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IEEE TRANSACTIONS ON ULTRASONICS, FERROELECTRICS, AND FREQUENCY CONTROL, VOL. 68, NO.

9, SEPTEMBER 2021 2871

Modeling the Physics of Bubble Nucleation


in Histotripsy
Matheus O. de Andrade , Seyyed Reza Haqshenas, Ki Joo Pahk , and Nader Saffari

Abstract — This work aims to establish a theoretical cavitation changed from an unwanted side effect to a central
framework for the modeling of bubble nucleation in his- mechanism in a range of therapeutic ultrasound applications.
totripsy. A phenomenological version of the classical nucle- As a leading example, ultrasound contrast agents (UCAs)
ation theory was parametrized with histotripsy experimental
data, fitting a temperature-dependent activity factor that demonstrated wide applicability in imaging enhancement and
harmonizes theoretical predictions and experimental data drug and gene delivery applications [5] as well as in opening
for bubble nucleation at both high and low temperatures. the blood–brain barrier [6] and increasing ultrasound heating
Simulations of histotripsy pressure and temperature fields rates for thermal ablation [7]. The application considered here,
are then used in order to understand spatial and temporal namely histotripsy, harnesses the bioeffects of bubble activity
properties of bubble nucleation at varying sonication con-
ditions. This modeling framework offers a thermodynamic most effectively.
understanding on the role of the ultrasound frequency, Histotripsy refers to a family of techniques where focused
waveforms, peak focal pressures, and duty cycle on patterns ultrasound is used to noninvasively nucleate and drive the
of ultrasound-induced bubble nucleation. It was found that oscillations of bubbles within a volume of soft tissue, leading
at temperatures lower than 50 ◦ C, nucleation rates are to the mechanical injury of surrounding areas [8]. Histotripsy
more appreciable at very large negative pressures such
as −30 MPa. For focal peak-negative pressures of −15 MPa, has been recently shown to be well-tolerated and effective
characteristic of boiling histotripsy, nucleation rates grow in the mechanical ablation of liver tumors in a phase I trial,
by 20 orders of magnitude in the temperature interval the THERESA Study [9].
60 ◦ C–100 ◦ C. There are two broad categories of histotripsy, which relate
Index Terms — Bubble nucleation, classical nucleation to the mechanism by which bubbles are nucleated [10]: boiling
theory, histotripsy. histotripsy [11]–[13] occurs when millisecond-long pulses
heat focal tissue to temperatures that are favorable for vapor
I. I NTRODUCTION bubble nucleation and growth [14]. Alternatively, intrinsic-
threshold histotripsy [15], [16] occurs when the focal peak-
E ARLY investigation of ultrasound-induced bubble activity
in biological media aimed to understand and erase the
risks of acoustic cavitation in diagnostic ultrasound applica-
negative ultrasound pressures [17], or nonlinear ultrasound
waves reflected from a pre-existing bubble [18], surpass the
tions [1]. This amounted to a rich body of work address- local tensile strength of the medium, nucleating small, virtually
ing fundamental questions such as the effects of pressure empty, gas pockets [19].
and frequency on the likelihood of acoustic cavitation [2], The differing nomenclature might suggest that both are
the mechanisms of growth and stabilization of bubbles in separate phenomena, but there is evidence that they are,
biological media [3], and, most importantly, the apparent in fact, the same phenomena in distinct regimes. Despite the
unpredictability of bubble nucleation in soft tissue [4]. apparent unpredictability of acoustic nucleation in water-like
Over the years, an important shift in perspective took media [4], [20], HIFU was shown to repeatably induce bubble
place on the role of bubble activity in biomedical ultrasound: nucleation in water, with a strong temperature dependence
up to 200 ◦ C and qualitative agreement to classical nucle-
Manuscript received December 31, 2020; accepted July 8, 2021. Date ation theory (CNT) [21], [22]. These experiments were later
of publication July 14, 2021; date of current version August 27, 2021.
The work of Matheus O. de Andrade was supported by the Brazilian repeated with an emphasis on histotripsy applications, report-
National Council for Scientific and Technological Development (CNPq) ing decreasing pressure threshold magnitudes for increasing
for his Ph.D. degree at University College London (UCL). (Corresponding medium temperatures [15], [23].
author: Matheus O. de Andrade.)
Matheus O. de Andrade is with UCL Mechanical Engineering and the Drawing from these results, we build a continuous model
UCL Faculty of Engineering Sciences, University College London (UCL), of bubble nucleation in histotripsy that can simultaneously
London WC1E 7JE, U.K. (e-mail: m.deandrade@ucl.ac.uk).. .

account for bubble nucleation at high and low temperatures


Seyyed Reza Haqshenas and Nader Saffari are with UCL Mechanical
Engineering, University College London (UCL), London WC1E 7JE, U.K. while considering the effects of nonlinear ultrasound pres-
(e-mail: s.haqshenas@ucl.ac.uk; n.saffari@ucl.ac.uk).
. . . .

sure fields [14]. Previous modeling of spontaneous nucleation


Ki Joo Pahk is with Biomedical Research Institute, Korea Institute of in diagnostic ultrasound at constant temperature has found
Science and Technology (KIST), Seoul 02792, Republic of Korea (e-mail:
kjpahk@kist.re.kr).
. .
nucleation to be highly dependent on the surface tension of
Digital Object Identifier 10.1109/TUFFC.2021.3097118 the medium, while being additionally dependent on factors

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2872 IEEE TRANSACTIONS ON ULTRASONICS, FERROELECTRICS, AND FREQUENCY CONTROL, VOL. 68, NO. 9, SEPTEMBER 2021

