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Thermal Ablation for the Treatment of Abdominal Tumors
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Temperature control and intermittent time-set protocol optimization for minimizing tissue carbonization in microwave

Xiaofei Jin1, Yu Feng1, Roujun Zhu1

  • 1Department of Biomedical Engineering, College of Automation Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing, China.

International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group
|July 20, 2022
PubMed
Summary
This summary is machine-generated.

Optimizing microwave ablation (MWA) protocols with pulsed energy and temperature control prevents tissue carbonization. This strategy enhances effective tumor ablation while minimizing inflammatory responses for improved clinical outcomes.

Keywords:
Microwave ablationcarbonizationtemperaturethermal phase transition

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Area of Science:

  • Oncology
  • Biomedical Engineering
  • Thermal Medicine

Background:

  • Microwave ablation (MWA) is a promising tumor treatment.
  • Tissue carbonization during MWA can cause unwanted inflammatory responses.
  • Optimizing MWA protocols is crucial for effective and safe tumor ablation.

Purpose of the Study:

  • To develop an optimized MWA protocol to prevent tissue carbonization.
  • To achieve effective thermal dose for tumor ablation.
  • To reduce inflammatory responses associated with MWA.

Main Methods:

  • Differential scanning calorimetry (DSC) determined thermal phase transitions in porcine liver tissues.
  • An in-house MWA system with real-time temperature monitoring was used.
  • Continuous and pulsed microwave deliveries with varying intermittent times were evaluated.

Main Results:

  • DSC identified an endothermic heat absorption peak at 105°C ± 5°C.
  • Temperature control (100°C upper, 60°C lower threshold) achieved coagulative necrosis without carbonization.
  • Optimized intermittent pulsed MWA significantly reduced tissue carbonization.

Conclusions:

  • A straightforward anti-carbonization strategy for MWA was developed by modulating pulsing mode and intermittent time.
  • Programmed intermittent pulsing MWA shows potential for clinical application expansion.
  • This approach enhances MWA safety and efficacy in tumor treatment.