
The following is a list of publications and presentations that
highlight both clinical results and the research and development activities
of Focus Surgery in the
areas of High Intensity Focused Ultrasound - HIFU.
The
Clinical publications
include papers from Focus Surgery as well as general clinical results from
other practitioners.
The
Research & Development
publications and presentations cover a number of topics including HIFU phased
arrays, novel non-invasive treatment monitoring, clinical data, laparoscopic
and catheter-based delivery of HIFU, and other methods and devices related to
HIFU, cancer treatment, transducers, electronics, devices, etc.
The papers listed below are
.pdf files requiring Adobe Acrobat Reader If you do not have Acrobat
Reader, you may download it for free from here -

Movies listed below require
high speed Internet access to view properly.

Clinical Results

Prostate
Cancer
H. Ahmed, D. Pendse, R. Illing, C. Allen, J. van der
Meulen, M. Emberton, "Will focal therapy become
a standard of care for men with localized prostate cancer?"
Nature Clinical Practice Oncology, accepted 13 June 2007, Vol.
4, No. 11, pp. 632-642.
[Paper]
T.
Uchida, M. Nitta, S. Hongo, S. Shoji, Y. Nagata, Y. Usui, T. Terachi,
"High-intensity focused
ultrasound for the treatment in 517 patients with localized prostate
cancer," presented at the 29th SIU-Congress
in Paris, France, September 2007.
[Abstract]
E.
Zacharakis, H. Ahmed, A. Ishaq, R. Illing, R. Scott, G. Shaw, J.
Calleary, C. Allen, M. Emberton,
"Visually Directed Primary HIFU
for Treating Localized Prostate Cancer,"
presented at the 29th SIU-Congress in Paris, France, September 2007.
[Abstract]
E.
Zacharakis, H. Ahmed, A. Ishaq, R. Illing, R. Scott, G. Shaw, J.
Calleary, C. Allen, M. Emberton,
"Salvage HIFU effectively reduces
PSA in patients with biochemical recurrence after attempted curative
treatment for prostate cancer,"
presented at the 29th SIU-Congress in Paris, France, September 2007.
[Abstract]
R.
Illing, M. Emberton,
"Sonablate®-500:
transrectal high-intensity focused ultrasound for the treatment of
prostate cancer," Future
Drugs, Ltd., 2006. [Paper]
T. Uchida, H. Ohkusa,
Y. Nagata, T. Hyodo, T. Satoh, A. Irie,
"Treatment of localized prostate
cancer using high-intensity focused ultrasound,"
British Journal of Urology, 2006, pp. 56-61.
[Paper]
R. Illing, T.
Leslie, J. Kennedy, J. Calleary, C. Ogden, M. Emberton,
"Visually directed high-intensity focused
ultrasound for organ-confined prostate cancer: a proposed standard for
the conduct of therapy," British Journal of Urology, 2006,
pp. 1187-1192.
[Paper]
N.
Sanghvi, et.al, "High
Intensity Focused Ultrasound for the Treatment of Recurrent Prostate
Cancer," presented at the
International Society for Therapeutic Ultrasound (ISTU) Symposium in
Oxford, UK, August 30 - September 2, 2006.
[Abstract]
T. Gardner, M. O. Koch,
"Prostate Cancer Therapy with High-Intensity Focused Ultrasound,"
Clinical Gentourinary Cancer, Vol. 4, No. 3, pp. 187-192, 2005.
[Paper]
R. J. Fedewa, R. Seip, R. F.
Carlson, W. Chen, N. T. Sanghvi, M. A. Penna, K. A. Dines, & R. E. Pfile,
"Automated Treatment
Planning for Prostate Cancer HIFU Therapy,"
Proceedings of the 2005 IEEE International Ultrasonics Symposium,
Rotterdam, The Netherlands, 19-21 Sept, 2005.
[Paper]
T. Uchida, S. Baba, N. Masumori, T. Tsukamoto, H. Nakatsu,
H. Fujimoto, T. Kakazoe, et al., "Transrectal
High-Intensity Focused Ultrasound In the Treatment of Localized Prostate
Cancer: A Multicenter Study," Acta Urology Japan, #51,
pp.651 - 658, 2005. [Paper]
T. Uchida, S. Shoji, Y. Nagata,
"HIFU for Localized Prostate Cancer: 6 Year Experience,"
presented at the International Society for Therapeutic Ultrasound (ISTU5)
meeting in Boston, October 2005.