such as the ultrasound frequency, sonication time, and targeted where T denotes temperature, S represents entropy, and μ is
volume [1]. the chemical potential. The free energy at the final state is
Herein, we give an extended theoretical account of the sur-
G = U − T0 S + P0 (Vl + Vv )
face tension, analyzing how its temperature dependence affects
the energetic requirements of nucleation for thermodynamic = P0 (Vl +Vv )− Pl Vl − Pv Vv + σ A +μl Nl +μv Nv +μs Ns .
conditions typical of histotripsy. We build a general model that (2)
accounts for the presence of a surface phase between bubble
The subscripts l, v, and s denote liquid, vapor, and surface
nuclei and the liquid, as well as the possibility of impurities
phases, respectively. In this equation, A denotes the surface
in the medium.
area of bubble nuclei and σ is their surface tension. μ is the
The present model draws a relationship between histotripsy
chemical potential of the species in question, in either liquid
focal temperatures and pressure waveforms to the rate at which
or vapor phases. The chemical potential is a measure of the
bubbles nucleate in a steady-state regime. We then integrate
likelihood of mass transfer or chemical reaction between two
this model into simulations of HIFU pressure and temperature
chemical species.
fields obtained by solving a Westervelt-type equation and
By assuming that the chemical composition of the liquid
Penne’s bioheat equation. This modeling framework offers a
remains constant (μl0 = μl ), the free energy of bubble
thermodynamic understanding of the role of the ultrasound
formation G = G − G 0 is given by
frequency, waveforms, peak focal pressures, and duty cycle
on patterns of bubble nucleation. G = (Pl − Pv )Vv + σ A − (μl − μv )Nv − (μl − μs )Ns .(3)
It is then possible to calculate nucleation pressure thresholds
as a function of temperature and to map bubble nucleation This expression is derived under the assumption that the
spatially within the HIFU focus, as well as predicting the initial homogeneous liquid system is much larger than the
timescales of bubble nucleation for individual histotripsy pro- bubble embryo. The local maximum in the Gibbs free energy
tocols at varying sonication parameters. We limit ourselves separating metastable and stable phases is then given by
(∂G/∂ V )T,P,N = 0. This maximum defines the critical point
to nucleation in the absence of pre-existing bubbles, as there
are more appropriate ways to model a bubble’s response to of nucleation [28].
sonication than the thermodynamic approach developed herein. In the timescales at which histotripsy bubble nucleation
takes place, it is possible to assume isothermal and isobaric
nucleation. This is discussed in more detail in Section II-A,
II. T HERMODYNAMIC M ODEL
where the experimental time t N is introduced. Applying the
Phase change, such as the nucleation of bubbles, can only condition of criticality to (3) yields
take place in liquids that are either unstable or metastable.      
∂G dA dσ
Considering an isolated system, thermodynamic equilibrium = (Pl − Pv ) + σ + A = (Pl − Pv )
requires a maximum in entropy d S|U,V,N ≤ 0 at constant inter- ∂ V T,P,N dV dV
     
nal energy U , volume V , and number of molecules N [24]. dA 1 dσ 1
In unstable systems, phase change happens via spinodal +σ d V
+ d V
A. (4)
dr dr
dr dr
decomposition [25]. In metastable systems, the system relaxes
toward stability via bubble nucleation. The entropy maximum If the embryos of the new phase are assumed to be spherical,
condition takes place at equilibrium, such that the vapor–liquid (4) becomes the generalized Laplace equation
 
equilibrium (VLE) boundary is the lower limit of the stability 2σ dσ
region in a fluid. Pv − Pl = + (5)
r dr
Metastable liquid phases are those where the fluid is
where r is the radius of the bubble embryo. A similar
stretched below its VLE pressure or superheated above the
differential analysis of (3) for (∂G/∂ Nv )T,P,Ns and
VLE temperature [26]. Under HIFU sonication, metastability
(∂G/∂ Ns )T,P,Nv will yield conditions of chemical equilib-
might be induced in a liquid momentarily during the tensile
rium μl = μv = μs .
part of the ultrasound wave like intrinsic-threshold histotripsy,
Equation (5) states that the free energy of bubble formation
or through nonlinear heat deposition from shock-wave forma-
is size-dependent via the surface energy term. The value of
tion as in boiling histotripsy [27]. A metastable state is only
(dσ /dr) in (5) depends on the placement of the dividing
viable because liquid–vapor phase transitions are delayed by
surface (DS), i.e., the theoretical boundary between liquid
the energetic costs of creating a vapor interface in the bulk
and vapor phases that is set when modeling the system. The
of the liquid. This is manifested as a barrier in the system’s
choice of DS is one that establishes a connection between
Gibbs free energy that needs to be overcome before nucleation
the mathematical model and experimentally measurable quan-
takes place [28]. Assuming an isolated system, the process of
tities, as well as providing meaningful simplification of the
bubble nucleation can be seen as the transition between an
problem [29].
initial state consisting of a homogeneous liquid, and a final
In this work, we choose the surface of tension (SoT) as
stage consisting of a bubble embryo surrounded by the liquid.
the DS. This choice assumes that liquid and vapor phases
The Gibbs free energy G 0 in the initial state, denoted by a
are separated by a spherical membrane with no rigidity and
subscript 0, is
uniform tension across the surface. It is the only case where
G 0 = U0 − T0 S0 + P0 V0 = μl0 Nl0 (1) the surface tension is the same as the specific surface energy

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DE ANDRADE et al.: MODELING PHYSICS OF BUBBLE NUCLEATION IN HISTOTRIPSY 2873

of a spherical embryo [29]. By making this choice, we are in a focal volume V0 during a time interval t N can be
assuming that the thermodynamic and mechanical definitions approximated by
of the SoT are the same. The most important feature of the  t N
SoT is that it is defined such that (dσ /dr ) = 0 and (5) is  = V0 Jss (Pl , T )dt ≈ Jss∗ V 0 t N (9)
simplified to the Laplace equation of mechanical equilibrium 0
Pv − Pl = (2σ /r ) [28]. where JSS is the nucleation rate in a liquid at a pressure Pl and
The size-dependent energy barrier for the creation of a temperature T [34]. The quantity t N can be referred to as the
stable phase in a metastable fluid is then given by the work of “experiment/observation time” at the steady state [26]. This is
nucleation. Replacing the conditions of unstable equilibrium a quantity that refers to the length of time where the medium is
into (4) yields in a metastable state and does not relate to material properties.
  Given that intrinsic histotripsy is a threshold phenomenon,
1
W ∗ = G ∗ = σ 4πr ∗2 (6) this quantity defines a fraction of the tensile wave where the
3 medium is exposed to thermodynamic conditions that induce
where r ∗ is the radius of the critical nucleus and an asterisk bubble nucleation. Equation (9) then relates intrinsic material
denotes critical values. In terms of the pressure in the liquid properties in the calculation of Jss to experimentally verifiable
and vapor phases quantities such as t N , V0 , and .
  The choice of t N is one that guarantees that the control
16π σ3 volume’s pressure and temperature are kept fairly constant at
W∗ = (7)
3 (P  − Pl )2 the threshold of nucleation within the rarefactional part of the
wave. As an approximation of this time window, t N is set
where P  is the internal pressure in a critical nucleus.
as a tenth of the wave period as t N = (1/10 f ). The choice
This form of the critical work of nucleation has been
of t N has the nucleation time lag, which is of the order of
extensively used in recent works on bubble nucleation in
nanoseconds for vapor bubble nucleation, as a lower bound.
liquids [21], [26], [30].
The upper bound of t N is the period of the tensile part of
The critical work for nucleation is then used to predict the
the ultrasound wave.
nucleation rate. This is the net rate at which bubbles reach
Considering the formation of the first  nuclei, we can
a critical size. The critical size defines a maximum in W ∗
define
where nuclei have equal chances of growing or collapsing.

