbles formation and cavitation forged the nonthermal
ramifications that are mostly mechanical in nature.
Encountering a reflective surface, radiation pressure
will exert a radiation force on that interface, attempting to ‘push’ it along
the direction of propagation. Non-oscillatory, fluidic motion created by the radiation force when an
acoustic wave is propagating in a fluid, is called acoustic streaming.
Interaction of an acoustic field and microscopic
bodies of gas in any intermediate or tissue prescribes the acoustic cavitation.
Figure 1 is an exemplification of the stable and inertial cavitation which is
two species of cavitation that discussed in detail in 6.
Fig.1. Microbubble inertial cavitation, by reaching the detracting size
the bubble collapses 6.
Bestow the figure 1, an exemplification of the
inertial cavitation is shown. As demonstrated in figure 1, bubbles are expanded
due to the compressions and rarefactions but after passing the detracting size
3. Ultrasonic Therapy
Indicative ultrasonic and curative ultrasonic conceive
the appliances of ultrasound in medicine. Indicative ultrasound due to its low
signal level has no repercussion on the tissues. As long as, the remedy
ultrasonic aftermaths the tissues since its signal level is relatively high depending
on the dissimilar curation conditions. Accessing images with good spatial and
temporal resolution, using sufficient S/N ratio to glean required analyzing
information of a significant cellular effect is performed in analyzing appliances.
Capricious and no capricious modifications are implemented in ultrasonic
Low intensity and high intensity functions are the
major appliances of the curation ultrasonic. Arousing normal physiological
responses to injury, or to accelerate some processes such as the transport of
drugs across the skin builds the low intensity curation designation. Physiotherapy,
mending of bone and drug uptake constructs the most important appliances of the
low intensity ultrasonic. Although, high intensity remedy intention is rather
to selectively destroy tissue in a controlled fashion embroil mostly HIFU utilizations.
In physiotherapy utilization of curation ultrasonic, the
sound is directly coupled in to the patient through a thin layer of coupling
The most extensive appliance of ultrasonic is cancer
remedy. In hyperthermic cancer medication, ultrasonic builds the heating source
either on its own or with radon or chemotherapy. Achieving uniform temperature
distribution 43–45°C in the tumor while keeping surrounding normal tissues at
acceptable physiological levels the major ambition of this technique. Common
problem is the narrow dividing line between temperatures (energy source should
know the temperature distribution) is the trivial issue. Focused Ultrasound is
Applying high intensity focused ultrasonic beams as a
tissue abscission technique is called HIFU or FUS (Focused Ultrasound Surgery).
Underlying proposition in the FUS is that a high intensity ultrasound beam
brought to a tight focus may kill cells lying within the focal volume while all
other tissues in the ultrasound beam path are spared. This gives a method of
selective tissue ablation at depth within tissue.
In this section, HIFU removal of tissues, remedial
ultrasonic in prostate cancer curation plus the breast cancer remedy and
finally in abolishing kidney crystals will be proposed.
4.1. HIFU Removal of Tissues
The ultrasonic approach that used focused ultrasonic
housed high intensity is an attractive method in medical places. The reason for
this appealing is providing a non-invasive remedy for removal of cancerous
tissues. This technique ranked first among other thermal remedy techniques since
it is no requirement for the transcutaneous insertion of probes into the target
tissue. Sources placed either outside the body or in the rectum provide rapid
heating of a target tissue volume.