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CN108815725A - Therapeutic dose method and system for planning - Google Patents

Therapeutic dose method and system for planning Download PDF

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Publication number
CN108815725A
CN108815725A CN201810299688.6A CN201810299688A CN108815725A CN 108815725 A CN108815725 A CN 108815725A CN 201810299688 A CN201810299688 A CN 201810299688A CN 108815725 A CN108815725 A CN 108815725A
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China
Prior art keywords
parameter
tissue
therapeutic dose
sound
organizational
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CN201810299688.6A
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Inventor
郭成斌
宋丹
胡亮
黄浩然
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Chongqing Ronghai Engineering Research Center of Ultrasonic Medicine Co Ltd
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Chongqing Ronghai Engineering Research Center of Ultrasonic Medicine Co Ltd
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Priority to CN201810299688.6A priority Critical patent/CN108815725A/en
Publication of CN108815725A publication Critical patent/CN108815725A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • A61N7/02Localised ultrasound hyperthermia

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Thermotherapy And Cooling Therapy Devices (AREA)
  • Surgical Instruments (AREA)

Abstract

Therapeutic dose method and system for planning provided by the invention, organizational parameter, ultrasonic head parameter and predetermined close parameter based on acquisition calculate and obtain equivalent thermal dose distribution, the range that damage is formed in tissue is judged by the distribution of equivalent heat death theory, and then intended treatment effect is shown for doctor before the treatment, to the dispensing of guiding clinical treatment dosage, the subjective judgement that doctor is influenced because of the reading inaccuracy of real-time imaging monitoring is avoided the problem that.

