Liu Y J, Qiao A K, Nan Q, Yang X Y
Center of Biomedical Engineering, Beijing University of Technology, Beijing, PR China.
Int J Hyperthermia. 2006 Sep;22(6):491-506. doi: 10.1080/02656730600905686.
The objective of this research was to reveal the thermal characteristics of microwave ablations in the vicinity of an arterial bifurcation.
The temperature distribution after microwave heating of a liver-like material in the close proximity of an arterial bifurcation was simulated using the finite element method. Coupled fluid flow and solid heat transfer were taken into consideration and a three-dimensional analysis was performed. An experimentally determined SAR (specific absorption rate) generated by the absorption of microwaves in liver-like material was used in the analysis instead of utilizing electromagnetic calculations. Several different tests of time-controlled ablations with varying distances between the microwave antenna and the bifurcation were performed and detailed temperature distributions near the bifurcation were obtained.
The interaction between the recirculation flow in the bifurcation and the heat transfer in the surrounding tissue makes the temperature distribution near the bifurcation complicated. Most importantly, after a period of continuous heating with constant microwave output power, the maximum temperatures caused by the ablation did not always increase with the distance between the antenna and the bifurcation.
It can be concluded that inadequate ablations can be the result not only from a close proximity between the antenna and the blood vessel, but also from a complicated blood flow in large vessels whose structure causes recirculation flow.
本研究的目的是揭示动脉分叉附近微波消融的热特性。
采用有限元方法模拟了在动脉分叉附近的类肝材料微波加热后的温度分布。考虑了流体流动与固体传热的耦合,并进行了三维分析。分析中使用了通过实验测定的类肝材料中微波吸收产生的比吸收率(SAR),而不是利用电磁计算。进行了几种不同的时间控制消融测试,改变微波天线与分叉之间的距离,获得了分叉附近详细的温度分布。
分叉处的再循环流与周围组织的热传递之间的相互作用使得分叉附近的温度分布变得复杂。最重要的是,在以恒定微波输出功率持续加热一段时间后,消融引起的最高温度并不总是随着天线与分叉之间的距离增加而升高。
可以得出结论,消融不足不仅可能是由于天线与血管距离过近,还可能是由于大血管中复杂的血流,其结构导致了再循环流。