Publications by authors named "Greg T Clement"

A k-space method for moderately nonlinear wave propagation in absorptive media is presented. The Westervelt equation is first transferred into k-space via Fourier transformation, and is solved by a modified wave-vector time-domain scheme. The present approach is not limited to forward propagation or parabolic approximation.

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This paper proposes the use of a k-space method to obtain the correction for transcranial ultrasound beam focusing. Mirroring past approaches, a synthetic point source at the focal point is numerically excited, and propagated through the skull, using acoustic properties acquired from registered computed tomography of the skull being studied. The received data outside the skull contain the correction information and can be phase conjugated (time reversed) and then physically generated to achieve a tight focusing inside the skull, by assuming quasi-plane transmission where shear waves are not present or their contribution can be neglected.

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In therapeutic ultrasound, the presence of shock waves can be significant due to the use of high intensity beams, as well as due to shock formation during inertial cavitation. Although modeling of such strongly nonlinear waves can be carried out using spectral methods, such calculations are typically considered impractical, since accurate calculations often require hundreds or even thousands of harmonics to be considered, leading to prohibitive computational times. Instead, time-domain algorithms which generally utilize Godunov-type finite-difference schemes are commonly used.

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This study investigates the validity of the Westervelt equation for focused transducers. The angular spectrum method is employed to analyze the second-harmonic acoustic field under the weakly nonlinear approximation. Although it is well known that the Westervelt equation is accurate for the case of quasi-plane waves, the present work demonstrates accurate solution for the highly focused case of a spherically-curved ultrasound transducer having an aperture angle of 80°.

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A wave-vector-frequency-domain method is presented to describe one-directional forward or backward acoustic wave propagation in a nonlinear homogeneous medium. Starting from a frequency-domain representation of the second-order nonlinear acoustic wave equation, an implicit solution for the nonlinear term is proposed by employing the Green's function. Its approximation, which is more suitable for numerical implementation, is used.

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Objective: This work evaluated the clinical feasibility of transcranial magnetic resonance imaging-guided focused ultrasound surgery.

Methods: Transcranial magnetic resonance imaging-guided focused ultrasound surgery offers a potential noninvasive alternative to surgical resection. The method combines a hemispherical phased-array transducer and patient-specific treatment planning based on acoustic models with feedback control based on magnetic resonance temperature imaging to overcome the effects of the cranium and allow for controlled and precise thermal ablation in the brain.

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Objective: Various methods of intraoperative structural monitoring during neurosurgery are used to localize lesions after brain shift and to guide surgically introduced probes such as biopsy needles or stimulation electrodes. With its high temporal resolution, portability, and nonionizing mode of radiation, ultrasound has potential advantages over other existing imaging modalities for intraoperative monitoring, yet ultrasound is rarely used during neurosurgery largely because of the craniotomy requirement to achieve sufficiently useful signals.

Methods: Prompted by results from recent studies on transcranial ultrasound, a prototype device that aims to use the shear mode of transcranial ultrasound transmission for intraoperative monitoring was designed, constructed, and tested with 10 human participants.

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Ultrasound-based methods for temperature monitoring could greatly assist focused ultrasound visualization and treatment planning based on sound speed-induced change in phase as a function of temperature. A method is presented that uses reflex transmission integration, planar projection, and tomographic reconstruction techniques to visualize phase contrast by measuring the sound field before and after heat deposition. Results from experiments and numerical simulations employing a through-transmission setup are presented to demonstrate feasibility of using phase contrast methods for identifying temperature change.

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Traditional ultrasound imaging methods rely on the bandwidth and center frequency of transduction to achieve axial and radial image resolution, respectively. In this study, a new modality for spatially localizing scattering targets in a two-dimensional field is presented. In this method, the bandwidth of field excitation is high, and the center frequency is lowered such that the corresponding wavelengths are substantially larger than the target profiles.

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Pre- and postdesiccation sound speeds through ex vivo porcine skull specimens were determined by time-of-flight measurements with propagated broadband pulses centered at 0.97 MHz (Os 12.7 mm, -6-dB band-width = 58%).

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An approach aimed at improved ultrasound resolution and signal strength through highly attenuating media is presented. The method delivers a series of multiple-cycle bursts in order to construct a discrete spectral (frequency domain) response in one dimension. Cross-correlation of this ultrasound A-mode response with its transmitted signal results in time-localized peaks that correspond to scattering locations.

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Therapeutic and diagnostic ultrasound procedures performed noninvasively through the skull require a reliable method for maintaining acoustic focus integrity after transmission through layered bone structures. This study used a multiple-element, phased-array transducer to reconstruct ultrasound foci through the human skull by amplitude and phase correction. It was previously demonstrated that adaptive phase correction using a multiple-element, focused transducer array yields a significant correction to an acoustic field that has been distorted by the heterogeneities of the skull bone.

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A potential noninvasive means for obtaining the value of ultrasound (US) phase shifts caused by the skull is examined. Knowledge of these shifts could be used in new methods that restore the focus from an US array after transcranial propagation. In the present study, a pulsed signal was emitted from a single element of a therapeutic US transducer.

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The density and structure of bone is highly heterogeneous, causing wide variations in the reported speed of sound for ultrasound propagation. Current research on the propagation of high intensity focused ultrasound through an intact human skull for non-invasive therapeutic action on brain tissue requires a detailed model for the acoustic velocity in cranial bone. Such models have been difficult to derive empirically due to the aforementioned heterogeneity of bone itself.

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Micro-receiver guided transcranial beam steering.

IEEE Trans Ultrason Ferroelectr Freq Control

April 2002

A new method for focusing ultrasound energy in brain tissue through the skull is investigated. The procedure is designed for use with a therapeutic transducer array and a small catheter-inserted hydrophone receiver placed in the brain to guide the array's focus. When performed at high-intensity, a focal intensity on the order of several hundred watts per centimeter-squared is achieved, and cells within a target volume are destroyed.

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