Description

Therapeutic dose method and system for planning
Technical field
The present invention relates to ultrasonic therapy fields, and in particular, to a kind of therapeutic dose method and system for planning.
Background technique
High intensity focused ultrasound (High Intensity Focused Ultrasound, abbreviation HIFU) is that one kind can essence But the non-invasive therapy mode of skin incision, principle are not by External ultrasound Voice segment to body to true focusing therapy tumour It is interior, to form the region that an energy height is concentrated, and make this using the principle of fuel factor, cavitation effect and mechanical effect etc. Pathological tissues in region generate irreversible coagulation necrosis, and to region outside normal tissue do not have an impact, at present High-strength focusing ultrasonic therapy tumour is widely used to clinic.
The injected volume of dosage affects final treatment results, if therapeutic dose dispensing is too small, will lead to ablation of tissue It is imperfect, if therapeutic dose launches excessive, the increase of the patient's sense of discomfort and complication risk that will lead to.
It is in the prior art before the treatment, to rely on the experience subjective judgement setting treatment of doctor to the control method of dosage Dosage carrys out adjustment for the treatment of dosage by using real-time imaging monitoring over the course for the treatment of.Currently, usually used imaging monitoring It is monitored including ultrasonography monitoring and nuclear-magnetism.There is the high echo change of lumps in ultrasonography monitoring dependence target area or overall intensity is obvious Increase, but there may be the unconspicuous situation of grey scale change in therapeutic process, causes doctor quasi- from ultrasonography monitoring Really judge the actual conditions of tissue.Although it is high that nuclear-magnetism monitoring has image organizational contrast, and can do over the course for the treatment of lossless The advantages of monitoring temperature, but using nuclear-magnetism monitoring come adjustment for the treatment of dosage mode have certain hysteresis quality so that doctor without The actual conditions of method timely learning tissue.
Summary of the invention
The present invention is directed at least solve one of the technical problems existing in the prior art, a kind of therapeutic agent gauge is proposed Method and system are drawn, for assessing the equivalent heat death theory distribution under predetermined close of tissue.
A kind of therapeutic dose planing method is provided to achieve the purpose of the present invention, including:
Step S1, acquisition organizational parameter, ultrasonic head parameter and predetermined close parameter;
Step S2 is calculated based on organizational parameter, ultrasonic head parameter and predetermined close parameter and is obtained equivalent thermal dose point Cloth.
Wherein, step S2 is specifically included:
Step S21 calculates the sound field obtained in tissue according to organizational parameter, ultrasonic head parameter and predetermined close parameter Distribution;
Step S22 calculates the thermo parameters method obtained in tissue according to sound-filed simulation;
Step S23 calculates the equivalent thermal dose distribution obtained in tissue according to thermo parameters method.
Wherein, in the step s 21, according to organizational parameter, ultrasonic head parameter and predetermined close parameter, acquisition group is calculated Sound-filed simulation in knitting, specifically includes:Using KZK equation come the sound-filed simulation in computation organization.
Wherein, in step S22, the thermo parameters method obtained in tissue is calculated according to sound-filed simulation, is specifically included:Benefit With Pennes bioheat transfer equation come the thermo parameters method in computation organization.
Wherein, therapeutic dose planing method further includes:
Step S3 is distributed according to equivalent heat death theory and judges whether each position reaches the standard to form damage in tissue, if Be, then according to it is all reach to be formed injury criterion position generate damage profile.
Wherein, organizational parameter includes:The velocity of sound of tissue, density, acoustic attenuation, frequency dependent index, nonlinear factor, ratio Thermal capacitance, thermal coefficient, blood perfusion parameter, upper skin layer thickness, fat deposit thickness, muscle layer thickness and tissue treatment are deep Degree.
Wherein, ultrasonic head parameter includes internal diameter, outer diameter, working frequency and the focal length of ultrasonic head.
Wherein, predetermined close parameter includes irradiation power, irradiation time, intermittent time and irradiation cycle.
Wherein, the preparation method of blood perfusion parameter includes:
Acquire the mean blood flow velocity at tissue volume and tissue;
According to the mean blood flow velocity at tissue volume and tissue, calculates and obtain blood perfusion parameter.
The present invention also provides a kind of therapeutic dose planning systems comprising:
Input module, for inputting organizational parameter, ultrasonic head parameter and predetermined close parameter;
Computing module, for calculating based on organizational parameter, ultrasonic head parameter and predetermined close parameter and obtaining thermal dose point Cloth.
The invention has the advantages that:
Therapeutic dose planing method provided by the invention, organizational parameter, ultrasonic head parameter and predetermined agent based on acquisition It measures parameter and calculates the equivalent thermal dose distribution of acquisition, the range for forming damage in tissue is judged by the distribution of equivalent heat death theory, in turn Intended treatment effect is shown for doctor before the treatment, so that the dispensing of guiding clinical treatment dosage, avoids because of real-time imaging monitoring Reading inaccuracy and the problem of influence the subjective judgement of doctor.
Therapeutic dose planning system provided by the invention, input module, for input organizational parameter, ultrasonic head parameter with And predetermined close parameter;Computing module, for calculating thermit powder based on organizational parameter, ultrasonic head parameter and predetermined close parameter Amount distribution, and then show intended treatment effect before the treatment for doctor, thus the dispensing of guiding clinical treatment dosage, avoid because The reading inaccuracy of real-time imaging monitoring and the problem of influence the subjective judgement of doctor.
