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激光功率、血液灌注、人体肝脏组织的热学和光学特性对激光间质热疗中热损伤的影响。

The effect of laser power, blood perfusion, thermal and optical properties of human liver tissue on thermal damage in LITT.

作者信息

Shibib Khalid Salem, Munshid Mohammed A, Lateef Hind Ali

机构信息

Laser and Optoelectronic Engineering Department, University of Technology, Baghdad, Iraq.

出版信息

Lasers Med Sci. 2017 Dec;32(9):2039-2046. doi: 10.1007/s10103-017-2321-8. Epub 2017 Sep 11.

Abstract

In this work, the finite-element method (FEM) was used to predict the temperature distribution, and the thermal damage volume in human liver tissue subjected to laser in laser-induced interstitial thermotherapy (LITT). The effect of laser power, blood perfusion, and thermal and optical properties on maximum temperature and thermal damage volume were predicted using the finite-element method. A computer program was written in visual basic language, which was verified by comparing its result with data published elsewhere. The bio-heat equation together with the effect of linear laser source were used to simulate heat transfer through tissue from which the temperature distributions, and the subsequent thermal damage, were obtained based on Arrhenius equation. In this mathematical model for LITT, it was found that increasing laser power, absorption, and scattering coefficient increased the damage zone while increasing tissue water content, perfusion rate, and tissue anisotropy factor decreased the damage zone. These findings are important aspects for doctors in the pre-estimation of the damage zone before starting the therapy so as to kill only the desired zone.

摘要

在这项工作中,采用有限元方法(FEM)预测激光诱导间质热疗(LITT)中人体肝脏组织在激光作用下的温度分布和热损伤体积。利用有限元方法预测了激光功率、血液灌注以及热学和光学特性对最高温度和热损伤体积的影响。用Visual Basic语言编写了一个计算机程序,并通过将其结果与其他地方发表的数据进行比较来进行验证。生物热方程结合线性激光源的作用用于模拟组织中的热传递,基于阿伦尼乌斯方程从中获得温度分布以及随后的热损伤。在这个LITT数学模型中,发现增加激光功率、吸收系数和散射系数会增大损伤区域,而增加组织含水量、灌注率和组织各向异性因子会减小损伤区域。这些发现对于医生在开始治疗前预先估计损伤区域从而仅杀死期望区域而言是重要的方面。

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