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印记微波热消融系统:通过数学关联在人类患者和猪模型之间架起热消融疗效的桥梁。

Emprint Microwave Thermoablation System: Bridging Thermal Ablation Efficacy between Human Patients and Porcine Models through Mathematical Correlation.

作者信息

Cafarchio Andrea, Iasiello Marcello, Brunese Maria Chiara, Francica Giampiero, Rocca Aldo, Andreozzi Assunta

机构信息

Dipartimento di Medicina e Scienze della Salute DIMES, Università degli Studi del Molise, 86100 Campobasso, Italy.

Dipartimento di Ingegneria Industriale DII, Università degli Studi di Napoli "Federico II", 80125 Napoli, Italy.

出版信息

Bioengineering (Basel). 2023 Sep 7;10(9):1057. doi: 10.3390/bioengineering10091057.

Abstract

To investigate the in vivo ablation characteristics of a microwave ablation antenna in the livers of humans with tumors, a retrospective analysis of the ablation zones was conducted after applying Emprint microwave ablation systems for treatment. Percutaneous microwave ablations performed between January 2022 and September 2022 were included in this study. Subsequently, immediate post-ablation echography images were subjected to retrospective evaluation to state the long ablated diameter, short ablated diameter, and volume. The calculated ablation lengths and volume indices were then compared between in vivo and ex vivo results obtained from laboratory experiments conducted on porcine liver. The ex vivo data showed a good correlation between energy delivered and both increasing ablated dimensions (both < 0.001) and volume ( < 0.001). The in vivo data showed a good correlation for dimensions ( = 0.037 and = 0.019) and a worse correlation for volume ( = 0.142). When comparing ex vivo and in vivo data for higher energies, the ablated volumes grew much more rapidly in ex vivo cases compared to in vivo ones. Finally, a set of correlations to scale ex vivo results with in vivo ones is presented. This phenomenon was likely due to the absence of perfusion, which acts as a cooling system.

摘要

为研究微波消融天线在患有肿瘤的人体肝脏中的体内消融特性,在应用Emprint微波消融系统进行治疗后,对消融区域进行了回顾性分析。本研究纳入了2022年1月至2022年9月期间进行的经皮微波消融。随后,对消融后即刻的超声图像进行回顾性评估,以确定长径、短径和体积。然后将计算出的消融长度和体积指数与在猪肝上进行的实验室实验获得的体内和体外结果进行比较。体外数据显示,传递的能量与增加的消融尺寸(均P<0.001)和体积(P<0.001)之间具有良好的相关性。体内数据显示,尺寸方面具有良好的相关性(P = 0.037和P = 0.019),而体积方面的相关性较差(P = 0.142)。在比较高能量下的体外和体内数据时,与体内情况相比,体外情况下消融体积增长得更快。最后,给出了一组将体外结果与体内结果进行缩放的相关性。这种现象可能是由于缺乏作为冷却系统的灌注所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c289/10525213/a56b90605fc8/bioengineering-10-01057-g001.jpg

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