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用于优化热肿瘤消融的热致变色组织模拟体模

Thermochromic tissue-mimicking phantom for optimisation of thermal tumour ablation.

作者信息

Negussie Ayele H, Partanen Ari, Mikhail Andrew S, Xu Sheng, Abi-Jaoudeh Nadine, Maruvada Subha, Wood Bradford J

机构信息

a Center for Interventional Oncology, Radiology and Imaging Sciences , Clinical Center, National Institutes of Health , Bethesda , MD ;

b Clinical Science MR Therapy, Philips , Andover , MA ;

出版信息

Int J Hyperthermia. 2016 May;32(3):239-43. doi: 10.3109/02656736.2016.1145745. Epub 2016 Apr 20.

Abstract

Purpose The purpose of this study was to (1) develop a novel tissue-mimicking thermochromic (TMTC) phantom that permanently changes colour from white to magenta upon heating above ablative temperatures, and (2) assess its utility for specific applications in evaluating thermal therapy devices. Materials and methods Polyacrylamide gel mixed with thermochromic ink was custom made to produce a TMTC phantom that changes its colour upon heating above biological ablative temperatures (> 60 °C). The thermal properties of the phantom were characterised, and compared to those of human tissue. In addition, utility of this phantom as a tool for the assessment of laser and microwave thermal ablation was examined. Results The mass density, thermal conductivity, and thermal diffusivity of the TMTC phantom were measured as 1033 ± 1.0 kg/m(3), 0.590 ± 0.015 W/m.K, and 0.145 ± 0.002 mm(2)/s, respectively, and found to be in agreement with reported values for human soft tissues. Heating the phantom with laser and microwave ablation devices produced clearly demarcated regions of permanent colour change geographically corresponding to regions with temperature elevations above 60 °C. Conclusion The TMTC phantom provides direct visualisation of ablation dynamics, including ablation volume and geometry as well as peak absolute temperatures within the treated region post-ablation. This phantom can be specifically tailored for different thermal therapy modalities, such as radiofrequency, laser, microwave, or therapeutic ultrasound ablation. Such modality-specific phantoms may enable better quality assurance, device characterisation, and ablation parameter optimisation, or optimise the study of dynamic heating parameters integral to drug device combination therapies relying upon heat.

摘要

目的 本研究的目的是:(1)开发一种新型组织模拟热致变色(TMTC)体模,其在加热至消融温度以上时会从白色永久变为品红色;(2)评估其在评估热疗设备特定应用中的效用。材料与方法 定制了混合有热致变色墨水的聚丙烯酰胺凝胶,以制备一种在加热至高于生物消融温度(>60°C)时会改变颜色的TMTC体模。对该体模的热性能进行了表征,并与人体组织的热性能进行了比较。此外,还研究了该体模作为评估激光和微波热消融工具的效用。结果 测得TMTC体模的质量密度、热导率和热扩散率分别为1033±1.0 kg/m³、0.590±0.015 W/m·K和0.145±0.002 mm²/s,发现与报道的人体软组织值一致。用激光和微波消融设备加热该体模会产生明显划定的永久颜色变化区域,在地理上对应于温度升高至60°C以上的区域。结论 TMTC体模可直接可视化消融动力学,包括消融体积和几何形状以及消融后治疗区域内的峰值绝对温度。这种体模可以针对不同的热疗方式进行专门定制,如射频、激光、微波或治疗性超声消融。这种特定方式的体模可能有助于实现更好的质量保证设备表征和消融参数优化,或优化对依赖热的药物 - 设备联合疗法所必需的动态加热参数的研究。

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