Department of Biomedical Engineering, College of Automation Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing, China.
Lauterberg Imaging Center, Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.
Minim Invasive Ther Allied Technol. 2021 Dec;30(6):347-355. doi: 10.1080/13645706.2020.1742742. Epub 2020 May 27.
In the clinical treatment of tumors using microwave ablation (MWA), although temperature can be used as an important reference index for evaluating the curative effect of ablation, it cannot fully reflect the biological activity status of tumor tissue during thermal ablation. Finding multi-parameter comprehensive evaluation factors to achieve real-time evaluation of therapeutic effects has become the key for precise ablation. More and more scholars use the reduced scattering coefficient () and Young's modulus (E) to evaluate the treatment outcomes of MWA. However, the intrinsic relationship between these parameters is unclear. This paper aims to investigate the specific relationship between and E during MWA.
The MWA experiment was conducted on porcine liver , the two-parameter simultaneous acquisition system was designed to obtain the reduced scattering coefficient and Young's modulus of the liver tissue during MWA. The relationship between reduced scattering coefficient and Young's modulus was investigated.
It is found that the trend of change of is very similar to E in the process of MWA, i.e. first increasing and then reaching a steady state, and in some experiments there are synchronous changes. Based on this, the quantitative relationship between E- is established, enabling the quantitative estimation of Young's modulus of liver tissue based on reduced scattering coefficient. The maximum absolute error is 29.37 kPa and the minimum absolute error is 0.88 kPa.
This study contributes to the further establishment of a multi-parameter MWA effectiveness evaluation model. It is also valuable for clinically evaluating the ablation outcomes of tumor in real time.
在使用微波消融(MWA)治疗肿瘤的临床实践中,尽管温度可以作为评估消融疗效的重要参考指标,但它并不能充分反映肿瘤组织在热消融过程中的生物活性状态。寻找多参数综合评价因子,实现治疗效果的实时评估已成为精准消融的关键。越来越多的学者使用散射系数()和杨氏模量(E)来评估 MWA 的治疗效果。然而,这些参数之间的内在关系尚不清楚。本文旨在研究 MWA 过程中与 E 之间的具体关系。
在猪肝脏上进行 MWA 实验,设计了双参数同时采集系统,以获得 MWA 过程中肝脏组织的散射系数和杨氏模量。研究了散射系数和杨氏模量之间的关系。
发现散射系数的变化趋势在 MWA 过程中与 E 的变化趋势非常相似,即先增加然后达到稳定状态,并且在某些实验中存在同步变化。基于此,建立了 E-之间的定量关系,使得可以基于散射系数对肝脏组织的杨氏模量进行定量估计。最大绝对误差为 29.37kPa,最小绝对误差为 0.88kPa。
本研究有助于进一步建立多参数 MWA 有效性评估模型。它对于临床实时评估肿瘤消融效果也具有重要价值。