The nucleation rate is proportional to the difference between Jss∗ = (10)
the forward rates of vaporization and the backward rates of V0 t N
condensation when the effects of viscosity and inertia are where Jss∗ is the detectable nucleation rate for the appearance
neglected [28], [31]. of  nuclei in a volume V0 after t N seconds. In this equation,
Assuming that the timescales of nucleation are much shorter V0 is a control volume where  bubbles nucleate after t N
than the tensile period of the ultrasound wave, the nucleation seconds, and its value is approximated as the volume within
rate can be approximated as a stationary quantity [21]. At the the 3-dB drop in intensity around the transducer focus [21].
critical size, the steady-state nucleation rate is usually repre- Having the nucleation rate Jss that forms the first 
sented as [21], [26], [28], [32], [33] nuclei in a time–volume setup V0 t N , a phenomenological
  approximation to the nucleation pressure threshold of a liquid
W∗
Jss = J0 exp − . (8) can be obtained by solving (8) and (10) in terms of the
kB T
pressure in the liquid Pl . This approach for obtaining the
In this equation, the pre-exponential term J0 accounts for temperature-dependent nucleation pressure threshold PlN (T )
the average kinetic and spatial properties of nucleation in was first employed in [34] and has also been used in more
that particular liquid. It also mathematically defines the upper recent work in bubble nucleation [26], [35]. Equating (8)
bound for the nucleation rate since Jss = J0 . By neglecting and (10), replacing the critical work of nucleation given by (7),
the effects of viscosity and inertia
√ in the liquid [31], J0 can be and solving for Pl give
defined in the form J0 = N0 (2σ /πm), having N0 = ρ L /m,   12
where ρ L is the liquid density and m is the molecular mass 1 16πσ 3
Pl = Pv −
N

. (11)
of the liquid. J0 has units of nuclei per unit volume and per ζ 3k B T ln J0 V0 τs
unit time.
PlN is the nucleation pressure Pl in the liquid at which an
average of  nuclei appears during a time interval t N in a
A. Nucleation Pressure Thresholds for Histotripsy focal volume V0 at a temperature T . The Poynting correction ζ
When the peak-negative ultrasound pressure generates suf- allows the temperature-dependent VLE pressure of the liquid
ficiently high nucleation rates, the focal volume cannot be Pv to be used instead of the nucleus internal pressure P  . This
considered as a single-phase control volume anymore. The is such that ζ = 1 − (ρv /ρl ) + (1/2)(ρv /ρl )2 , where ρv and
pressure and temperature pair at the ultrasound focus are ρl denote the saturated densities of vapor and liquid water,
then defined as the nucleation threshold of this liquid. For respectively. In the calculation of ζ , the IAPWS [36] equations
steady-state nucleation, the number of critical nuclei  formed for the densities of the saturated liquid ρl and vapor phases of

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2874 IEEE TRANSACTIONS ON ULTRASONICS, FERROELECTRICS, AND FREQUENCY CONTROL, VOL. 68, NO. 9, SEPTEMBER 2021

water ρv were employed as X-ray pulses [40]. The transient tensions used in these experi-
ρl 1 2 5 16 43 110 ments were of about 30–40 fs, which are five to six orders
= 1 + b1 x 3 + b2 x 3 + b3 x 3 + b4 x 3 + b5 x 3 + b6 x 3 of magnitude shorter in duration than those produced by
ρc
(12) ultrasound in the megahertz range. The difference in negative
pressures achieved in both sets of experiments is probably
and caused by the significant difference in experiment duration
 
ρv 2 4 8 18 37 71 and volume targeted.
ln = c1 x 6 + c2 x 6 + c3 x 6 + c4 x 6 + c5 x 6 + c6 x 6 . ∗
ρc For experiments in the low MHz range, the value of JSS is
(13) of about 1.16 × 10 . Contrastingly, the abovementioned water
16

droplets experiments yield detectable nucleation rates about


In (12) and (13), x = 1 − (T /Tc ), where Tc is the critical ∗
ten orders of magnitude higher, with values of JSS around
temperature and ρc the critical density of water. The values for
4.78 × 10 . This study concluded that the short timescales
26
constants b are given by b1 = 1.99274064, b2 =1.09965342,
of decompression could have been responsible for outrunning
b3 = −0.510839303, b4 = −1.75493479, b5 = −45.5170352,
potential heterogeneous nucleation events in water, being then
and b6 = −6.74694450 × 105 .
able to reach negative pressures of higher amplitude [40].
The values of c are as follows: c1 = −2.03150240, c2 =
Based on this, we approach the modeling of the surface
−2.68302940, c3 = −5.38626492, c4 = −17.2991605, c5 =
tension of water for bubble nucleation from a theoretical
−44.7586581, and c6 = −63.9201063.
perspective with physical and empirical reasoning. If any
substrates (impurities) of whatever origin are present in the
B. Surface Tension of Histotripsy Nuclei fluid, the free energy of embryo formation takes a different
Inspection of (7) and (11) will show that the liquid’s surface form to that shown in (3)
tension is a key parameter in obtaining appropriate numerical
G = G − G 0 + φs . (15)
predictions with the classical theory. CNT calculations within
a capillary approximation predict that water can be stretched In this equation, the term φs = φs − φs0 accounts for
to underpressures of −140 MPa before nucleation takes the variation of the substrate’s surface energy before and
place [37]. This directly contrasts to literature data on bubble after nucleation. Substrates are different phases or molecular
nucleation in acoustic fields, where experiments often do not species which might act as preferential nucleation sites in the
surpass pressures of −40 MPa [15], [16], [21], [22], [26] for metastable phase.
frequencies in the low MHz range. For the case of pure substances, when no substrates are
This mismatch is caused by the default assumption that present, φs = 0 and homogeneous nucleation is said to
a capillary approximation is intrinsic to CNT, rather than happen. If any foreign substances are present, HON will
a heuristic modeling choice [38]. A capillary approximation still be energetically favored whenever φs > 0, where
is an implementation of the classical theory which uses the the substrate is said to be of the stabilizing type [21]. This
bulk surface tension of a planar liquid–vapor interface as an might also be the case for experiments where the experimental
approximation to the surface tension of nanoscopic nuclei. volume V0 is targeted for timescales t N that are too short to
As established by Gibbs phase rule, the bulk surface tension enable the effect of impurities in water [40]. Alternatively, if
of pure water depends only on the system’s temperature [39]. φs < 0, heterogeneous nucleation will be the energetically
According to the IAPWS [39], the flat interface surface tension favored process. This is the case of impurities within liquids,
of pure water is given by such as spherical impurities, solid crevices, and contact of
different surfaces, which will be preferential nucleation sites
σ∞ (T ) = d1 x d2 (1 + d3 x) (14)
because nucleation is less energetically demanding at the given
where x = 1 − (T /Tc ), d1 = 235.8 × 10−3 Nm−1 , d2 = 1.256, timescales over the volume of the experiment.
and d3 = −0.625. Following from this reasoning, a temperature-dependent
As an alternative to the capillary approximation, it has been activity factor for the surface tension might harmonize CNT
shown that a simple scalar correction of the bulk surface predictions and experimental results, accounting for the effects
tension or the critical work of nucleation can harmonize CNT of pressure, nucleus radius and temperature on the surface
predictions and experimental pressure thresholds. Nucleation tension, as well as any potential ubiquitous impurities [22].
rates obtained in HIFU experiments at 1.1 MHz in purified This takes into account both the temperature dependence of
water have been used in (11) in order to approximate an “effec- the process and the possible dependence of the surface tension
tive value” of σ∞ up to temperatures of 200 ◦ C [21]. These on the bubble embryo’s size accounted for in (5).
experiments showed that using a surface tension approximated The effective surface tension then takes the form
by 23.7% of σ∞ could predict HIFU nucleation pressure σ E = σ∞ , where is an activity factor depending on the
thresholds in CNT with a good agreement to experimental geometry, size, surface energies, and wetting angle of the sub-
results. Similar experiments with a focus on histotripsy appli- stances in question. This is a universal formulation that when
cations have been performed up to 90 ◦ C [15], reporting scalar parametrized via experiments might be able to account for both
corrections between 25% and 27.5% of σ∞ . HON and HEN simultaneously for a specific fluid [31], [41].
More recently, pressures of about −100 MPa were reached Herein, we build onto previous work [14] where a temperature-
inside water droplets by reflecting shockwaves generated by dependent activity factor E is calculated by optimizing the

