Maxwell's equations explain why irreversible electroporation will not heat up a metal stent

Autor: Cees W. M. van der Geld, Marc G. Besselink, Rudolf M. Verdaasdonk, Martijn R. Meijerink, Willemien van den Bos, Jantien A. Vogel, Ruben T. van Gaalen, Martin J. C. van Gemert, Hester J. Scheffer
Přispěvatelé: Radiology and nuclear medicine, CCA - Cancer Treatment and quality of life, Process and Product Design, Mechanical Engineering, Power & Flow, Health Technology Implementation, TechMed Centre, Urology, Gastroenterology and Hepatology, CCA - Cancer Treatment and Quality of Life, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, Radiology and Nuclear Medicine, Surgery, Biomedical Engineering and Physics, APH - Personalized Medicine
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: International Journal of Heat and Mass Transfer, 169:120962. Elsevier Ltd
International Journal of Heat and Mass Transfer, 169:120962. Elsevier
International journal of heat and mass transfer, 169:120962. Elsevier
International journal of heat and mass transfer, 169:120962. Elsevier Limited
van der Geld, C W M, van Gaalen, R T, Scheffer, H J, Vogel, J A, van den Bos, W, Meijerink, M R, Besselink, M G H, Verdaasdonk, R M & van Gemert, M J C 2021, ' Maxwell's equations explain why irreversible electroporation will not heat up a metal stent ', International Journal of Heat and Mass Transfer, vol. 169, 120962 . https://doi.org/10.1016/j.ijheatmasstransfer.2021.120962
ISSN: 0017-9310
Popis: Irreversible Electroporation (IRE) is a promising clinical ablation therapy for the treatment of cancer, but issues with the generation of heat must be solved before safe and effective clinical results can be obtained. In the present study, we show that a metal stent will not be noticeably heated up by IRE pulses under typical clinical conditions. Derivation of this non-intuitive result required the application of Maxwell's equations to the tissue-stent configuration. Subsequently, straightforward and arguably accurate simplifications of the electric field generated by two needles in tissue surrounding a metal stent have enabled the modeling of the heat generation and the transport of heat in IRE procedures. Close to a stent that is positioned in between two needles, temperatures in a typical run of 100 s, 1 Hz pulses, may remain notably lower than without the stent. This is the explanation of the experimentally observed low temperature rim of viable tissue around the stent, whereas all tissue was non-viable without stent, found in tissue model experiments.
Databáze: OpenAIRE