Yan Yan, John Samuel, Shaik Tanyeem, Patel Bijal, Lam Mai T, Kabbani Loay, Mehrmohammadi Mohammad
Biomedical Engineering, Wayne State University, Detroit, MI, United States.
Vascular Surgery, Henry Ford Health System, MI, United States.
Photoacoustics. 2021 Aug 30;24:100298. doi: 10.1016/j.pacs.2021.100298. eCollection 2021 Dec.
Endovenous laser ablation (EVLA) is a minimally invasive surgical procedure, often guided by ultrasound (US) imaging, for treating venous insufficiencies. US imaging limitations in accurately visualizing the catheter and the lack of a temperature monitoring system can lead to sub-optimal outcomes. An integrated photoacoustic (PA)-guided EVLA system has been previously developed and reported to overcome the shortcomings of US-guided procedure. In this study, we further characterized the system and tested the utility. In addition, PA thermometry was further explored by compensating the variation of PA signal with temperature with respect to the temperature-dependent absorption of blood and water. imaging results indicated that the PA-guided EVLA system can provide high contrast and accurate images of the ablation catheter tip overlaid on US images of the background tissue. Additionally, absorption-compensated PA signal amplitudes over a relevant range of temperature were measured and demonstrated.
静脉腔内激光消融术(EVLA)是一种微创手术,通常在超声(US)成像引导下用于治疗静脉功能不全。超声成像在准确可视化导管方面存在局限性,且缺乏温度监测系统,可能导致治疗效果欠佳。此前已开发并报道了一种集成光声(PA)引导的EVLA系统,以克服超声引导手术的缺点。在本研究中,我们进一步对该系统进行了表征并测试了其效用。此外,通过补偿PA信号随温度的变化以及血液和水的温度依赖性吸收,进一步探索了PA测温法。成像结果表明,PA引导的EVLA系统可以在背景组织的US图像上提供高对比度和准确的消融导管尖端图像。此外,还测量并展示了在相关温度范围内吸收补偿后的PA信号幅度。