Evidence map›Paper›PMID 36413363›Full record

ArticleMedical physics2023

An endoluminal cylindrical sectored-ring ultrasound phased-array applicator for minimally-invasive therapeutic ultrasound.

Muhammad Zubair, Matthew S Adams, Chris J Diederich

Open access · hybridAbstract read
In one paragraph

Article in Medical physics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 45% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Muhammad ZubairDepartment of Radiation Oncology, University of California, San Francisco, USA.
Matthew S AdamsDepartment of Radiation Oncology, University of California, San Francisco, USA.
Chris J DiederichDepartment of Radiation Oncology, University of California, San Francisco, USA.
University of California, San Francisco · US

Funding

Deployable Ultrasound Applicators for MRI Guided Thermal Therapy of Pancreatic CancerR01EB025990 · NIBIB · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DIEDERICH, CHRIS JOHN · 2018 to 2022
$2.2M
Deployable Endoluminal Ultrasound Phased Array for Precision Treatment of Pancreatic CancerR21CA230120 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DIEDERICH, CHRIS JOHN · 2018 to 2019
$377k
NCI NIH HHS R21 CA230120NIBIB NIH HHS R01 EB025990NIH HHS R01EB025990NIH HHS R21CA230120
6 · The paper itself

Abstract

backgroundThe size of catheter-based ultrasound devices for delivering ultrasound energy to deep-seated tumors is constrained by the access pathway which limits their therapeutic capabilities. PURPOSE: To devise and investigate a deployable applicator suitable for minimally-invasive delivery of therapeutic ultrasound, consisting of a 2D cylindrical sectored-ring ultrasound phased array, integrated within an expandable paraboloid-shaped balloon-based reflector. The balloon can be collapsed for compact delivery and expanded close to the target position to mimic a larger-diameter concentric-ring sector-vortex array for enhanced dynamic control of focal depth and volume.

methodsAcoustic and biothermal simulations were employed in 3D generalized homogeneous and patient-specific heterogeneous models, for three-phased array transducers with 32, 64, and 128 elements, composed of sectored 4, 8, and 16 tubular ring transducers, respectively. The applicator performance was characterized as a function of array configuration, focal depth, phasing modes, and balloon reflector geometry. A 16-element proof-of-concept phased array applicator assembly, consisting of four tubular transducers each divided into four sectors, was fabricated, and characterized with hydrophone measurements along and across the axis, and ablations in ex vivo tissue.

resultsSimulation results indicated that transducer arrays (1.5 MHz, 9 mm OD × 20 mm long), balloon sizes (41-50 mm expanded diameter, 20-60 mm focal depth), phasing mode (0-4) and sonication duration (30 s) can produce spatially localized acoustic intensity focal patterns (focal length: 3-22 mm, focal width: 0.7-8.7 mm) and ablative thermal lesions (width: 2.7-16 mm, length: 6-46 mm) in pancreatic tissue across a 10-90 mm focal depth range. Patient-specific studies indicated that 0.1, 0.46, and 1.2 cm

conclusionsThe results of this study demonstrated the feasibility of a novel compact ultrasound applicator design capable of focusing, deep penetration, electronic steering, and volumetric thermal ablation. The proposed applicator can be used for compact endoluminal or laparoscopic delivery of localized ultrasound energy to deep-seated targets.

Indexed as

Ultrasonic TherapyAcousticsCathetersComputer SimulationUltrasonographyfocused ultrasoundminimally invasivepancreasphased arraysectored-ring ultrasoundthermal ablation

Identifiers

PMID36413363
PMCPMC9870260
OpenAlexW4309655524

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.