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DE ANDRADE et al.: MODELING PHYSICS OF BUBBLE NUCLEATION IN HISTOTRIPSY 2875

absolute error E(PlN , T ) between analytic predictions of (11)


and experimental data for nucleation pressure thresholds in
acoustic fields from the aforementioned studies [15], [21], [42]

E PlN , T = |PlN (T, E (T )) − PEXP (TEXP )| (16)


where PEXP and TEXP represent, respectively, experimental
values of the nucleation pressure threshold and the temperature
at which they were obtained.
The data used for parametrization were mainly based on
three studies and two different techniques. The data from [15]
and [21] were obtained via ultrasound-induced bubble nucle-
ation. In these sets of experiments, two to six cycles generated
from a 1.1-MHz piezoelectric transducer were applied to a
water sample of approximate volume 2.1 × 10−4 mm3 . Both
sets of experiments were performed in purified, degassed
water. Discussion in [21] highlighted the low sensitivity of
the experiment to gas content, which was obtained for results
averaged over 100 pulses, while in [15], results were recorded
over a single pulse. The data obtained from [42] were obtained
by centrifugation. This method consists of rotating a tube filled
with water at very high speeds such that negative pressures are
developed on the rotating axis due to centrifugal forces. For
the centrifuge method, the results used were those obtained at Fig. 1. Error minimization parameters for obtaining ΨE . (a) Percent
error between analytical predictions and experimental values of PlN . (b)
temperatures between 20 ◦ C and 50 ◦ C in a water sample of Number of iterations needed until minimum error was found. (c) Values
volume 0.38 mm3 [26]. of ΨE and linear regression of points.

C. Numerical Simulation of Histotripsy Pressure and


Temperature Fields
The HITU Simulator [43] was used to solve a wide-
angle parabolic approximation of the generalized one-way
Westervelt equation and obtain 2-D axisymmetric pressure
waveforms along the propagation axis and the radial direction.
The HITU Simulator also models HIFU-induced temperature
rises through Pennes’ bioheat transfer equation (BHTE). Both
the Westervelt equation and the HIFU Simulator have been
extensively used in previous efforts to model boiling his-
totripsy pressure and temperature fields [13], [14], [44], [45].
The acoustic simulations were performed individually for Fig. 2. Comparison between CNT predictions of PlN at different ΨE . Blue
and green curves represent a constant ΨE , 0.24, and 0.275, respectively,
two single-element bowl-shaped transducers operating at 2 and and black curve represents a temperature-dependent ΨE shown by
1.1 MHz (Sonic Concepts H148 and H102) for input electrical (17). Asterisks denote experimental values of ΨE obtained from the
powers ranging from 100 to 300 W, assuming 85% transducer literature [15], [21], [22].
efficiency. Acoustic propagation was numerically evaluated for
5.32 cm in water followed by 2.6 cm in liver tissue. The spatial
such that V0 = 1.73 m3 . t N is set as a tenth of the ultrasound
grid for both acoustic and thermal simulations consisted of ten
wave period t N = (1/10 f ) = 5 × 10−8 s. Fig. 1 shows
elements per wavelength in the axial direction and 15 elements
the error E(PlN , T ) associated with obtaining values for E ,
per wavelength in the radial direction. Material parameters
which ranged between 0.26 and 0.32. A regression curve was
and physical properties were obtained from previous works
fit to this data, such that for temperatures between 0◦ and
in the literature [46], and the initial condition for the BHTE
90 ◦ C, E is given by
simulations was such that T0 = 20 ◦ C.
E (T ) = 0.4869 − 6.1425 × 10−4 (T + 273.15). (17)
III. R ESULTS AND D ISCUSSION
Throughout this work, for calculations at temperatures
A. Pressure Thresholds and Nucleation Rates in between 90 ◦ C and 110 ◦ C, E was extrapolated based
Histotripsy on (17) with R 2 = 0.7374. For temperature values above
In order to calculate an activity factor for the surface tension 110 ◦ C, a conservative approach is taken and a constant
of water, Pl was calculated via (11), and V0 was approximated E (T > 110 ◦ C) = E (110 ◦ C) is assumed.
as an ellipsoidal focal volume within the −3-dB intensity drop Nucleation pressure thresholds are plotted as a function of
region for a 2-MHz HIFU transducer (Sonic Concepts H148) temperature in Fig. 2, comparing the effects of the scaling

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2876 IEEE TRANSACTIONS ON ULTRASONICS, FERROELECTRICS, AND FREQUENCY CONTROL, VOL. 68, NO. 9, SEPTEMBER 2021

