Treatment of Brain Illness with Ultrasound
A research team led by Dr. Kim Hyungmin from the Bionics Research Center at the Korea Institute of Science and Technology (KIST) has achieved a significant breakthrough in non-invasive focused ultrasound therapy. They have developed a real-time acoustic simulation technology powered by generative AI to predict and correct the distortion of ultrasound focus caused by the skull during treatment. This innovation addresses a longstanding challenge in utilizing focused ultrasound for treating neurological disorders like depression and Alzheimer's disease.
Focused ultrasound therapy is prized for its ability to target specific regions of the brain without the need for invasive procedures. However, the effectiveness of this therapy has been hindered by the difficulty in accurately predicting and compensating for the distortion of ultrasound waves caused by variations in patients' skull shapes in real-time.
Traditionally, navigation systems relying on pre-treatment medical images provide positional guidance between the patient and the ultrasound transducer. Yet, these systems do not account for the skull's impact on ultrasound waves, limiting their accuracy. Previous simulation methods aimed at compensating for skull-induced distortions were computationally intensive, impractical for real-time clinical use.
To overcome these limitations, Dr. Kim's team employed a generative adversarial neural network (GAN), a type of deep learning model widely used in medical imaging. This AI-based technology significantly reduces the computational time required to update three-dimensional simulation data from 14 seconds to a mere 0.1 seconds. Importantly, it achieves an average maximum acoustic pressure error of less than 7% and a focal position error of less than 6 mm, comparable to existing simulation techniques. This advancement enhances the feasibility of integrating AI simulations into clinical practice for focused ultrasound therapy.
Moreover, the team developed a novel medical image-based navigation system that leverages real-time acoustic simulations at a rate of 5 Hz, precisely predicting ultrasound energy and focus within the skull during treatment. Unlike previous methods that required precise pre-planned positioning of the ultrasound transducer based on simulation outcomes, this new system allows for dynamic adjustments based on real-time simulation feedback. This capability promises improved treatment accuracy and patient safety by enabling swift responses to unforeseen circumstances during therapy sessions.
Dr. Kim emphasized the potential impact of their research on enhancing the accuracy and safety of focused ultrasound treatments for brain diseases. "As we continue to refine and validate our system across diverse ultrasound environments, including multi-array transducers, we anticipate expanding its clinical applications," he stated.
In conclusion, the development of real-time AI-driven acoustic simulation technology marks a pivotal advancement in the field of focused ultrasound therapy. By overcoming previous computational challenges, this innovation paves the way for more precise, adaptable, and patient-centric treatments for neurological disorders, heralding a new era in non-invasive medical interventions.
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