[Abstract]
T. Uchida, H. Yamashita, H. Ohkusa and Y. Nagata,
"Clinical Outcome of HIFU for the Treatment of
Localized Prostate Cancer: 5-Year Experience," to appear in the
Proc. of the International Symposium on Therapeutic Ultrasound, 2004.
[Abstract]
T. Gardner, M.O. Koch, R. Seip and N.T. Sanghvi, "High Intensity Focused Ultrasound
(HIFU) U.S. Experience for Localized Prostate Cancer," to appear
in the Proc. of the International Symposium on Therapeutic Ultrasound,
2004.
[Abstract]
John C. Rewcastle, Ph.D., "High
Intensity Focused Ultrasound for Prostate Cancer: Clinical Results and
Technical Evolution," Whitepaper (2004).
[Paper]
T. Uchida, H. Tsumura, H. Yamashita, M.
Katsuta, D. Ishii, T. Satoh, A. Ohkawa, T. Hyodo, N.T. Sanghvi,
“Transrectal High Intensity Focused Ultrasound for
Treatment of Patients with Stage T1b-2N0M0 Localized Prostate Cancer: A
Preliminary Report,” Japanese Journal of Endourology and ESWL,
2003, pp. 108-114.
[Paper]
T. Uchida, N.T. Sanghvi, T.A. Gardner, M.O.
Koch, D. Ishii, S. Minei, T. Satoh, T. Hyodo, A. Irie and S. Baba,
“Transrectal High Intensity Focused Ultrasound for
Treatment of Patients with Stage T1b-2N0M0 Localized Prostate Cancer: A
Preliminary Report,” Urology, 2002, pp. 394-399.
[Paper]
T. Uchida, N.T. Sanghvi, T. Satoh, A. Irie, T. Omata, S. Baba, M.O. Koch,
and T.A. Gardner, "Transrectal High Intensity Focused Ultrasound for the
Treatment of Localized Prostate Cancer," Proc. of the International
Symposium on Therapeutic Ultrasound, 2002, pp. 8-16.
[Paper]
N.T. Sanghvi, T. Uchida, M.O. Koch, and T.A. Gardner,
"Total Prostate
Ablation for the Treatment of Localized Prostate Cancer Using Image Guided
HIFU," presented at the 2002 IEEE Ultrasonics Symposium.
[Poster]
T. Uchida, M.D., Kitasato University, Department
of Urology, "Localized Prostate Cancer
Treatment with HIFU," Translated and updated from The Journal of Highly Advanced Medical
Technology, Volume 15 (March 2000).
S. Madersbacher, M. Pedevilla, L. Vingers, M. Susani and
M. Marberger, Department of Urology (S.M., M.P., L.V., M.M.) and
Pathology (M.S.), University of Vienna, "Effect of High-Intensity Focused
Ultrasound on Human Prostate Cancer in Vivo," Cancer
Research 55, 3346-3351, (August 1995)
[Paper]

BPH - Benign
Prostatic Hyperplasia
N. T. Sanghvi, R. S. Foster, R. Bihrle, R. Casey, T. Uchida,
M. H. Phillips, J. Syrus, and A. V. Zaitsev, K. W. Marich, F. J. Fry, "Noninvasive Surgery of Prostate Tissue
by High-Intensity Focused Ultrasound: An Updated Report,"
European Journal of
Ultrasound, Vol. 9;
19-29, 1999.
[Paper]
T. Uchida, M.
Muramoto, H. Kyunou, M. Iwamura, S. Egawa and K. Koshiba, "Clinical
Outcome of High-Intensity Focused Ultrasound for Treating Benign Prostatic
Hyperplasia: Preliminary Report,"
Urology,
1998:52:66-71.
Elsevier Science.
[Paper]
K. Nakamura, I. Taketugu, et al"Minimally Invasive Surgery of Benign
Prostatic Hyperplasia by High-Intensity Focused Ultrasound: Clinical
Efficacy After One-Year Follow-Up,"
Japanese Journal of Endourology and ESWL, Vol. 11;
55-59, 1998.
T. Uchida and K. Koshiba,
"High-Intensity
Focused Ultrasound (HIFU) for Treating Benign Prostatic Hyperplasia,"
Japanese Journal of Endourology
and ESWL, Vol. 10; no.
