Evaluation of the Thermal Response of Liver Tissue Undergoing Microwave Treatment by Means of Fiber Bragg Grating Sensors

Martina Zaltieri, E. D. Vita, Francesca De Tommasi, C. Massaroni, E. Faiella, B. Zobel, A. Iadicicco, E. Schena, R. Grasso, S. Campopiano
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引用次数: 5

Abstract

Thermal ablation procedures are gaining ever-growing acceptance in the treatment of hepatic tumors. In this context, the use of microwave ablation (MWA) has been firmly consolidated during the last decades. Being able to monitor the temperature increment within tissues undergoing MWA can be beneficial for improving the treatment outcome, especially for liver tissue which is notoriously not homogeneous and reports the presence of large vessels.In this work a multi-point temperature monitoring was performed on ex vivo liver tissue undergoing MWA. The aim was to investigate the transient phase of the tissue temperature in terms of the constant time (τ). The influence on τ of the following two aspects has been assessed: i) the blood perfusion due to the presence of a blood vessel and ii) the distance between the heat source (i.e., antenna) and the site where the temperature was measured. A power of 50 W was delivered for a treatment time of 480 s by means of a MW system. An aluminum duct providing a flowrate of 0.8 L•min-1 of water at 37 °C was inserted to mimic the presence of a blood vessel. A multi-point temperature measurement was carried out by using three fiber optics, each embedding an array of 10 fiber Bragg Grating (FBGs) sensors. The fibers were placed into the tissue sample at different distances from both the antenna and the blood vessel. The temperature variations (ΔT) recorded by the FBGs were then plotted, and τ values were calculated. The high dependence of the temperature transient dynamics on both the abovementioned distance and the presence of the vessel was found.
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用光纤光栅传感器评价微波处理肝组织的热响应
热消融术在肝脏肿瘤的治疗中得到越来越多的认可。在这种背景下,微波消融(MWA)的使用在过去几十年中得到了巩固。能够监测接受MWA的组织内的温升有利于改善治疗结果,特别是对于众所周知的不均匀且报告存在大血管的肝组织。在这项工作中,对体外肝组织进行了多点温度监测。目的是研究组织温度在恒定时间(τ)方面的瞬态阶段。已经评估了以下两个方面对τ的影响:i)由于存在血管而导致的血液灌注和ii)热源(即天线)与测温地点之间的距离。通过MW系统提供50w的功率,处理时间为480 s。在37°C下插入一个0.8 L•min-1流量的铝管来模拟血管的存在。采用三根光纤进行多点温度测量,每根光纤嵌入10个光纤布拉格光栅(fbg)传感器阵列。这些纤维被放置在离天线和血管不同距离的组织样本中。然后绘制fbg记录的温度变化(ΔT),并计算τ值。发现温度瞬态动力学高度依赖于上述距离和容器的存在。
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