Performance of an Anti-Phase Technology-Powered Microwave Ablation System on Ex Vivo Liver, Lung and Kidney: Analysis of Temperature Trend, Ablation Size and Sphericity.

IF 2.8 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS CardioVascular and Interventional Radiology Pub Date : 2024-07-31 DOI:10.1007/s00270-024-03811-z
Pouya Namakshenas, Arcaini Tommaso, Cesare Benedetta, Dorato Alessandro, Durante Elena, Milena Ricci, Domiziana Santucci, Paola Saccomandi, Elio Faiella
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Abstract

Purpose: Investigating the performance of the new Dophi™ M150E Microwave Ablation System, in terms of temperature distribution, ablation size and shape, reproducibility.

Materials and methods: The Dophi™ M150E Microwave Ablation System was tested on ex vivo liver, lung and kidney, at 6 different settings of time, power and number of MW antennas (single antenna: 50 and 100 W at 5 and 10 min; double antenna: 75 W at 5 and 10 min). The temperature distribution was recorded by Fiber Bragg Grating sensors, placed at different distances from the antennas. The ablation axes were measured and the sphericity index was calculated.

Results: The standard deviation of ablation axes was < 5 mm, except at the highest energy and time setting for the lung. A maximum temperature rise of ~ 80 °C was measured. The measured ablation axes are overall comparable with the manufacture's values, especially at lower power and with one MW antenna (average maximum difference is 7 mm). The mean sphericity index of 0.95, 0.79 and 0.9 was obtained for the liver, lung and kidney, respectively, with a single antenna. With double antenna setup, the sphericity index was closer to 1 when 75 W for 10 min were used.

Conclusions: Dophi™ M150E allows good reproducibility of ablation axes for all cases except in the lung at the highest energy level. With one antenna, an almost spherical ablation area for the liver and kidney was obtained. Using double antenna results in more homogeneous temperature distribution within the tissue compared to single antenna.

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反相技术驱动的微波消融系统在体外肝脏、肺脏和肾脏上的性能:温度趋势、消融大小和球形度分析
目的:研究新型 Dophi™ M150E 微波消融系统在温度分布、消融大小和形状、可重复性方面的性能:对 Dophi™ M150E 微波消融系统进行了体内肝脏、肺脏和肾脏的测试,采用了 6 种不同的时间、功率和微波天线数量设置(单天线:50 和 100 瓦,5 和 10 分钟;双天线:75 瓦,5 和 10 分钟)。温度分布由光纤布拉格光栅传感器记录,传感器与天线的距离不同。测量烧蚀轴线并计算球形度指数:结果:烧蚀轴的标准偏差为结论:Dophi™ M150E 能在所有情况下实现良好的消融轴重现性,但在最高能量水平的肺部除外。使用单天线时,肝脏和肾脏的消融区域几乎呈球形。与单天线相比,使用双天线可使组织内的温度分布更加均匀。
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来源期刊
CiteScore
5.50
自引率
13.80%
发文量
306
审稿时长
3-8 weeks
期刊介绍: CardioVascular and Interventional Radiology (CVIR) is the official journal of the Cardiovascular and Interventional Radiological Society of Europe, and is also the official organ of a number of additional distinguished national and international interventional radiological societies. CVIR publishes double blinded peer-reviewed original research work including clinical and laboratory investigations, technical notes, case reports, works in progress, and letters to the editor, as well as review articles, pictorial essays, editorials, and special invited submissions in the field of vascular and interventional radiology. Beside the communication of the latest research results in this field, it is also the aim of CVIR to support continuous medical education. Articles that are accepted for publication are done so with the understanding that they, or their substantive contents, have not been and will not be submitted to any other publication.
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