1; 20-22, 1997.
L. D. Sullivan, M. G. McLoughlin, L. G. Goldenburg, M. E. Gleave,
and K. W. Marich, "Early Experience with High-Intensity
Focused Ultrasound for the Treatment of Benign Prostatic Hypertrophy,"
British Journal of Urology, 79;
172-176, 1997.
[Paper]
N. T. Sanghvi, F. J. Fry, R. Bihrle, R. S., Foster, M. H. Phillips, J. S. Syrus, A. V.
Zaitsev, C. W. Hennige,
"Noninvasive Surgery of Prostate Tissue
by High-Intensity Focused Ultrasound,"
IEEE Transactions on Ultrasonics,
Ferroelectrics, and Frequency Control. Vol. 43,
No. 6, November 1996.
[Paper]
K. Nakamura, "Treatment
of BPH (Benign Prostatic Hypertrophy): High Intensity Focused Ultrasound
(HIFU),"
Current
Therapy, November 1996
Vol. 14 No.11.
S. Madersbacher,
C. H. Klinger, G. Schatzl, C. P. Schmidbaur, and M. Marberger, "The Impact of Transrectal High intensity
Focused Ultrasound on Prostatic Obstruction in BPH Assessed by Pressure Flow
Studies,"
EUR. UROL. 30,
437-445, 1996.
S. Madersbacher, and M. Marberger,
"High Intensity Ultrasound in Urology,"
Japanese Journal of Endourology and ESWL, Vol. 9,
no. 1, 1996.
[Paper]
T. Ebert, D. Sadler, S. Miller, B. Schmitz-Drager, and R. Ackerman,
"High Intensity Focused Ultrasound in the
Treatment of Benign Hypertrophy of the Prostate,"
Urologe [A] 34;
404-408, 1995.
F. Fry, N. Sanghvi, R. Foster, R. Bihrle, and C. Hennige,
"Ultrasound and Microbubbles: Their
Generation, Detection and Potential Utilization in Tissue and Organ Therapy
- Experimental," Ultrasound in Medicine & Biology,
Vol. 31, No. 9;
1227-1237, 1995.
[Paper]
R. Birhrle, R. S. Foster, N. T. Sanghvi, J. P. Donohue, P. J. Hood, "High Intensity Focused Ultrasound for
the Treatment of BPH,"
Urology, Vol. 151;
1271-1275, 1994.
S. Madersbacher, C. Kratzik, M. Susani, M. Marberger, "Tissue Ablation in Benign Prostatic
Hyperplasia with High Intensity Focused Ultrasound,"
J. Urology, Vol. 152;
1956-1961, 1994.
[Paper]
R. S. Foster, R. Birhle, N. T.
Sanghvi, and J. P. Donohue,
"High Intensity Focused Ultrasound for
the Treatment of BPH,"
Seminars in Urology, Vol. XII
; 200-204, August
1994.
[Paper]
N. T. Sanghvi, R. S. Foster, F. J. Fry, R. Bihrle, C. Hennige, L. Hennige,
"Ultrasound
Intracavitary System for Imaging, Therapy, and Treatment of Focal Disease,"
IEEE Ultrasound
Symp. Pros., Cat. No.
92CH3118-7; 1249-1253, 1992.
W. K. Mebust, H. L. Holtgrewe, A. T. K. Cockett,
"Transurethral Prostatectomy; Immediate
and Postoperative Complications,"
J. Urology 141;
243-247, 1989.

Research & Development

Transducers and Phased Arrays
S. Umemura, K. Sasaki, K. Kawabata, T. Azuma, and N.T. Sanghvi,
"Coagulation of Swine Liver and Canine Prostate with a Prototype Split-Focus
Transducer," IEEE Ultrasonics Symposium Proceedings, 1999,
pp. 1439-1442.
[Paper]
J. Wu, N.T. Sanghvi, M. Phillips, M. Kuznetsov, R.S. Foster, R. Bihrle,
and T.A. Gardner, "Experimental Studies of Using a Split Beam Transducer for
Prostate Cancer Therapy in Comparison to Single Beam Transducer," IEEE
Ultrasonics Symposium Proceedings, 1999, pp.1443-1446.
