Wex Cora, Stoll Anke, Fröhlich Marlen, Arndt Susann, Lippert Hans
Clinic for General, Visceral and Vascular Surgery, University Clinic Magdeburg , Germany.
Int J Hyperthermia. 2014 Jun;30(4):271-83. doi: 10.3109/02656736.2014.924161. Epub 2014 Jun 25.
For a better understanding of the effects of thermally altered soft tissue, the biothermomechanics of these tissues need to be studied. Without the knowledge of the underlying physical processes and the parameters that can be controlled clinically, thermal treatment of cancerous hepatic tissue or the preservation of liver grafts are based primarily on trial and error.
Thus, this study is concerned with the investigation of the influence of temperature on the rheological properties and the histological properties of porcine liver.
Heating previously cooled porcine liver tissue above 40 °C leads to significant, irreversible stiffness changes observed in the amplitude sweep. The increase of the complex shear module of healthy porcine liver from room temperature to 70 °C is approximately 9-fold. Comparing the temperatures -20 °C and 20 °C, no significant difference of the mechanical properties was observed. Furthermore, there is a strong relation between the mechanical and histological properties of the porcine liver. Temperatures above 40 °C destroy the collagen matrix within the liver tissue. This results in the alteration of the biomechanical properties. The time-temperature superposition principle is applied to generate temperature-dependent shift factors that can be described by a two-part exponential function model with an inflection temperature of 45 °C.
Tumor ablation techniques such as heating or freezing have a significant influence on the histology of liver tissue. However, only for temperatures above body temperature an influence on the mechanical properties of hepatic tissues was noticeable. Freezing up to -20 °C did not affect the liver mechanics.
为了更好地理解热改变软组织的影响,需要研究这些组织的生物热力学。在不了解潜在物理过程和临床可控制参数的情况下,癌性肝组织的热处理或肝移植物的保存主要基于反复试验。
因此,本研究关注温度对猪肝流变学特性和组织学特性的影响。
将先前冷却的猪肝组织加热到40℃以上会导致在振幅扫描中观察到显著的、不可逆的硬度变化。健康猪肝的复剪切模量从室温升高到70℃大约增加9倍。比较-20℃和20℃的温度,未观察到力学性能有显著差异。此外,猪肝的力学性能和组织学性能之间存在密切关系。40℃以上的温度会破坏肝组织内的胶原基质。这导致生物力学性能发生改变。应用时间-温度叠加原理生成与温度相关的移动因子,这些因子可以用一个拐点温度为45℃的两部分指数函数模型来描述。
加热或冷冻等肿瘤消融技术对肝组织的组织学有显著影响。然而,只有在温度高于体温时,对肝组织力学性能的影响才明显。冷冻至-20℃不会影响肝脏力学。