MHz Single Element Research Articles

Focused ultrasound heating in brain tissue/skull phantoms with 1 MHz single-element transducer

PurposeThe study aims to provide insights on the practicality of using single-element transducers for transcranial Focused Ultrasound (tFUS) thermal applications.MethodsFUS sonications were performed through skull phantoms embedding agar-based tissue mimicking gels using a 1 MHz single-element spherically focused transducer. The skull phantoms were 3D printed with Acrylonitrile Butadiene Styrene (ABS) and Resin thermoplastics having the exact skull bone geometry of a healthy volunteer. The temperature field distribution during and after heating was monitored in a 3 T Magnetic Resonance Imaging (MRI) scanner using MR thermometry. The effect of the skull’s thickness on intracranial heating was investigated.ResultsA single FUS sonication at focal acoustic intensities close to 1580 W/cm2 for 60 s in free field heated up the agar phantom to ablative temperatures reaching about 90 °C (baseline of 37 °C). The ABS skull strongly blocked the ultrasonic waves, resulting in zero temperature increase within the phantom. Considerable heating was achieved through the Resin skull, but it remained at hyperthermia levels. Conversely, tFUS through a 1 mm Resin skull showed enhanced ultrasonic penetration and heating, with the focal temperature reaching 70 °C.ConclusionsThe ABS skull demonstrated poorer performance in terms of tFUS compared to the Resin skull owing to its higher ultrasonic attenuation and porosity. The thin Resin phantom of 1 mm thickness provided an efficient acoustic window for delivering tFUS and heating up deep phantom areas. The results of such studies could be particularly useful for accelerating the establishment of a wider range of tFUS applications.

Tumor phantom model for MRI-guided focused ultrasound ablation studies.

The persistent development of focused ultrasound (FUS) thermal therapy in the context of oncology creates the need for tissue-mimicking tumor phantom models for early-stage experimentation and evaluation of relevant systems and protocols. This study presents the development and evaluation of a tumor-bearing tissue phantom model for testing magnetic resonance imaging (MRI)-guided FUS (MRgFUS) ablation protocols and equipment based on MR thermometry. Normal tissue was mimicked by a pure agar gel, while the tumor simulator was differentiated from the surrounding material by including silicon dioxide. The phantom was characterized in terms of acoustic, thermal, and MRI properties. US, MRI, and computed tomography (CT) images of the phantom were acquired to assess the contrast between the two compartments. The phantom's response to thermal heating was investigated by performing high power sonications with a 2.4 MHz single element spherically focused ultrasonic transducer in a 3T MRI scanner. The estimated phantom properties fall within the range of literature-reported values of soft tissues. The inclusion of silicon dioxide in the tumor material offered excellent tumor visualization in US, MRI, and CT. MR thermometry revealed temperature elevations in the phantom to ablation levels and clear evidence of larger heat accumulation within the tumor owing to the inclusion of silicon dioxide. Overall, the study findings suggest that the proposed tumor phantom model constitutes a simple and inexpensive tool for preclinical MRgFUS ablation studies, and potentially other image-guided thermal ablation applications upon minimal modifications.

Robotic system for magnetic resonance imaging-guided focused ultrasound treatment of thyroid nodules.

Herein, a robotic system offering Magnetic Resonance-guided Focused Ultrasound (MRgFUS) therapy of thyroid nodules was developed. The robotic system offers linear motion in 2 PC-controlled axes that navigate a 3MHz single-element focused transducer. The system, through a C-arm structure attaches to the table of Magnetic Resonance Imaging (MRI) scanners and couples to the neck of patients lying in the supine position. The MRI compatibility of the developed system was assessed inside a 3T scanner. Benchtop and MRI feasibility studies evaluating the heating performance of the system were executed on excised pork tissue and on homogeneous and thyroid model agar-based phantoms. The MRI compatibility of the system was successfully established. Grid sonications executed using robotic motion inflicted discrete and overlapping lesions on the excised tissue, while magnetic resonance (MR) thermometry successfully monitored thermal heating in agar-based phantoms. The developed system was found to be efficient with ex-vivo evaluation. The system can perform clinical MRgFUS therapy of thyroid nodules and other shallow targets after further in-vivo evaluation.

