软组织肉瘤射频消融过程的有限元分析

Rumei Zhang, Hao Liu, Hongyi Li
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引用次数: 4

摘要

软组织肉瘤具有侵袭性,治疗难度大,对人体危害严重。传统的治疗方法会给病人带来极大的痛苦。射频消融已成为一种可行的微创治疗软组织肉瘤的方法。然而,研究肉瘤内能量和温度分布的文献很少。本文以胃肠道间质肉瘤为原型,建立了肉瘤的仿真模型。考虑到肉瘤的热敏性,适当设置肉瘤的电学和热性能参数。选择323.15K的温度作为边界来评价射频消融的效果。结果表明,射频探针的最高温度点出现在探针顶端。随着烧蚀时间的增加,探针端温度的增长减小。此外,在肉瘤与肌肉组织的交界面出现局部最高温度点,这对射频消融保持正常组织不受损伤具有重要意义。研究了电极插入深度对射频烧蚀的影响。结果表明,肿瘤细胞坏死面积随着插入深度和射频辐射功率的增加而逐渐扩大。然而,随着插入深度的增加,探针顶端的温度下降。因此,为了达到理想的射频消融效果,必须配合探针插入深度和射频消融功率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Finite element analysis of radiofrequency ablation process in soft tissue sarcomas
Soft tissue sarcomas which are serious hazard to human are aggressive and difficult to control. Traditional ways of treatment can bring great pain to the patients. Radiofrequency(RF) ablation has become a feasible and minimally invasive treatment for soft tissue sarcomas. However, there are few literatures to study the energy and temperature distributions in the sarcomas. In this paper, sarcomas simulation model was established based on the prototype of gastrointestinal stromal sarcoma. Parameters of electric and thermal properties of the sarcomas were set appropriately by considering its thermal sensitivity. Temperature of 323.15K is chosen as a border edge to evaluate the efficacy of RF ablation. Results indicate that the maximum temperature point occurs at the apex of RF probe. Growth of temperature at the probe apex decreases with the increment of ablation time. In addition, a local maximum temperature point is presented at the interface of the sarcoma and muscle tissue, which is meaningful for RF ablation to keep the normal tissue undamaged. Effects of electrode insertion depth on the RF ablation were studied in this paper. Results indicate that area of tumor cell necrosis is expanded gradually with the increase of insertion depth and RF power radiated. However, the temperature of the apex of probe drops with the increasing of the depth inserted. As a result, probe insertion depth and RF ablation power must be cooperated to achieve desired RF ablation effect.
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