Patent Publication Number: US-2022233889-A1

Title: Method and system for ultrasound induced hyperthermia with microwave thermometry feedback

Description:
CROSS-REFERENCE TO RELATED APPLICATIONS 
     This application claims any and all benefits as provided by law including benefit under 35 U.S.C. § 119(e) of the U.S. Provisional Application No. 62/373,609, filed Aug. 11, 2016, the contents of which are incorporated herein by reference in its entirety. 
    
    
     STATEMENT REGARDING FEDERALLY SPONSORED RESEARCH 
     Not Applicable. 
     REFERENCE TO MICROFICHE APPENDIX 
     Not Applicable 
     BACKGROUND 
     Technical Field of the Invention 
     The present invention is directed to the use of low intensity ultrasound for inducing hyperthermia for the treatment of biological tissue and the use of passive microwave radiometry for sensing temperature of the tissue. More specifically, the present invention is directed to using the passive microwave radiometry to control biological treatment temperatures in hyperthermia treatment systems. 
     Description of the Prior Art 
     Despite the rates of many cancers decreasing, the search for effective treatments is ongoing, especially for cancers that are increasing in occurrence and mortality. As the scientific and medical communities&#39; knowledge increases and becomes more nuanced, a multi-pronged treatment approach is often embraced. One frequently used therapeutic component is hyperthermia, the gentle non-burning heating of affected tissue. Hyperthermia is often paired with other therapies as an adjuvant. Currently, heat is delivered via microwave energy, and temperature is monitored via either treating the patient in an MRI machine or placing thermocouples externally or in the nearest bodily orifice to get as close to the treatment site as possible. While this treatment plays an important part in a cancer patient&#39;s care, there are drawbacks to the current approach. 
     SUMMARY 
     The present invention is directed to methods and systems that deliver heat through the use of ultrasound, not microwaves. There are two primary reasons why this is preferable. The first is the patient experience, while microwaves are non-ionizing radiation, the idea of being microwaved is not a pleasant one for the patient. The second is that microwaves create an electromagnetic field that disrupts certain electronics. With this disruptive electromagnetic field, the scope of possible temperature feedback mechanisms and systems is limited. Ultrasound is not electromagnetic radiation and so does not create this disruptive field. Thus, ultrasound based hyperthermia therapy systems according to embodiments of the present invention can utilize the capabilities of passive microwave thermo-sensing. In accordance with some embodiments of the invention, remote passive microwave thermo-sensing can be integrated with the ultrasound heat delivery system to provide remote focused temperature feedback control from 0-2 cm below the skin surface. This system can provide controlled and focused heat delivery at a substantially lower cost than current systems that use MRI based temperature monitoring and unlike an MRI based system, systems according to the present invention will not require special shielding or facilities to function and can be much smaller. 
     In accordance with some embodiments of the invention, the hyperthermia therapy system can include an ultrasound transducer for delivering low intensity ultrasound signals to heat to a given volume of tissue via ultrasonic energy, and the administration of this ultrasonic energy and the resulting heat therapy cart be controlled using feedback from a passive microwave radiometry based temperature sensor. 
     In accordance with sonic embodiments of the invention, the system can induce hyperthermia—a gentle non-ablative heating of tissue using ultrasound. The devices and systems according to the invention can be used to treat maladies below the surface of the skin, such as melanoma, basal carcinoma, squamous carcinoma, and other superficial tumors. In accordance with some embodiments of the invention, the devices and systems can be used as part of an adjuvant treatment for these and other maladies. In accordance with some embodiments of the invention, during treatment, the tissue temperature can be raised and held for the duration of treatment to a predefined temperature or temperature range (e.g., between 38-44 C, although other ranges are possible). The set point treatment temperature can have an accuracy of +/−0.5-1.0 degree Celsius or better. The device will be intended for both laboratory and clinical use. 
     These and other capabilities of the invention, along with the invention itself, will be more fully understood after a review of the following figures, detailed description, and claims. 
    