Detailed description of the invention
Fig. 1 is the flow chart of therapeutic dose planing method provided in an embodiment of the present invention;
Fig. 2 is another flow chart of therapeutic dose planing method provided in an embodiment of the present invention;
Fig. 3 is the damage profile obtained in the therapeutic dose planing method provided through the embodiment of the present invention;And
Fig. 4 be under Fig. 3 the same terms pass through clinical treatment obtain damage profile.
Specific embodiment
To make those skilled in the art more fully understand technical solution of the present invention, come with reference to the accompanying drawing to this hair The therapeutic dose method and system for planning of bright offer is described in detail.
Fig. 1 is the flow chart of therapeutic dose planing method provided in an embodiment of the present invention, as shown in Fig. 1, the therapeutic dose Planing method includes:
Step S1, acquisition organizational parameter, ultrasonic head parameter and predetermined close parameter;
Step S2 is calculated based on organizational parameter, ultrasonic head parameter and predetermined close parameter and is obtained equivalent thermal dose point Cloth.
Wherein, organizational parameter includes:The velocity of sound of tissue, density, acoustic attenuation, frequency dependent index, nonlinear factor, ratio Thermal capacitance, thermal coefficient, blood perfusion parameter, upper skin layer thickness, fat deposit thickness, muscle layer thickness and tissue treatment are deep Degree.
Tissue refers to biological tissue, since each tissue has uniqueness, i.e., above-mentioned each tissue of different tissues Parameter can not be identical, by inputting organizational parameter, to determine the special parameter of specific organization, to be directed to specific group It knits and carries out therapeutic dose planning.Organizational parameter can be obtained by Imaging Method, and Imaging Method includes nuclear magnetic scanning, ultrasound Scanning etc..
Wherein, the preparation method of above-mentioned blood perfusion parameter includes:
Acquire the mean blood flow velocity u at tissue volume V and tissue;
According to the mean blood flow velocity u at tissue volume V and tissue, calculates and obtain blood perfusion parameter wb, wb=ρ π R2/V.Wherein, R is vessel radius, and ρ is density of blood.
Wherein, ultrasonic head parameter includes internal diameter, outer diameter, working frequency and the focal length of ultrasonic head.Ultrasonic head refers to surpassing Sound treatment head, the ultrasound head are the ultrasonic head that will be used in treatment, actual ultrasonic head parameter in the ultrasound head parameter and treatment Unanimously.
Wherein, predetermined close parameter includes irradiation power, irradiation time, intermittent time and irradiation cycle.Predetermined close Parameter is the dosimetry parameter that doctor rule of thumb obtains.
Therapeutic dose planing method provided in an embodiment of the present invention, organizational parameter based on acquisition, ultrasonic head parameter and Predetermined close parameter, which calculates, obtains equivalent thermal dose distribution, judges the model that damage is formed in tissue by the distribution of equivalent heat death theory It encloses, and then provides the objective basis of therapeutic effect before the treatment for doctor, so that the dispensing of guiding clinical treatment dosage, avoids The problem of influencing the subjective judgement of doctor because of the reading of real-time imaging monitoring inaccuracy.
The calculation method of step S2 is described in detail below, Fig. 2 is therapeutic agent gauge provided in an embodiment of the present invention Another flow chart for the method for drawing, as shown in Figure 2.
Step S2 is specifically included:
Step S21, according to organizational parameter, ultrasonic head parameter and predetermined close parameter, the sound field in computation organization is divided Cloth;
Step S22 calculates the thermo parameters method obtained in tissue according to sound-filed simulation;
Step S23 calculates the equivalent thermal dose distribution obtained in tissue according to thermo parameters method.
It specifically includes in the step s 21:
The ultrasonic wave that ultrasonic hair goes out is calculated using KZK (Khokhlov-Zabolostkaya-Kuznetov) equation Sound-filed simulation in the tissue.Its equation is:
Wherein, p represents acoustic pressure, and z is the distance along sound wave Propagation direction, τ=t-z/c0For lag time, c0For group The small signal velocity of sound knitted, δ are the diffusion coefficient of tissue, ρ0For tissue density, β is the nonlinear factor of tissue,For Laplace operator, due to the sound field of Shell Transducer be it is axisymmetric, use cylindrical coordinate
It should be noted that in above-mentioned parameter, c0、δ、ρ0, β it is related with the position of ultrasonic wave within the organization, with The propagation of ultrasonic wave within the organization, ultrasonic wave can be by different locations in tissue, in the process, above-mentioned c0、δ、ρ0, β number Value size can change with the position of ultrasonic wave within the organization difference.For example, when ultrasonic wave is in fat deposit, c0For The small signal velocity of sound in fat, δ are the diffusion coefficient in fat, ρ0For fat attenuation, β is the nonlinear factor in fat.
By step S21, it is calculated as ultrasonic wave is propagated and time change, the changing rule of acoustic pressure, to obtain Acoustic pressure at each position within the organization.
It should be noted that in the present embodiment, using KZK equation come the sound-filed simulation in computation organization, but this hair It is bright to be not limited thereto, in practical applications, the sound field in the SBE equation calculation tissue of large angle energy converter can also be utilized Distribution, as long as in fact, can calculate sound field according to organizational parameter, ultrasonic head parameter and predetermined close parameter and organize Middle distribution.
In step S22, is calculated according to sound-filed simulation and obtain specifically including for the thermo parameters method in tissue:It utilizes Pennes bioheat transfer equation (Pennes Bio-heat Transfer Equation) comes the temperature field in computation organization point Cloth.Its equation is:
