Evidence map›Paper›PMID 42281998›Full record

ArticleResearch square2026

A systematic comparison of cavitation regimes and histotripsy efficiency across pulse duration and repetition rate in a fibrous tissue mimicking phantom.

Yashwanth Nanda Kumar, Yak-Nam Wang, Wayne Kreider, Qinghua Han, Jonathan T C Liu, Eli Vlaisavljevich, George R Schade, Adam D Maxwell

Abstract readPreprint
In one paragraph

Article in Research square, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Yashwanth Nanda KumarUniversity of Washington, Center for Industrial and Medical Ultrasound, Seattle, 98105, United States of America.
Yak-Nam WangUniversity of Washington, Center for Industrial and Medical Ultrasound, Seattle, 98105, United States of America.
Wayne KreiderUniversity of Washington, Center for Industrial and Medical Ultrasound, Seattle, 98105, United States of America.
Qinghua HanUniversity of Washington, Department of Bioengineering, Seattle, 98195, United States of America.
Jonathan T C LiuUniversity of Washington, Department of Bioengineering, Seattle, 98195, United States of America.
Eli VlaisavljevichVirginia Polytechnic Institute and State University, Department of Biomedical Engineering and Mechanics, Blacksburg 24061, United States of America.
George R SchadeUniversity of Washington, Department of Urology, Seattle, 98195, United States of America.
Adam D MaxwellVirginia Polytechnic Institute and State University, Department of Biomedical Engineering and Mechanics, Blacksburg 24061, United States of America.

Funding

Transrectal Histotripsy for Focal Ablation of Prostate CancerR01CA258581 · NCI · UNIVERSITY OF WASHINGTON · PI SCHADE, GEORGE R · 2022 to 2025
$3.1M
Prostate cancer risk stratification via computational 3D pathologyR01CA268207 · NCI · UNIVERSITY OF WASHINGTON · PI Jonathan T.C. Liu, Anant Madabhushi · 2022 to 2026
$3.1M
Noninvasive histotripsy ablation of fibrotic tissue in benign prostatic hyperplasiaR01DK119310 · NIDDK · UNIVERSITY OF WASHINGTON · PI MAXWELL, ADAM DOUGLAS, SCHADE, GEORGE R · 2019 to 2023
$3.0M
Computational 3D pathology for Barrett's esophagus risk stratificationR01DK138948 · NIDDK · UNIVERSITY OF WASHINGTON · PI William Mallory Grady, Jonathan T.C. Liu · 2024 to 2026
$2.2M
Instrumentation platform for 3D pathology with open-top light-sheet microscopyR01EB031002 · NIBIB · UNIVERSITY OF WASHINGTON · PI LIU, JONATHAN T.C. · 2021 to 2024
$1.9M
NCI NIH HHS R01 CA258581NCI NIH HHS R01 CA268207NIBIB NIH HHS R01 EB031002NIDDK NIH HHS L30 DK122509NIDDK NIH HHS R01 DK119310NIDDK NIH HHS R01 DK138948
6 · The paper itself

Abstract

Histotripsy is a focused ultrasound technique that mechanically liquefies tissue through cavitation bubble activity and has shown promise for noninvasive tumor ablation. However, treating fibrous, mechanically robust tissues remains challenging, and the influence of pulse parameters on cavitation dynamics and treatment efficiency in these tissues is not well understood. Here, we systematically investigated the combined effects of pulse duration and pulse repetition frequency (PRF) on cavitation behavior and lesion formation in a fibrous tissue-mimicking double-network hydrogel. Pulse duration and PRF were varied over four orders of magnitude while maintaining a constant 1% duty cycle. High-speed photographic imaging, shear wave elastography (SWE), B-mode ultrasound, and open-top light-sheet (OTLS) microscopy were used to relate cavitation behavior to phantom damage and liquefaction. Short-pulse, high-PRF exposures (1-10 cycles) produced larger bubble cloud areas, higher frame-to-frame correlation, and greater spatial persistence, whereas longer-pulse, low-PRF exposures (≥100 cycles) produced more localized cavitation and contiguous lesion formation. Among the tested parameters, 1,000 -cycle pulses at 10 Hz yielded the highest volumetric liquefaction rates. In contrast, short-pulse, high-PRF conditions generated substantial total damage but little to no fully liquefied volume. These findings show that pulse duration and PRF strongly govern histotripsy outcomes in fibrous tissues.

Indexed as

cavitation dynamicscomplete liquefactionFibrous tissue-mimicking phantomhistotripsy regimesopen-top light-sheet microscopypulse structure effects

Identifiers

PMID42281998
PMCPMC13252566

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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.