The effect of wave reflection and refraction at soft tissue interfaces during ultrasound hyperthermia treatments.

An improved numerical model for calculating the ultrasonic power deposition in layered medium was developed and experimentally tested. The new model takes into account the ultrasound wave reflection and refraction at the tissue interfaces thereby providing improved accuracy in ultrasound hyperthermia treatment planning. The model was compared with a simplified model to evaluate when the tissue interfaces could be ignored in the hyperthermia treatment planning and evaluation. The effect of variations in water and tissue temperatures, the fat layer thicknesses, and the beam entrance angle were also investigated to establish guidelines for treatment execution. It was found that in most cases the effects of the soft tissue interfaces can be ignored. However, in some instances the acoustic focus may be shifted several millimeters off axis in layered medium. This is important when sharply focused transducers are used for ultrasound surgery or under the condition of pulsed, high-temperature hyperthermia treatments.