referring now to the figures of the drawings in detail and first , particularly , to fig1 thereof , there is seen a diagrammatic view of an apparatus for treating a tissue 1 through the use of ultrasound 2 , including an imaging device 3 , or more concretely a magnetic resonance scanner , and a source 4 for ultrasound 2 , with an energy supply 4 ′. this view is shown in a direction extending vertically from top to bottom in the conventional sense . fig2 shows this same apparatus , seen in a conventionally horizontal direction . these two drawing figures will now be discussed jointly . a special waveguide 5 is provided in order to conduct the ultrasound 2 from the source 4 into the imaging device 3 and the tissue 1 to be treated . in the present case this waveguide 2 may be a rod of quartz glass , for example . the source 4 furnishes the ultrasound 2 at a certain ultrasonic frequency . in order to treat the tissue 1 in the manner referred to repeatedly above , that is in which portions of the tissue 1 are to be killed , the ultrasonic frequency is typically above 1 mhz . the imaging device 3 also employs electromagnetic fields 6 at certain operating frequencies , as professionals in this field are well aware . the operating frequency and the ultrasonic frequency are each selected in such a way that the operating frequency is different from every integral multiple of the ultrasonic frequency . in this way , influence on the imaging device 3 by the source 4 is kept as slight as possible . a focuser 7 , which in the present case is a mirror mounted on the waveguide 5 , is provided in order to focus the ultrasound 2 into the tissue 1 . this focuser 7 assures that the energy of the ultrasound is focused within a very spatially limited focus 13 , and thus effects relatively major heating of the tissue 1 in the area of this focus 13 . a measuring instrument 11 is provided in order to determine the energy that has been converted into heat in the focus 13 . the measuring instrument 11 measures the power level of the ultrasound 2 that emerges from the tissue 1 . the energy deposited in the area of the focus 13 is thus the difference between the energy furnished by the source 4 , which still has to be determined by a suitable measuring instrument , and the energy measured by the measuring instrument 11 . as a result , the apparatus can be manipulated safely and reliably . fig3 shows an exemplary embodiment of the waveguide 5 . the waveguide 5 is formed of a glass fiber configuration and is provided , together with an evalution / display unit 11 ′ with a horn 8 on each end . the horn 8 disposed on the end of the waveguide 5 facing toward the source 4 ( shown symbolically as an ultrasound transducer ) serves to concentrate the energy , supplied by the source 4 , in the small cross section of the waveguide 5 . the horn 8 disposed on the end of the waveguide 5 facing toward the tissue 1 serves to distribute the energy of the ultrasound 2 over a large cross section again , enabling the ultrasound 2 to enter the tissue 1 to be treated over a comparatively large cross section . the focuser 7 is a lens provided for focusing the ultrasound 2 . this lens concentrates the energy of the ultrasound within a comparatively small area around the focus 13 and causes a major temperature increase there . this is utilized in particular for killing the tissue 1 in the vicinity of the focus 13 . fig4 shows a further feature of the waveguide 5 . the waveguide includes a tube 9 , which is formed of a suitable ceramic , is filled with a liquid 10 , specifically water , and is closed with two windows 12 . the focuser 7 , which is also shown , in this case includes two lenses that can be displaced relative to one another ( as is indicated by a double - headed arrow ) and an associated actuating device 14 . the invention relates to a method and an apparatus for locally heating and globally monitoring a tissue . the invention enables genuine chronologically coincident local heating , through the use of focused ultrasound , and global monitoring , in particular through the use of magnetic resonance imaging . mutual influence between the source for the ultrasound and the imaging device for the monitoring is avoided , and possible damage to the tissue to be treated from the source , or electric lines leading to it , and the like is precluded . the invention is especially well suited to medical use , in particular within the context of tumor therapy in the human female breast or the human male prostate .
a method and an apparatus for local heating and global monitoring of a tissue disposed in an imaging device , monitored by the imaging device and substantially simultaneously heated by focused ultrasound from an appropriate source . the ultrasound is generated outside the imaging device and is guided to the tissue through the use of a waveguide . in particular , the imaging device is a magnetic resonance scanner .