Therapeutic Ultrasound in Physical Medicine and Rehabilitation: Characterization and Assessment of Its Physical Effects on Joint-Mimicking Phantoms
Abstract The aim of the study described here was to quantitatively assess thermal and mechanical effects of therapeutic ultrasound (US) by sonicating a joint-mimicking phantom, made of muscle-equivalent material, using clinical US equipment. The phantom contains two bone disks simulating a deep join...
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Veröffentlicht in: | Ultrasound in medicine & biology 2014-11, Vol.40 (11), p.2743-2748 |
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creator | Lioce, Elisa Edi Anna Nadia Novello, Matteo Durando, Gianni Bistolfi, Alessandro Actis, Maria Vittoria Massazza, Giuseppe Magnetto, Chiara Guiot, Caterina |
description | Abstract The aim of the study described here was to quantitatively assess thermal and mechanical effects of therapeutic ultrasound (US) by sonicating a joint-mimicking phantom, made of muscle-equivalent material, using clinical US equipment. The phantom contains two bone disks simulating a deep joint (treated at 1 MHz) and a superficial joint (3 MHz). Thermal probes were inserted in fixed positions. To test the mechanical (cavitational) effects, we used a latex balloon filled with oxygen-loaded nanobubbles; the dimensions of the oxygen-loaded nanobubbles were determined before and after sonication. Significant increases in temperature (up to 17°C) with fixed field using continuous waves were detected both in front of and behind the bones, depending on the US mode (continuous wave vs. pulsed wave) and on the treatment modality (fixed vs. massage). We found no significant differences in mechanical effects. Although limited by the in vitro design (no blood perfusion, no metabolic compensation), the results can be used to guide operators in their choice of the best US treatment modality for a specific joint. |
doi_str_mv | 10.1016/j.ultrasmedbio.2014.07.004 |
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The phantom contains two bone disks simulating a deep joint (treated at 1 MHz) and a superficial joint (3 MHz). Thermal probes were inserted in fixed positions. To test the mechanical (cavitational) effects, we used a latex balloon filled with oxygen-loaded nanobubbles; the dimensions of the oxygen-loaded nanobubbles were determined before and after sonication. Significant increases in temperature (up to 17°C) with fixed field using continuous waves were detected both in front of and behind the bones, depending on the US mode (continuous wave vs. pulsed wave) and on the treatment modality (fixed vs. massage). We found no significant differences in mechanical effects. Although limited by the in vitro design (no blood perfusion, no metabolic compensation), the results can be used to guide operators in their choice of the best US treatment modality for a specific joint.</description><identifier>ISSN: 0301-5629</identifier><identifier>EISSN: 1879-291X</identifier><identifier>DOI: 10.1016/j.ultrasmedbio.2014.07.004</identifier><identifier>PMID: 25220275</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Animals ; Cattle ; Frequency dependence ; Heat ; Hot Temperature ; Humans ; Joint-mimicking phantom ; Joints - diagnostic imaging ; Massage - methods ; Mechanical effect ; Phantoms, Imaging ; Physical and Rehabilitation Medicine - methods ; Quality control ; Radiology ; Rehabilitation ; Thermal effect ; Ultrasonic therapy ; Ultrasonic Therapy - methods ; Ultrasonography</subject><ispartof>Ultrasound in medicine & biology, 2014-11, Vol.40 (11), p.2743-2748</ispartof><rights>World Federation for Ultrasound in Medicine & Biology</rights><rights>2014 World Federation for Ultrasound in Medicine & Biology</rights><rights>Copyright © 2014 World Federation for Ultrasound in Medicine & Biology. 