The objective of this work was to determine changes in the ultrasound
properties of heated tissues, with potential application to monitoring
of minimally invasive thermal therapy (MITT). Changes in backscatter
coefficients and frequency-dependent attenuation coefficients were mea
sured over the frequency range 2.5 MHz to 5 MHz from heated samples of
store-bought fresh bovine liver, which was used as a tissue model. In
dividual liver samples were heated from 37 degrees C to either 50 degr
ees C, 55 degrees C, 60 degrees C, 65 degrees C or 70 degrees C by war
m water. The backscatter coefficient increased during the first 3 min
by a factor of 1.09 and 1.11 before the tissue reached 50 degrees C an
d 55 degrees C, respectively. A decrease in backscatter coefficient fo
llowed at 50 degrees C by a factor of 1.12 below the initial level and
, at 55 degrees C, the backscatter coefficient dropped below the initi
al level by a factor of 1.19. The backscatter coefficient decreased wi
thin the first 2 min by a factor of 1.22 before the tissue reached 60
degrees C, then increased gradually to a factor of 1.05 below the init
ial level. At 65 degrees C and 70 degrees C, the changes in backscatte
r coefficient were highly variable, which may have been due to product
ion of gas microbubbles in the heated tissues. The ultrasound attenuat
ion coefficient increased by as much as 1.48 dB cm(-1) over a 30-min p
eriod at 70 degrees C. First-order rate parameters derived from the at
tenuation results revealed one rate process at 50 degrees C and 55 deg
rees C and two rate processes at 60 degrees C, 65 degrees C and 70 deg
rees C. An activation energy of 1.00 x 10(4) cal mol(-1) was derived f
rom the second rate constants at 60 degrees C, 65 degrees C and 70 deg
rees C, which indicates that changes in attenuation may be due to prot
ein denaturation. In conclusion, ultrasound image monitoring of therma
l therapy treatment in liver may be feasible; however, the backscatter
coefficient changes during heating are small and are of the same orde
r as the variation in these changes from point to point in the tissue.
(C) 1997 World Federation for Ultrasound in Medicine & Biology.