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Gerald R. Popelka

Publications and source records attributed to Gerald R. Popelka.

3 recordsLinked to original sources

A deep-learning model for one-shot transcranial ultrasound simulation and phase aberration correction

Transcranial ultrasound (TUS) has emerged as a promising tool in clinical and research settings due to its potential to modulate neuronal activity, open the blood-brain barrier, facilitate targeted drug delivery via nanoparticles, and perform thermal ablation, all non-invasively. By delivering focused ultrasound waves to precise regions anywhere in the brain, TUS enables targeted energy deposition and is being explored in over fifty clinical trials as a treatment for conditions such as opioid addiction, Alzheimer's disease, dementia, epilepsy, and glioblastoma. However, effective TUS treatment requires careful ultrasound parameter design and precise computation of the focal spot's location and pressure, as skull heterogeneity increases the risk of off-target sonication or insufficient energy delivery to neural tissue. In clinical settings, this phase aberration correction must be computed within seconds. To achieve this, commercial devices often rely on faster methods, such as ray tracing, to predict the focus location and pressure. While computationally efficient, these methods may not always provide the high level of accuracy needed for optimal TUS delivery. We present TUSNet, the first end-to-end deep learning approach to solve for both the pressure field and phase aberration corrections without being bound to the inherent trade-off between accuracy and efficiency. TUSNet computes the 2D transcranial ultrasound pressure field and phase corrections within 21 milliseconds (over $1200\times$ faster than k-Wave, a MATLAB-based acoustic simulation package), achieving $98.3\%$ accuracy in estimating peak pressure magnitude at the focal spot with a mean positioning error of only $0.18$ mm compared to ground truth from k-Wave.

physics.med-ph

Focal Volume, Acoustic Radiation Force, and Strain in Two-Transducer Regimes

Transcranial focused ultrasound stimulation (TUS) holds promise for non-invasive neural modulation in treating neurological disorders. Most clinically relevant targets are deep within the brain (near or at its geometric center), surrounded by other sensitive regions that need to be spared clinical intervention. However, in TUS, increasing frequency with the goal of improving spatial resolution reduces the effective penetration depth. We show that by using a pair of 1 MHz, orthogonally arranged transducers we improve the spatial resolution afforded by each of the transducers individually, by nearly 40 fold, achieving a sub-cubic millimeter target volume of $0.24\ mm^3$. We show that orthogonally placed transducers generate highly localized standing waves with Acoustic Radiation Force (ARF) arranged into periodic regions of compression and tension near the target. We further present an extended capability of the orthogonal setup, which is to impart selective pressures--either positive or negative, but not both--on the target. Lastly, we share our preliminary findings that strain can arise from both particle motion and ARF with the former reaching its maximum value at the focus, and the latter remaining null at the focus and reaching its maximum around the focus. As the field is investigating the mechanism of interaction in TUS by way of elucidating the mapping between ultrasound parameters and neural response, orthogonal transducers expand our toolbox by making it possible to conduct these investigations at much finer spatial resolutions, with localized and directed (compression vs. tension) ARF and the capability of applying selective pressures at the target.

physics.app-ph

Synthetic Skull CT Generation with Generative Adversarial Networks to Train Deep Learning Models for Clinical Transcranial Ultrasound

Deep learning offers potential for various healthcare applications, yet requires extensive datasets of curated medical images where data privacy, cost, and distribution mismatch across various acquisition centers could become major problems. To overcome these challenges, we propose a generative adversarial network (SkullGAN) to create large datasets of synthetic skull CT slices, geared towards training models for transcranial ultrasound. With wide ranging applications in treatment of essential tremor, Parkinson's, and Alzheimer's disease, transcranial ultrasound clinical pipelines can be significantly optimized via integration of deep learning. The main roadblock is the lack of sufficient skull CT slices for the purposes of training, which SkullGAN aims to address. Actual CT slices of 38 healthy subjects were used for training. The generated synthetic skull images were then evaluated based on skull density ratio, mean thickness, and mean intensity. Their fidelity was further analyzed using t-distributed stochastic neighbor embedding (t-SNE), Fréchet inception distance (FID) score, and visual Turing test (VTT) taken by four staff clinical radiologists. SkullGAN-generated images demonstrated similar quantitative radiological features to real skulls. t-SNE failed to separate real and synthetic samples from one another, and the FID score was 49. Expert radiologists achieved a 60\% mean accuracy on the VTT. SkullGAN makes it possible for researchers to generate large numbers of synthetic skull CT segments, necessary for training neural networks for medical applications involving the human skull, such as transcranial focused ultrasound, mitigating challenges with access, privacy, capital, time, and the need for domain expertise.

eess.IV