Use of Saline Injection to Create Large Thermal Lesions During Radiofrequency Ablation Therapy: 1. Thermal Model

Author(s):  
Michael G. Curley ◽  
Patrick S. Hamilton

Abstract Radiofrequency (RF) energy has been successfully used to treat tachycardia and liver cancer through hyperthermic ablation. However, this therapy is limited to treating small volumes because of the high current density near the RF electrode, which leads to excessive temperatures in this region. We have developed an RF therapy that uses saline injection into the tissue surrounding the electrode to increase heat transfer in this tissue to heat significantly larger volumes. This paper shows the results of a finite difference thermal model of this therapy. Results indicate that saline-enhanced RF ablation can treat tissue volumes that are 33 times larger than those created by RF alone.

Author(s):  
M. Erol Ulucakli

Heat transfer in radiofrequency ablation therapy of liver tumors is discussed. Temporal and spatial temperature changes around a single needle and multi-prong ablation probes in monopolar and bipolar configurations based on a two-dimensional finite elements method are presented. The temperature changes and related heat transfer in the tissue model help to visualize the shape and size of the ablated region. The visualization of the tissue temperatures and their progression could be useful in clinical applications of ablation therapy. Finite-element based numerical simulation, while providing useful visualizations of the temperature changes in and around the tumor, underestimates the lesion size. The perfusion in the tissue and the possible presence of large blood vessels in or near the ablated domain, and the temperature dependency of the thermal and electrical properties of the tissue are significant complicating factors in modeling and clinical applications.


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