High-resolution ultrasonic thermometer for radiation dosimetry.

This paper describes recent developments in the area of high-precision ultrasonic thermometry with the potential to provide on-site direct determination of radiation doses administered for cancer treatment. Conventional calorimeters used for this purpose measure radiation-induced heating in a water phantom at one point in space by means of immersed thermistors and are subject to various thermal disturbances due to Ohmic heating and interactions of the radiation with the sensor probes. By contrast, the method described here is based on a high-resolution ultrasonic system that determines the change of the speed of sound due to small temperature changes in an acoustic propagation path in the radiation-heated water, thereby avoiding such undesired thermal effects. The thermometer is able to measure tens of microkelvin changes in the water temperature averaged over the acoustic path of about 60 cm at room temperature, with root-mean-squared noise of about 5 microK. Both incandescent and ionizing radiation heating data are presented for analog and digital implementations of a laboratory prototype. This application of the ultrasonic technique opens up possibilities for a new approach to performing therapy-level radiation dosimetry for medical clinics and standards laboratories.

Ultrasonic device for the noninvasive diagnosis of compartment syndrome.

An ultrasonic device for the diagnosis of acute compartment syndrome is described and results on six human cadaveric legs are presented. The ultrasonic device uses a pulsed phase locked loop (PPLL) to measure sub-micrometer displacements of the fascia wall. These displacements occur as a result of volume expansion of the muscle compartment of the lower leg and are related to changes in intramuscular pressure (IMP). In the cadaveric tests, the PPLL detected changes in compartment diameter resulting from IMP changes of 1 mmHg and from infusions of 0.25 ml saline increments. Based on these results, the ultrasonic PPLL appears to have the potential to become a low-cost, portable and noninvasive alternative to current methods for diagnosing acute compartment syndrome.