Abstract: An intra-cavity ultrasound imaging and therapy system is provided. The system includes an intra-cavity ultrasound probe including a housing configure to be inserted into a cavity proximate to a region of interest (ROI). The housing includes a transducer array located proximate to a distal end of the housing. The system also includes a diagnostic control circuit configured to direct the transducer array to collect diagnostic ultrasound signals from the ROI. The diagnostic control circuit is configured to generate an ultrasound image based on the diagnostic ultrasound signals. The diagnostic control circuit is further configured to direct the transducer array to deliver a high intensity focused ultrasound (HIFU) therapy at a treatment location based on target information derived from the ultrasound image.