IEEE Trans Biomed Eng. 2018 Aug;65(8):1810-1819. doi: 10.1109/TBME.2017.2778101. Epub 2017 Nov 28.
For irreversible-electroporation (IRE)-based therapies, the underlying electric field distribution in the target tissue is influenced by the electroporation-induced conductivity changes and is important for predicting the treatment zone.
In this study, we characterized the liver tissue conductivity changes during high-frequency irreversible electroporation (H-FIRE) treatments of widths 5 and 10 μs and proposed a method for predicting the ablation zones.
To achieve this, we created a finite-element model of the tissue treated with H-FIRE and IRE pulses based on experiments conducted in an in-vivo rabbit liver study. We performed a parametric sweep on a Heaviside function that captured the tissue conductivity versus electric field behavior to yield a model current close to the experimental current during the first burst/pulse. A temperature module was added to account for the current increase in subsequent bursts/pulses. The evolution of the electric field at the end of the treatment was overlaid on the experimental ablation zones determined from hematoxylin and eosin staining to find the field thresholds of ablation.
Dynamic conductivity curves that provided a statistically significant relation between the model and experimental results were determined for H-FIRE. In addition, the field thresholds of ablation were obtained for the tested H-FIRE parameters.
The proposed numerical model can simulate the electroporation process during H-FIRE.
The treatment planning method developed in this study can be translated to H-FIRE treatments of different widths and for different tissue types.
对于不可逆电穿孔(IRE)治疗,目标组织中的基础电场分布受电穿孔诱导的电导率变化影响,这对于预测治疗区域很重要。
在本研究中,我们对宽度为 5 和 10 μs 的高频不可逆电穿孔(H-FIRE)治疗期间的肝组织电导率变化进行了特征描述,并提出了一种预测消融区的方法。
为此,我们基于在活体兔肝研究中进行的实验,创建了组织接受 H-FIRE 和 IRE 脉冲治疗的有限元模型。我们对捕获组织电导率与电场行为关系的 Heaviside 函数进行参数扫描,以获得与第一个爆发/脉冲期间的实验电流接近的模型电流。添加一个温度模块,以说明后续爆发/脉冲中电流的增加。在治疗结束时叠加电场的演变,以确定从苏木精和曙红染色确定的实验消融区,以找到消融的场阈值。
为 H-FIRE 确定了提供模型与实验结果之间具有统计学意义关系的动态电导率曲线。此外,还获得了针对测试的 H-FIRE 参数的消融场阈值。
所提出的数值模型可以模拟 H-FIRE 期间的电穿孔过程。
本研究开发的治疗计划方法可以转化为不同宽度和不同组织类型的 H-FIRE 治疗。