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All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c468t-4cd012993c7887d0860b1456be6c27850a3a98aaed4f0c12060059f590a985a63</citedby><cites>FETCH-LOGICAL-c468t-4cd012993c7887d0860b1456be6c27850a3a98aaed4f0c12060059f590a985a63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ultrasmedbio.2014.07.004$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25220275$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lioce, Elisa Edi Anna Nadia</creatorcontrib><creatorcontrib>Novello, Matteo</creatorcontrib><creatorcontrib>Durando, Gianni</creatorcontrib><creatorcontrib>Bistolfi, Alessandro</creatorcontrib><creatorcontrib>Actis, Maria Vittoria</creatorcontrib><creatorcontrib>Massazza, Giuseppe</creatorcontrib><creatorcontrib>Magnetto, Chiara</creatorcontrib><creatorcontrib>Guiot, Caterina</creatorcontrib><title>Therapeutic Ultrasound in Physical Medicine and Rehabilitation: Characterization and Assessment of Its Physical Effects on Joint-Mimicking Phantoms</title><title>Ultrasound in medicine & biology</title><addtitle>Ultrasound Med Biol</addtitle><description>Abstract The aim of the study described here was to quantitatively assess thermal and mechanical effects of therapeutic ultrasound (US) by sonicating a joint-mimicking phantom, made of muscle-equivalent material, using clinical US equipment. The phantom contains two bone disks simulating a deep joint (treated at 1 MHz) and a superficial joint (3 MHz). Thermal probes were inserted in fixed positions. To test the mechanical (cavitational) effects, we used a latex balloon filled with oxygen-loaded nanobubbles; the dimensions of the oxygen-loaded nanobubbles were determined before and after sonication. Significant increases in temperature (up to 17°C) with fixed field using continuous waves were detected both in front of and behind the bones, depending on the US mode (continuous wave vs. pulsed wave) and on the treatment modality (fixed vs. massage). We found no significant differences in mechanical effects. Although limited by the in vitro design (no blood perfusion, no metabolic compensation), the results can be used to guide operators in their choice of the best US treatment modality for a specific joint.</description><subject>Animals</subject><subject>Cattle</subject><subject>Frequency dependence</subject><subject>Heat</subject><subject>Hot Temperature</subject><subject>Humans</subject><subject>Joint-mimicking phantom</subject><subject>Joints - diagnostic imaging</subject><subject>Massage - methods</subject><subject>Mechanical effect</subject><subject>Phantoms, Imaging</subject><subject>Physical and Rehabilitation Medicine - methods</subject><subject>Quality control</subject><subject>Radiology</subject><subject>Rehabilitation</subject><subject>Thermal effect</subject><subject>Ultrasonic therapy</subject><subject>Ultrasonic Therapy - methods</subject><subject>Ultrasonography</subject><issn>0301-5629</issn><issn>1879-291X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNks9u1DAQxiMEokvhFVDEiUvC2EkcuwekailQ1AoErcTNcpwJ623W3toO0vIavDDObvkjTj1Z-uY331jzTZa9IFASIOzVupzG6FXYYN8ZV1IgdQltCVA_yBaEt6Kggnx9mC2gAlI0jIqj7EkIawBoWdU-zo5oQynQtllkP69W6NUWp2h0fr23dZPtc2PzT6tdMFqN-SX2RhuLuUqFz7hSnRlNVNE4e5IvV8orHdGbH3tlD52GgCH9z8bcDfl5DH_NzoYBdRIS-cEZG4tLszH6xthviVE2uk14mj0a1Bjw2d17nF2_Pbtavi8uPr47X55eFLpmPBa17oFQISrdct72wBl0pG5Yh0zTljegKiW4UtjXA2hCgQE0YmgEJLlRrDrOXh58t97dThii3JigcRyVRTcFSVjVQFU1gt8DBQGCU9Em9OSAau9C8DjIrTcb5XeSgJzzk2v5b35yzk9CK1N-qfn53ZypS-U_rb8DS8CbA4BpMd8Nehm0QatTRD7tVfbO3G_O6_9s9GjsHNAN7jCs3eRtWr0kMlAJ8st8SfMhkTp1M-DVL9pSyZs</recordid><startdate>20141101</startdate><enddate>20141101</enddate><creator>Lioce, Elisa Edi Anna Nadia</creator><creator>Novello, Matteo</creator><creator>Durando, Gianni</creator><creator>Bistolfi, Alessandro</creator><creator>Actis, Maria Vittoria</creator><creator>Massazza, Giuseppe</creator><creator>Magnetto, Chiara</creator><creator>Guiot, Caterina</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>20141101</creationdate><title>Therapeutic