Enhancement of 10 MHz single element ultrasonic transducers based on alternating current polarized PIN-PMN-PT single crystals

Enhancement of 10 MHz single element ultrasonic transducers based on alternating current polarized PIN-PMN-PT single crystals

Ultrasound Histotripsy on a Viable Perfused Whole Porcine Liver: Histological Aspects, Including 3D Reconstruction of the Histotripsy Site.

Non-invasive therapeutic-focused ultrasound (US) can be used for the mechanical dissociation of tissue and is described as histotripsy. We have performed US histotripsy in viable perfused ex vivo porcine livers as a step in the development of a novel approach to hepatocyte cell transplantation. The histotripsy nidus was created with a 2 MHz single-element focused US transducer, producing 50 pulses of 10 ms duration, with peak positive and negative pressure values of P+ = 77.7 MPa and P- = -13.7 MPaat focus, respectively, and a duty cycle of 1%. Here, we present the histological analysis, including 3D reconstruction of histotripsy sites. Five whole porcine livers were retrieved fresh from the abattoir using human transplant retrieval and cold static preservation techniques and were then perfused using an organ preservation circuit. Whilst under perfusion, histotripsy was performed to randomly selected sites on the live. Fifteen lesional sites were formalin-fixed and paraffin-embedded. Sections were stained with Haematoxylin and Eosin and picro-Sirius red, and they were also stained for reticulin. Additionally, two lesion sites were used for 3D reconstruction. The core of the typical lesion consisted of eosinophilic material associated with reticulin loss, collagen damage including loss of birefringence to fibrous septa, and perilesional portal tracts, including large portal vein branches, but intact peri-lesional hepatic plates. The 3D reconstruction of two histotripsy sites was successful and confirmed the feasibility of this approach to investigate the effects of histotripsy on tissue in detail.

Preclinical robotic device for magnetic resonance imaging guided focussed ultrasound.

A robotic device featuring three motion axes was manufactured for preclinical research on focussed ultrasound (FUS). The device comprises a 2.75MHz single element ultrasonic transducer and is guided by Magnetic Resonance Imaging (MRI). The compatibility of the device with the MRI was evaluated by estimating the influence on the signal-to-noise ratio (SNR). The efficacy of the transducer in generating ablative temperatures was evaluated in phantoms and excised porcine tissue. System's activation in the MRI scanner reduced the SNR to an acceptable level without compromising the image quality. The transducer demonstrated efficient heating ability as proved by MR thermometry. Discrete and overlapping thermal lesions were inflicted in excised tissue. The FUS system was proven effective for FUS thermal applications in the MRI setting. It can thus be used for multiple preclinical applications of the emerging MRI-guided FUS technology. The device can be scaled-up for human use with minor modifications.

3D-printed gradient-index phononic crystal lens for transcranial focused ultrasound

Transcranial focused ultrasound (tFUS) shows great promise as a noninvasive tool to treat neurological conditions such as essential tremor. The existing clinical phased array systems are mostly intended for ultrasound delivery to the center of the brain (as in thalamotomy for essential tremor), in addition to being complex and expensive. To seek an alternative focusing approach especially for the brain periphery, we explore a 3D-printed gradient-index (GRIN) lens as a simple and an orders of magnitude more cost-effective approach. The lens is constructed using a phononic crystal (PC) architecture with varying lattice geometry and hence refractive index distribution. Specifically, the lens uses an axisymmetric hyperbolic secant refractive index profile to focus ultrasonic waves generated by a 1 MHz single-element ultrasonic transducer. Finite element simulations are performed to design and analyze the GRIN-PC lens, and to explore the effects of various parameters such as the distance from the skull and the incidence angle. The numerical results are validated experimentally for a 3D-printed lens by scanning the 3D pressure field generated through a temporal bone. This cost-effective approach to tFUS can open new possibilities to 3D print lenses based on patient computed tomography scans for various applications from tissue ablation to neurostimulation.

