Three dimensional optimal current patterns for radiofrequency ablation treatments

Purpose - The purpose of this paper is to propose a planning strategy for the radio frequency ablation (RFA) treatment of hepatic tumors. The goal is to give to the surgeon the opportunity of controlling the shape and the size of the treated volume and preserving the healthy tissues.Design methodolo...

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Bibliographic Details
Published in:Compel 2012-05, Vol.31 (3), p.985-995
Main Authors: Vincenza Caminiti, Ida Maria, Ferraioli, Fabrizio, Formisano, Alessandro, Martone, Raffaele
Format: Article
Language:English
Subjects:
Ablation
Apoptosis
Cell death
Electrodes
Heat
Mathematical models
Medical imaging
Metabolism
Optimization
Power
Radio frequency
Studies
Tumors
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Summary:Purpose - The purpose of this paper is to propose a planning strategy for the radio frequency ablation (RFA) treatment of hepatic tumors. The goal is to give to the surgeon the opportunity of controlling the shape and the size of the treated volume and preserving the healthy tissues.Design methodology approach - A FEM model of the human torso is built from radiographic and MRI scans of the patients, and then the RFA treatment "dynamically optimized" by controlling currents in multiple external electrodes, in such a way to drive currents in the desired regions, burning the tumor while trying to preserve healthy regions. A suitable cellular death model is considered in order to achieve an effective description of the biological modifications in the tumor volume.Findings - A numerical method to plan the RFA treatment of hepatic tumors has been defined, aiming to preserve as much as possible healthy tissues.Research limitations implications - The method depends on the knowledge of inner structure and properties of the patient's torso; while the structure of tissues can be determined by TAC or MRI scans, the physiological properties are much more uncertain.Practical implications - The proposed approach allows optimized RFA treatments to be designed, allowing reduction of damage to healthy tissues deriving from application of the treatment.Originality value - The problem of optimal design of RFA treatments has been previously tackled in literature, but in this paper, dynamical optimization techniques and a cell death rate model have been included.
ISSN:0332-1649
2054-5606
DOI:10.1108/03321641211209852