Wherein, ρt、ctTissue density, tissue specific heat capacity and the tissue coefficient of heat conduction, w are respectively represented with KbAnd cbFor tissue Blood perfusion parameter and tissue blood flow specific heat, T1It is the temperature that group is woven in after the heating of ultrasonic wave, T0For in tissue Blood flow temperature (temperature is identical as the initial temperature in tissue), Q is the heat that ultrasonic wave generates in the tissue of unit volume Amount, can be acquired by following formula:Q=2 α I, α are heat absorption coefficients of the tissue to ultrasonic wave, and I is the sound intensity of ultrasonic wave.
Further, the sound intensity of ultrasonic wave is further calculated according to the acoustic pressure obtained in step S21, specifically Formula is:I=p2/2ρtct
It should be noted that in above-mentioned parameter, ρt、ct、K、wb、cb、T1、T0, position of the α with ultrasonic wave within the organization It is equipped with pass, with the propagation of step ultrasonic wave within the organization, ultrasonic wave can be in different location in tissue, in the process, on State ρt、ct、K、wb、 cb、T1、T0, α numerical values recited can be different with the position of ultrasonic wave within the organization and change.
It should be noted that in the present embodiment, being calculated by Pennes bioheat transfer equation in tissue each The thermo parameters method of a position, but the present invention is not limited thereto, in practical applications, can also use other any ways, As long as thermo parameters method in tissue can be calculated according to the sound-filed simulation obtained in step S21.
In step S23, calculating the equivalent thermal dose distribution in acquisition tissue according to thermo parameters method includes:According to temperature The equivalent heat death theory distribution of linear accelerator under assigned temperature.
In the present embodiment, assigned temperature is 43 DEG C.
It is calculated according to CEM43 DEG C (43 DEG C of the Cumulative number of Equivalent Minutes at) Equivalent heat death theory distribution.Its equation is:
Wherein, T is the temperature organized after the irradiation of the ultrasonic wave of duration t, and T is by Temperature calculating in step S22 The temperature of acquisition, R are constant, and R=0.25 (works as T<At 43 DEG C), R=0.5 (works as T>At 43 DEG C).
After ultrasonic irradiation, organize the temperature of different location different, therefore, it is necessary to will organize the temperature of different location Equivalent is the equivalent heat death theory at 43 DEG C, for example, a certain position (hereinafter referred to as position A) is shone through ultrasonic wave within the organization Temperature after penetrating is 120 DEG C, 120 DEG C is scaled duration required for obtaining 120 DEG C at 43 DEG C, which is in tissue Equivalent heat death theory of the position A at 43 DEG C.
By calculating separately the equivalent heat death theory of each position in tissue, to obtain the equivalent heat death theory point in tissue Cloth.
The embodiment of the invention also includes step S3, judge whether each position reaches in tissue according to the distribution of equivalent heat death theory To formed damage standard, if so, according to it is all reach to be formed injury criterion position generate damage profile.
Wherein, the standard for forming damage is 240 minutes.Why the embodiment of the present invention limits the standard for forming damage Be 240 minutes, this is because 43 DEG C, by under irradiations in 240 minutes, can make tissue (such as tumour etc.) generate not Reversible coagulation necrosis.
But the present invention is not limited thereto, in practical applications, different formation can also be arranged depending on the temperature The standard of damage, as long as can be used to judge whether tissue can to reach damage.
Reach to form the position of injury criterion by all, forms damage profile figure.
In order to verify therapeutic dose planing method provided in an embodiment of the present invention calculate damage results whether with actual clinical Damage results in treating meet, in the following, by therapeutic dose planing method provided in an embodiment of the present invention damage point obtained It is compared in cloth, with actual therapeutic with the damage profile obtained under the same terms.Wherein, the same terms refer to that tissue is joined Number, ultrasonic head parameter and predetermined close parameter are all the same.
For an example patients with uterine myoma, Fig. 3 is that the therapeutic dose planing method provided through the embodiment of the present invention obtains Damage profile, Fig. 4 is the damage profile obtained by clinical treatment.As shown in figure 3, in the z-axis direction damage the widest part from 1.2mm, the length of the damage of formation in the z-axis direction are deviated towards ultrasonic head (i.e. the origin of Z axis) direction at the position 17cm For 11.7mm, the length in r axis direction is 4.7mm, area 39.1mm2.As shown in figure 4, with the same terms in actual therapeutic It is inclined towards ultrasonic head (i.e. the origin of Z axis) direction from the position 17cm to damage the widest part in the z-axis direction for the damage of lower acquisition 1.5mm is moved, the length of the damage of formation in the z-axis direction is 11.2mm, and the length in r axis direction is 5mm, area 35.5mm2
Two damage profile figures are compared it is found that treatment planing method provided in an embodiment of the present invention calculates the damage obtained Range can be used for instructing clinical dose delivery amount close to the damage results in clinical treatment.
As another technical solution, therapeutic dose planning system provided by the invention, input module, for inputting group Knit parameter, ultrasonic head parameter and predetermined close parameter;Computing module, for based on organizational parameter, ultrasonic head parameter and pre- Determine dosimetry parameter and calculate thermal dose distribution, and then provide the objective basis of therapeutic effect before the treatment for doctor, so that guidance is faced The dispensing of bed therapeutic dose avoids the problem that the subjective judgement that doctor is influenced because of the reading inaccuracy of real-time imaging monitoring.
It is understood that the principle that embodiment of above is intended to be merely illustrative of the present and the exemplary reality that uses Mode is applied, however the present invention is not limited thereto.For those skilled in the art, the present invention is not being departed from Spirit and essence in the case where, various changes and modifications can be made therein, these variations and modifications are also considered as protection of the invention Range.