Full coverage path planning algorithm for MRgFUS therapy.

BackgroundHigh‐quality methods for Magnetic Resonance guided Focussed Ultrasound (MRgFUS) therapy planning are needed for safe and efficient clinical practices. Herein, an algorithm for full coverage path planning based on preoperative MR images is presented.MethodsThe software functionalities of an MRgFUS robotic system were enhanced by implementing the developed algorithm. The algorithm's performance in accurate path planning following a Zig‐Zag pathway was assessed on MR images. The planned sonication paths were performed on acrylic films using the robotic system carrying a 2.75 MHz single element transducer.ResultsAblation patterns were successfully planned on MR images and produced on acrylic films by overlapping lesions with excellent match between the planned and experimental lesion shapes.ConclusionsThe advanced software was proven efficient in planning and executing full ablation of any segmented target. The reliability of the algorithm could be enhanced through the development of a fully automated segmentation procedure.

An Intraocular Pressure Measurement Technique Based on Acoustic Radiation Force Using an Ultrasound Transducer: A Feasibility Study.

High intraocular pressure (IOP) is one of the major risk factors for glaucoma, and thus accurate IOP measurements should be performed to diagnose and treat glaucoma early. In this study, a novel technique for measuring the IOP based on acoustic radiation force was proposed, and its potential was experimentally demonstrated. The proposed technique uses the acoustic radiation force to generate axial displacement on the ocular surface while simultaneously measuring the degree of deformation. In order to verify that the ocular displacement induced by the acoustic radiation force is related to the IOP, the experiment was conducted by fabricating a 5 MHz single element transducer and gelatin phantoms with different stiffness values. Our experimental results show that there is a close relationship between the ocular displacement by the acoustic radiation force and the IOP obtained by a commercial tonometer. Therefore, the proposed acoustic radiation force technique can be a promising candidate for measuring the IOP.

Functional photoacoustic calcium imaging using chlorophosphonazo III in a 3D tumor cell culture.

This study demonstrates that chlorophosphonazo III (CPZ III) can be used as a contrast agent for photoacoustic calcium imaging. CPZ III can pass across the plasma membrane for labeling intracellular Ca2+ without cytotoxicity. In optical-resolution photoacoustic microscopy (OR-PAM), the photoacoustic (PA) signal intensity was strongly correlated with the presence of CPZ III and Ca2+ at various concentrations. The sensitivity of PA signal reception was enhanced by using an 8 MHz single-element focused ultrasound detector due to their matched frequency characteristics. Differences in the PA signal intensity were successfully found between the core and margin areas of tumorspheres in three-dimensional cell cultures. These findings indicate that CPZ III can serve as a novel PA contrast agent for functional Ca2+ imaging using OR-PAM.

Real-time imaging of brain displacement during FUS neuromodulation in rodents in vivo

