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1 – 10 of 57Tony R. Almeida and Carlos L. Antunes
In this paper a numerical simulation analysis of a modified stent-based electrode is introduced to be used as a bipolar electrode for radio frequency ablation of tumours located…
Abstract
Purpose
In this paper a numerical simulation analysis of a modified stent-based electrode is introduced to be used as a bipolar electrode for radio frequency ablation of tumours located in hollow organs. The purpose of this paper is to study the possibility of achieving a more regular volume of induced lesion with the presented electrode without imperilling the ductal organ where the tumour is located.
Design/methodology/approach
Three types of bipolar electrode configurations were considered, formed by two, three and five tubular segments. Numerical simulations were performed considering a tumour located in the bile duct, where two important blood vessels – the portal vein and the hepatic artery – have a significant impact due to the convective heat transfer caused by the blood flow (heat sink effect) which significantly affects the shape of lesion that is intended to induce in order to destroy the tumour.
Findings
The results obtained show that the five-segment electrode arrangement allows a regular volume for the induced lesion, independently of the different values of applied voltage considered.
Originality/value
The presented work introduces a numerical simulation analysis on a modified based-stent electrode previously studied. In this case, the electrode is configured so it can be used as a bipolar electrode, i.e., active and ground electrode are placed in the same device. Besides the results evinced by the obtained results, this kind of electrode avoids eventual skin burns that might occur due to the need of the return electrodes when monopolar electrodes are used.
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Takashi Naohara, Hiromichi Aono, Hideyuki Hirazawa, Tsunehiro Maehara, Yuji Watanabe and Shinya Matsutomo
The purpose of this paper is to develop a ferromagnetic needle adaptable for a novel ablation cancer therapy; the heat generation ability of the mild steel rod embedded into the…
Abstract
Purpose
The purpose of this paper is to develop a ferromagnetic needle adaptable for a novel ablation cancer therapy; the heat generation ability of the mild steel rod embedded into the Ti‐tube having a different thickness was investigated in a high‐frequency output at 300 kHz.
Design/methodology/approach
The outer diameter and length of the Ti‐tubes were 1.8 and 20 mm, respectively, while the inner diameter was varied from 1.6 to 0 mm. The mild steel rod was embedded in a Ti‐tube for preparing the needle‐type specimen. Their heat generation ability was examined by changing the inclination angle to the magnetic flux direction in a high‐frequency coil.
Findings
When the thickness of the Ti surrounding the mild steel rod was as low as 0.1 mm, the heat generation ability was drastically different among the three inclination angles (θ=0°, 45°, and 90°) to the magnetic flux direction due to the effect of the shape‐induced magnetic anisotropy. However, the effect of the inclination angle was almost eliminated in the specimen surrounded by the 0.4 mm thick Ti, suggesting that the non‐oriented heat generation property is achieved for the needle‐type mild steel rod coated with Ti having the optimum thickness.
Originality/value
The prototype ablation needle having a complete non‐oriented heat generation ability was fabricated to use in subsequent animal experiments. It is considered that the newly designed Ti‐coated device is useful in ablation treatments using a high‐frequency induction heating.
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Marcello Iasiello, Assunta Andreozzi, Nicola Bianco and Kambiz Vafai
Recently, the porous media theory has been successively proposed for many bioengineering applications. The purpose of this paper is to analyze if the porous media theory can be…
Abstract
Purpose
Recently, the porous media theory has been successively proposed for many bioengineering applications. The purpose of this paper is to analyze if the porous media theory can be applied to model radiofrequency (RF) cardiac ablation.
Design/methodology/approach
Blood flow, catheter and tissue are modeled. The latter is further divided into a fluid and a solid phase, and porous media equations are used to model them. The heat source term is modeled using the Laplace equation, and the finite element method is used to solve the governing equations under the appropriate boundary conditions and closure coefficients.
Findings
After validation with available literature data, results are shown for different velocities and applied voltages to understand how these parameters affect temperature fields (and necrotic regions).
Research limitations/implications
The model might require further validation with experiments under different conditions after comparisons with available literature. However, this might not be possible due to the experimental complexity.
Practical implications
The improvement in predictions from the model might help the final user, i.e. the surgeon, who uses cardiac ablation to treat arrhythmia.
Originality/value
This is the first time that the porous media theory is applied to RF cardiac ablation. The robustness of the model, in which many variables are taken into account, makes it suitable to better predict temperature fields, and damaged regions, during RF cardiac ablation treatments.
