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血流对微波消融过程中热量分布和消融区域影响的数值研究。

Effect of high blood flow on heat distribution and ablation zone during microwave ablation-numerical approach.

机构信息

Department of Mathematics and Statistics, Indian Institute of Technology Tirupati, Tirupati, India.

出版信息

Int J Numer Method Biomed Eng. 2024 Aug;40(8):e3835. doi: 10.1002/cnm.3835. Epub 2024 May 27.

DOI:10.1002/cnm.3835
PMID:38800993
Abstract

Microwave ablation has become a viable alternative for cancer treatment for patients who cannot undergo surgery. During this procedure, a single-slot coaxial antenna is employed to effectively deliver microwave energy to the targeted tissue. The success of the treatment was measured by the amount of ablation zone created during the ablation procedure. The significantly large blood vessel placed near the antenna causes heat dissipation by convection around the blood vessel. The heat sink effect could result in insufficient ablation, raising the risk of local tumor recurrence. In this study, we investigated the heat loss due to large blood vessels and the relationship between blood velocity and temperature distribution. The hepatic artery, with a diameter of 4 mm and a height of 50 mm and two branches, is considered in the computational domain. The temperature profile, localized tissue contraction, and ablation zones were simulated for initial blood velocities 0.05, 0.1, and 0.16 m/s using the 3D Pennes bio-heat equation, temperature-time dependent model, and cell death model, respectively. Temperature-dependent blood velocity is modeled using the Navier-Stokes equation, and the fluid-solid interaction boundary is treated as a convective boundary. For discretization, we utilized elements for the wave propagation model, elements for the Pennes bio-heat model, and elements for the Navier-Stokes equation, where represents the computational domain. The simulated results show that blood vessels and blood velocity have a significant impact on temperature distribution, tissue contraction, and the volume of the ablation zone.

摘要

微波消融已成为无法手术的癌症患者的一种可行的治疗选择。在该过程中,采用单槽同轴天线将微波能量有效地输送到目标组织。消融过程中创建的消融区域的数量来衡量治疗的成功。靠近天线的大血管会导致血管周围的对流散热。热沉效应可能导致消融不足,增加局部肿瘤复发的风险。在这项研究中,我们研究了大血管引起的热损失以及血流速度与温度分布之间的关系。计算域中考虑了直径为 4 mm、高度为 50 mm 的肝动脉及其两个分支。使用 3D Pennes 生物传热方程、温度-时间相关模型和细胞死亡模型,分别模拟初始血流速度为 0.05、0.1 和 0.16 m/s 时的温度分布、局部组织收缩和消融区域。使用纳维-斯托克斯方程对依赖温度的血流速度进行建模,将流固相互作用边界处理为对流边界。对于离散化,我们使用了 个波传播模型单元、 个 Pennes 生物传热模型单元和 个纳维-斯托克斯方程单元,其中 表示计算域。模拟结果表明,血管和血流速度对温度分布、组织收缩和消融区域的体积有重大影响。

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