Strongly Focused HIFU Transducers With Simultaneous Optical Observation for Treatment of Skin at 20 MHz

Ultrasound Med Biol. 2022 Jul;48(7):1309-1327. doi: 10.1016/j.ultrasmedbio.2022.03.002. Epub 2022 Apr 9.

Abstract

High-intensity focused ultrasound (HIFU) transducers are proposed as a new treatment modality for dermatology. The shape and size of pressure fields generated by strongly focused transducers with an f-number equal to 0.75 operating at frequencies up to 20 MHz are analyzed analytically using the Lucas-Muir model and numerically with the wide-angle Khokhlov-Zabolotskaya-Kuznetsov method. The modeling results under quasi-linear conditions are compared against measurements performed in an acoustic tank with the aid of a fiberoptic hydrophone. The size of the focal zone expressed by their depth of focus and focal diameter is found to be directly controlled by their operating frequency and f-number. Devices manufactured for an operating frequency of 20 MHz are characterized by their 6 dB depth of focus of 490 μm and focal diameter of 80.6 µm. The devices are further studied at high power levels using a polyacrylic tissue-mimicking phantom. The devices are equipped with an optical observation system allowing simultaneous treatment and observation of the skin surface. In comparison to conventional cosmetic applications of HIFU, the devices analyzed are concluded to be ideal for treatment of precisely selected and confined layers of the human skin.

Keywords: Dermatology; Focused ultrasound; Focusing; High frequency; High-intensity focused ultrasound; Khokhlov–Zabolotskaya–Kuznetsov method; Skin treatment; Tissue-mimicking phantom; Transducer.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acoustics
  • High-Intensity Focused Ultrasound Ablation* / methods
  • Humans
  • Phantoms, Imaging
  • Skin
  • Transducers*