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用于微波热消融应用的肺癌组织的组织学验证介电特性

Histology-Validated Dielectric Characterisation of Lung Carcinoma Tissue for Microwave Thermal Ablation Applications.

作者信息

Farina Laura, Ruvio Giuseppe, Shatwan Ramadan, Shalaby Aliaa, O'Halloran Martin, White Alexandra, Soo Alan, Breen David, Lowery Aoife, Quinn Anne Marie

机构信息

R & D, Endowave Ltd., H91 DCH9 Galway, Ireland.

College of Medicine, Nursing and Health Sciences, University of Galway, H91 TK33 Galway, Ireland.

出版信息

Cancers (Basel). 2023 Jul 23;15(14):3738. doi: 10.3390/cancers15143738.

Abstract

Microwave thermal ablation is a promising emerging treatment for early-stage lung cancer. Applicator design optimisation and treatment planning rely on accurate knowledge of dielectric tissue properties. Limited dielectric data are available in the literature for human lung tissue and pulmonary tumours. In this work, neoplastic and non-neoplastic lung dielectric properties are characterised and correlated with gross and histological morphology. Fifty-six surgical specimens were obtained from twelve patients undergoing lung resection for lung cancer in University Hospital of Galway, Ireland. Dielectric spectroscopy in the microwave frequency range (500 MHz-8.5 GHz) was performed on the ex vivo lung specimens with the open-ended coaxial probe technique (in the Department of Pathology). Dielectric data were analysed and correlated with the tissue histology. The dielectric properties of twelve lung tumours (67% non-small cell carcinoma (NSCC)) and uninvolved lung parenchyma were obtained. The values obtained from the neoplastic lung specimens (relative permittivity: 52.0 ± 5.4, effective conductivity: 1.9 ± 0.2 S/m, at 2.45 GHz) were on average twice the value of the non-neoplastic lung specimens (relative permittivity: 28.3 ± 6.7, effective conductivity: 1.0 ± 0.3 S/m, at 2.45 GHz). Dense fibrosis was comparable with tumour tissue (relative permittivity 49.3 ± 4.6, effective conductivity: 1.8 ± 0.1 S/m, at 2.45 GHz).

摘要

微波热消融是一种很有前景的早期肺癌新兴治疗方法。施源器设计优化和治疗规划依赖于对组织介电特性的准确了解。关于人体肺组织和肺肿瘤的介电数据在文献中有限。在这项工作中,对肿瘤性和非肿瘤性肺的介电特性进行了表征,并与大体和组织学形态相关联。从爱尔兰戈尔韦大学医院接受肺癌肺切除术的12名患者中获取了56个手术标本。采用开放式同轴探头技术(在病理科)对离体肺标本进行了微波频率范围(500 MHz - 8.5 GHz)的介电谱测量。分析介电数据并将其与组织组织学相关联。获得了12个肺肿瘤(67%为非小细胞癌(NSCC))和未受累肺实质的介电特性。从肿瘤性肺标本获得的值(相对介电常数:52.0±5.4,有效电导率:1.9±0.2 S/m,在2.45 GHz时)平均是非肿瘤性肺标本值(相对介电常数:28.3±6.7,有效电导率:1.0±0.3 S/m,在2.45 GHz时)的两倍。致密纤维化与肿瘤组织相当(相对介电常数49.3±4.6,有效电导率:1.8±0.1 S/m,在2.45 GHz时)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9185/10378338/c5bc85504c7f/cancers-15-03738-g0A1.jpg

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