Temperature monitoring during Laser Ablation by FBG sensors encapsulated within a metallic needle: Experiments on healthy swine tissue

Monitoring of local temperature in tissue undergoing Laser Ablation (LA) could be particularly beneficial to optimize treatment outcomes. A number of both invasive and non-invasive thermometric techniques may be employed to perform this task. Among others, Fiber Bragg Grating (FBG) sensors show the following valuable characteristics for temperature monitoring during LA: good sensitivity and accuracy, and immunity from electromagnetic interferences. The main drawbacks are their intrinsic invasiveness and the sensitivity to strain, which can entail measurement error for respiratory and patient movements. The aim of this work is to experimental assess the characteristics of an FBG sensor, housed within a metallic needle, employed in temperature monitoring of tissue undergoing LA. The use of a metallic needle allows neglecting errors due to patient movements, but induces an increase in sensor response time and a temperature overestimation due to direct absorption of laser light by the needle. The proposed sensor is tested during LA of ex vivo swine livers, and the tissue temperature measured by the FBG housed within the needle is compared to the temperature measured by an FBG without needle. This comparison showed that the needle induces a temperature overestimation, strongly dependent on the distance between sensor and laser applicator (e.g., about 2 °C at 6 mm, 4.4 °C at 4 mm). Furthermore, the needle causes an increase of response time (about 140 ms vs 40 ms). Since this response time is sufficient for the particular application and the overestimation can be reduced by using different techniques of data processing, the use of a needle to protect FBG seems to be a feasible solution to overcome the concern related to patient movements.

[1]  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.

[2]  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.

[3]  Sergio Silvestri,et al.  Laser Interstitial Thermotherapy for pancreatic tumor ablation: Theoretical model and experimental validation , 2011, 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[4]  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.

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

[6]  S. Standard GUIDE TO THE EXPRESSION OF UNCERTAINTY IN MEASUREMENT , 2006 .

[7]  T. Vogl,et al.  Temperature imaging of laser-induced thermotherapy (LITT) by MRI: evaluation of different sequences in phantom , 2013, Lasers in Medical Science.

[8]  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.

[9]  Sergio Silvestri,et al.  Design of fiber optic applicators for laser interstitial thermotherapy: Theoretical evaluation of thermal outcomes , 2013, 2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[10]  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.

[11]  Sergio Silvestri,et al.  Theoretical assessment of principal factors influencing laser interstitial thermotherapy outcomes on pancreas , 2012, 2012 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[12]  Andre Roggan,et al.  Laser-Induced Interstitial Thermotherapy , 1995 .

[13]  E Schena,et al.  Experimental assessment of CT-based thermometry during laser ablation of porcine pancreas , 2013, Physics in medicine and biology.

[14]  Sergio Silvestri,et al.  US-guided application of Nd:YAG laser in porcine pancreatic tissue: an ex vivo study and numerical simulation. , 2013, Gastrointestinal endoscopy.

[15]  J. Kirpensteijn,et al.  Nd:YAG surgical laser effects in canine prostate tissue: temperature and damage distribution , 2009, Physics in medicine and biology.

[16]  D B Denham,et al.  In Situ temperature measurements with thermocouple probes during laser interstitial thermotherapy (LITT): Quantification and correction of a measurement artifact , 1998, Lasers in surgery and medicine.

[17]  Sergio Silvestri,et al.  Optical-Fiber Measurement Systems for Medical Applications , 2011 .