Single-transducer dual-frequency ultrasound generation to enhance acoustic cavitation

Rapid skin permeabilization by the simultaneous application of dual-frequency, high-intensity ultrasound

Low-frequency ultrasound has been studied extensively due to its ability to enhance skin permeability. In spite of this effort, improvements in enhancing the efficacy of transdermal ultrasound treatments have been limited. Currently, when greater skin permeability is desired at a given frequency, one is limited to increasing the intensity or the duration of the ultrasound treatment, which carries the risk of thermal side effects. Therefore, the ability to increase skin permeability without increasing ultrasound intensity or treatment time would represent a significant and desirable outcome. Here, we hypothesize that the simultaneous application of two distinct ultrasound frequencies, in the range of 20 kHz to 3 MHz, can enhance the efficacy of ultrasound exposure. Aluminum foil pitting experiments showed a significant increase in cavitational activity when two frequencies were applied instead of just one low frequency. Additionally, in vitro tests with porcine skin indicated that the permeability and resulting formation of localized transport regions are greatly enhanced when two frequencies (low and high) are used simultaneously. These results were corroborated with glucose (180 Da) and inulin (5000 Da) transdermal flux experiments, which showed greater permeant delivery both into and through the dual-frequency pre-treated skin.

Investigation of power and frequency for 3D conformal MRI-controlled transurethral ultrasound therapy with a dual frequency multi-element transducer

Transurethral ultrasound therapy uses real-time magnetic resonance (MR) temperature feedback to enable the 3D control of thermal therapy accurately in a region within the prostate. Previous canine studies showed the feasibility of this method in vivo. The aim of this study was to reduce the procedure time, while maintaining targeting accuracy, by investigating new combinations of treatment parameters. Simulations and validation experiments in gel phantoms were used, with a collection of nine 3D realistic target prostate boundaries obtained from previous preclinical studies, where multi-slice MR images were acquired with the transurethral device in place. Acoustic power and rotation rate were varied based on temperature feedback at the prostate boundary. Maximum acoustic power and rotation rate were optimised interdependently, as a function of prostate radius and transducer operating frequency. The concept of dual frequency transducers was studied, using the fundamental frequency or the third harmonic component depending on the prostate radius. Numerical modelling enabled assessment of the effects of several acoustic parameters on treatment outcomes. The range of treatable prostate radii extended with increasing power, and tended to narrow with decreasing frequency. Reducing the frequency from 8 MHz to 4 MHz or increasing the surface acoustic power from 10 to 20 W/cm(2) led to treatment times shorter by up to 50% under appropriate conditions. A dual frequency configuration of 4/12 MHz with 20 W/cm(2) ultrasound intensity exposure can treat entire prostates up to 40 cm(3) in volume within 30 min. The interdependence between power and frequency may, however, require integrating multi-parametric functions in the controller for future optimisations.

Synergistic effect of hydrogen peroxide production and sonochemiluminescence under dual frequency ultrasound irradiation

The synergistic effect of H(2)O(2) production and sonochemiluminescence (SCL) was studied under both orthogonal and opposite dual irradiation at the frequencies of 28, 584 and 970 kHz and at various acoustic powers. The largest reduction in H(2)O(2) production was observed under opposite dual irradiation at a 28/28 kHz frequency without considering the acoustic power levels. The largest enhancement was observed under dual irradiation at a frequency of 28/970 kHz. This enhancement might be due to the increased number of bubbles that underwent violent collapse by low frequency ultrasound (28 kHz). These results were also confirmed by observing the SCL. Under dual irradiation at relatively high frequencies (i.e., 584 and 970 kHz), the synergistic effect was high at low acoustic power levels. However, the effect tended to decrease (to the equivalent of the calculation from the result of each single irradiation) with increasing acoustic power. Unlike dual irradiation coupled with a frequency of 28 kHz, the inhibition effect was not observed under dual irradiation at relatively high frequencies. With respect to H(2)O(2) production, the production rate constants of H(2)O(2) followed the order of 584/584>584/970>28/970≈28/584>28/28 kHz, which resulted from the fact that the production efficiency of H(2)O(2) at an irradiation frequency of 584 kHz was considerably higher than that at other frequencies.

Evaluation of correlation between chemical dosimetry and subharmonic spectrum analysis to examine the acoustic cavitation

Currently several therapeutic applications of ultrasound in cancer treatment are under progress which uses cavitation phenomena to deliver their effects. There are several methods to evaluate cavitation activity such as chemical dosimetry and measurement of subharmonic signals. In this study, the cavitation activity induced by the ultrasound irradiation on exposure parameters has been measured by terephthalic acid chemical dosimetry and subharmonic analysis. Experiments were performed in the near 1 MHz fields in the progressive wave mode and effect of duty cycles changes with 2 W/cm(2) intensity (I(SATA)) and acoustic intensity changes in continuous mode on both fluorescence intensity and subharmonic intensity were measured. The dependence between fluorescence intensity of terephthalic acid chemical dosimetry and subharmonic intensity analysis were analyzed by Pearson correlation (p-value <0.05). It has been shown that the subharmonic intensity and the fluorescence intensity for continuous mode is higher than for pulsing mode (p-value <0.05). Also results show that there is a significant difference between the subharmonic intensity and the fluorescence intensity with sonication intensity (p-value <0.05). A significant correlation between the fluorescence intensity and subharmonic intensity at different duty cycles (R=0.997, p-value <0.05) and different intensities (R=0.985, p-value <0.05) were shown. The subharmonic intensity (microW/cm(2)) significantly correlated with the fluorescence intensity (count) (R=0.901; p<0.05) and the fluorescence intensity due to chemical dosimetry could be estimated with subharmonic intensity due to subharmonic spectrum analysis. It is concluded that there is dependence between terephthalic acid chemical dosimetry and subharmonic spectrum analysis to examine the acoustic cavitation activity.