[Paper]
J.S. Tan, L.A. Frizzell, N.T. Sanghvi, and R. Seip,
"Design of Focused
Ultrasound Arrays for Prostate Treatment," IEEE Ultrasonics Symposium
Proceedings, Vol. 2, 2000, pp. 1247-1251.
[Paper]
J.S. Tan, L. Frizzell, N.
Sanghvi, S. Wu, R. Seip, and J.
Kouzmanoff, "Ultrasound Phased Arrays for Prostate Treatment," Journal of
the Acoustical Society of America, Vol. 109, No. 6, June 2001, pp.
3055-3064.
[Paper]
R. Seip, N. Sanghvi, T. Uchida, and S. Umemura,
"Comparison of Split-Beam
Transducer Geometries and Excitation Configurations for Transrectal Prostate
HIFU Treatments," IEEE Ultrasonics Symposium Proceedings, Vol. 2,
2001, pp. 1343-1346.
[Paper]
R. Seip, W. Chen, J. Tavakkoli, L.A. Frizzell, and N.T. Sanghvi,
"High-Intensity Focused Ultrasound (HIFU) Phased Arrays: Recent Developments
in Transrectal Transducers and Driving Electronics Design,"
Proc. of the International Symposium on Therapeutic Ultrasound, 2003,
pp.423-428.
[Paper]
[Poster]
K. Ishida, J. Kubota, T. Mitake, R. Carlson, R. Seip, N. Sanghvi, T.
Azuma, K. Sasaki, K. Kawabata, and S. Umemura, "Development and animal
experiment of variable focusing HIFU system for prostate cancer treatment,"
Proc. of the International Symposium on Therapeutic Ultrasound,
2003, pp. 382-387. [Paper]
[Presentation]
R. Seip, W. Chen, R. Carlson, L. Frizzell, G. Warren, N.
Smith, K. Saleh, G. Gerber, K. Shung, H. Guo, and N. T. Sanghvi,
"Annular and Cylindrical Phased Array Geometries
for Transrectal High-Intensity Focused Ultrasound (HIFU) using PZT and
Piezocomposite Materials," to appear in the Proc. of the
International Symposium on Therapeutic Ultrasound, 2004.
[Paper]
Treatment Monitoring and Lesion Detection
R. Seip, J. Tavakkoli, R. Carlson, A. Wunderlich, N. Sanghvi, K. Dines,
and T. Gardner, "High-Intensity Focused Ultrasound (HIFU) Multiple Lesion
Imaging: Comparison of Detection Algorithms for Real-Time Treatment
Control," IEEE Ultrasonics Symposium Proceedings, 2002, pp.
1395-1398.
[Paper]
R. Seip, J. Tavakkoli, K. Dines, A. Wunderlich, N. T. Sanghvi, and L.A.
Crum, "Real-time Detection of Multiple Lesions during High Intensity Focused
Ultrasound (HIFU) Treatments," Proc. of the International Symposium on
Therapeutic Ultrasound, 2002, pp. 168-175.
[Paper]
[Movie: Real-Time Lesion Detection In
In-Vitro Chicken Tissue]
[Movie: Real-Time Lesion Detection In In-Vivo Canine Prostate, 100%
Detection]
[Movie:
Real-Time Lesion Detection In In-Vivo Canine Prostate, 83% Detection]
N.T. Sanghvi, A. Wunderlich, R. Seip, J. Tavakkoli, K. Dines, M. Bailey,
and L. Crum, "Decision Theory Applied to High-Intensity Focused Ultrasound
(HIFU) Treatment Evaluation," 2003 AIUM Annual Meeting, June 1-4, 2003,
Montreal, Quebec, Canada.
[Presentation]
M. Bailey, J. Reed, A. Anand, P. Kaczkowski, W. Kreider, S. Vaezy, M.
Nakazawa, L. Crum, R. Seip, J. Tavakkoli, and N. Sanghvi,
"Caviation
Detection and Suppression in HIFU," Proc. of the
International Symposium on Therapeutic Ultrasound, 2003, pp. 43-48.
[Poster]
W. Chen, R. Carlson, R. Fedewa, R. Seip, N. T. Sanghvi,
K. A. Dines, R. Pfile, M. A. Penna, and T. A. Gardner,
"The Detection and Exclusion of Prostate Neuro-Vascular Bundle (NVB) in
Automated HIFU Treatment Planning Using a Pulsed-Wave Doppler Ultrasound
System," to appear in the Proc. of the International Symposium
on Therapeutic Ultrasound, 2004.
