Publications by authors named "Haim Azhari"

Article Synopsis
  • Safe and accurate delivery of biocompatible materials is essential for biomedical applications like drug release and tissue restoration, but current invasive methods pose risks such as infections and long healing times.
  • A novel non-invasive method using acousto-sensitive materials allows for targeted delivery deep into the body by using ultrasound to polymerize materials without additional components.
  • This technology not only enables controlled drug release and functional cell delivery but also allows for customization of material properties, paving the way for a new approach in clinical applications and 3D printing techniques, termed "acousto-printing."
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  • Ultrasound imaging is a useful tool in clinical settings due to its cost-effectiveness and lack of radiation, but it suffers from poor image quality, especially in identifying breast tumors.
  • The researchers proposed using a CycleGAN model to transform ultrasound images into clearer pseudo anatomical displays that enhance lesion visibility and border definition.
  • The study found that these enhanced images maintained essential anatomical features and showed significant improvements in diagnosing benign and malignant tumors.
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Thermal monitoring during focused ultrasound (FUS) transcranial procedures is mandatory and commonly performed by MRI. Transcranial ultrasonic thermal monitoring is an attractive alternative. Furthermore, using the therapeutic FUS transducer itself for this task is highly desirable.

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  • Multifunctional nanocarriers, specifically PLGA nanospheres with encapsulated CuO-NPs, hold promise for enhancing cancer treatment through antitumor activity and improved imaging capabilities.
  • In vitro studies show that this delivery system enables controlled release of CuO-NPs, especially when stimulated by laser irradiation, facilitating localized treatment options.
  • The research demonstrates that the combination of photothermal therapy with laser-triggered drug release using these nanocarriers can effectively target and treat head and neck cancer cells.
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Copper oxide nanoparticles (CuO NPs) have anticancer and antimicrobial activities. Moreover, they have a contrast enhancing effect in both MRI and ultrasound. Nonetheless, encapsulation is needed to control their toxic side effects and a mechanism for release on demand is required.

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Purpose: To develop an image processing methodology for noninvasive three-dimensional (3D) quantification of microwave thermal ablation zones in vivo using x-ray computed tomography (CT) imaging without injection of a contrast enhancing material.

Methods: Six microwave (MW) thermal ablation procedures were performed in three pigs. The ablations were performed with a constant heating duration of 8 min and power level of 30 W.

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  • Focused ultrasound (FUS) treatments for brain conditions require effective thermal monitoring to prevent tissue damage caused by heat, and this study investigates using ultrasound (US) for noninvasive temperature monitoring of brain tissues.
  • Sixteen ex vivo bovine brain samples (7 white matter and 9 cortical matter) were heated and cooled while their speed of sound (SOS) and attenuation coefficient (AC) were measured using a computerized ultrasound system.
  • The results indicate that SOS and AC respond to temperature changes in different brain tissues, suggesting potential for a US-based monitoring technique that could improve the accessibility and effectiveness of FUS treatments.
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Cancer stem cells, also termed tumor initiating cells (TICs), are a rare population of cells within the tumor mass which initiate tumor growth and metastasis. In pancreatic cancer, TICs significantly contribute to tumor re-growth after therapy, due to their intrinsic resistance. Here we demonstrate that copper oxide nanoparticles (CuO-NPs) are cytotoxic against TIC-enriched PANC1 human pancreatic cancer cell cultures.

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Purpose: To develop and test a novel parameter-free non-iterative wavelet domain method for reconstruction of undersampled multicoil MR data.

Theory And Methods: A linear parallel MRI method that operates in the Stationary Wavelet Transform (SWT) domain is proposed. The method is coined COnvolution-based REconstruction for Parallel MRI (CORE-PI).

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Copper oxide nanoparticles (CuO-NPs) are increasingly becoming the subject of investigation exploring their potential use for diagnostic and therapeutic purposes. Recent work has demonstrated their anticancer potential, as well as contrast agent capabilities for magnetic resonance imaging (MRI) and through-transmission ultrasound. However, no capability of CuO-NPs has been demonstrated using conventional ultrasound systems, which, unlike the former, are widely deployed in the clinic.

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Speed of sound (SoS) is an acoustic property that is highly sensitive to changes in tissues. SoS can be mapped non-invasively using ultrasonic through transmission wave tomography. This however, practically limits its clinical use to the breast.

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Article Synopsis
  • The study investigates the use of nanoparticle-enhanced transmission ultrasound (NETUS) for monitoring microwave hyperthermia treatment in a non-invasive manner.
  • The method involved using a specialized ultrasound system to capture temperature changes in tissue samples, revealing that iron oxide nanoparticles improved heating efficiency, while copper oxide did not show significant effects.
  • NETUS demonstrated effective visualization and temperature monitoring in a breast-like model, suggesting a practical and cost-effective approach for non-invasive thermal treatment monitoring.
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Purpose: To develop image processing algorithms for noninvasive mapping of microwave thermal ablation using X-ray CT.

