Rewcastle J C, Sandison G A, Muldrew K, Saliken J C, Donnelly B J
Departments of Oncology and Medical Physics, Tom Baker Cancer Centre, Calgary T2N 4N2, Canada.
Med Phys. 2001 Jun;28(6):1125-37. doi: 10.1118/1.1374246.
A time dependent three-dimensional finite difference model of iceball formation about multiple cryoprobes has been developed and compared to experimental data. Realistic three-dimensional probe geometry is specified and the number of cryoprobes, the cryoprobe cooling rates, and the locations of the probes are arbitrary inputs by the user. The simulation accounts for observed longitudinal thermal gradients along the cryoprobe tips. Thermal histories for several points around commercially available cryoprobes have been predicted within experimental error for one, three, and five probe configurations. The simulation can be used to generate isotherms within the iceball at arbitrary times. Volumes enclosed by the iceball and any isotherms may also be computed to give the ablative ratio, a measure of the iceball's killing efficiency. This ratio was calculated as the volume enclosed by a critical isotherm divided by the total volume of the iceball for assumed critical temperatures of -20 and -40 degrees C. The ablative ratio for a single probe is a continuously decreasing function of time but when multiple probe configurations are used the ablative ratio increases to a maximum and then essentially plateaus. Maximum values of 0.44 and 0.55 were observed for three and five probe configurations, respectively, with an assumed critical temperature of -20 degrees C. Assuming a critical temperature of -40 degrees C, maximum ablative ratios of 0.21 and 0.3 for three and five probe configurations, respectively, were observed.
已开发出一种关于多个冷冻探针的冰球形成的时间相关三维有限差分模型,并将其与实验数据进行了比较。指定了逼真的三维探针几何形状,用户可以任意输入冷冻探针的数量、冷冻探针的冷却速率以及探针的位置。该模拟考虑了沿冷冻探针尖端观察到的纵向热梯度。对于一、三、五个探针配置,已在实验误差范围内预测了市售冷冻探针周围几个点的热历史。该模拟可用于在任意时间生成冰球内的等温线。还可以计算冰球和任何等温线所包围的体积,以得出消融比,这是衡量冰球杀伤效率的一个指标。该比率计算为对于假设的 -20 和 -40 摄氏度的临界温度,由临界等温线包围的体积除以冰球的总体积。单个探针的消融比是时间的连续递减函数,但当使用多个探针配置时,消融比会增加到最大值,然后基本趋于平稳。对于假设的 -20 摄氏度的临界温度,在三个和五个探针配置中分别观察到最大值 0.44 和 0.55。假设临界温度为 -40 摄氏度,在三个和五个探针配置中分别观察到最大消融比为 0.21 和 0.3。