Transmission Coefficient-Based Monitoring of Microwave Ablation: Development and Experimental Evaluation in Ex Vivo Tissue.

Autor: Zeinali N, Sebek J, Fallahi H, Pfannenstiel A, Prakash P
Jazyk: angličtina
Zdroj: IEEE transactions on bio-medical engineering [IEEE Trans Biomed Eng] 2024 Apr; Vol. 71 (4), pp. 1269-1280. Date of Electronic Publication: 2024 Mar 20.
DOI: 10.1109/TBME.2023.3331659
Abstrakt: Objectives: To assess the feasibility of monitoring transient evolution of thermal ablation zones with a microwave transmission coefficient-based technique.
Methods: Microwave ablation was performed in ex vivo bovine liver with two 2.45 GHz directional antennas. A custom apparatus was developed to enable periodic switching between "heating mode" when power from the generator was coupled to the antennas, and "monitoring mode", when antennas were coupled to a network analyzer for broadband transmission coefficient ( s 21 ) measurements. Experiments were performed with applied powers ranging between 30-50 W per antenna for 53-1219 s. Transient s 21 spectra over the course of ablations were analyzed to determine feasibility of predicting extent of ablation zones and compared against ground truth assessment from images of sectioned tissue. A linear regression-based mapping between the two datasets was derived to predict ablation extent.
Results: Normalized average transmission coefficient initially rapidly decreased and then increased before asymptotically approaching steady state, with the transition time ranging between 53 s (45 W) and 109 s (30 W). Analysis of ground truth ablation zone images indicated time to complete ablation of 230-350 s. The relative prediction error for time to complete ablation derived from the s 21 data was in the range of 1.6%-2.3% compared to ground truth.
Conclusion: We have demonstrated the feasibility of monitoring transient evolution of thermal ablation zones using microwave transmission coefficient measurements in ex vivo tissue.
Significance: The presented technique has potential to contribute towards addressing the clinical need for a method of monitoring evolution of thermal ablation zones.
Databáze: MEDLINE