Methods: Ten specimens of bovine liver were subjected to microwave ablation (20-80 W, 8 min) while scanned by X-ray CT at 5 s intervals. Specimens were cut and manually traced by two observers.

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Iron oxide nanoparticles (IONPs) are becoming increasingly used and intensively investigated in the field of medical imaging. They are currently FDA approved for magnetic resonance imaging (MRI), and it would be highly desirable to visualize them by ultrasound as well. Previous reports using the conventional ultrasound B-scan (pulse-echo) imaging technique have shown very limited detectability of these particles.

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Purpose: The aims of this study were to noninvasively and automatically estimate both the radius of the ablated liver tissue and the radius encircling the treated zone, which also defines where the tissue is definitely untreated during a microwave (MW) thermal ablation procedure.

Methods: Fourteen ex vivo bovine fresh liver specimens were ablated at 40 W using a 14 G microwave antenna, for durations of 3, 6, 8, and 10 min. The tissues were scanned every 5 s during the ablation using an x-ray CT scanner.

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Thermal diffusivity at the site ablated by high-intensity focused ultrasound (HIFU) plays an important role in the final therapeutic outcome, as it influences the temperature's spatial and temporal distribution. Moreover, as tissue thermal diffusivity is different in tumors as compared with normal tissue, it could also potentially be used as a new source of imaging contrast. The aim of this study was to examine the feasibility of combining through-transmission ultrasonic imaging and HIFU to estimate thermal diffusivity non-invasively.

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Multimodal medical imaging is gaining increased popularity in the clinic. This stems from the fact that data acquired from different physical phenomena may provide complementary information resulting in a more comprehensive picture of the pathological state. In this context, nano-sized contrast agents may augment the potential sensitivity of each imaging modality and allow targeted visualization of physiological points of interest (e.

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Purpose: To study the planar strain effects in liver during microwave (MW) thermal ablation as a means for tracking tissue expansion and contraction as a method for improving ablation monitoring.

Methods: 1.4 mm circular metallic markers were inserted into 16 ex-vivo bovine fresh liver specimens, that were subsequently ablated (with the markers inside the specimen) by 40 W of microwave energy, for 1, 2, 3, 6, and 10 min.

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Article Synopsis
  • The study aimed to measure how ultrasonic properties of breast tissue change as women age, using a specialized computerized scanning technique on 44 participants.
  • The results revealed a three-phase pattern in two key properties: the speed of sound and the attenuation coefficient, showing a decrease in both from ages 20 to 35, stable values until about 55, and then another decrease after 55.
  • Specifically, the speed of sound decreased from 1504 m/s at under 30 years to 1452 m/s at over 60 years, while the attenuation coefficient dropped from 1.27 to 0.96 dB/cm/MHz, suggesting that age-related anatomical and physiological changes impact these ultrasonic measurements.
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  • This paper explores the use of X-ray CT as a method for real-time thermal monitoring during high intensity focused ultrasound (HIFU) treatments on fatty tissues.
  • Six ex vivo porcine fat specimens were analyzed using X-ray CT while HIFU was applied, measuring temperature changes and Hounsfield units (HU) throughout the process.
  • The results revealed a unique parabolic relationship between HU and temperature during heating, allowing for non-invasive detection of critical temperature points that can optimize HIFU treatment and monitor tissue damage in clinical applications, such as breast therapy.
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  • The study explored how thermal ablation affects Hounsfield units (HU) observed in X-ray CT scans, aiming to monitor tissue changes during heating.
  • Eight phantoms and 15 ex vivo tissue samples were subjected to high intensity focused ultrasound (HIFU) at temperatures exceeding 50 °C, with simultaneous CT scanning and temperature monitoring.
  • Results showed an exponential increase in HU during heating and linear behavior during cooling, indicating a hysteresis effect that correlates with maximum temperature, suggesting that this measurable change could serve as a non-invasive method for assessing tissue damage.
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Background: Lipomas are common benign mesenchymal tumors commonly removed using excision, but in certain cases, surgery is undesirable or ineffective. High-intensity focused ultrasound (HIFU) offers a noninvasive tumor ablation tool increasingly used in the clinic.

Objective: To evaluate the efficacy and safety of a noninvasive lipoma size reduction technology using HIFU.

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The feasibility of implementing image subtraction in through-transmission breast sonography was examined. Acoustic mammograms of women with suspicious findings were obtained using through-transmission imaging. Precontrast images were initially acquired.

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Background: High-intensity focused ultrasound (HIFU) lipolysis is a noninvasive alternative to existing surgical body-sculpting methods.

Objective: To evaluate the safety, tolerability, and histologic outcome of HIFU lipolysis using a novel device in human subjects.

Methods And Materials: In a single-blind pilot study, six healthy subjects scheduled to undergo abdominoplasty within 4 weeks received HIFU lipolysis on one side of the umbilicus.

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