Experimental validation of MWA effects on biological tissue by sensorized needles based on FBG technology

The aim of the present study was to simulate and experimental assess the temperature distribution and damaged tissue in ex vivo porcine livers undergoing microwave ablation (MWA). Firstly, the interaction between microwave (MW) and liver was simulated to predict tissue temperature distribution and damaged volume; then numerical simulations were experimentally validated. Simulations were performed: i) by considering the geometry of the MW antenna used during the experiments, ii) by implementing the Pennes' equation to calculate the temperature map within the tissue, and iii) by using Arrhenius model to calculate the damaged tissue. The model was validated by performing experiments on four ex vivo pig livers, which were treated using a 2.45 GHz antenna at 100 W for 4 min. Three custom probes were fabricated and calibrated to measure tissue temperature during MWA. These probes consist of a needle embedding one or more Fiber Bragg grating (FBG) sensors. The three probes embed a total of eight FBGs, hence tissue temperature during MWA was monitored at eight distances from the antenna. Simulated temperatures around the antenna agree with experimental data. Moreover, the predicted damaged volume agrees with the volume of coagulation experienced by the tissue undergoing MWA. In conclusion, the proposed thermometric probes allow performing distributed temperature measurement during MWA, as well as facilitate the insertion of the FBGs within the organ. The measurements show that the model is able to accurately predict MWA effects in an ex vivo pig liver.

[1]  Sergio Silvestri,et al.  CT-based thermometry: An overview , 2014, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[2]  Christopher L Brace,et al.  Expanded modeling of temperature-dependent dielectric properties for microwave thermal ablation , 2011, Physics in medicine and biology.

[3]  A J Welch,et al.  Thin-film temperature sensors for biological measurements. , 1974, IEEE transactions on bio-medical engineering.

[4]  Carlo Fugazzola,et al.  Microwave tumors ablation: principles, clinical applications and review of preliminary experiences. , 2008, International journal of surgery.

[5]  Emiliano Schena,et al.  Optical Fiber-Based MR-Compatible Sensors for Medical Applications: An Overview , 2013, Sensors.

[6]  B. Hooper Optical-thermal response of laser-irradiated tissue , 1996 .

[7]  M. Pompili,et al.  Percutaneous ablation procedures in cirrhotic patients with hepatocellular carcinoma submitted to liver transplantation: Assessment of efficacy at explant analysis and of safety for tumor recurrence , 2005, Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society.

[8]  T. Lehnert,et al.  Radiofrequency, microwave and laser ablation of pulmonary neoplasms: clinical studies and technical considerations--review article. , 2011, European journal of radiology.

[9]  Dieter Haemmerich,et al.  Contribution of Direct Heating, Thermal Conduction and Perfusion During Radiofrequency and Microwave Ablation , 2007, 2006 International Conference of the IEEE Engineering in Medicine and Biology Society.

[10]  Emiliano Schena,et al.  Assessment of temperature measurement error and its correction during Nd:YAG laser ablation in porcine pancreas , 2014, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[11]  E Schena,et al.  Temperature monitoring during microwave ablation in ex vivo porcine livers. , 2015, European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology.

[12]  William W Mayo-Smith,et al.  Microwave ablation: principles and applications. , 2005, Radiographics : a review publication of the Radiological Society of North America, Inc.

[13]  Alfredo Cigada,et al.  Fiber-Optic Temperature and Pressure Sensors Applied to Radiofrequency Thermal Ablation in Liver Phantom: Methodology and Experimental Measurements , 2015, J. Sensors.

[14]  Sergio Silvestri,et al.  A Needlelike Probe for Temperature Monitoring During Laser Ablation Based on Fiber Bragg Grating: Manufacturing and Characterization , 2015 .

[15]  T. Bowen,et al.  In vivo temperature dependence of ultrasound speed in tissue and its application to noninvasive temperature monitoring. , 1979, Ultrasonic imaging.

[16]  Punit Prakash,et al.  Theoretical Modeling for Hepatic Microwave Ablation , 2010, The open biomedical engineering journal.

[17]  Michael A. Davis,et al.  Fiber grating sensors , 1997 .

[18]  G. Gazelle,et al.  Hepatocellular carcinoma: radio-frequency ablation of medium and large lesions. , 2000, Radiology.

[19]  P R Moran,et al.  Noninvasive thermometry with a clinical x-ray CT scanner. , 1982, Medical physics.

[20]  Sergio Silvestri,et al.  Theoretical Analysis and Experimental Evaluation of Laser-Induced Interstitial Thermotherapy in Ex Vivo Porcine Pancreas , 2012, IEEE Transactions on Biomedical Engineering.

[21]  Christopher L Brace,et al.  Microwave ablation technology: what every user should know. , 2009, Current problems in diagnostic radiology.

[22]  Dennis L. Parker,et al.  Applications of NMR Imaging in Hyperthermia: An Evaluation of the Potential for Localized Tissue Heating and Noninvasive Temperature Monitoring , 1984, IEEE Transactions on Biomedical Engineering.

[23]  E Schena,et al.  Magnetic resonance-based thermometry during laser ablation on ex-vivo swine pancreas and liver. , 2015, Medical engineering & physics.

[24]  Christopher L Brace,et al.  Microwave tissue ablation: biophysics, technology, and applications. , 2010, Critical reviews in biomedical engineering.

[25]  Ping Liang,et al.  Comparison of ablation zone between 915- and 2,450-MHz cooled-shaft microwave antenna: results in in vivo porcine livers. , 2009, AJR. American journal of roentgenology.

[26]  Ashleyj . Welch,et al.  Optical-Thermal Response of Laser-Irradiated Tissue , 1995 .

[27]  Sergio Silvestri,et al.  Techniques for temperature monitoring during laser-induced thermotherapy: An overview , 2013, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[28]  G. Dionigi,et al.  A new system of microwave ablation at 2450 MHz: preliminary experience , 2015, Updates in Surgery.

[29]  Sergio Silvestri,et al.  Temperature monitoring and lesion volume estimation during double-applicator laser-induced thermotherapy in ex vivo swine pancreas: a preliminary study , 2014, Lasers in Medical Science.