arXiv subjects

Eleanor Martin

Publications and source records attributed to Eleanor Martin.

7 recordsLinked to original sources

arXiv2025

Pointwise Encoding Time reduction with Radial Acquisition (PETRA) to pseudo-CT mapping for precision Focused Transcranial Ultrasound Applications

Ultrasound simulations used for treatment planning in transcranial ultrasound stimulation(TUS) currently depend on converting computed tomography(CT) images to acoustic properties. Aiming to reduce subject exposure to ionising radiation, recent literature focused on generating pseudo-CT images from different magnetic resonance(MR) imaging sequences. Here, the PETRA (pointwise encoding time reduction with radial acquisition) sequence was used because of its stronger ability to image bones. A dataset of paired CT and PETRA scans was acquired separately for human subjects and ex-vivo skulls. Principal component analysis performed on all bone voxels uncovered the affine relationship converting PETRA images to pseudo-CTs. Acoustic simulations based on CTs and pseudo-CTs were performed in k-Plan and k-wave. For in-vivo data, the mean absolute errors in focal position, peak pressure and focal volume were $0.48\pm0.25$mm, $5.1\pm4.0\%$ and $5.8\pm4.4\%$. The similarity of acoustic fields from ex-vivo CTs/pseudo-CTs was compared with experimental data. The corresponding errors were $1.5\pm1.2$mm, $17.1\pm14.6\%$ and $32.5\pm22.5\%$ for CT and $1.6\pm1.4$mm, $18.2\pm17.1\%$ and $19.2\pm15.9\%$ for pseudo-CT. The small errors for in-vivo data and the similarity of the experimental errors for both methods validate the use of PETRA-derived pseudo-CT as an alternative to CT, ensuring precise acoustic field predictions. The conversion tool is available at https://github.com/ucl-bug/petra-to-ct.

physics.med-ph↗

arXiv2024

A Practical Guide to Transcranial Ultrasonic Stimulation from the IFCN-endorsed ITRUSST Consortium

Low-intensity Transcranial Ultrasonic Stimulation (TUS) is a non-invasive brain stimulation technique enabling cortical and deep brain targeting with unprecedented spatial accuracy. Given the high rate of adoption by new users with varying levels of expertise and interdisciplinary backgrounds, practical guidelines are needed to ensure state-of-the-art TUS application and reproducible outcomes. Therefore, the International Transcranial Ultrasonic Stimulation Safety and Standards (ITRUSST) consortium has formed a subcommittee, endorsed by the International Federation of Clinical Neurophysiology (IFCN), to develop recommendations for best practice in TUS applications in humans. The practical guide presented here provides a brief introduction into ultrasound physics and sonication parameters. It explains the requirements of TUS lab equipment and transducer selection and discusses experimental design and procedures alongside potential confounds and control conditions. Finally, the guide elaborates on essential steps of application planning for stimulation safety and efficacy, as well as considerations when combining TUS with neuroimaging, electrophysiology, or other brain stimulation techniques. We hope that this practical guide to TUS will assist both novice and experienced users in planning and conducting high-quality studies and provide a solid foundation for further advancements in this promising field.

physics.med-ph↗

arXiv2024

Strategies and safety simulations for ultrasonic cervical spinal cord neuromodulation

Focused ultrasound spinal cord neuromodulation studies have demonstrated spinal cord neuromodulation in small animals. The safe and efficacious translation of these approaches to human scale requires an understanding of ultrasound propagation and heat deposition within the human spine. To address this, combined acoustic and thermal modelling was used to assess the pressure and heat distributions produced by a 500 kHz source focused to the C5/C6 level of the cervical spine via two approaches a) the posterior acoustic window between vertebral posterior arches, or b) the lateral intervertebral foramen from which the C6 spinal nerve exits. Pulse trains of 150 0.1 s pulses with a pulse repetition frequency of 0.33 Hz and free-field spatial peak pulse-averaged intensity of 10 W/cm^2 were simulated for the CT volumes of four subjects and for $\pm$10 mm translational and $\pm$10{\deg} rotational source positioning errors. Target pressures ranged between 20% and 70% of free-field spatial peak pressures with the posterior approach, and 20% and 100% with the lateral approach. When the source was optimally positioned with the posterior approach, peak spine heating values were below 1{\deg}C, but source mis-positioning resulted in bone heating up to 4{\deg}C. Heating with the lateral approach did not exceed 2{\deg}C within the mispositioning range. There were substantial inter-subject differences in target pressures and peak heating values. Target pressure varied three to four-fold between subjects, depending on approach, while peak heating varied approximately two-fold between subjects. This results in a near ten-fold range in the target pressure achieved per degree of peak heating between subjects. This highlights the importance of developing trans-spine ultrasound simulation software for the assurance of subject-specific safety and efficacy of focused ultrasound spinal cord therapies.

physics.med-ph↗

arXiv2024

ITRUSST Consensus on Standardised Reporting for Transcranial Ultrasound Stimulation