explicit distinction between them. It has been proposed that the


nomenclature “boiling” should only be used for cases where
nucleation is triggered by a superheat T > 0 at constant
liquid pressure. Conversely, cavitation would be the phenom-
enon caused by a “tension,” also termed underpressure [31],
Pl = Pv − Pl ≥ 0, at constant temperature.
In practice, it is difficult to design experiments which
isolate the effects of both thermodynamic variables and the
distinction between the two phenomena is not clear [49].
At temperatures sufficiently close to a liquid’s thermodynamic
limit of superheat (T ≈ 0.89Tc ), nucleation rates increase
approximately three or four orders of magnitude per degree
Celsius. In such cases, it is appropriate to talk about boiling
Fig. 3. (a) Nucleation rate as a function of temperature with pressure
and a heating dominated process [50]. Contrastingly, away
contours. (b) Nucleation rate as a function of pressure with temperature from the thermodynamic limit of superheat (T < 2Tc /3),
contours. The dot-dashed curve in (b) represents room temperature. nucleation rates are only appreciable at large negative pres-
sures [51]. This happens because Pl
Pv ; therefore, the
quantity E on the values of the nucleation pressure threshold. temperature dependence of nucleation on the exponent of (8)
Asterisks represent experimental data for HIFU-induced bub- is greatly reduced. At these conditions, it is meaningful to
ble nucleation taken from the literature [15], [21]. By employ- discuss the temperature-dependent tensile strength of a liquid
ing the linear approximation for E shown in (17), it is and term the process as cavitation.
possible to obtain pressure thresholds which are in close Although these physical trends elucidate differences
agreement with values reported in the literature throughout between the extrema of boiling and cavitation regimes,
a temperature range of interest in HIFU applications. Previ- it becomes clear that this distinction might seem insufficient
ously reported values for E are shown to underestimate the to account for the physics of shock-scattering histotripsy. This
magnitude of PlN at low temperatures and to overestimate it is a form of histotripsy that depends on the nucleation or
at higher temperatures. This figure also provides a prediction pre-existence of a gas pocket around the ultrasound focus,
of temperature-dependent nucleation pressures for intrinsic which reflects the incoming nonlinear field, causing a pre-
histotripsy approaches at physiological temperatures. focal cavitation cloud [52]. We do not attempt to further
In Fig. 3, the steady-state nucleation rate given by (8) is frame this form of nucleation event in the present model
plotted as a function of temperature for three pressure contours due to uncertainties related to a range of factors in shock-
(−30, −15, and −5 MPa) in Fig. 3(a) and as a function scattering histotripsy experiments; these include: 1) the nature
of pressure for three temperature contours (40 ◦ C, 100 ◦ C, of such pre-existing/naturally occurring gas bubbles and their
and 200 ◦ C) in Fig. 3(b). These values are in units of the replicability in in vivo experiments and 2) the acoustic field
number of bubble nuclei per meter cubic per second. Bubble that results from the reflection of shockwaves on a gas bubble
nucleation takes place whenever the contours in these plots surface.
reach the value for Jss∗ in (10), which is of about 1.16 × 1016 It should be noted, however, that boiling histotripsy exper-
for the 2-MHz transducer used in the modeling of nucleation iments in tissue phantoms captured by high-speed camera
in Section III-B. This means that the values shown in these imaging have indicated that the formation of the “head” of
figures are realistic for JSS ≤ 1.16 × 1016 but of theoretical a boiling histotripsy lesion could be caused by cavitation gen-
interest otherwise, since the control volume in question is erated by backscattered pressures below the tissues’ intrinsic
not a single-phase fluid anymore. The following analysis and pressure threshold [45]. Furthermore, modeling on the magni-
discussion are then useful for exploring mathematical and tude of the backscattered acoustic field from boiling histotripsy
physical trends in bubble nucleation. bubbles has shown that negative pressures of −31.6 MPa might
Fig. 3(a) shows that at −15 MPa, nucleation rates be achieved due the existence of a 1.5-mm radius bubble at
grow by 20 orders of magnitude in the temperature the ultrasound focus. This suggests that, in boiling histotripsy,
interval 60 ◦ C–100 ◦ C. However, at temperatures lower than the formation of a pre-focal cavitation cloud depends on the
50 ◦ C, nucleation rates are only appreciable at very large size and location of the initial boiling bubble as well as
negative pressures such as −30 MPa. At high temperatures the constructive interactions of the incident and backscattered
(100 ◦ C–200 ◦ C) in Fig. 3(b), nucleation rates plateau and fields. These events of nonlinear wave propagation and scat-
present little change as the pressure in the liquid is decreased. tering were modeled using the k-Wave MATLAB toolbox.
In this case, Jss assumes asymptotic behavior, close to its sat- Pahk et al. [53] also clearly mention a possible limitation of
uration value J0 . These trends show that at low temperatures, this study which is a lack of work validating k-Wave in
the ultrasound pressure is the fundamental trigger for bubble capturing highly distorted nonlinear waves in heterogeneous
nucleation (cavitation), but at high temperatures, heating of media.
the medium will increasingly control nucleation. The quantity t N defines the time interval over which the
The terms boiling and cavitation are traditionally used to first  bubbles nucleate. This quantity should be a fraction
describe bubble formation in liquids, many times without of the wave period and is estimated from the ultrasound

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DE ANDRADE et al.: MODELING PHYSICS OF BUBBLE NUCLEATION IN HISTOTRIPSY 2877

Fig. 5. Maximum variation in PlN (T ) caused by the parametrisation of


ΔtN and V0 .

B. Spatial–Temporal Trends of Nucleation in Boiling


Histotripsy
Baseline acoustic simulations used ten points per wave-
length in the axial direction and 15 points per wavelength
in the radial direction in the discretization of the grid. There
is no rule defining the exact number of harmonics needed for
obtaining accurate solutions of the Westervelt equation [43].
Convergence tests were carried to define the ideal number of
harmonics to be used in the simulations. Acoustic fields were
computed at 32, 64, 128, 256, 512, 1024, and 2048 harmonics
Fig. 4. Effects of ΔtN (left column) and V0 (right column) on PlN . Results
at 150-W input electrical power and assuming 85% efficiency
in top row are obtained for T = 40 ◦ C, and results in bottom row are for the 2-MHz transducer and at 300 W for the 1.1-MHz
obtained for T = 100 ◦ C. Dashed and solid lines represent the range transducer. Convergence was assumed whenever doubling the
of variation of PlN for V0 (1–1000) mm3 in the first column and for ΔtN
number of harmonics resulted in a step increase smaller than
(10−6 –1) s in the second column.
5% for key acoustic quantities such as heat deposition rate,
acoustic intensity, and peak-negative focal pressure.
Key acoustic quantities in the calculation of nucleation
frequency used [54]. The choice of t N needs to be such pressure thresholds such as the focal peak-negative pressure
that variations in Pl and T are minimal and these quantities and focal heating rates converged monotonically for increasing
can be assumed nearly constant. The parameter V0 represents number of harmonics used in the simulations. At 512 har-
the experimental volume, i.e., the volume of the nucleating monics, results were found to be within 5% error from
system under consideration. For nucleation induced by focused simulations at 256 harmonics; thus, simulations throughout
transducers, this parameter can be approximated by the focal this manuscript were performed at 512 harmonics for both
volume of the transducer being used, e.g., based on the −3-dB transducers. Fig. 6 shows the resulting ultrasound focal pres-
criterion previously described. sure waveforms. Quantities such as the acoustic intensity and
By varying t N between 1 μs and 1 s in (11), it was focal peak-negative pressure were less sensitive to the number
found that the magnitude of the nucleation pressure threshold of harmonics used in the simulations than focal heating rates.
monotonically decreases with increasing t N , as shown in Results in Section III showed that HIFU-induced nucle-
Fig. 4. Similarly, by varying V0 between 1 mm3 and 1 cm3 , ation pressure thresholds can be modeled as a function of
PlN also decreases monotonically with increasing V0 . This temperature upon appropriate parametrization of the medium’s
trend indicates that, at constant temperature, bubble nucleation surface tension. Equation (11) was used to predict the nucle-
is favored at lower frequencies, since these would imply ation pressure threshold at the point of highest temperature
longer t N and larger V0 . In Fig. 5, the maximum difference (obtained with the Bioheat equation) within the HIFU focus
PlN = |PlN (1 s, 1 cm3 ) − PlN (1 μs, 1 mm3 )| observed by as a function of sonication time. Fig. 7 shows focal nucleation
varying V0 and t N in the evaluation of PlN as predicted pressure thresholds for input electrical powers of 100, 150,
by (11) is plotted. This figure shows that the effects of t N and 200 W for a 2-MHz transducer and 200, 300, and 400 W
and V0 are shown to decrease at high temperatures. This for a 1.1-MHz transducer. Having that the focal peak-negative
leads to the conclusion that parameters like the ultrasound pressure also depends on the electrical power provided to
frequency and the focal volume of the transducer have a more the transducer, these were indicated by red asterisks in the
important effect when nucleating bubbles at low temperatures: respective electrical power contour.
Transducers with lower frequencies and larger focal volumes Following from the underlying assumptions in the deriva-
would then favor bubble nucleation. tion of (11), nucleation will happen in a time interval