Focused ultrasound (FUS) is capable of modulating the central and peripheral nervous system. Temperature increase, cavitation, and acoustic radiation force have been proposed as potential mechanisms. Thus, tissue displacement imaging during FUS modulation is critical to understanding its physical mechanism. A cranial window was formed to perform imaging during FUS neuromodulation in C57BL/6 mice. FUS sonications were performed with a 4 MHz single-element transducer with a focal volume 0.2 × 0.9 mm (Sonic Concepts, WA), an applied tone burst of 0.5 ms and peak positive pressures varying from 1.9 to 6.7 MPa. Real-time channel data using plane wave sequences were acquired with an 18 MHz linear array (Vermon, France) and axial displacements throughout the entire brain were estimated using 1D cross-correlation (9λ window, 99% overlap) at 1 kHz frame rate. Downward displacements were only detected during FUS within the focal region. During modulation, the cumulative displacement ranged from 0.021 ± 0.017 μm (n = 3) at 3.1 MPa to 0.24 ± 0.004 μm at 6.7 MPa (n = 3). Displacement decreased post-FUS and returned to null within 1–2 ms. Unlike in a preliminary phantom study, no shear waves were detected. Real-time displacement imaging could thus provide effective targeting and monitoring as well as unveil the mechanism during FUS modulation.Focused ultrasound (FUS) is capable of modulating the central and peripheral nervous system. Temperature increase, cavitation, and acoustic radiation force have been proposed as potential mechanisms. Thus, tissue displacement imaging during FUS modulation is critical to understanding its physical mechanism. A cranial window was formed to perform imaging during FUS neuromodulation in C57BL/6 mice. FUS sonications were performed with a 4 MHz single-element transducer with a focal volume 0.2 × 0.9 mm (Sonic Concepts, WA), an applied tone burst of 0.5 ms and peak positive pressures varying from 1.9 to 6.7 MPa. Real-time channel data using plane wave sequences were acquired with an 18 MHz linear array (Vermon, France) and axial displacements throughout the entire brain were estimated using 1D cross-correlation (9λ window, 99% overlap) at 1 kHz frame rate. Downward displacements were only detected during FUS within the focal region. During modulation, the cumulative displacement ranged from 0.021 ± 0.017 μm (n ...

Effects of acoustic nonlinearities on the ultrasonic backscatter coefficient estimation.

The backscatter coefficient (BSC) is a fundamental property of tissues and can be used to classify tissues. Two BSC calibration methods are the planar reflector method and the reference phantom method. In both methods, linear acoustic propagation is assumed. In this study, the calibration methods were evaluated when acoustic nonlinear distortion was present. Radio frequency data were acquired from two physical phantoms using a 5 MHz single-element transducer and low power (one excitation level) and high power (six increasing excitation levels) excitation signals. BSCs estimated from the high power settings were compared to the BSCs estimated using the low power by calculating the root mean square error (RMSE). The BSCs were parameterized by fitting the BSC curve to a power law and estimating the power law exponent and by estimating the effective scatterer diameter (ESD). When using the planar reflector method, estimates of the exponent were observed to monotonically increase in value versus increasing excitation level and the ESD decreased with increasing excitation level. The RMSE increased monotonically versus excitation level using the planar reflector method but did not increase using the reference phantom method. The results suggest that the effects of nonlinear distortion are minimized using the reference phantom method.

Comparison of two ultrasonic backscatter coefficient methods under nonlinear distortion

The backscatter coefficient (BSC) is a fundamental property of tissues and can be parameterized for tissue characterization. The BSC requires a reference signal, which is estimated through either the planar reflector method (PRM) or the reference phantom method (RPM). In both methods, linear acoustic propagation is assumed. In this work, the BSC estimation methods are evaluated when nonlinear distortion is present. RF data were acquired from two physical phantoms, labeled A and B, with a 5 MHz single-element transducer using low power (1 excitation level) and high power (6 increasing excitation levels) excitation signals. Phantom A contained glass beads with diameters ranging from 75 to 90 μm and phantom B had glass beads with diameters ranging from 9 to 43 μm. The BSCs estimated using the low power setting and high power settings were compared for the both the PRM and RPM through a root mean square error (RMSE). Estimates of the effective scatterer diameter (ESD) were obtained using each method for each high power setting and compared to the low power setting. The RMSE increased as the power setting increased with much higher RMSEs using the PRM compared to RPM, i.e., a maximum of 7.3 times larger for phantom A and 8.6 times larger for phantom B. Estimates of ESD matched the ranges of glass beads sizes for both phantoms except when using the PRM at higher power settings. These findings suggest that the RPM is more robust to nonlinear distortion effects compare to the PRM.

