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甲状腺激光消融中消融区域预测的数学模型的临床前评估。

Preclinical assessment of a mathematical model for ablation zone prediction in thyroid laser ablation.

机构信息

Elesta SpA, Calenzano, Florence, Italy.

Interventional Radiology Service, Department of Radiology, Weill-Cornell Medical College, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, USA.

出版信息

Lasers Med Sci. 2024 May 9;39(1):121. doi: 10.1007/s10103-024-04062-7.


DOI:10.1007/s10103-024-04062-7
PMID:38722564
Abstract

To develop and validate a 3D simulation model to calculate laser ablation (LA) zone size and estimate the volume of treated tissue for thyroid applications, a model was developed, taking into account dynamic optical and thermal properties of tissue change. For validation, ten Yorkshire swines were equally divided into two cohorts and underwent thyroid LA at 3 W/1,400 J and 3 W/1,800 J respectively with a 1064-nm multi-source laser (Echolaser X4 with Orblaze technology; ElEn SpA, Calenzano, Italy). The dataset was analyzed employing key statistical measures such as mean and standard deviation (SD). Model simulation data were compared with animal gross histology. Experimental data for longitudinal length, width (transverse length), ablation volume and sphericity were 11.0 mm, 10.0 mm, 0.6 mL and 0.91, respectively at 1,400 J and 14.6 mm, 12.4 mm, 1.12 mL and 0.83, respectively at 1,800 J. Gross histology data showed excellent reproducibility of the ablation zone among same laser settings; for both 1,400 J and 1,800 J, the SD of the in vivo parameters was ≤ 0.7 mm, except for width at 1,800 J, for which the SD was 1.1 mm. Simulated data for longitudinal length, width, ablation volume and sphericity were 11.6 mm, 10.0 mm, 0.62 mL and 0.88, respectively at 1,400 J and 14.2 mm, 12.0 mm, 1.06 mL and 0.84, respectively at 1,800 J. Experimental data for ablation volume, sphericity coefficient, and longitudinal and transverse lengths of thermal damaged area showed good agreement with the simulation data. Simulation datasets were successfully incorporated into proprietary planning software (Echolaser Smart Interface, Elesta SpA, Calenzano, Italy) to provide guidance for LA of papillary thyroid microcarcinomas. Our mathematical model showed good predictability of coagulative necrosis when compared with data from in vivo animal experiments.

摘要

为了开发和验证一种用于计算甲状腺应用中激光消融 (LA) 区域大小和估计治疗组织体积的 3D 模拟模型,我们开发了一个模型,该模型考虑了组织动态光学和热特性的变化。为了验证,将 10 头约克夏猪分为两组,分别使用 1064nm 多源激光 (Echolaser X4 与 Orblaze 技术; ElEn SpA, Calenzano, Italy) 在 3W/1400J 和 3W/1800J 下进行甲状腺 LA。使用均值和标准差 (SD) 等关键统计措施对数据集进行分析。将模型模拟数据与动物大体组织学进行比较。在 1400J 时,实验得到的纵向长度、宽度(横向长度)、消融体积和球形度分别为 11.0mm、10.0mm、0.6mL 和 0.91,在 1800J 时,分别为 14.6mm、12.4mm、1.12mL 和 0.83。大体组织学数据显示,在相同的激光设置下,消融区域具有良好的可重复性;对于 1400J 和 1800J,除了 1800J 的宽度之外,体内参数的 SD 均≤0.7mm,而 1800J 的宽度的 SD 为 1.1mm。在 1400J 时,模拟得到的纵向长度、宽度、消融体积和球形度分别为 11.6mm、10.0mm、0.62mL 和 0.88,在 1800J 时,分别为 14.2mm、12.0mm、1.06mL 和 0.84。消融体积、球形度系数以及热损伤区域的纵向和横向长度的实验数据与模拟数据吻合良好。模拟数据集成功地整合到专有的规划软件 (Echolaser Smart Interface, Elesta SpA, Calenzano, Italy) 中,为甲状腺微小乳头状癌的 LA 提供了指导。与体内动物实验数据相比,我们的数学模型显示出对凝固性坏死的良好预测性。

相似文献

[1]
Preclinical assessment of a mathematical model for ablation zone prediction in thyroid laser ablation.

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[2]
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[6]
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[8]
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引用本文的文献

[1]
Using Patient-Specific 3D Modeling and Simulations to Optimize Microwave Ablation Therapy for Liver Cancer.

Cancers (Basel). 2024-5-31

本文引用的文献

[1]
Ultrasound-Guided Percutaneous Laser Ablation of the Thyroid Gland in a Swine Model: Comparison of Ablation Parameters and Ablation Zone Dimensions.

Cardiovasc Intervent Radiol. 2021-11

[2]
Image-Guided Thermal Ablation as an Alternative to Surgery for Papillary Thyroid Microcarcinoma: Preliminary Results of an Italian Experience.

Front Endocrinol (Lausanne). 2020

[3]
Percutaneous laser ablation for benign and malignant thyroid diseases.

Ultrasonography. 2019-1

[4]
A comparison of laser with radiofrequency ablation for the treatment of benign thyroid nodules: a propensity score matching analysis.

Int J Hyperthermia. 2017-6-12

[5]
Ultrasound-guided percutaneous laser ablation of unifocal T1N0M0 papillary thyroid microcarcinoma: Preliminary results.

Eur Radiol. 2017-7

[6]
Percutaneous laser ablation for treatment of locally recurrent papillary thyroid carcinoma <15 mm.

Clin Radiol. 2016-12

[7]
Ultrasound-guided percutaneous laser ablation in treating symptomatic solid benign thyroid nodules: Our experience in 45 patients.

Head Neck. 2016-5

[8]
Ultrasound-guided laser ablation of incidental papillary thyroid microcarcinoma: a potential therapeutic approach in patients at surgical risk.

Thyroid. 2011-5-19

[9]
Laser-induced thermal therapy for tumor ablation.

Crit Rev Biomed Eng. 2010

[10]
Models for thermal damage in tissues: processes and applications.

Crit Rev Biomed Eng. 2010

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