Amare Rohan, Stolley Danielle, Parrish Steve, Jacobsen Megan, Layman Rick R, Santos Chimamanda, Riviere Beatrice, Fowlkes Natalie, Fuentes David, Cressman Erik
Department of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Sci Rep. 2025 Jul 1;15(1):20552. doi: 10.1038/s41598-025-06079-6.
Innovative therapies such as thermoembolization are expected to play an important role in improving care for patients with diseases such as hepatocellular carcinoma. Thermoembolization is a minimally invasive strategy that combines thermal ablation and embolization in a single procedure. This approach exploits an exothermic chemical reaction that occurs when an acid chloride is delivered via an endovascular route. However, comprehension of the complexities of the biophysics of thermoembolization is challenging. Mathematical models can aid in understanding such complex processes and assisting clinicians in making informed decisions. In this study, we used a Hagen-Poiseuille 1D blood flow model to predict the mass transport and possible embolization locations in a porcine hepatic artery. The 1D flow model was used on imaging data of in-vivo embolization imaging data of three pigs. The hydrolysis time constant of acid chloride chemical reaction was optimized for each pig, and leave-one-out-cross-validation (LOOCV) method was used to test the model's predictive ability. This basic model provided a balanced accuracy rate of [Formula: see text] for identifying the possible locations of damage in the hepatic artery. Use of the 1D model and experimental data provides an insight that using immiscible two-phase flow would better approximate the globular behavior seen.
诸如热栓塞等创新疗法有望在改善肝细胞癌等疾病患者的护理方面发挥重要作用。热栓塞是一种微创策略,可在单一操作中结合热消融和栓塞。这种方法利用了通过血管内途径输送酰氯时发生的放热化学反应。然而,理解热栓塞生物物理学的复杂性具有挑战性。数学模型有助于理解此类复杂过程,并协助临床医生做出明智的决策。在本研究中,我们使用哈根 - 泊肃叶一维血流模型来预测猪肝动脉中的物质传输和可能的栓塞位置。该一维血流模型用于三头猪的体内栓塞成像数据。针对每头猪优化了酰氯化学反应的水解时间常数,并使用留一法交叉验证(LOOCV)方法来测试模型的预测能力。这个基本模型在识别肝动脉中可能的损伤位置方面提供了[公式:见原文]的平衡准确率。使用一维模型和实验数据提供了一种见解,即使用不混溶的两相流将能更好地近似所观察到的球状行为。