Noninvasive Ureterocele Puncture Using Pulsed Focused Ultrasound: An In Vitro Study

作者:Maxwell Adam D*; Hsi Ryan S; Bailey Michael R; Casale Pasquale; Lendvay Thomas S
来源:Journal of Endourology, 2014, 28(3): 342-346.
DOI:10.1089/end.2013.0528

摘要

Purpose: To evaluate the feasibility of performing noninvasive puncture of pediatric ureteroceles with cavitation-based focused ultrasound (US) (histotripsy). Materials and Methods: A model for the ureterocele wall was developed from an excised bovine bladder wall. The model was exposed to focused US pulses in a water bath under three different US parameter sets for up to 300 seconds to create localized perforations in the wall. B-mode US imaging was used to monitor the treatment and assess potential imaging guidance and feedback. Results: Punctures were formed between 46-300 seconds, depending on the focused US exposure parameters and model wall thickness. Puncture diameter was controllable through choice of exposure parameters and could be varied between 0.8-2.8mm mean diameter. US-induced cavitation was visible on B-mode imaging, which provided targeting and treatment feedback. Conclusions: Cavitation-based focused US can create punctures in a model that mimics the tissue properties of a ureterocele wall, under guidance from US imaging.

  • 出版日期2014-3-1