Adaptive Focusing For Ultrasonic Transcranial Brain Therapy: First In Vivo Investigation On 22 Sheep

A high power prototype dedicated to trans‐skull therapy has been tested in vivo on 22 sheep. The array is made of 300 high power transducers working at 1MHz central frequency and is able to achieve 400 bars at focus in water during five seconds with a 50% percent duty cycle. In the first series of experiments, 10 sheep were treated and sacrificed immediately after treatment. A complete craniotomy was performed on half of the treated animal models in order to get a reference model. On the other half, minimally invasive surgery has been performed: a hydrophone was inserted at a given target location inside the brain through a craniotomy of a few mm². A time reversal experiment was then conducted through the skull bone with the therapeutic array to treat the targeted point. Thanks to the high power technology of the prototype, trans‐skull adaptive treatment could be achieved. In a second series of experiments, 12 animals were divided into three groups and sacrificed respectively one, two or three weeks after treatment. Finally, Magnetic Resonance Imaging and histological examination were performed to confirm tissue damage.