1 Department of Radiology, Seoul National University Cancer Research Institute, SNU-SMG Boramae Medical Center, Seoul National University College of Medicine, Seoul, Republic of Korea.
2 Department of Biosystems & Biomaterials Science and Engineering, Seoul National University, Seoul, Republic of Korea.
Technol Cancer Res Treat. 2017 Aug;16(4):488-496. doi: 10.1177/1533034616640642. Epub 2016 Apr 14.
Irreversible electroporation has clinically been used to treat various types of cancer. A plan on how to apply irreversible electroporation before practicing is very important to increase the ablation area and reduce the side effects. Several electrical models have been developed to predict the ablation area with applied electric energy. In this experiment, the static relationship between applied electric energy and ablated area was mathematically and experimentally investigated at 10 hours after applying irreversible electroporation. We performed the irreversible electroporation on the liver tissue of Sprague Dawley rats (male, 8 weeks, weighing 250-350 g). The ablated area was measured based on histological analysis and compared with the mathematical calculation from the electric energy, assuming that the tissue is homogeneous. The ablated area increased with the increase in applied electric energy. The numerically calculated contour lines of electric energy density overlapped well with the apoptotic area induced by the irreversible electroporation. The overlapped area clearly showed that the destructive threshold of apoptosis between electrodes is electric energy density level of 5.9 × 10 J/m. The results of the present study suggested that the clinical results of the irreversible electroporation on a liver tissue could be predicted through mathematical calculation.
不可逆电穿孔在临床上已被用于治疗各种类型的癌症。在进行不可逆电穿孔之前,制定一个应用计划对于增加消融面积和减少副作用非常重要。已经开发了几种电模型来预测应用电能的消融面积。在本实验中,在应用不可逆电穿孔 10 小时后,从数学和实验上研究了施加电能与消融面积之间的静态关系。我们对 Sprague Dawley 大鼠(雄性,8 周龄,体重 250-350 克)的肝组织进行了不可逆电穿孔。基于组织学分析测量了消融面积,并与从电能进行的数学计算进行了比较,假设组织是均匀的。消融面积随施加电能的增加而增加。电能密度的数值计算等高线与不可逆电穿孔引起的细胞凋亡区域很好地重叠。重叠区域清楚地表明,电极之间的细胞凋亡破坏阈值是 5.9×10 J/m 的电能密度水平。本研究的结果表明,可以通过数学计算预测肝组织上不可逆电穿孔的临床结果。