An ultrasound power deposition model for the chest wall was developed based
on secondary-source and plane-wave theories, The anatomic model consisted
of a muscle-ribs-lung volume, accounted for wave reflection and refraction
at muscle-rib and muscle-lung interfaces, and computed power deposition due
to the propagation of both reflected and transmitted waves. Lung tissue wa
s assumed to be air-equivalent. The parts of the theory and numerical progr
am dealing with reflection were experimentally evaluated by comparing simul
ations with acoustic field measurements using several pertinent reflecting
materials. Satisfactory agreement was found. A series of simulations were p
erformed to study the influence of angle of incidence of the beam, frequenc
y, and thickness of muscle tissue overlying the ribs on power deposition di
stributions that may be expected during superficial ultrasound (US) hyperth
ermia of chest wall recurrences. Both reflection at major interfaces and at
tenuation in bone were the determining factors affecting power deposition,
the dominance of one vs, the other depending on the angle of incidence of t
he beam. Sufficient energy is reflected by these interfaces to suggest that
improvements in thermal doses to overlying tissues are possible with adequ
ate manipulation of the sound field (advances in ultrasonic heating,devices
) and prospective treatment planning. (C) 1999 World Federation for Ultraso
und in Medicine & Biology.