González-Suárez Ana, Kerrigan Cian, McNamara Jason, Kinsella Seán, Duffy Maeve
Translational Medical Device Lab, School of Medicine, University of Galway, Galway, Ireland.
Mirai Medical, 5 Howley Court, Oranmore, Galway, Ireland.
Biomed Eng Lett. 2024 Sep 12;15(1):69-79. doi: 10.1007/s13534-024-00421-z. eCollection 2025 Jan.
Pulsed electrical field (PEF) ablation is an energy-based technique used to treat a range of cancers by irreversible electroporation (IRE). Our objective was to use computational and plant-based models to characterize the electric field distribution and ablation zones induced with a commercial 8-needle array-based applicator intended for treatment of skin cancer when high-frequency IRE (H-FIRE) pulses are applied. Electric field characterisation of this device was not previously assessed.
Vegetable experimental were conducted using parallel plate electrodes to obtain the lethal threshold for H-FIRE pulses. Then a 3D computational model of the applicator was built mimicking the experimental conditions. The computational ablation zones were validated with the experiments for different voltage levels ranging from 220 to 525 V.
A threshold of 453 V/cm was estimated for H-FIRE pulses, which was used to predict computationally the ablation zones. It was found that the model showed a low prediction error, ranging from 2% for the minor diameter to 4.5% for the depth compared with experiments. Voltages higher than 370 V created an ablation volume with a rectangular prism shape determined by the positions of the needles, whereas lower voltages provoked the appearance of untreated areas (gaps).
Our computer model predicts reasonably well the ablation zone induced by H-FIRE pulses, suggesting that a sufficiently large voltage must be applied to avoid the appearance of gaps. The validated model with vegetable experiments could serve as the basis for future computer studies to predict the behaviour of this device on heterogeneous tissues.
脉冲电场(PEF)消融是一种基于能量的技术,通过不可逆电穿孔(IRE)用于治疗多种癌症。我们的目标是使用计算模型和基于植物的模型来表征在应用高频IRE(H-FIRE)脉冲时,用于治疗皮肤癌的商用8针阵列式施加器所诱导的电场分布和消融区域。此前尚未评估该设备的电场特性。
使用平行板电极进行植物实验,以获得H-FIRE脉冲的致死阈值。然后构建该施加器的三维计算模型,模拟实验条件。针对220至525 V的不同电压水平,通过实验对计算得到的消融区域进行验证。
估计H-FIRE脉冲的阈值为453 V/cm,用于通过计算预测消融区域。结果发现,与实验相比,该模型的预测误差较低,短径预测误差为2%,深度预测误差为4.5%。高于370 V的电压会产生由针的位置决定的长方体形状的消融体积,而较低电压会导致出现未处理区域(间隙)。
我们的计算机模型对H-FIRE脉冲诱导的消融区域预测效果较好,这表明必须施加足够高的电压以避免间隙出现。经过植物实验验证的模型可为未来预测该设备在异质组织上行为的计算机研究奠定基础。