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