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Pre-treatment planning for hepatic radiofrequency ablation

机译:肝射频消融的治疗前计划

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We develop a pre-treatment planning method for optimum hepatic radiofrequency (RF) ablation. In conventional methods, pre-treatment planning is minimal and for a specific tumor size, it only includes reading pre-specified treatment length and input voltage values from a look-up table that lists experimentally obtained ablation parameters. Such planning, in order to assure certain level of cell death, usually results in more healthy cell damage than desired. Different than the conventional methods, here, we develop a model-based pre-treatment optimal planning framework. As an example, we use 1-D axisymmetric tissue geometry and over this geometry, we solve Pennes' bioheat and Laplace equations to model the RF heating. Using the solutions of these equations, we define constrained nonlinear optimization problems to achieve specific temperature profiles in certain areas of the tissue. Results demonstrate that compared to the conventional methods, our approach significantly improves the healthy tissue preservation.
机译:我们开发了一种用于最佳肝射频消融的治疗前计划方法。在常规方法中,治疗前的计划是最小的,并且针对特定的肿瘤大小,它仅包括从查找表中读取预先指定的治疗长度和输入电压值,该查找表列出了通过实验获得的消融参数。为了确保一定水平的细胞死亡,这种计划通常导致比预期的更健康的细胞损伤。与常规方法不同,在这里,我们开发了一个基于模型的预处理最佳计划框架。例如,我们使用一维轴对称组织几何体,在此几何体上,我们求解Pennes的生物热和Laplace方程来对RF加热进行建模。使用这些方程式的解,我们定义了受约束的非线性优化问题,以在组织的某些区域实现特定的温度曲线。结果表明,与常规方法相比,我们的方法显着改善了健康组织的保存。

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