Publications by authors named "Yoav Medan"

Ultrasound-mediated targeted drug delivery is a therapeutic modality under development with the potential to treat cancer. Its ability to produce local hyperthermia and cell poration through cavitation non-invasively makes it a candidate to trigger drug delivery. Hyperthermia offers greater potential for control, particularly with magnetic resonance imaging temperature measurement.

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Purpose: Respiratory motion makes hepatic ablation using high intensity focused ultrasound (HIFO) challenging. Previous HIFU liver treatment had required apnea induced during general anesthesia. We describe and test a system that allows treatment of the liver in the presence of breathing motion.

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Article Synopsis
  • Recent studies focus on ultrasonic drug release, specifically using focused ultrasound (FUS) to increase the temperature at targeted tissue areas, enhancing drug delivery for cancer treatment.
  • The research investigates the effect of heat and ultrasound on the effectiveness of the anticancer drug Doxorubicin (DOX) using Magnetic Resonance Imaging guided Focused Ultrasound (MRgFUS) on human KB cells.
  • Results indicate that elevated temperatures (above 41°C) combined with DOX significantly reduce cell viability, suggesting that heat increases drug penetration and ultrasound-induced cavitation can lead to cell necrosis, warranting further exploration and optimization of MRgFUS for improved drug delivery.
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Purpose: High intensity focused ultrasound (HIFU) in the abdomen can be sensitive to acoustic aberrations that can exist in the beam path of a single sonication. Having an accurate method to quickly visualize the transducer focus without damaging tissue could assist with executing the treatment plan accurately and predicting these changes and obstacles. By identifying these obstacles, MR acoustic radiation force imaging (MR-ARFI) provides a reliable method for visualizing the transducer focus quickly without damaging tissue and allows accurate execution of the treatment plan.

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Purpose: Magnetic resonance thermometry using the proton resonance frequency (PRF) shift is a promising technique for guiding thermal ablation. For temperature monitoring in moving organs, such as the liver and the heart, problems with motion must be addressed. Multi-baseline subtraction techniques have been proposed, which use a library of baseline images covering the respiratory and cardiac cycle.

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