[Paper]
Laparoscopic and Catheter-Based HIFU Applications
R. Seip, M. Biswas, M. Kuznetsov, T. Gardener, and N. Sanghvi,
"Transurethral High Intensity Focused Ultrasound: Catheter Prototypes and
Experimental Results," IEEE Ultrasonics Symposium Proceedings, Vol.
2, 2000, pp. 1413-1416.
[Paper]
J. Tavakkoli, R. Seip, V. Rao, R. Patterson, A. Evan, A. Shalhav, and N.
Sanghvi, "A Laparoscopic HIFU Probe for Kidney Ablation prior to Partial Nephrectomy, " IEEE Ultrasonics Symposium Proceedings, Vol. 2, 2001,
pp. 1369-1372. [Paper]
N.T. Sanghvi, J. Tavakkoli, V. Rao, M. Biswas, R. Seip, E. Barret, and
A.L. Shalhav, "Laparoscopically Deliverd HIFU for Partial Renal Ablation,"
17th International Congress on Acoustics, 2-7 September 2001, Rome, Italy.
[Paper]
J. Tavakkoli, V. Rao, R. Seip, R.F. Paterson, E. Barret, L. Cheng, A.L.
Shalhav, and N.T. Sanghvi, "Laparoscopic High Intensity Focused Ultrasound:
Application to Kidney Ablation," Proc. of the International Symposium on
Therapeutic Ultrasound, 2002, pp. 202-210.
[Paper]
J. Tavakkoli, A. Mehta, C. Miller, R. Seip, N.T. Sanghvi, L. Cheng, T.A.
Gardner, and A.L. Shalhav, "A Laparoscopic HIFU Probe with Integrated Phased
Array Ultrasound Imaging," International Symposium on
Therapeutic Ultrasound, 2003, pp. 417-422.
[Paper]
[Poster]
Other Research and Development Projects
R. Seip, N.T. Sanghvi, R. Carlson, J. Tavakkoli, K. Dines, T.A. Gardner,
and T. Uchida, "Sonablate® 500:
A Novel Platform for Transrectal Image-Guided HIFU Treatment of Localized
Prostate Cancer," presented at the 32nd Annual Symposium of the
Ultrasonic Industry Association (UIA), 2002.
[Presentation]
R. Seip, D. Shaeffer, P. Lawrence, T.A. Gardner, M.O. Koch, L. Cheng, A.
Wunderlich, C. Miller, and N.T. Sanghvi, "Feasibility Study for the
Treatment of Brachytherapy Failure Prostate Cancer using High-Intensity
Focused Ultrasound," International Symposium on
Therapeutic Ultrasound, 2003, pp. 429-434.
[Paper]
R. Seip, M. Penna, R. Carlson, W. Chen, N. Sanghvi, K.
Dines, R. Pfile, T. Gardner, and M. Koch,
"Automated HIFU Treatment Planning and Execution based on 3D Modeling of the
Prostate, Urethra, and Rectal Wall", IEEE Ultrasonics
Symposium Proceedings, 2004.
[Paper]
[Poster]
R. Seip, R.
Carlson, R. Fedewa, W.H. Chen, and N.T. Sanghvi,
"The Sonablate®
Platform: Evolution, Capabilities, and Enhancements for Ultrasound
Image-Guided HIFU Treatments of Localized Prostate Cancer,"
presented at the International Symposium on Therapeutic Ultrasound,
Boston, 2005.
[Presentation]
R. Seip, A. Katny, W. Chen, N. Sanghvi, K. Dines,
and J. Wheeler, "Remotely Operated Robotic
High Intensity Focused Ultrasound (HIFU) Manipulator System for
Critical Systems for Trauma and Transport (CSTAT),"
presented at the IEEE Ultrasonics Symposium
Proceedings, 2006.
[Abstract]
R. Fedewa, R. Carlson, R. Seip, N. Sanghvi, M.
Koch, T. Gardner, "Prediction of Success
for HIFU Treatments of Prostate Cancer Based on Acoustic Energy
Density," presented at the IEEE Ultrasonics Symposium
Proceedings, 2006.
[Abstract]