Focused Ultrasound Induced-Blood-Brain Barrier Opening in Post-Radiosurgery Mouse Brain for Locally-Enhanced Systemic Therapy

Focused ultrasound (FUS) is a novel technique that is capable of non-invasively and transiently open the blood-brain barrier (BBB). It has been show that FUS can facilitate the delivery of systemically administered therapeutic agents. Our goal here is to investigate FUF induced BBB opening in a post stereotactic radiosurgery (SRS) mouse model for novel locally-enhanced systemic therapy. We hypothesized that microvascular effects of radiation could modulate the BBB-opening induced by FUS. In this study, normal brains of C57B5 mice were treated with a fractionated SRS dose, typically given to resected tumor cavities. A single beam radiation (6Gy x 5 daily fractions) was delivered through a 10×10 mm2 collimator to half of the mouse brain using the Small Animal Radiation Research Platform (SARRP). The dose delivered to the mice was verified via two mouse-like anthropomorphic phantoms in the axial and sagittal orientations. Upon the completion of SARRP treatments, mice were divided into two groups for FUS-induced BBB opening on day 7 (acute) and day 35 (chronic), respectively. A 1.5 MHz single element FUS transducer (-6dB focal zone was 1×1×7.5 mm3) was used for all sonications. The caudate-putamen (CPu) was the FUS target and four 30s sonications were delivered on each side of the brain. The BBB opening was confirmed with contrast-enhanced T1-weighted MRI scans, while dynamic MRI scans were also performed to evaluate the blood vessel permeability. The animals were sacrificed 2 hours post sonications and lectin was injected to label the vasculature. The isodose lines from the mouse-like phantom experiment agreed well with the projected values. BBB was successfully opened after FUS sonications on both sides of the brain (with or without radiation) as evidenced by contrast-enhanced MRI. In the acute group, higher gadolinium concentration (p = 0.072) was observed on the RT positive side. MR dynamic imaging revealed a similar trend in which RT positive side had a higher (p = 0.158) vascular permeability. Although the mean vessel area in the sonicated area remained similar between the two sides, significantly less lectin labeling (blood vessel density) was observed on the RT positive hemisphere (p = 0.003) in the acute group. These observations can be attributed to increased vasculature vulnerability immediately post SRS (within 2 days) resulting in more profound BBB opening. Interestingly, this difference diminished one month later in the chronic group, where FUS elicited comparable BBB openings and minimal vascular density changes in the CPu on both sides. Localized BBB opening can be successfully induced by FUS in previously stereotactically irradiated normal brains. BBB openings were evident in both acute and chronic settings with potentially more profound outcomes if FUS is performed within 2 days of RT treatment.

Nakagami-m parametric imaging for characterization of thermal coagulation and cavitation erosion induced by HIFU

Nowadays, both thermal and mechanical ablation techniques of HIFU associated with cavitation have been developed for noninvasive treatment. A specific challenge for the successful clinical implementation of HIFU is to achieve real-time imaging for the evaluation and determination of therapy outcomes such as necrosis or homogenization. Ultrasound Nakagami-m parametric imaging highlights the degrading shadowing effects of bubbles and can be used for tissue characterization. The aim of this study is to investigate the performance of Nakagami-m parametric imaging for evaluating and differentiating thermal coagulation and cavitation erosion induced by HIFU. Lesions were induced in basic bovine serum albumin (BSA) phantoms and ex vivo porcine livers using a 1.6 MHz single-element transducer. Thermal and mechanical lesions induced by two types of HIFU sequences respectively were evaluated using Nakagami-m parametric imaging and ultrasound B-mode imaging. The lesion sizes estimated using Nakagami-m parametric imaging technique were all closer to the actual sizes than those of B-mode imaging. The p-value obtained from the t-test between the mean m values of thermal coagulation and cavitation erosion was smaller than 0.05, demonstrating that the m values of thermal lesions were significantly different from that of mechanical lesions, which was confirmed by ex vivo experiments and histologic examination showed that different changes result from HIFU exposure, one of tissue dehydration resulting from the thermal effect, and the other of tissue homogenate resulting from mechanical effect. This study demonstrated that Nakagami-m parametric imaging is a potential real-time imaging technique for evaluating and differentiating thermal coagulation and cavitation erosion.

