Applications of Acoustics and Cavitation to Noninvasive Therapy and Drug Delivery

Constantin Coussios, Ronald A. Roy

Annual Review of Fluid Mechanics · 2008 · 499 citations · 86 references

Concepts

TL;DR

Biomedical acoustics is evolving from diagnostics to therapy, with acoustic cavitation underpinning many new applications such as high‑intensity focused ultrasound for deep heat deposition and drug delivery enhancement via inertial and stable cavitation. Shape oscillations during stable cavitation act as an effective micropumping mechanism for enhanced mass transport across inaccessible interfaces. Quantitative analysis shows that inertial cavitation can enhance and monitor HIFU therapy, addressing major challenges noninvasively.

Abstract

Biomedical acoustics is rapidly evolving from a diagnostic modality into a therapeutic tool, and acoustic cavitation is often the common denominator in a wide range of new therapeutic applications. High-intensity focused ultrasound (HIFU) waves generated outside the body can be used to deposit heat deep within the body. Through a quantitative analysis of heat deposition by ultrasound, it is shown that inertial cavitation can help address some of the major challenges of HIFU therapy by providing a means of enhancing and monitoring treatment noninvasively. In the context of drug delivery, both inertial and stable cavitation play roles in enhancing drug activity and uptake. In particular, shape oscillations arising during stable cavitation provide an effective micropumping mechanism for enhanced mass transport across inaccessible interfaces.

References

86