As transcranial ultrasound stimulation (TUS) advances as a precise, non-invasive neuromodulatory method, there is a need for consistent reporting standards to enable comparison and reproducibility across studies. To this end, the International Transcranial Ultrasonic Stimulation Safety and Standards Consortium (ITRUSST) formed a subcommittee of experts across several domains to review and suggest standardised reporting parameters for low intensity TUS, resulting in the guide presented here. The scope of the guide is limited to reporting the ultrasound aspects of a study. The guide and supplementary material provide a simple checklist covering the reporting of: (1) the transducer and drive system, (2) the drive system settings, (3) the free field acoustic parameters, (4) the pulse timing parameters, (5) \emph{in situ} estimates of exposure parameters in the brain, and (6) intensity parameters. Detailed explanations for each of the parameters, including discussions on assumptions, measurements, and calculations, are also provided.

physics.med-ph↗

arXiv2023

ITRUSST Consensus on Biophysical Safety for Transcranial Ultrasound Stimulation

Transcranial ultrasound stimulation (TUS) is an emerging technology for non-invasive brain stimulation. The International Transcranial Ultrasonic Stimulation Safety and Standards consortium (ITRUSST) has established consensus on considerations for nonsignificant biophysical risk of TUS, drawing upon the literature and established regulations for biomedical devices. Here, we assume the application of TUS to individuals without contraindications, compromised thermoregulation, vascular vulnerabilities, or administered ultrasound contrast agents. In this context, we present a concise yet comprehensive set of levels for nonsignificant risks of TUS application. For mechanical effects, it is non-significant risk if the mechanical index (MI) or the mechanical index for transcranial application (MItc) does not exceed 1.9. For thermal effects, it is non-significant risk if any of the following three levels are met: the peak temperature rise does not exceed 2{\deg}C or the peak absolute temperature does not exceed 39{\deg}C, assuming a baseline temperature of 37{\deg}C, the thermal dose does not exceed 2 CEM43 in brain tissue, 16 CEM43 in bone tissue, and 21 CEM43 in skin tissue, or specific values of the thermal index (TI) for a given exposure time. This report reflects a consensus expert opinion and can inform, but not replace, regulatory guidelines or official international standards. Similarly, this consensus can inform, but not replace, ethical evaluation, which weighs the total burden, risks, and benefits of the proposed action. The stated levels are not safety limits per se, and further data is needed to establish the threshold for significant risk. We review literature relevant to our considerations and discuss limitations and future developments of our approach.

physics.bio-ph↗

arXiv2023

open-UST: An Open-Source Ultrasound Tomography Transducer Array System

Fast imaging methods are needed to promote widespread clinical adoption of Ultrasound Tomography (UST), and more widely available UST hardware could support the experimental validation of new measurement configurations. In this work, an open-source 256-element transducer ring array was developed (morganjroberts.github.io/open-UST) and manufactured using rapid prototyping, for only {\pounds}2k. Novel manufacturing techniques were used, resulting in a 1.17$^{\circ}$ mean beam axis skew angle, a 104 $\mu$m mean element position error, and a $\pm$13.6 $\mu$m deviation in matching layer thickness. The nominal acoustic performance was measured using hydrophone scans and watershot data, and the 61.2 dB SNR, 55.4$^{\circ}$ opening angle, 16.3 mm beamwidth and 54% transmit-receive bandwidth (-12 dB), were found to be similar to existing systems, and compatible with full waveform inversion reconstruction methods. The inter-element variation in acoustic performance was typically <10% without using normalisation, meaning that the elements can be modelled identically during image reconstruction, removing the need for individual source definitions based on hydrophone measurements. Finally, data from a phantom experiment was successfully reconstructed. These results demonstrate that the open-UST system is accessible for users, and suitable for UST imaging research.

physics.med-ph↗

arXiv2022

Experiments and simulations demonstrating the rapid ultrasonic rewarming of frozen beef cryovials

The development of methods to safely rewarm large volume cryopreserved biological samples remains a barrier to the widespread adoption of cryopreservation. Here, experiments and simulations were performed to demonstrate that ultrasound can increase rewarming rates relative to thermal conduction alone. An ultrasonic rewarming setup based on a custom 444 kHz tubular piezoelectric transducer was designed, characterized, and tested with 2 mL cryovials filled with frozen ground beef. Rewarming rates were characterized in the -20$^{\circ}$C to 5$^{\circ}$C range. Thermal conduction-based rewarming was compared to thermal conduction plus ultrasonic rewarming, demonstrating a ten-fold increase in rewarming rate when ultrasound was applied. The maximum recorded rewarming rate with ultrasound was 57$^{\circ}$C per minute, approximately 2.5 times faster than with thermal conduction alone. Coupled acoustic and thermal simulations were developed and showed good agreement with the heating rates demonstrated experimentally and were also used to demonstrate spatial heating distributions with small ($<$3$^{\circ}$C) temperature differentials throughout the sample when the sample was below 0$^{\circ}$C. The experiments and simulations performed in this work demonstrate the potential for ultrasound as a rewarming method for cryopreserved tissues, as faster rewarming rates may improve the viability of cryopreserved tissues and reduce the time needed for cells to regain normal function.

physics.med-ph↗