Claims (10)

1. a kind of therapeutic dose planing method, which is characterized in that including:
Step S1, acquisition organizational parameter, ultrasonic head parameter and predetermined close parameter;
Step S2 is calculated based on the organizational parameter, the ultrasonic head parameter and the predetermined close parameter and is obtained equivalent heat Dosage distribution.
2. therapeutic dose planing method according to claim 1, which is characterized in that the step S2 is specifically included:
Step S21 is calculated according to the organizational parameter, the ultrasonic head parameter and the predetermined close parameter and is obtained tissue In sound-filed simulation;
Step S22 calculates the thermo parameters method obtained in the tissue according to the sound-filed simulation;
Step S23 calculates the equivalent thermal dose distribution obtained in the tissue according to the thermo parameters method.
3. therapeutic dose planing method according to claim 2, which is characterized in that in the step S21, the basis The organizational parameter, the ultrasonic head parameter and the predetermined close parameter, calculate the sound-filed simulation obtained in the tissue, It specifically includes:
The sound-filed simulation in the tissue is calculated using KZK equation.
4. therapeutic dose planing method according to claim 2, which is characterized in that in the step S22, the basis The sound-filed simulation calculates the thermo parameters method obtained in the tissue, specifically includes:
The thermo parameters method in the tissue is calculated using Pennes bioheat transfer equation.
5. therapeutic dose planing method according to claim 1, which is characterized in that further include:
Step S3 is distributed according to the equivalent heat death theory and judges whether each position reaches the standard to form damage in tissue, if Be, then according to it is all reach to be formed injury criterion position generate damage profile.
6. -5 any therapeutic dose planing method according to claim 1, which is characterized in that the organizational parameter includes: The velocity of sound of tissue, density, acoustic attenuation, frequency dependent index, nonlinear factor, specific heat capacity, thermal coefficient, blood perfusion parameter, Upper skin layer thickness, fat deposit thickness, muscle layer thickness and tissue treatment depth.
7. -5 any therapeutic dose planing method according to claim 1, which is characterized in that the ultrasound head parameter includes Internal diameter, outer diameter, working frequency and the focal length of ultrasonic head.
8. -5 any therapeutic dose planing method according to claim 1, which is characterized in that the predetermined close parameter packet Include irradiation power, irradiation time, intermittent time and irradiation cycle.
9. therapeutic dose planing method according to claim 6, which is characterized in that the acquisition side of the blood perfusion parameter Method includes:
Acquire the mean blood flow velocity at the tissue volume and the tissue;
According to the mean blood flow velocity at the tissue volume and the tissue, calculates and obtain the blood perfusion parameter.
10. a kind of therapeutic dose planning system, which is characterized in that including:
Input module, for inputting organizational parameter, ultrasonic head parameter and predetermined close parameter;
Computing module is obtained for being calculated based on the organizational parameter, the ultrasonic head parameter and the predetermined close parameter Thermal dose distribution.
CN201810299688.6A 2018-04-04 2018-04-04 Therapeutic dose method and system for planning Pending CN108815725A (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109999376A (en) * 2019-03-19 2019-07-12 深圳市声科生物医学研究院 A kind of HIFU apparatus control system and its noninvasive temperature estimation method
CN113304406A (en) * 2021-07-28 2021-08-27 康达洲际医疗器械有限公司 Self-adaptive radiotherapy method and system based on image processing
NO20221187A1 (en) * 2022-11-04 2024-05-06 Exact Therapeutics As Method and system for calculating a point estimate of an ultrasound dose
US12377146B2 (en) 2013-09-27 2025-08-05 Exact Therapeutics As Method of using high-frequency sound waves
US12511755B2 (en) 2025-05-05 2025-12-30 Exact Therapeutics As Method for reconfiguring ultrasound

