Artificial intelligence-assisted ultrasound-guided focused ultrasound therapy: a feasibility study

Int J Hyperthermia. 2023;40(1):2260127. doi: 10.1080/02656736.2023.2260127. Epub 2023 Sep 25.

Abstract

Objectives: Focused ultrasound (FUS) therapy has emerged as a promising noninvasive solution for tumor ablation. Accurate monitoring and guidance of ultrasound energy is crucial for effective FUS treatment. Although ultrasound (US) imaging is a well-suited modality for FUS monitoring, US-guided FUS (USgFUS) faces challenges in achieving precise monitoring, leading to unpredictable ablation shapes and a lack of quantitative monitoring. The demand for precise FUS monitoring heightens when complete tumor ablation involves controlling multiple sonication procedures.

Methods: To address these challenges, we propose an artificial intelligence (AI)-assisted USgFUS framework, incorporating an AI segmentation model with B-mode ultrasound imaging. This method labels the ablated regions distinguished by the hyperechogenicity effect, potentially bolstering FUS guidance. We evaluated our proposed method using the Swin-Unet AI architecture, conducting experiments with a USgFUS setup on chicken breast tissue.

Results: Our results showed a 93% accuracy in identifying ablated areas marked by the hyperechogenicity effect in B-mode imaging.

Conclusion: Our findings suggest that AI-assisted ultrasound monitoring can significantly improve the precision and control of FUS treatments, suggesting a crucial advancement toward the development of more effective FUS treatment strategies.

Keywords: High intensity focused ultrasound (HIFU); Ultrasound-Guided-Focused ultrasound (USgFUS) treatment; artificial intelligence (AI); ultrasound B-Mode imaging.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Artificial Intelligence
  • Feasibility Studies
  • Humans
  • Neoplasms*
  • Ultrasonic Therapy*
  • Ultrasonography
  • Ultrasonography, Interventional