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Fig. 8. Time of nucleation as a function of input electrical power.

bubble decreases as heating rates are increased and as focal


peak-negative pressures are lowered. Propagation at 1.1-MHz
results in much longer times needed for bubble nucleation
since heat deposition at these conditions is one to two orders
of magnitude lower that at 2 MHz for lower input electrical
powers.
Traditionally, the pulselength required for nucleation has
Fig. 6. Pressure waveforms around the ultrasound focus. been modeled as the time that the HIFU focus takes to reach
100 ◦ C in the presence of shocks. By evoking weak shock
theory (WST) [12], [55], it is possible to approximate focal
heating rates in focused ultrasound beams as
β f 0 (p)3
Q WS = (18)
6ρ02 c04
where p is the magnitude of the incoming shock. The “time-
to-boil” tb can then be estimated by neglecting both diffusion
and perfusion in the BHTE, which reduces to [12] and [56]
Q WS tb = TρC. (19)
This analytical model uses heating rates obtained from
WST to approximate the time needed for boiling to occur,
by assuming that boiling is pressure independent and always
occurs at 100 ◦ C independently of the liquid pressure and gas
concentration.
An estimation of the timescales required of boiling his-
totripsy that accounts for the effects of the ultrasound focal
peak-negative pressure can be achieved with the aid of CNT.
Since the nucleation pressure is a temperature-dependent quan-
tity, the nucleation pressure threshold can be calculated as
function of HIFU-induced heating, as displayed in Fig. 7.
This involves solving in time an equation of the type p− =
PlN (Tpeak (t)), where p− is the focal peak-negative acoustic
pressure, PlN is defined by (11), and Tpeak is obtained with
Fig. 7. Focal nucleation pressure thresholds as a function of pulse length
the solution of the Bioheat equation. This equation is solved
(sonication time). Red asterisks denote focal peak-negative pressures for numerically in time, recording the value of t at which
the equivalent input electrical power. PlN = p− .
A comparison between the two approaches discussed above,
as a function of input electrical power to the transducer,
t N = (1/10 f 0 ) after the focal nucleation pressure threshold is shown in Fig. 8.
is equal to the focal peak-negative pressure. These results Fig. 8 shows a comparison of the time of nucleation calcu-
show that the time needed for the nucleation of a boiling lated via CNT and the time to reach 100 ◦ C given by (19).

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DE ANDRADE et al.: MODELING PHYSICS OF BUBBLE NUCLEATION IN HISTOTRIPSY 2879

TABLE I diffusion and perfusion. However, it is known that at the


PARAMETERS FOR THE HITU S IMULATOR timescales characteristic of histotripsy, both effects have tra-
ditionally been neglected [57].
We would like to discuss the comparison between the two
approaches as a hypothesis-formulating exercise in considering
the physics that is accounted when parametrizing histotripsy
experiments. It is also worth noting that a critical aspect in
the evaluation of these results relies on an understanding of
the prior distribution of bubble nuclei [12] as well as the
concentration of dissolved gas in the medium.
Existing modeling work in WST has found good agreement
between WST and experiments at high-intensity exposures,
particularly at values of tb ≤ 10 ms [12]. In these conditions,
the differences between CNT and WST approaches found
in the present work were relatively small for propagation at
2 MHz.
Nonetheless, the discrepancy in results shown in Fig. 8
might be caused by the fundamental assumption in WST that
TABLE II boiling always takes place at 100 ◦ C and by the absence
PARAMETERS FOR THE BHTE S IMULATIONS of terms considering the pressure in the liquid. This would
potentially lead WST to underestimate the time of nucle-
ation in cases where nucleation happens at T > 100 ◦ C
and overestimate it in cases where nucleation happens
at T < 100 ◦ C.
It is now crucial to discuss the empirical knowledge that
water always boils at 100 ◦ C and the reasons why this is
not necessarily replicable, or true, when modeling bubble
nucleation events, especially under ultrasound sonication in
physiological or near-physiological media. We present three
thoughts for the consideration of the reader.
1) Untreated water systems in the real world are rarely
depleted of impurities such as stabilized microbubbles,
dissolved gas, or solid crevices where gas phases are
trapped. At sea level, the vapor pressure of water at
100 ◦ C is virtually equal to the atmospheric pressure.
This means that there will be increased water vapor
The results shown in Fig. 8 for the WST approach used transport through any pre-existing water–air interfaces
the same formulation as previous experimentally validated at 100 ◦ C. These interfaces might be the flat surface
work [12], but were calculated by using physical constants between water and air but might also be the curved
displayed in Tables I and II which were also used to parame- interfaces between water and stabilized microbubbles,
trize the CNT model. or between water and gas trapped in crevices.
Before discussing any contrast between the two approaches, 2) The process of boiling at 100 ◦ C in untreated water at
it is necessary to highlight that these results are sensitive to the atmospheric conditions is further amplified by the fact
temperature dependence of parameters such as ρ, c0 , and C, that the solubility of gases in water sharply decreases
which in here were: 1) assumed to be temperature independent, with increasing temperature [58]. This means that the
using values obtained at room temperatures and 2) heating-rate “boiling” process that is empirically observed at 100 ◦ C
independent, since these materials might present temperature- is not purely boiling, it is also a process of dissolved gas
dependent changes at timescales that are incompatible with coming out of solution due to saturation of these gases
millisecond heat deposition. that is caused by temperature rises. The pre-existence of
It can be seen that the time needed for nucleation decreases a water–air interface added to the combination of vapor-
monotonically with increasing input electrical power for ization and gas dissolution then results in significantly
both transducers. In comparison with CNT results, the WST higher rates of mass transfer between liquid and vapor
approach predicts longer times until nucleation at powers phases.
below 150 W for the 2-MHz transducer, and shorter times 3) In his landmark work on thermodynamics, Josiah
at powers above 150 W. For propagation at 1.1 MHz, WST Willard Gibbs has shown that the critical work needed
always predicts shorter times required for nucleation if com- for bubble nucleation in liquids is rooted in the ener-
pared with CNT. Physically, the approximation in (19) might getic requirements of creating a surface in the bulk
overestimate focal temperature rises by neglecting both heat of a liquid [59]. In the present formulation, this is