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US20090088623A1 (en) * 2007-10-01 2009-04-02 Insightec, Ltd. Motion compensated image-guided focused ultrasound therapy system

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宿慧丹、戴思捷、郭各朴、马青玉: "《HIFU焦域的温度分布模拟及其疗效分析》", 《HIFU焦域的温度分布模拟及其疗效分析》 *

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12377146B2 (en) 2013-09-27 2025-08-05 Exact Therapeutics As Method of using high-frequency sound waves
US12478676B2 (en) 2013-09-27 2025-11-25 Exact Therapeutics As Method of imaging
CN109999376A (en) * 2019-03-19 2019-07-12 深圳市声科生物医学研究院 A kind of HIFU apparatus control system and its noninvasive temperature estimation method
CN109999376B (en) * 2019-03-19 2021-06-29 深圳市声科生物医学研究院 HIFU equipment control system and nondestructive temperature measurement method thereof
CN113304406A (en) * 2021-07-28 2021-08-27 康达洲际医疗器械有限公司 Self-adaptive radiotherapy method and system based on image processing
CN113304406B (en) * 2021-07-28 2021-11-12 康达洲际医疗器械有限公司 Self-adaptive radiotherapy system based on image processing
NO20221187A1 (en) * 2022-11-04 2024-05-06 Exact Therapeutics As Method and system for calculating a point estimate of an ultrasound dose
US12511755B2 (en) 2025-05-05 2025-12-30 Exact Therapeutics As Method for reconfiguring ultrasound

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