Rapid Spatial Mapping of Focused Ultrasound Fields Using a Planar Fabry-Pérot Sensor.

Measurement of high acoustic pressures is necessary in order to fully characterize clinical high-intensity focused ultrasound (HIFU) fields, and for accurate validation of computational models of ultrasound propagation. However, many existing measurement devices are unable to withstand the extreme pressures generated in these fields, and those that can often exhibit low sensitivity. Here, a planar Fabry-Pérot interferometer with hard dielectric mirrors and spacer was designed, fabricated, and characterized, and its suitability for measurement of nonlinear focused ultrasound fields was investigated. The noise equivalent pressure (NEP) of the scanning system scaled with the adjustable pressure detection range between 49 kPa for pressures up to 8 MPa and 152 kPa for measurements up to 25 MPa, over a 125 MHz measurement bandwidth. Measurements of the frequency response of the sensor showed that it varied by less than 3 dB in the range 1-62 MHz. The effective element size of the sensor was 65 and waveforms were acquired at a rate of 200 Hz. The device was used to measure the acoustic pressure in the field of a 1.1 MHz single-element spherically focused bowl transducer. Measurements of the acoustic field at low pressures compared well with measurements made using a Polyvinylidene difluoride needle hydrophone. At high pressures, the measured peak focal pressures agreed well with the focal pressure modeled using the Khokhlov-Zabolotskaya-Kuznetsov equation. Maximum peak positive pressures of 25 MPa and peak negative pressures of 12 MPa were measured, and planar field scans were acquired in scan times on the order of 1 min. The properties of the sensor and scanning system are well suited to measurement of nonlinear focused ultrasound fields, in both the focal region and the low-pressure peripheral regions. The fast acquisition speed of the system and its low NEP are advantageous, and with further development of the sensor, it has potential in application to HIFU metrology.

Phase-canceled backing structure for lightweight ultrasonic transducer

The overall weight of a medical ultrasonic transducer mainly depends on the weight of the backing layer. Therefore, a reduction of the thickness and the weight of the backing layer can be very useful for various types of array transducers whereby the user suffers from the inconvenience of the heavy weight. However, the backing layer with reduced thickness can cause distortions of the transmitted and received signals due to severe ripples reflected from the back-wall of the backing layer. In this study, a novel backing structure is proposed to solve this problem. The suggested backing layer is composed of multiple backing materials with different acoustic impedances to cancel the phases of the reflected signals. The rearmost material can dissipate the residual energy through the absorption effect. To verify these effects, a finite-element-method (FEM) simulation was conducted, and 4.5MHz single-element transducers were fabricated. Although the thickness of the suggested backing layer was reduced by 1/5 compared with the conventional thick bulk-type backing layer, the ripples caused from the backing layer were successfully minimized. Therefore, the proposed backing structure can be a potential way to reduce the thickness of the backing layer resulting in a lightweight ultrasonic transducer.

A Novel Fisheye-Lens-Based Photoacoustic System.

This paper presents a novel fisheye-lens-based photoacoustic (PA) system. In conventional PA systems, mechanical motors are utilized to obtain the target information due to the small fields of view of such systems. The use of such motors introduces mechanical noise, which is difficult to remove when processing the echo signals. A fisheye lens system offering a wide field of view would effectively reduce the motor effects (i.e., the noise) and enable the system to have a wide field of view. Therefore, in this work, we propose a novel fisheye lens scheme and describe a PA system based on the developed lens scheme. In addition, to confirm the feasibility of the fisheye-lens-based PA system, we present the typical pulse-echo responses obtained using a 20 MHz single element immersion transducer and the echo signals measured from bull’s eye tissue samples separated by approximately 4, 6, 8, and 10 cm diagonally and 2 cm vertically from the fisheye lens. The experimental results demonstrate that the echo signal amplitudes, their center frequencies, and the −6 dB bandwidths obtained using red, green, and blue lights and a fisheye lens are acceptable when the fisheye lens is separated from a sample both diagonally and vertically. Therefore, fisheye-lens-based PA systems could be a potential method of achieving wide fields of view while reducing the mechanical motor effects.