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Fig. 9. Focal temperature profile at the moment of nucleation. Top Fig. 10. Temperature-dependent nucleation pressure thresholds at the
figure shows temperature distribution after 4.8 ms of sonication at 2 MHz time of nucleation. Top figure shows contours of nucleation pressure
and 150-W input electrical power. The bottom figure shows temperature threshold distribution after 4.8 ms of sonication at 2 MHz and 150-W input
profiles after 240 ms of sonication at 1.1 MHz with 300-W input electrical electrical power. The bottom figure shows values of PlN after 240 ms of
power. sonication at 1.1 MHz with 300-W input electrical power.

demonstrated by Hynynen et al. [6], where the critical


work of nucleation W ∗ is surface, rather than volume,
dependent [31]. This means that most of the energetic
demand for nucleation is imposed by the creation of
a liquid–vapor interface in a system assumed single-
phased, rather than by mass transfer between two pre-
existing phases. The latter process is better accounted
by bubble dynamics approaches, as discussed in the
introduction of this work.
In the light of points 1—3, the demand for a theoretical
framework of bubble nucleation that simultaneously accounts
for the effects of liquid pressure, temperature, and gas com-
position becomes clear. Furthermore, the demand for a hybrid
approach where CNT can account for hydrodynamic terms,
such as those treated in Rayleigh–Plesset-type equations,
might also be needed for a universal understanding of fun-
damental mechanisms in HIFU-induced bubble nucleation.
Fig. 11. Overview of the bubble nucleation rate (middle figure) compared
Focal temperature profiles right after the moment of with temperature profiles (top) and peak-negative acoustic pressures
nucleation are shown in Fig. 9 for propagation at 2 MHz and (bottom) at 4.8 ms of sonication for propagation at 2 MHz and 150-W
150-W input electrical power (t ≈ 4.8 ms) and 1.1 MHz and input electrical power.
300-W electrical power (t ≈ 240 ms). In both simulations,
the highest temperatures were obtained slightly pre-focally and
were in the range of 100 ◦ C–120 ◦ C. Heated regions were In both sets of results, a cigar-shaped region is observed,
obtained as an ellipsoid around the HIFU focus. This spatial in agreement with previous numerical simulation of HIFU
temperature profile is then used to calculate temperature- heat deposition and experiments in boiling histotripsy [45].
dependent nucleation pressure thresholds spatially, which can It has been observed that boiling histotripsy lesions have a
be seen in Fig. 10. characteristic “tadpole” shape, consisting of a spherical “head”
The spatial distribution of the nucleation pressure threshold and an ellipsoidal “tail.” This cigar-shaped nucleation region
at the moment of nucleation shows contours of pressures with would be the location where the first boiling bubble(s) form
similar shape to those created by heat deposition. Nucleation and start the process of mechanical fractionation of tissue [45].
then would take place within regions where the peak-negative Spatial profiles of the nucleation rate are plotted in
acoustic pressure is below the pressure thresholds plotted. Figs. 11 and 12, compared with spatial temperature profiles
These results show that heat deposition not only facilitates and peak-negative acoustic pressures in the focal region. These
nucleation by lowering pressure thresholds, but also creates results show that the highest nucleation rates occur within
preferential nucleation sites around the regions of highest tem- a sub-volume of the HIFU focus that coincides with the
perature. High-speed camera imaging of optically transparent regions of highest temperature where the peak-negative pres-
tissue mimicking gel phantoms has shown regions of highest sure surpasses the nucleation pressure threshold. Interestingly,
heat deposition as the preferential site where vapor bubbles the bottom plot in Fig. 11 shows that although the lowest
nucleate in boiling histotripsy [45]. acoustic pressures happened slightly pre-focally, these were

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DE ANDRADE et al.: MODELING PHYSICS OF BUBBLE NUCLEATION IN HISTOTRIPSY 2881

shown in Fig. 13 has limitations. This is an equation that


predicts the minimum size of bubble nuclei so that nucleation
happens, under the assumption that the surface tension is size
independent. This equation does not take into account either
inertial or viscous terms present in Rayleigh–Plesset-type
equations for bubble dynamics [32]. Numerical simulations on
the growth of nanoscale boiling histotripsy nuclei have shown
that they grow by vapor transport in the presence of fully
developed incoming shocks [60]. It has also been shown that
the temperature field around these bubbles greatly limits their
growth which is controlled by vapor transport [61], [62].
After the growth of these bubbles to dimensions simi-
lar to the wavelength of the acoustic field, these bubbles
act as reflectors creating regions of extremely low negative
pressure pre-focally where a cavitation cloud occurs [45].
Simulations of the interaction of shockwaves with a vapor
bubble have shown that backscattered peak-negative pressures
range between −17.4 and −31.6 MPa for focal vapor bubbles
Fig. 12. Overview of the bubble nucleation rate (middle figure) compared
with temperature profiles (top) and peak-negative acoustic pressures
of 0.2–1.5 mm [53]. These values are within and beyond the
(bottom) at 4.8 ms of sonication for propagation at 1.1 MHz and nucleation pressure thresholds predicted for the focal region
300-W input electrical power. and its vicinity in Fig. 10. It is thus possible that pre-focal
cavitation cloud formation in boiling histotripsy is a threshold
phenomenon that will ultimately depend on the dimensions of
the boiling bubble and its interaction with the incoming field.

IV. C ONCLUSION
A thermodynamic model for bubble nucleation in HIFU was
developed using classical nucleation theory. This model yields
an estimate for the temperature dependence of the nucleation
pressure threshold in water-like media, taking into account
the ultrasound frequency and focal volume. Experimental data
on HIFU nucleation were used in order to parametrize a
temperature-dependent activity factor for the surface tension
of water which is capable of harmonizing CNT predictions
Fig. 13. Size of critical nuclei at the moment of nucleation.
and pressure thresholds obtained in ultrasound experiments.
Results show that heat deposition in boiling histotripsy
insufficient to generate appreciable nucleation rates due to facilitates nucleation by decreasing focal nucleation pressure
lower temperature. thresholds. With the present approach, it is possible to cal-
A similar trend was observed for both transducers simulated, culate the minimum pulselength required to achieve vapor
having the preferential nucleation site within the regions of bubble nucleation, as well as estimating nucleation prefer-
highest temperature. Since the nucleation pressure threshold ential sites and the size distribution of early bubble nuclei.
is temperature-dependent, nucleation is spatially restricted to The size of critical bubble nuclei was found to increase in
regions where the peak-negative acoustic pressure overcomes regions of higher temperature within the HIFU focus, ranging
the nucleation pressure threshold; however, these regions are from 6 to 10 nm. Furthermore, these results suggest that the
not necessarily the regions of lowest acoustic pressure. pressure requirements of intrinsic-threshold histotripsy might
The size distribution of critical bubble nuclei at the HIFU be reduced by pre-heating the treatment zone up to 50 ◦ C.
focus, calculated with Laplace’s equation for mechanical equi- Overall, results indicate that it is not possible to detach the
librium, is shown in Fig. 13. These range from 6 to 10 mm effects of focal pressure and temperatures in the nucleation of
in both sets of results, where the size of critical nuclei bubbles.
increases toward the regions of highest heat deposition. These
results agree with those found HIFU nucleation experiments
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DE ANDRADE et al.: MODELING PHYSICS OF BUBBLE NUCLEATION IN HISTOTRIPSY 2883

