Treatment planning

CT-based investigation of the contraction of ex vivo tissue undergoing microwave thermal ablation

Treatment planning in microwave thermal ablation (MTA) requires the capability to predict and estimate the shape and dimension of the thermally coagulated zone obtainable following a clinical protocol. The ultimate result relies on the knowledge of the performance of the ablation device, as well as of the temperature-dependent structural modifications that the tissue undergoes during the treatment, because of the very high temperatures reached (up to 100 °C or higher).

Microwave thermal ablation using CT-scanner for predicting the variation of ablated region over time. Advantages and limitations

This study aims at investigating in real-time the structural and dynamical changes occurring in an ex vivo tissue during a microwave thermal ablation (MTA) procedure. The experimental set-up was based on ex vivo liver tissue inserted in a dedicated box, in which 3 fibre-optic (FO) temperature probes were introduced to measure the temperature increase over time. Computed tomography (CT) imaging technique was exploited to experimentally study in real-time the Hounsfield Units (HU) modification occurring during MTA.

Temperature dependence of thermal properties of ex vivo liver tissue up to ablative temperatures

Thermal properties of ex vivo bovine liver were measured as a function of temperature, by heating tissue samples in a temperature-controlled oil bath over a temperature range from about 21 °C to about 113 °C. Results evidenced temperature-dependent non-linear changes of the thermal properties, with the temperature of 100 °C representing a break point: the thermal properties increased with temperature up to 99 °C and then decreased above 100 °C. The rate of increase appeared dramatic between 90 °C and 99 °C, owing to the onset of vaporisation of water contained in the tissue.

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