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Ida Maria Vincenza Caminiti, Fabrizio Ferraioli, Alessandro Formisano and Raffaele Martone
The purpose of this paper is to propose a planning strategy for the radio frequency ablation (RFA) treatment of hepatic tumors. The goal is to give to the surgeon the opportunity…
Abstract
Purpose
The purpose of this paper is to propose a planning strategy for the radio frequency ablation (RFA) treatment of hepatic tumors. The goal is to give to the surgeon the opportunity of controlling the shape and the size of the treated volume and preserving the healthy tissues.
Design/methodology/approach
A FEM model of the human torso is built from radiographic and MRI scans of the patients, and then the RFA treatment “dynamically optimized” by controlling currents in multiple external electrodes, in such a way to drive currents in the desired regions, burning the tumor while trying to preserve healthy regions. A suitable cellular death model is considered in order to achieve an effective description of the biological modifications in the tumor volume.
Findings
A numerical method to plan the RFA treatment of hepatic tumors has been defined, aiming to preserve as much as possible healthy tissues.
Research limitations/implications
The method depends on the knowledge of inner structure and properties of the patient's torso; while the structure of tissues can be determined by TAC or MRI scans, the physiological properties are much more uncertain.
Practical implications
The proposed approach allows optimized RFA treatments to be designed, allowing reduction of damage to healthy tissues deriving from application of the treatment.
Originality/value
The problem of optimal design of RFA treatments has been previously tackled in literature, but in this paper, dynamical optimization techniques and a cell death rate model have been included.
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Mykola Ostroushko, André Buchau and Wolfgang Rucker
The purpose of this paper is to present the design and the numerical calculation of the electromagnetic heating system for the ablation therapy. Hence, the heating of the tumor…
Abstract
Purpose
The purpose of this paper is to present the design and the numerical calculation of the electromagnetic heating system for the ablation therapy. Hence, the heating of the tumor cells must be processed very carefully to achieve a localized coagulative necrosis and to avoid too high temperatures inside the tissue.
Design/methodology/approach
The non-invasive method of the ablation therapy is implemented due to the inductive power transmission between the generator and implant. The ferromagnetic implant has a small size and can be placed intravenously into tumor cells. High-frequency driving currents are necessary to obtain high induced eddy currents within the ferromagnetic implant.
Findings
Finite element analysis has been used for the design and numerical calculation of the electromagnetic heating system. The electromagnetic analysis is done in the time domain due to the nonlinearity of the ferromagnetic implant. Magnetic fields are computed based on a magnetic vector potential formulation. The thermal analysis is done in the time domain as well. The temperature computation in biological tissue is based on a heat balance equation.
Research limitations/implications
This paper is focused on the design and simulation of the inductive system for the ablation therapy.
Practical implications
The designed system can be practically implemented. It can be used for the clinical study of the immune response by the thermal ablation therapy.
Originality/value
The common method of thermal ablation is combined with an inductive power transmission. It enables a repetitive application of this method to study the immune response.
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Carlos L. Antunes, Tony Richard O. Almeida, Nélia Raposeiro, Belarmino Gonçalves and Paulo Almeida
Due to its good mechanical and biocompatibility characteristics, nitinol SEMS is a popular endoprothesis used for relieving stricture problems in hollow organs due to carcinomas…
Abstract
Purpose
Due to its good mechanical and biocompatibility characteristics, nitinol SEMS is a popular endoprothesis used for relieving stricture problems in hollow organs due to carcinomas. Besides its mechanical application, SEMS can be regarded as well as potential electrode for performing RF ablation therapy on the tumor. The purpose of this work is to perform numerical and experimental analyses in order to characterize the lesion volume induced in biological tissue using this kind of tubular electrode.
Design/methodology/approach
Data concerning electrical conductivity and dimension of the damaged tissue after RF ablation procedure were obtained from ex vivo samples. Next, numerical models using 3D finite element method were obtained reassembling the conditions considered at experimentation setup and results were compared.
Findings
Numerical and experimental results show that a regular volume of damaged tissue can be obtained considering this type of electrode. Also, results obtained from numerical simulation are close to those obtained by experimentation.
Originality/value
SEMSs, commonly used as devices to minimize obstruction problems due to the growth of tumors, may still be considered as an active electrode for RF ablation procedures. A method considering this observation is presented in this paper. Also, numerical simulation can be regarded in this case as a tool for determining the lesion volume.
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Gives a bibliographical review of the finite element methods (FEMs) applied in biomedicine from the theoretical as well as practical points of view. The bibliography at the end…
Abstract
Gives a bibliographical review of the finite element methods (FEMs) applied in biomedicine from the theoretical as well as practical points of view. The bibliography at the end of the paper contains 748 references to papers, conference proceedings and theses/dissertations dealing with the finite element analyses and simulations in biomedicine that were published between 1985 and 1999.
