Photo-mediate ultrasound therapy (PUT) is a new anti-vascular technique based on cavitation induced spallation, applies nanosecond laser pulses and ultrasound bursts simultaneously to promote cavitation activity to remove the blood vessel. However, the real time detection of cavitation to guide PUT in real time is still challenging. To better understand the spatial-temporal distribution of cavitation bubbles, we proposed to integrate Doppler optical coherence tomography (DOCT) combined PUT, where the DOCT was used to visualize shockwave-induced cavitation and monitor treatment response in real time. The addition of DOCT to PUT allows for quantitative prescreening and real time monitoring during treatment response, which can improve the safety and effectiveness of the therapy.
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