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蓝宝石冷冻探针的光传感组织冻结深度和稳态漫反射分析。

Optical Sensing of Tissue Freezing Depth by Sapphire Cryo-Applicator and Steady-State Diffuse Reflectance Analysis.

机构信息

Osipyan Institute of Solid State Physics of the Russian Academy of Sciences, Chernogolovka 142432, Russia.

Prokhorov General Physics Institute of the Russian Academy of Sciences, Moscow 119991, Russia.

出版信息

Sensors (Basel). 2024 Jun 5;24(11):3655. doi: 10.3390/s24113655.

DOI:10.3390/s24113655
PMID:38894444
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11175356/
Abstract

This work describes a sapphire cryo-applicator with the ability to sense tissue freezing depth during cryosurgery by illumination of tissue and analyzing diffuse optical signals in a steady-state regime. The applicator was manufactured by the crystal growth technique and has several spatially resolved internal channels for accommodating optical fibers. The method of reconstructing freezing depth proposed in this work requires one illumination and two detection channels. The analysis of the detected intensities yields the estimation of the time evolution of the effective attenuation coefficient, which is compared with the theoretically calculated values obtained for a number of combinations of tissue parameters. The experimental test of the proposed applicator and approach for freezing depth reconstruction was performed using gelatin-based tissue phantom and rat liver tissue in vivo. It revealed the ability to estimate depth up to 8 mm. The in vivo study confirmed the feasibility of the applicator to sense the freezing depth of living tissues despite the possible diversity of their optical parameters. The results justify the potential of the described design of a sapphire instrument for cryosurgery.

摘要

这项工作描述了一种蓝宝石低温冷冻应用器,它能够通过对组织进行照明并在稳态下分析漫射光信号来感知冷冻手术过程中组织的冷冻深度。该应用器是通过晶体生长技术制造的,具有几个空间上分开的内部通道,用于容纳光纤。这项工作中提出的重建冷冻深度的方法需要一个照明和两个检测通道。对检测到的强度进行分析可以得到有效衰减系数的时间演化估计值,该值与针对组织参数的许多组合计算得到的理论值进行比较。使用基于明胶的组织体模和大鼠肝组织在体进行了对所提出的冷冻深度重建应用器和方法的实验测试。结果表明,该方法能够估计深度达 8 毫米。体内研究证实了该应用器能够感知活体组织的冷冻深度,尽管它们的光学参数可能存在差异。这些结果证明了所描述的蓝宝石仪器设计用于冷冻手术的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c43/11175356/d6f7b2642e4f/sensors-24-03655-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c43/11175356/dddf0c16b880/sensors-24-03655-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c43/11175356/71e00cf19376/sensors-24-03655-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c43/11175356/633dbfd77750/sensors-24-03655-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c43/11175356/18824e08fae2/sensors-24-03655-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c43/11175356/0e3b169d4353/sensors-24-03655-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c43/11175356/d6f7b2642e4f/sensors-24-03655-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c43/11175356/dddf0c16b880/sensors-24-03655-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c43/11175356/71e00cf19376/sensors-24-03655-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c43/11175356/633dbfd77750/sensors-24-03655-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c43/11175356/18824e08fae2/sensors-24-03655-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c43/11175356/0e3b169d4353/sensors-24-03655-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c43/11175356/d6f7b2642e4f/sensors-24-03655-g006.jpg

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本文引用的文献

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Cryosurgery for Basal Cell Skin Cancer of the Head: 15 Years of Experience.头部基底细胞皮肤癌的冷冻手术:15年经验
Life (Basel). 2023 Nov 20;13(11):2231. doi: 10.3390/life13112231.
2
The Evolving Role of Cryosurgery in Breast Cancer Management: A Comprehensive Review.冷冻手术在乳腺癌治疗中不断演变的作用:全面综述
Cancers (Basel). 2023 Aug 26;15(17):4272. doi: 10.3390/cancers15174272.
3
Intraoperative MRI-derived volumetric ablation margins and initial correlation with local outcome after MRI-guided cryoablation of renal tumors.
术中 MRI 引导下肾肿瘤冷冻消融后容积消融边界与局部疗效的初步相关性研究。
Cancer Imaging. 2023 Mar 30;23(1):31. doi: 10.1186/s40644-023-00546-x.
4
A Fiber Optic Sensor for Monitoring the Spectral Alterations and Depth in Ex Vivo and In Vivo Cryosurgery.一种用于监测离体和体内冷冻手术中光谱变化和深度的光纤传感器。
Sensors (Basel). 2023 Mar 1;23(5):2690. doi: 10.3390/s23052690.
5
Prospective Clinical Trial on Expanding Indications for Cryosurgery for Early Breast Cancers.早期乳腺癌冷冻治疗适应证拓展的前瞻性临床试验。
Clin Breast Cancer. 2023 Jun;23(4):363-368. doi: 10.1016/j.clbc.2023.01.007. Epub 2023 Jan 18.
6
Feasibility test of a sapphire cryoprobe with optical monitoring of tissue freezing.具有组织冷冻光学监测功能的蓝宝石冷冻探头的可行性测试。
J Biophotonics. 2023 Mar;16(3):e202200288. doi: 10.1002/jbio.202200288. Epub 2022 Dec 20.
7
A study of prostate multiprobe cryoablation near urethra for precision treatment planning.研究经尿道前列腺多点冷冻消融以实现精准治疗规划。
Cryobiology. 2022 Dec;109:10-19. doi: 10.1016/j.cryobiol.2022.10.002. Epub 2022 Oct 22.
8
Nerve Protection During Prostate Cryosurgery.前列腺冷冻手术中的神经保护。
Ann Biomed Eng. 2023 Mar;51(3):538-549. doi: 10.1007/s10439-022-03059-z. Epub 2022 Sep 10.
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J Eur Acad Dermatol Venereol. 2022 Oct;36(10):1758-1765. doi: 10.1111/jdv.18209. Epub 2022 May 21.
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Sci Rep. 2022 Feb 7;12(1):1977. doi: 10.1038/s41598-022-05889-2.