Ultrasound in Physical Medicine and Rehabilitation: Characterization and Assessment of Its Physical Effects on Joint-Mimicking Phantoms</title><author>Lioce, Elisa Edi Anna Nadia ; Novello, Matteo ; Durando, Gianni ; Bistolfi, Alessandro ; Actis, Maria Vittoria ; Massazza, Giuseppe ; Magnetto, Chiara ; Guiot, Caterina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c468t-4cd012993c7887d0860b1456be6c27850a3a98aaed4f0c12060059f590a985a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Animals</topic><topic>Cattle</topic><topic>Frequency dependence</topic><topic>Heat</topic><topic>Hot Temperature</topic><topic>Humans</topic><topic>Joint-mimicking phantom</topic><topic>Joints - diagnostic imaging</topic><topic>Massage - methods</topic><topic>Mechanical effect</topic><topic>Phantoms, Imaging</topic><topic>Physical and Rehabilitation Medicine - methods</topic><topic>Quality control</topic><topic>Radiology</topic><topic>Rehabilitation</topic><topic>Thermal effect</topic><topic>Ultrasonic therapy</topic><topic>Ultrasonic Therapy - methods</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lioce, Elisa Edi Anna Nadia</creatorcontrib><creatorcontrib>Novello, Matteo</creatorcontrib><creatorcontrib>Durando, Gianni</creatorcontrib><creatorcontrib>Bistolfi, Alessandro</creatorcontrib><creatorcontrib>Actis, Maria Vittoria</creatorcontrib><creatorcontrib>Massazza, Giuseppe</creatorcontrib><creatorcontrib>Magnetto, Chiara</creatorcontrib><creatorcontrib>Guiot, Caterina</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Ultrasound in medicine & biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lioce, Elisa Edi Anna Nadia</au><au>Novello, Matteo</au><au>Durando, Gianni</au><au>Bistolfi, Alessandro</au><au>Actis, Maria Vittoria</au><au>Massazza, Giuseppe</au><au>Magnetto, Chiara</au><au>Guiot, Caterina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Therapeutic Ultrasound in Physical Medicine and Rehabilitation: Characterization and Assessment of Its Physical Effects on Joint-Mimicking Phantoms</atitle><jtitle>Ultrasound in medicine & biology</jtitle><addtitle>Ultrasound Med Biol</addtitle><date>2014-11-01</date><risdate>2014</risdate><volume>40</volume><issue>11</issue><spage>2743</spage><epage>2748</epage><pages>2743-2748</pages><issn>0301-5629</issn><eissn>1879-291X</eissn><abstract>Abstract The aim of the study described here was to quantitatively assess thermal and mechanical effects of therapeutic ultrasound (US) by sonicating a joint-mimicking phantom, made of muscle-equivalent material, using clinical US equipment. The phantom contains two bone disks simulating a deep joint (treated at 1 MHz) and a superficial joint (3 MHz). Thermal probes were inserted in fixed positions. To test the mechanical (cavitational) effects, we used a latex balloon filled with oxygen-loaded nanobubbles; the dimensions of the oxygen-loaded nanobubbles were determined before and after sonication. Significant increases in temperature (up to 17°C) with fixed field using continuous waves were detected both in front of and behind the bones, depending on the US mode (continuous wave vs. pulsed wave) and on the treatment modality (fixed vs. massage). We found no significant differences in mechanical effects. 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subjects | Animals Cattle Frequency dependence Heat Hot Temperature Humans Joint-mimicking phantom Joints - diagnostic imaging Massage - methods Mechanical effect Phantoms, Imaging Physical and Rehabilitation Medicine - methods Quality control Radiology Rehabilitation Thermal effect Ultrasonic therapy Ultrasonic Therapy - methods Ultrasonography |
title | Therapeutic Ultrasound in Physical Medicine and Rehabilitation: Characterization and Assessment of Its Physical Effects on Joint-Mimicking Phantoms |
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