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Carlos L. Antunes, Tony Richard O. Almeida and Nélia Raposeiro
Cholangiocarcinoma is an adenocarcinoma of the bile ducts which drain bile from the liver into the small intestine. Unfortunately, most patients are diagnosed at an advanced stage…
Abstract
Purpose
Cholangiocarcinoma is an adenocarcinoma of the bile ducts which drain bile from the liver into the small intestine. Unfortunately, most patients are diagnosed at an advanced stage of the disease with almost no chances for surgery, the only potentially curative treatment. As nitinol stents can be used to reduce stricture problems of the bile duct, these can be also considered as potential electrodes for hyperthermia treatments. Previous works show that, in fact, these metallic stents might be used as part of a feasible solution for delivering radiofrequency (RF) energy into a tumor located in a hollow organ to destroy the tumor tissue. However, the tissue lesion induced is not completely uniform due to convective heat transfer associated to the blood flow in the nearby vessels. The purpose of this paper is to study the use of saline solution for modifying the electrical conductivity of the tissue in order to obtain a more uniform lesion.
Design/methodology/approach
A numerical analysis using finite element method on a simplified model of the porta hepatis is performed. The tumor tissue is divided in three sections and simulations were performed considering a higher electrical conductivity in the middle section of the tumor, imitating the presence of a saline solution in this part of the tissue.
Findings
Results show that it is possible to obtain a more regular volume, by the way the tumor tissue is preferentially heated, although there are still some risks on exceeding the dimension of the bile duct.
Originality/value
This study presents the numerical analysis of a saline‐enhanced RF tissue thermoablation of a cholangiocarcinoma considering a stent‐based electrode. Results point to the possibility of obtaining a more regular volume of damaged tissue in order to heat and preferentially destroy the tumor tissue.
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The purpose of this paper is to propose a method for fabricating tumor vessel phantom and then investigate the thermal dosage profile caused by high‐intensity‐focused ultrasound…
Abstract
Purpose
The purpose of this paper is to propose a method for fabricating tumor vessel phantom and then investigate the thermal dosage profile caused by high‐intensity‐focused ultrasound (HIFU) surgery.
Design/methodology/approach
In this paper, a thermal sensitive powder has been added to silicon‐based gel as a vessel phantom raw material for displaying the thermal dosage profile caused by HIFU. A fused deposition modeling system was used for fabricating the shell casting mold and the vessel arbor mold. The arbor prototype, made of wax, was solidified in the cavity of vessel arbor mold. The vessel phantom object embedded with the arbor prototype was created in the shell mold casting process. The vessel phantom was obtained by immersing the vessel phantom object into hot water (65°C) for melting the vessel arbor prototype. A HIFU experiment has been conducted for verifying the feasibility of displaying the thermal dosage profile of the fabricated vessel phantom. The HIFU experimental parameters including the driving power of HIFU transducer, ultrasound exposure duration and volume flow rate were used for investigating the thermal dosage variation by the perfusion of vessel phantom.
Findings
The properties of fabricated mimicking phantom agree well with those of human tissue. The experimental results show that the proposed method can fabricate the Y‐type vessel phantom. The proposed method has been proved as a promising fabrication process in fabricating the vessel phantom and it displays the thermal dosage profile in HIFU experiment.
Originality/value
The proposed method and the developed experimental apparatus are helpful for pre‐clinical HIFU surgery.
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Noreen Sher Akbar and Sohail Nadeem
The purpose of this paper is to study the effects of temperature‐dependent viscosity on the peristaltic flow of Jeffrey fluid through the gap between two coaxial horizontal tubes.
Abstract
Purpose
The purpose of this paper is to study the effects of temperature‐dependent viscosity on the peristaltic flow of Jeffrey fluid through the gap between two coaxial horizontal tubes.
Design/methodology/approach
The inner tube is maintained at a temperature T00 and the outer tube has sinusoidal wave travelling down its wall and it is exposed to temperature T1. The governing problem is simplified using longwave length and low Reynold number approximations. Regular perturbation in terms of small viscosity parameter is used to obtain the expressions for the temperature and velocity for Reynold' s models of viscosity. The numerical solution of the problem has also been computed by shooting method and an agreement of numerical solutions and analytical solutions had been presented. The expressions for pressure rise and friction force are calculated numerically.
Findings
Graphical results and trapping phenomenon are presented at the end of the paper to see the physical behaviour of different parameters.
Originality/value
The paper is a new and original work on the subject of peristaltic flows and heat transfer in Jeffrey fluid.
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