多电极导管PFA:在能量剂量变体下计算建模和体内验证损伤动态
Xingkai Ji1, Kaihao Gu1, Hairui Wang1
1Department of Biomedical Engineering, School of Biomedical Engineering and Technology, Fudan University, Shanghai 200433, China.
Computer methods and programs in biomedicine
|August 23, 2025
概括
一种新的连续放电模式 (M2) 显著提高了脉冲场切除 (PFA) 的效率,而不是传统的同时放电模式 (M1). 这种PFA增强了病变尺寸和均性,并控制了安全性.
科学领域:
- 医疗器械
- 生物医学工程
- 电生理学
背景情况:
- 脉冲场切除 (PFA) 是固体瘤和心脏切除的一种非热法.
- 影响PFA有效性的因素包括脉冲参数,导管配置和组织特性.
- 不同排放方式对PFA结果的影响仍未得到充分研究.
研究的目的:
- 设计和评估多电极PFA导管的新型连续放电模式 (M2).
- 为了比较M2与常规的同时放电模式 (M1) 的切除效率和安全性.
- 研究放电模式对病变特征和肌肉收缩的影响.
主要方法:
- 开发了一种连续放电模式 (M2) 用于多电极切除导管.
- 使用圆形和线性导管配置进行了数值模拟和动物实验.
- 对M1和M2进行了评估,评估了切除效果,病变尺寸,均性和肌肉收缩.
主要成果:
- 顺序排放模式 (M2) 显示出与同时排放模式 (M1) 相比,两种类型的导管都具有更高的消化效率.
- M2 显著改善了最小的损伤深度和部分增强的损伤深度均性.
- 虽然M2诱导了略高的肌肉收缩,但这两种模式都保持了低的安全水平.
结论:
- 顺序排放模式是一个先进的PFA策略.
- 这种模式增强了病变的尺寸和均性,提供了更好的治疗结果.
- 连续排放的PFA保持了有利的安全性,与传统方法相比.
相关概念视频
Factors Affecting Activity Coefficient
The extended Debye-Hückel equation indicates that the activity coefficient of an ion in an aqueous solution at 25°C depends on three partially interdependent properties: the ionic strength of the solution, the charge of the ion, and the ion size.
The activity coefficient value for an ion is close to one when the solution has almost zero ionic strength, i.e., when the solution shows close to ideal behavior. As the ionic strength of the solution increases from 0 to 0.1 mol/L, a decrease in the...
The activity coefficient value for an ion is close to one when the solution has almost zero ionic strength, i.e., when the solution shows close to ideal behavior. As the ionic strength of the solution increases from 0 to 0.1 mol/L, a decrease in the...
One-Compartment Open Model: Urinary Excretion Data and Determination of k
The one-compartment open model leverages urinary excretion data to estimate renal clearance, which gauges the kidney's capacity to expel a drug. This method offers several benefits, including directly measuring drug elimination and assessing the kidney's contribution to overall drug clearance. However, this approach has limitations. It assumes sole renal excretion of the drug, which is not true for all drugs. Accurate urinary excretion and plasma drug concentration measurement can also be...
Model-Independent Approaches for Pharmacokinetic Data: Noncompartmental Analysis
Noncompartmental analyses offer an alternative method for describing drug pharmacokinetics without relying on a specific compartmental model. In this approach, the drug's pharmacokinetics are assumed to be linear, with the terminal phase log-linear. This assumption allows for simplified analysis and interpretation of the drug's behavior in the body.
One important characteristic of noncompartmental analyses is that drug exposure increases proportionally with increasing doses. This relationship...
One important characteristic of noncompartmental analyses is that drug exposure increases proportionally with increasing doses. This relationship...
Pharmacokinetic Models: Comparison and Selection Criterion
Physiological and compartmental models are valuable tools used in studying biological systems. These models rely on differential equations to maintain mass balance within the system, ensuring an accurate representation of the dynamic processes at play.
Physiological models take a detailed approach by considering specific molecular processes. They can predict drug distribution, metabolism, and elimination changes, providing a comprehensive understanding of how drugs interact with the body.
Physiological models take a detailed approach by considering specific molecular processes. They can predict drug distribution, metabolism, and elimination changes, providing a comprehensive understanding of how drugs interact with the body.
Parameters Affecting Nonlinear Elimination: Zero-Order Input, First-Order Absorption and Two-Compartment Model
Drugs administered through various routes can lead to nonlinear elimination, resulting in complex pharmacokinetic behaviors crucial to understanding efficacious drug dosing.
When a drug is administered through a constant intravenous infusion and eliminated via nonlinear pharmacokinetics, it follows zero-order input. For example, oral drugs undergo first-order absorption upon administration and are eliminated through nonlinear pharmacokinetics.
In the case of subcutaneously administered drugs,...
When a drug is administered through a constant intravenous infusion and eliminated via nonlinear pharmacokinetics, it follows zero-order input. For example, oral drugs undergo first-order absorption upon administration and are eliminated through nonlinear pharmacokinetics.
In the case of subcutaneously administered drugs,...
Impact of Pharmacokinetic–Pharmacodynamic Models: Regulatory Decisions
PK–PD modeling has significantly influenced FDA regulatory decisions, particularly drug approval, dosage optimization, and labeling. These models integrate pharmacokinetics (PK) and pharmacodynamics (PD) to predict drug behavior and effects, aiding in optimizing dosing regimens and enhancing the probability of clinical trial success.One notable example is Nesiritide (Natrecor®), a recombinant human brain natriuretic peptide for treating acute decompensated congestive heart failure (CHF).


