Evaluation of the impedance technique for cryosurgery in a theoretical model of the head.

Bioimpedance is a noninvasive technique that produces information on the electrical characteristics of tissue inside the body from currents injected and electrical potentials measured on the surface of the body. Because freezing causes a large increase in tissue electrical impedance we thought that it may also cause significant changes in the surface electrical potential making the bioimpedance technique suitable for noninvasive monitoring and imaging of cryosurgery. To evaluate the feasibility of the bioimpedance technique in cryosurgery we examined, as a case study, a theoretical model for the electrical potentials during brain cryosurgery. A three-dimensional spherical model was used to calculate the change in the electrical potential distribution in the head as a function of the current source location and the size of the frozen lesion in the brain. The numerical calculations were executed using the finite volume method and the iterative successive over relaxation method. The results demonstrate that, indeed, freezing inside the head produces measurable changes in the electrical potential on the outer surface-the scalp.

[1]  M. Rosenfeld,et al.  Numerical calculation of the potential distribution due to dipole sources in a spherical model of the head. , 1994, Computers and biomedical research, an international journal.

[2]  M. Rosenfeld,et al.  Correlation between skull thickness asymmetry and scalp potential estimated by a numerical model of the head , 1995, IEEE Transactions on Biomedical Engineering.

[3]  P J Le Pivert,et al.  Measurement of intratissue bioelectrical low frequency impedance: a new method to predict per-operatively the destructive effect of cryosurgery. , 1977, Cryobiology.

[4]  I. Treilleux,et al.  Hepatic cryosurgery precision evaluation of ultrasonography, thermometry, and impedancemetry in a pig model , 1996, Journal of surgical oncology.

[5]  M. Rosenfeld,et al.  Numerical solution of the potential due to dipole sources in volume conductors with arbitrary geometry and conductivity , 1996, IEEE Transactions on Biomedical Engineering.

[6]  S A Zacarian,et al.  How accurate is temperature monitoring in cryosurgery and is there an alternative? , 1980, The Journal of dermatologic surgery and oncology.

[7]  M. Savic,et al.  A new impedance-based method for controlled cryosurgery of malignant tumors. , 1977, The Journal of dermatologic surgery and oncology.

[8]  J. Meijs,et al.  Inverse solutions based on MEG and EEG applied to volume conductor analysis. , 1987, Physics in medicine and biology.

[9]  D A Whalen,et al.  Tissue impedance and temperature measurements in relation to necrosis in experimental cryosurgery. , 1985, Cryobiology.

[10]  P. Nunez,et al.  Electric fields of the brain , 1981 .

[11]  A. Gage,et al.  Current flow in skin frozen in experimental cryosurgery. , 1980, Cryobiology.

[12]  A. Gage Correlation of electrical impedance and temperature in tissue during freezing. , 1979, Cryobiology.

[13]  Boris Rubinsky,et al.  The use of evolutionary-genetic analogy in numerical analysis , 1998 .

[14]  K. Boone,et al.  Imaging with electricity: report of the European Concerted Action on Impedance Tomography. , 1997, Journal of medical engineering & technology.

[15]  Boris Rubinsky,et al.  An Inverse Finite Element Method for the Analysis of Stationary Arc Welding Processes , 1986 .