Non-invasive diagnosis of pulmonary hypertension from lung Doppler signal: a proof of concept study.

Transthoracic Parametric Doppler (TPD) is a novel ultrasound technique recently developed for the investigation of pulmonary blood vessels. Lung Doppler Signals (LDS) recorded from TPD provide information regarding the functional mechanical characteristics of pulmonary blood vessels. We aimed to define the specific profile of LDS generated from TPD imaging in patients with pulmonary hypertension (PH), and to evaluate the diagnostic performance of LDS to detect PH using right heart catheterization (RHC) as gold standard reference. Seventy nine PH patients and 79 healthy controls matched for age, gender and BMI were recruited in a prospective case-control multicenter study. LDS recordings were performed by TPD consisting of a pulsed Doppler with a 2MHz single element transducer. LDS were recorded within 24h of RHC. Following LDS extraction, classification and performance evaluation were performed offline using a support vector machine (k-fold cross validation method). The best LDS parameters for PH detection were (1) peak velocity of the systolic (S) and diastolic (D) signals, (2) the rise slope of the S and D signals, and (3) time to peak of the S signal. Overall, the sensitivity and specificity of TPD for detection of PH were 82.7% (95% CI 81.3-84.1) and 87.4% (95% CI 86.3-88.5), respectively, with an area under the receiver operating curve of 0.95 (95% CI 0.94-0.96). Detection rate of PH increased progressively with the level of mean pulmonary artery pressure. LDS recorded by TPD display a specific profile in PH and appears to be a promising and reliable tool for PH diagnosis. Further studies are required to confirm the clinical usefulness of LDS.

Evaluation of focused ultrasound algorithms: Issues for reducing pre-focal heating and treatment time

BackgroundDue to the heating in the pre-focal field the delay between successive movements in high intensity focused ultrasound (HIFU) are sometimes as long as 60s, resulting to treatment time in the order of 2–3h. Because there is generally a requirement to reduce treatment time, we were motivated to explore alternative transducer motion algorithms in order to reduce pre-focal heating and treatment time. Materials and methodsA 1MHz single element transducer with 4cm diameter and 10cm focal length was used. A simulation model was developed that estimates the temperature, thermal dose and lesion development in the pre-focal field. The simulated temperature history that was combined with the motion algorithms produced thermal maps in the pre-focal region. Polyacrylimde gel phantom was used to evaluate the induced pre-focal heating for each motion algorithm used, and also was used to assess the accuracy of the simulation model. ResultsThree out of the six algorithms having successive steps close to each other, exhibited severe heating in the pre-focal field. Minimal heating was produced with the algorithms having successive steps apart from each other (square, square spiral and random). The last three algorithms were improved further (with small cost in time), thus eliminating completely the pre-focal heating and reducing substantially the treatment time as compared to traditional algorithms. ConclusionsOut of the six algorithms, 3 were successful in eliminating the pre-focal heating completely. Because these 3 algorithms required no delay between successive movements (except in the last part of the motion), the treatment time was reduced by 93%. Therefore, it will be possible in the future, to achieve treatment time of focused ultrasound therapies shorter than 30min. The rate of ablated volume achieved with one of the proposed algorithms was 71cm3/h. The intention of this pilot study was to demonstrate that the navigation algorithms play the most important role in reducing pre-focal heating. By evaluating in the future, all commercially available geometries, it will be possible to reduce the treatment time, for thermal ablation protocols intended for oncological targets.