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不同大小同心肿瘤模型中电参数和热参数对射频消融影响的量化

Quantification of the effect of electrical and thermal parameters on radiofrequency ablation for concentric tumour model of different sizes.

作者信息

Jamil Muhammad, Ng E Y K

机构信息

School of Mechanical and Aerospace Engineering, College of Engineering, Nanyang Technological University, 50 Nanyang Avenue, 639798 Singapore; Department of Biomedical Engineering, National University of Singapore, Singapore.

School of Mechanical and Aerospace Engineering, College of Engineering, Nanyang Technological University, 50 Nanyang Avenue, 639798 Singapore.

出版信息

J Therm Biol. 2015 Jul;51:23-32. doi: 10.1016/j.jtherbio.2015.03.002. Epub 2015 Mar 3.

Abstract

Radiofrequency ablation (RFA) has been increasingly used in treating cancer for multitude of situations in various tissue types. To perform the therapy safely and reliably, the effect of critical parameters needs to be known beforehand. Temperature plays an important role in the outcome of the therapy and any uncertainties in temperature assessment can be lethal. This study presents the RFA case of fixed tip temperature where we've analysed the effect of electrical conductivity, thermal conductivity and blood perfusion rate of the tumour and surrounding normal tissue on the radiofrequency ablation. Ablation volume was chosen as the characteristic to be optimised and temperature control was achieved via PID controller. The effect of all 6 parameters each having 3 levels was quantified with minimum number of experiments harnessing the fractional factorial characteristic of Taguchi's orthogonal arrays. It was observed that as the blood perfusion increases the ablation volume decreases. Increasing electrical conductivity of the tumour results in increase of ablation volume whereas increase in normal tissue conductivity tends to decrease the ablation volume and vice versa. Likewise, increasing thermal conductivity of the tumour results in enhanced ablation volume whereas an increase in thermal conductivity of the surrounding normal tissue has a debilitating effect on the ablation volume and vice versa. With increase in the size of the tumour (i.e., 2-3cm) the effect of each parameter is not linear. The parameter effect varies with change in size of the tumour that is manifested by the different gradient observed in ablation volume. Most important is the relative insensitivity of ablation volume to blood perfusion rate for smaller tumour size (2cm) that is also in accordance with the previous results presented in literature. These findings will provide initial insight for safe, reliable and improved treatment planning perceptively.

摘要

射频消融(RFA)已越来越多地用于治疗各种组织类型中多种情况下的癌症。为了安全可靠地进行该治疗,需要预先了解关键参数的影响。温度在治疗结果中起着重要作用,温度评估中的任何不确定性都可能是致命的。本研究介绍了固定尖端温度的射频消融病例,我们分析了肿瘤及周围正常组织的电导率、热导率和血液灌注率对射频消融的影响。选择消融体积作为要优化的特征,并通过PID控制器实现温度控制。利用田口正交阵列的分数因子特性,通过最少的实验对所有6个参数各有3个水平的影响进行了量化。观察到随着血液灌注增加,消融体积减小。肿瘤电导率增加会导致消融体积增加,而正常组织电导率增加则倾向于减小消融体积,反之亦然。同样,肿瘤热导率增加会导致消融体积增大,而周围正常组织热导率增加则会对消融体积产生削弱作用,反之亦然。随着肿瘤尺寸增加(即2 - 3厘米),每个参数的影响并非呈线性。参数效应随肿瘤尺寸变化而变化,这表现为消融体积中观察到的不同梯度。最重要的是,对于较小肿瘤尺寸(2厘米),消融体积对血液灌注率相对不敏感,这也与文献中先前给出的结果一致。这些发现将为安全、可靠且改进的治疗规划提供初步的直观见解。

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