Irreversible electroporation for tissue ablation: A 3D computational platform

Sudip Kumar Das , Srinivasan Jayaraman
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Abstract

Background and objective:

Globally, irreversible electroporation (IRE) emerges as a promising technique for tissue ablation as it overcomes the limitations of the benchmark techniques. However, achieving the desired and safe ablation volume of tissue pivots on multiple factors, such as pulse profile, shape, and number of electrodes, besides the IRE treatment parameters, like pulse type, field strength, number of pulses, pulse length, and frequency. This work aims to develop a 3D computation platform that predicts the ablation volume using the IRE procedure and provides insights such as electric field, temperature and its corresponding cell survival regions. Thereby, such a platform aids in selecting optimized treatment parameters to avoid thermal damage. In addition, the developed IRE model estimates the relationship between the pulse protocol and different electrode geometries, number of electrodes, and electrode configurations.

Methods:

The computational model for IRE is developed with Laplace’s equation and Penn’s bio-heat equation for the electric potential and temperature profiles, respectively, and the Finite Difference method is considered for the numerical solution. The statistical Fermi equation-based Peleg model has been adapted to estimate the ablation volume as a function of the magnitude of the electric field and other electric field parameters.

Results:

The tissue ablation platform allows computation and visualization of ablation volume estimation using the IRE technique with a pair of plate-type and multiple pairs of needle-type electrodes. IRE treatment with different combinations of electric pulse parameters, i.e., pulse length, voltage, and number of pulses, causes different levels of temperature rise. By adapting our platform, one can avoid thermal damage in the IRE treatment with the right combination of pulse parameters. For instance, one can apply a maximum of 10 pulses restricting temperature within 50°C in the IRE treatment of cervical tissue with a couple of pairs of needle-type electrodes and 100μs electric pulses of 3000V.

Conclusion:

The proposed IRE model aids in treatment planning for tissue ablation with 3D visual outputs through the platform’s user interface for better clinical insights, including interpretability, data resolution, and computational cost.

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用于组织消融的不可逆电穿孔:三维计算平台
背景和目的:在全球范围内,不可逆电穿孔(IRE)克服了基准技术的局限性,成为一种前景广阔的组织消融技术。然而,除了 IRE 治疗参数(如脉冲类型、场强、脉冲数、脉冲长度和频率)外,实现理想而安全的组织消融量还取决于多种因素,如脉冲轮廓、形状和电极数量。这项工作旨在开发一个三维计算平台,利用 IRE 程序预测消融体积,并提供电场、温度及其相应的细胞存活区域等信息。因此,该平台有助于选择优化的治疗参数,避免热损伤。此外,所开发的 IRE 模型还能估算出脉冲方案与不同电极几何形状、电极数量和电极配置之间的关系。方法:IRE 的计算模型采用拉普拉斯方程和佩恩生物热方程分别计算电动势和温度曲线,并考虑采用有限差分法进行数值求解。结果:该组织消融平台可利用一对板式电极和多对针式电极的 IRE 技术进行消融体积估算的计算和可视化。使用不同的电脉冲参数组合(即脉冲长度、电压和脉冲数)进行 IRE 治疗会导致不同程度的温升。通过调整我们的平台,可以在 IRE 治疗中通过正确的脉冲参数组合避免热损伤。例如,在对颈椎组织进行 IRE 治疗时,使用几对针型电极和 100μs 3000V 的电脉冲,最多可应用 10 个脉冲,将温度控制在 50°C 以内。
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