Although biological effects of ultrasound must be avoided for safe diagnostic applications, ultrasound's ability to disrupt cell membranes has attracted interest as a method to facilitate drug and gene delivery. This paper seeks to develop "prediction rules" for predicting the degree of cell membrane disruption based on specified ultrasound parameters and measured acoustic signals. Three techniques for generating prediction rules (regression analysis, classification trees and discriminant analysis) are applied to data obtained from a sequence of experiments on bovine red blood cells. For each experiment, the data consist of four ultrasound parameters, acoustic measurements at 400 frequencies, and a measure of cell membrane disruption. To avoid over-training, various combinations of the 404 predictor variables are used when applying the rule generation methods. The results indicate that the variable combination consisting of ultrasound exposure time and acoustic signals measured at the driving frequency and its higher harmonics yields the best rule for all three rule generation methods. The methods used for deriving the prediction rules are broadly applicable, and could be used to develop prediciton rules in other scenarios involving different cell types or tissues. These rules and the methods used to derive them could be used for real-time feedback about ultrasound's biological effects.
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