Department of Biomedical Engineering, College of Automation Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing, China.
Biomed Tech (Berl). 2022 Sep 12;67(6):491-501. doi: 10.1515/bmt-2022-0189. Print 2022 Dec 16.
The principle of microwave ablation (MWA) is to cause irreversible damage (protein coagulation, necrosis, etc.) to tumor cells at a certain temperature by heating, thereby destroying the tumor. We have long used functional near-infrared spectroscopy (fNIRs) to monitor clinical thermal ablation efficacy. After a lot of experimental verification, it can be found that there is a clear correlation between the reduced scattering coefficient and the degree of tissue damage. During the MWA process, the reduced scattering coefficient has a stable change. Therefore, both temperature (T) and reduced scattering coefficient ( ) are related to the thermal damage of the tissue. This paper mainly studies the changing law of T and during MWA and establishes a relationship model. The two-parameter simultaneous acquisition system was designed and used to obtain the T and of the porcine liver during MWA. The correlation model between T and is established, enabling the quantitative estimation of of porcine liver based on T. The maximum and the minimum relative errors of are 79.01 and 0.39%, respectively. Through the electromagnetic simulation of the temperature field during MWA, 2D and 3D fields of reduced scattering coefficient can also be obtained using this correlation model. This study contributes to realize the preoperative simulation of the optical parameter field of microwave ablation and provide 2D/3D therapeutic effect for clinic.
微波消融(MWA)的原理是通过加热使肿瘤细胞在一定温度下产生不可逆转的损伤(蛋白质凝固、坏死等),从而破坏肿瘤。我们长期以来一直使用功能近红外光谱(fNIRs)来监测临床热消融疗效。经过大量的实验验证,可以发现散射系数的降低与组织损伤的程度之间存在明显的相关性。在 MWA 过程中,散射系数具有稳定的变化。因此,温度(T)和散射系数( )都与组织的热损伤有关。本文主要研究了 MWA 过程中 T 和 的变化规律,并建立了关系模型。设计了双参数同时采集系统,用于获取 MWA 过程中猪肝的 T 和 。建立了 T 和 之间的相关模型,实现了基于 T 对猪肝 的定量估计。 的最大和最小相对误差分别为 79.01%和 0.39%。通过对 MWA 过程中温度场的电磁模拟,也可以使用该相关模型获得散射系数的 2D 和 3D 场。本研究有助于实现微波消融光学参数场的术前模拟,并为临床提供 2D/3D 治疗效果。