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A new concept to achieve ultrasound-mediated hyperthermia (USHT) with the guidance of X-ray-induced radiation acoustic imaging (xRAI) is proposed. During radiation therapy of cancer patients, the received acoustic signals for xRAI can be used to correct the aberration caused by inhomogeneous acoustic property of human skull and provide guidance for focused ultrasound to achieve USHT with the same ultrasound array at the X-ray dose deposition area. To prove this concept, simulations with a human head model were made for both point targets and a tumor volume. The focused acoustic patterns with and without xRAI-based aberration correction were compared. The feasibility of this xRAI-guided USHT concept was further demonstrated by experimental studies using a human skull.
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Kai-Wei Chang, Wei Zhang, Paul L. Carson, Issam El Naqa, Xueding Wang, "Ultrasound-mediated hyperthermia with the guidance of x-ray-induced radiation acoustic imaging," Proc. SPIE 11642, Photons Plus Ultrasound: Imaging and Sensing 2021, 1164211 (5 March 2021); https://doi.org/10.1117/12.2576427