    
     
       BRIEF DESCRIPTION OF THE FIGURES 
       The accompanying drawings, which are incorporated into this specification, illustrate one or more exemplary embodiments of the inventions and, together with the detailed description, serve to explain the principles and applications of these inventions. The drawings and detailed description are illustrative, and are intended to facilitate an understanding of the inventions and their application without limiting the scope of the invention. The illustrative embodiments can be modified and adapted without departing from the spirit and scope of the inventions. 
         FIG. 1  is a diagrammatic view of an ultrasound based hyperthermia is treatment system according to some embodiments of the invention. 
         FIG. 2  is a more detailed diagrammatic view of an ultrasound based hyperthermia. treatment system according to some embodiments of the invention. 
     
    
    
     DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS 
     The present invention is directed to methods and systems for using ultrasonic energy for hyperthermia therapies that produce non-ablative heating of tissue. In accordance with some embodiments of the invention, an ultrasound signal generator drives an ultrasound transducer to produce low intensity ultrasonic energy that can be applied to a treatment site in tissue. The low intensity ultrasonic energy induces heating and raises the temperature of the tissue at the treatment site. In accordance with some embodiments of the invention, a microwave radiometer can be aimed at the treatment site and used to determine the temperature of the tissue at the treatment site by measuring the microwave energy received from the treatment site. The temperature determined by the radiometer can be fed back into the ultrasound generator to control the ultrasonic energy applied to the treatment site to adjust and maintain the temperature of treatment site according to a predefined temperature. 
     When the ultrasound signal is applied to treatment site in tissue, the ultrasonic energy induces heating. The amount of heating is in part a function of the density of the tissue in the treatment site and physiologic composition of the tissue, such as water and fat content. In addition, the density and physiologic composition of the tissue can change during the course of treatment resulting in temperature variations that can limit the effectiveness of the hyperthermia therapy. Thus, it is desirable to be able to determine the temperature of tissue at the treatment site during the course of the therapy and to control the application of ultrasound energy as required to maintain the desired temperature for the specified therapy. In accordance with some embodiments of the invention, it can be desirable to maintain a constant temperature or temperature range (e.g., 41° C. or 38-44° C.) over at least part of the course of treatment. In accordance with some embodiments of the invention, it can be desirable to apply temperature profile (e.g., the temperature changes with time according to a plan or program) over at least part of the course of treatment. 
       FIG. 1  shows a diagrammatic view of an ultrasound hyperthermia system  100  according to some embodiments of the invention. The ultrasound hyperthermia system  100  includes a controllable ultrasound energy source  200  and a microwave radiometer  300 . The ultrasound energy source  200  produces ultrasonic energy at a predefined frequency (e.g. 0.5-5.0 MHz) and a predefined intensity (e.g., 0.1-3.0 W/cm 2 ) to induce heating of tissue at a target site  110  on the skin surface and at least 2.0 cm below the skin surface. The ultrasound energy source  200  can be controlled by an input signal to control the frequency and the intensity to regulate the heating induced in the target site  110 . The ultrasonic energy can be increased to increase the temperature at the target site  110  and the ultrasonic energy can be decreased to decrease the temperature at the target site  110 . 
     The microwave radiometer  300  measures the microwave energy emanating from the tissue at the treatment site  110  and uses the measured microwave energy to determine the temperature of the tissue at the treatment site  110 . The temperature determined by the microwave radiometer can be fed back  355  to the ultrasound energy source  200  and used to control the output of the ultrasound generator and the ultrasound transducer to control the temperature induced by the ultrasound energy. In accordance with some embodiments of the invention, the set point temperature can be controlled to an accuracy of +/−0.5-1.0° C. or better. 
     In operation, the ultrasound energy source  200  can be configured to generate a predefined frequency and intensity of ultrasound energy that is applied to induce heating of tissue at the target site  110  and is expected to bring the tissue to a predefined temperature. While the ultrasound energy is being applied, the microwave radiometer is determining the temperature of the tissue at the target site  110  and sending the temperature values (and/or a signal  355  determined as function of the temperature values) to the ultrasound energy source  200 . The ultrasound energy source  200  uses the temperature values (and/or the signal  355 ) to adjust the frequency and/or intensity of the ultrasound energy as it is being applied to the tissue at the target site  110  to raise or lower the tissue temperature to the predefined value or range. 
