Equivalent Time Active Cavitation Imaging

Abstract: The development of neurologically active drugs faces a challenge in treating brain diseases due to the blood-brain barrier's impermeability. High-intensity focused ultrasound can open the barrier in a targeted manner, expanding treatment options. However, this procedure risks brain damage and off-target effects without proper monitoring. Current monitoring methods have limitations. We present Equivalent Time Active Cavitation Imaging, a novel ultrasound modality that characterizes the ultrasound pressure field during treatment. This system utilizes a unique plane wave sequence and an algorithm to filter the microbubble signal for pressure field mapping. We conducted pressure measurements in vitro for comparison with hydrophones and in vivo during blood-brain barrier opening in mice. Our modality successfully spatiotemporally characterizes the pressure field with an active imaging setup, demonstrating good correlation with hydrophone measurements. Experimental in vivo results are promising, establishing the feasibility of this monitoring method. In conclusion, this proof of concept represents a significant step toward a new ultrasound modality for monitoring blood-brain barrier opening using focused ultrasound. This approach offers a safer and more precise monitoring method, opening new possibilities for treating brain diseases.