In addition to its application in medical diagnostics, ultrasound can also be used for the therapy of a wide range of clinical pictures. The mechanical and thermal effect of the ultrasound waves on the tissue is used. For reliable and safe applications, we develop novel therapeutic approaches and related hardware and software.

Technology

Therapy based on ultrasound computed tomography

With 3D-ultrasound computer tomography we are developing a novel imaging method for the early detection of breast cancer. Several thousand ultrasound transducers allow obtaining 3D images of the breast at sub-millimeter resolution. At the same time, the multitude of ultrasound transducers can be used to generate focused ultrasound, which can be used for thermal ablation or hyperthermia.

This requires the development of appropriate hardware (ultrasound transducers, driver hardware), as well as software (therapy planning and control software). Within the scope of this project (see publications) we develop ultrasound transducers and their adapted electronic control for a time- or phase-shifted transmission of ultrasound pulses. Therapy planning is done by solving an inverse problem, where a focus within the aperture and the desired heating of the tissue in this focus can be adjusted.

Furthermore, we are engaged in the simulation and design of appropriate apertures for an optimal distribution of ultrasonic transducers.

With these extensions to ultrasound computed tomography, it may be possible in the future to combine diagnosis and therapy of breast cancer in one medical device.

MRI-guided therapy using focused ultrasound

Focused ultrasound can be used in the therapy of neurodegenerative diseases, such as Alzheimer's, in order to administer medications more specifically and effectively through the local and temporary opening of the blood-brain barrier.

In our research we are engaged in the characterization of commercial and experimental focused MRI-guided ultrasound systems for small animal applications.

In addition, we develop subject-specific therapy planning for initial studies in mice. We are engaged in the automatic segmentation of MRI images of mice (bone, brain) and the simulation of the wave field of the focused ultrasound system and its interaction with the mouse head. Using the simulated ultrasound field, the position and sound pressure of focal points can be predicted more accurately. By iterative application of the simulation and corresponding optimization methods, parameters and positioning of the focused ultrasound transducer can be adapted to enable a reliable application.

Publications


2013
Ultrasound breast cancer diagnsis and therapy. A design study
Kohout, B.; Dapp, R.; Ruiter, N.
2013. AIA-DAGA International Conference on Acoustics, Merano, I, March 18-21, 2013
Ultrasound breast cancer diagnosis and therapy. A design study
Kohout, B.; Dapp, R.; Ruiter, N.
2013. AIA-DAGA 2013 : Proceedings of the International Conference on Acoustics, Merano, I, March 18-21, 2013, 687–690
2012
Sound field simulation tool for abritrary rectangular transducer array matrices
Kohout, B.; Palacios, L.; Dapp, R.; Zapf, M.; Ruiter, N. V.
2012. 2012 IEEE International Ultrasonics Symposium, Dresden, October 7-10, 2012
Sound field simulation tool for arbritrary rectangular transducer array matrices
Kohout, B.; Palacios, L.; Dapp, R.; Zapf, M.; Ruiter, N. V.
2012. Proc. of 2012 IEEE International Ultrasonics Symposium, Dresden, October 7-10, 2012, 568–571, Institute of Electrical and Electronics Engineers (IEEE)
First in-vivo images with the KIT 3D ultrasound computer tomograph
Gemmeke, H.; Berger, L.; Birk, M.; Dapp, R.; Kohout, B.; et al.
2012. 2012 IEEE Nuclear Science Symp.and Medical Imaging Conf. (NSS/MIC), Anaheim, Calif., October 29 - November 3, 2012, DVD, Institute of Electrical and Electronics Engineers (IEEE)
First in-vivo images with the KIT 3D ultrasound computer tomograph
Gemmeke, H.; Berger, L.; Birk, M.; Dapp, R.; Kohout, B.; et al.
2012. 2012 IEEE Nuclear Science Symp.and Medical Imaging Conf. (NSS/MIC), Anaheim, Calif., October 29 - November 3, 2012
3D ultrasound computer tomography of the breast: A new era?
Ruiter, N. V.; Zapf, M.; Hopp, T.; Dapp, R.; Kohout, B.; et al.
2012. 6th Internat.Congress on MR-Mammography, Jena, September 27-29, 2012
3D ultrasound computer tomography of the breast: A new era?
Ruiter, N. V.; Zapf, M.; Hopp, T.; Dapp, R.; Kohout, B.; et al.
2012. European journal of radiology / Supplement, 81 (1), S133-S134. doi:10.1016/S0720-048X(12)70055-4
Simulation und Entwicklung von Ultraschallwandlersystemen für die 3D-Ultraschall-Computertomographie
Kohout, B.; Palacios, L.; Ruiter, N.
2012. 38.Jahrestagung für Akustik (DAGA 2012), Darmstadt, 19.-22.März 2012
Simulation und Entwicklung von Ultraschallwandlersystemen für die 3D-Ultraschall-Computertomographie
Kohout, B.; Palacios, L.; Ruiter, N.
2012. Fortschritte der Akustik : DAGA 2012 ; 38. Deutsche Jahrestagung für Akustik, Darmstadt, 19.-22. März 2012. Bd.2, 697–698, Deutsche Gesellschaft für Akustik (DEGA)
Investigation and optimization of a finite element simulation of transducer array systems for 3D ultrasound computer tomography with respect to electrical impedance characteristics
Kohout, B.; Pirinen, J.; Ruiter, N. V.
2012. Ultrasonic Imaging, Tomography, and Therapy : Proc. of SPIE Medical Imaging Conf. 2012, San Diego, Calif., February 4-9, 2012. Ed.: J. Bosch, 832013, Society of Photo-optical Instrumentation Engineers (SPIE)
2011
Finite element model of transducer array systems for 3D ultrasound computer tomography
Kohout, B.; Göbel, G.; Ruiter, N. V.
2011. D’Hooge, J. [Hrsg.] Medical Imaging 2011 : Ultrasonic Imaging, Tomography and Therapy ; Proc.of the Conf., Lake Buena Vista, Fla., February 12-17, 2011 Bellingham, Wash. : SPIE, 2011 O/1-10 (Proceedings of SPIE ; 7968) Proc.of SPIE on CD ROM (Proceedings of SPIE ; 7961-7968)
Finite element model of transducer array systems for 3D ultrasound computer tomography
Kohout, B.; Göbel, G.; Ruiter, N. V.
2011. D’Hooge, J. [Hrsg.] Medical Imaging 2011 : Ultrasonic Imaging, Tomography and Therapy ; Proc.of the Conf., Lake Buena Vista, Fla., February 12-17, 2011 Bellingham, Wash. : SPIE, 2011 O/1-10 (Proceedings of SPIE ; 7968) Proc.of SPIE on CD ROM (Proceedings of SPIE ; 7961-7968), 79860
2010
Finite Elemente Simulation von Ultraschallwandlersystemen für die Ultraschall Computertomographie. diploma thesis
Kohout, B.
2010. Diplomarbeit, Karlsruher Institut für Technologie 2010