       FIG. 2  shows a more detailed diagrammatic view of an ultrasound hyperthermia system  100  according to some embodiments of the invention. In accordance with some embodiments of the invention, the ultrasound energy source  200  can include an ultrasound generator  240  coupled through an amplifier  230  and an impedance matching network  220  to an ultrasound transducer  210 . The ultrasound generator  240  can be used to generate an arbitrary ultrasound waveform with an adjustable amplitude at frequency in the range, for example, from 0.5-5.0 MHz. In accordance with some embodiments of the invention, the ultrasound generator  240  can be, for example, an Agilent 3320 ultrasound generator. Depending on the desired level ultrasound energy and heating, the ultrasound signal can be amplified, for example, using an ENI 550L RF amplifier. The amplified ultrasound signal can be input into a piezoelectric ultrasound transducer to produce that ultrasound energy that can be applied to the tissue in the target site. Depending on the design of the amplifier and the ultrasound transducer, an impedance matching network can be used to couple the amplifier and transducer to match the capacitive loads of those components to maximize the power transfer through the system. In accordance with some embodiments of the invention, the ultrasonic transducer can be coupled via a recirculating, chilled water-filled cone through a sterile membrane to the patient tissue. The recirculating water can be chilled, for example, using an Oasis 170 pump/chiller, and can also be degassed using, for example, a Liqui-Cel membrane contactor 4×8 inline degasser, in order to remove any gas bubbles that may inhibit good coupling of the ultrasonic energy to the patient tissue. The sterile membrane can be disposable to prevent the spread of disease by the system that is in contact with patient tissue. 
     According to some embodiments of the invention, the water filled cone can act as a lens to control the focus of the ultrasound energy and different water filled cone configurations can be used to produce the desired ultrasound energy distribution to accommodate the dimensions of the target site. 
     In accordance with some embodiments of the invention, the microwave sensor can be focused on the volume of tissue being heated by the ultrasound transducer and can detect an emanating signal in the range from about 1 and 6 GHz. The microwave radiometer  300  includes a microwave antenna  310  and, for example, can be constructed based on the architecture of a Dicke Radiometer. The microwave radiometer  300  can include an internal calibrated resistor or other calibrated temperature source  330  that is used to determine an absolute temperature. The microwave radiometer  300  detects the temperature of the tissue relative to that of the calibrated temperature source using the RF switch  320 . The ambient microwave background noise in the received microwave signal can be filtered and mixed down using the RF mixer  340  that is connected to a local oscillator  345  (e.g., that can be configured to produce a reference signal from 1 and 6 GHz) to produce a baseband signal. The baseband signal can be integrated for a period of time to determine the baseband energy of the measure microwave signal. This energy is proportional to the temperature, or thermal noise, detected by the antenna and compared to the calibrated internal source in order to determine the actual temperature. 
     In accordance with some of the embodiments of the invention, the microwave radiometer determines a measure of the temperature of the tissue as it is exposed to the ultrasonic energy. The measure of temperature provided by the microwave radiometer can be fed back  355  by the signal processor/controller  350  to the ultrasound generator  240  to adjust the level (e.g., signal frequency and intensity) of ultrasound output. In accordance with some embodiments, a control loop, such as a PID controller, can be used to control ultrasound energy output in order to maintain the temperature in the ultrasound focal volume at the required temperature for hyperthermia. 
     The microwave radiometer can include a signal processor/controller  350  that processes the baseband signal to determine the temperature of the tissue. The signal processor/controller  350  can include one or more digital signal processors and/or one or more microprocessors and associated memories for storing computer programs that can be used to process the baseband signal and determine the temperature of the tissue being treated. 
     Other embodiments are within the scope and spirit of the invention. For example, due to the nature of software, functions described above can be implemented using software, hardware, firmware, hardwiring, or combinations of any of these, Features implementing functions may also be physically located at various positions, including being distributed such that portions of functions are implemented at different physical locations. 
     Further, while the description above refers to the invention, the description may include more than one invention.