[51] V. G. Baidakov, “Surface tension of cavitation pockets according to data Seyyed Reza Haqshenas received a
of computer simulation of nucleation in a stretched fluid,” Colloid J., B.Sc. degree in mechanical engineering
vol. 77, no. 2, pp. 119–124, Mar. 2015. from Ferdowsi University of Mashhad, Mashhad,
[52] A. D. Maxwell, C. A. Cain, J. B. Fowlkes, and Z. Xu, “Inception of Iran, in 2006, a M.Sc. degree in technical
cavitation clouds by scattered shockwaves,” in Proc. IEEE Int. Ultrason. acoustics from the Chalmers University of
Symp., Oct. 2010, pp. 11–108. Technology, Gothenburg, Sweden, in 2010,
[53] K. J. Pahk, S. Lee, P. Gélat, M. O. de Andrade, and N. Saffari, “The the M.Sc. degree in mechanical engineering
interaction of shockwaves with a vapour bubble in boiling histotripsy: and mechatronics from McMaster University,
The shock scattering effect,” Ultrason. Sonochem., vol. 70, Jan. 2021, Hamilton, Canada, in 2012, and his Ph.D.
Art. no. 105312. degree from the Department of Mechanical
[54] N. Bruot and F. Caupin, “Curvature-dependence of the liquid-vapor Engineering, University College London (UCL),
surface tension beyond the Tolman approximation,” Phys. Rev. Lett., London, U.K., in 2017.
vol. 116, no. 5, Jan. 2016, Art. no. 56102. [Online]. Available: He was appointed as a Lecturer at UCL in 2021, working with
http://arxiv.org/abs/1601.00468
.
Ultrasonics Group. His research interests lie at the interface between
[55] O. A. Sapozhnikov, “High-intensity ultrasonic waves in fluids: Nonlinear physical acoustics and biological physics, with applications in biomedical
propagation and effects,” in Power Ultrasonics, Applications of High- and pharmaceutical problems. He is particularly interested in developing
Intensity Ultrasound. Amsterdam, The Netherlands: Elsevier, 2014. a theoretical understanding of the nucleation of phase transition in fluids
[56] T. D. Khokhlova, Y. A. Haider, A. D. Maxwell, W. Kreider, M. R. Bailey, and tissues mediated by acoustic waves, such as formation of crystals
and V. A. Khokhlova, “Dependence of boiling histotripsy treatment and bubbles in an acoustic field and modeling the wave propagation in
efficiency on HIFU frequency and focal pressure levels,” Ultrasound tissues for the therapeutic applications of ultrasound.
Med. Biol., vol. 43, no. 9, pp. 1975–1985, Sep. 2017.
[57] M. R. Bailey, V. A. Khokhlova, O. A. Sapozhnikov, S. G. Kargl, Ki Joo Pahk received the B.Eng. and M.Sc.
and L. A. Crum, “Physical mechanisms of the therapeutic effect of degrees (Hons.) in mechanical engineering from
ultrasound (a review),” Acoust. Phys., vol. 49, no. 4, pp. 369–388, University College London (UCL), London, U.K.,
Jul. 2003. in 2011 and 2012, respectively, and the Ph.D.
[58] E. Wilhelm, R. Battino, and R. J. Wilcock, “Low-pressure solubility degree in mechanical engineering from UCL,
of gases in liquid water,” Chem. Rev., vol. 77, no. 2, pp. 219–262, working with the Ultrasonics Group, in 2016.
Apr. 1977. From September 2016 to August 2019, he has
[59] J. W. Gibbs, The Collected Works of J. W. Gibbs: Thermodynamics. worked as a Postdoctoral Researcher (alterna-
London, U.K.: Longmans, Green, & Co. 1928. tive military service) with the Korea Institute of
[60] K. B. Bader and C. K. Holland, “Predicting the growth of nanoscale Science and Technology (KIST), Seoul, Repub-
nuclei by histotripsy pulses,” Phys. Med. Biol., vol. 61, no. 7, lic of Korea, where he is currently the Senior
pp. 2947–2966, Apr. 2016. Research Scientist and leads the Advanced Biomedical Ultrasonics
[61] W. Kreider et al., “Rectified growth of histotripsy bubbles,” in Proc. Laboratory. His research interests include therapeutic ultrasound, high-
Meetings Acoust., Jun. 2013, Art. no. 075035. intensity focused ultrasound (HIFU), HIFU-induced mechanical tissue
[62] K. J. Pahk, P. Gélat, H. Kim, and N. Saffari, “Bubble dynamics in boiling fractionation/histotripsy, ultrasonic tissue decellularization, ultrasonic cell
histotripsy,” Ultrasound Med. Biol., vol. 44, no. 12, pp. 2673–2696, stimulation, and mathematical modeling of acoustic cavitation in soft
Dec. 2018. tissue.

Nader Saffari was born in Tehran, Iran.


He received his B.Sc. degree in electrical engi-
neering from the University of Leeds, Leeds,
U.K., in 1978, and a M.Sc. degree in microwaves
Matheus O. de Andrade received the B.Sc. and his Ph.D. degree in electrical engineering
degree in mechanical engineering from Rio de from University College London (UCL), London,
Janeiro State University, Rio de Janeiro, Brazil, U.K., in 1980 and 1986, respectively.
in 2015. He has been working with the Department
They lecture on mathematical modeling at Fac- of Mechanical Engineering, UCL, since 1992,
ulty of Engineering Sciences, University Col- where he set up the Ultrasonics Group. He is
lege London (UCL), London, U.K., and does currently the Professor of ultrasonics at UCL.
his research with Ultrasonics Group, Department He is also a member of the Institute of Physics, London. His research
of Mechanical Engineering, UCL. Their Ph.D. interests include high-intensity focused ultrasound (HIFU) for the ablation
research is on bubble nucleation and dynamics of tumors, mathematical modeling of ultrasound (US) propagation and
with applications in histotripsy. His additional scattering in inhomogeneous tissues, histotripsy for intrahepatic cell
research interests include ultrasound-assisted drug delivery and tumor delivery, US-mediated neuromodulation, US-mediated drug delivery, and
hydrodynamics. shear wave tumor detection in the prostate.

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