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纳米辅助射频消融治疗临床切除的不规则形状肝脏肿瘤。

Nano-assisted radiofrequency ablation of clinically extracted irregularly-shaped liver tumors.

作者信息

Shao Y L, Arjun B, Leo H L, Chua K J

机构信息

Department of Mechanical Engineering, National University of Singapore, 9 Engineering Drive 1, Singapore 117576, Singapore.

Faculty of Engineering, Engineering Science Programme, National University of Singapore, 9 Engineering Drive 1, Singapore 117 576, Singapore.

出版信息

J Therm Biol. 2017 May;66:101-113. doi: 10.1016/j.jtherbio.2017.04.005. Epub 2017 Apr 15.

Abstract

Radiofrequency ablation (RFA) for liver tumors is a minimally invasive procedure that uses electrical energy and heat to destroy cancer cells. One of the critical factors that impedes its successful outcome is the use of inappropriate radiofrequency levels that will not completely destroy the target tumor tissues, resulting in therapy failure. Additionally, the surrounding healthy tissues may suffer from serious damage due to excessive ablation. To address these challenges, this work proposes the employment of injected nanoparticles to thermally promote the ablation efficacy of conventional RFA. A three-dimensional finite difference analysis is employed to simulate the RFA treatment. Based on the data acquired from measured experiments, the simulation results have demonstrated close agreement with experimental data with a maximum discrepancy of within ±8.7%. Several types of nanoparticles were selected to evaluate their influences on liver tissue's thermal and electrical properties. We analysed the effects of nanoparticles on liver RFA via a tumor rending process incorporating several clinically-extracted tumor profiles and vascular systems. Simulations were conducted to explore the temperature difference responses between conventional RFA treatment and one with the inclusion of assisted nanoparticles on several irregularly-shaped tumors. Results have indicated that applying selected nanoparticles with high thermal conductivity and electrical conductivity on the targeted tissue zone promotes heating rate while sustaining a similar ablation zone that experiences lower maximum temperature when compared with the conventional RFA treatment. In sum, incorporating thermally-enhancing nanoparticles promotes heat transfer during the RFA treatment, resulting in improved ablation efficiency.

摘要

肝脏肿瘤的射频消融(RFA)是一种微创手术,利用电能和热量来破坏癌细胞。阻碍其成功治疗的关键因素之一是使用了不适当的射频水平,无法完全破坏目标肿瘤组织,从而导致治疗失败。此外,由于过度消融,周围的健康组织可能会受到严重损伤。为应对这些挑战,本研究提出使用注入的纳米颗粒来热促进传统RFA的消融效果。采用三维有限差分分析来模拟RFA治疗。基于实测实验获取的数据,模拟结果与实验数据显示出高度一致性,最大差异在±8.7%以内。选择了几种类型的纳米颗粒来评估它们对肝脏组织热性能和电性能的影响。我们通过结合多种临床提取的肿瘤轮廓和血管系统的肿瘤撕裂过程,分析了纳米颗粒对肝脏RFA的影响。进行模拟以探究传统RFA治疗与包含辅助纳米颗粒的治疗在几种不规则形状肿瘤上的温差响应。结果表明,在目标组织区域应用具有高导热性和导电性的选定纳米颗粒可提高加热速率,同时维持与传统RFA治疗相比具有较低最高温度的类似消融区域。总之,加入热增强纳米颗粒可促进RFA治疗过程中的热传递,从而提高消融效率。

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