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Author: search.filters.author.Webster, John G.Subject: search.filters.subject.Electrode

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    Finite-element analysis of hepatic multiple probe radio-frequency ablation
    (2002-07-30)
    Haemmerich, Dieter
    ;
    Tungjitkusolmun, Supan
    ;
    Staelin, S. Tyler
    ;
    Lee, Fred T.
    ;
    Mahvi, David M.
    Radio-frequency (RF) ablation is an important means of treatment of nonresectable primary and metastatic liver tumors. RF ablation, unlike cryoablation (a method of tumor destruction that utilizes cold rather than heat), must be performed with a single probe placed serially. The ablation of any but the smallest tumor requires the use of multiple overlapping treatment zones. We evaluated the performance of a configuration incorporating two hooked probes (RITA model 30). The probes were lined up along the same axis in parallel 20 mm apart. Three different modes applied voltage to the probes. The first mode applied energy in monopolar mode (current flows from both probes to a dispersive electrode). The second mode applied the energy to the probes in bipolar mode (current flows from one probe to the other). The third method applied the energy sequentially in monopolar mode (in 2-s intervals switched between the probes). We used the finite-element method (FEM) and analyzed the electric potential profile and the temperature distribution at the end of simulation of a 12-min ablation. The alternating monopolar mode allowed precise independent control of the amount of energy deposited at each probe. The bipolar mode created the highest temperature in the area between the probes in the configuration we examined. The monopolar mode showed the worst performance since the two probes in close vicinity create a disadvantageous electric field configuration. We, thus, conclude that alternating monopolar RF ablation is superior to the other two methods.
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    Error analysis of tissue resistivity measurement
    (2002-04-30)
    Tsai, Jang Zern
    ;
    Will, James A.
    ;
    Stelle, Scott Hubbard Van
    ;
    Cao, Hong
    ;
    Tungjitkusolmun, Supan
    We identified the error sources in a system for measuring tissue resistivity at eight frequencies from 1 Hz to 1 MHz using the four-terminal method. We expressed the measured resistivity with an analytical formula containing all error terms. We conducted practical error measurements with in-vivo and bench-top experiments. We averaged errors at all frequencies for all measurements. The standard deviations of error of the quantization error of the 8-bit digital oscilloscope with voltage averaging, the nonideality of the circuit, the in-vivo motion artifact and electrical interference combined to yield an error of ±1.19%. The dimension error in measuring the syringe tube for measuring the reference saline resistivity added ±1.32% error. The estimation of the working probe constant by interpolating a set of probe constants measured in reference saline solutions added ±0.48% error. The difference in the current magnitudes used during the probe calibration and that during the tissue resistivity measurement caused ±0.14% error. Variation of the electrode spacing, alignment, and electrode surface property due to the insertion of electrodes into the tissue caused ±0.61% error. We combined the above errors to yield an overall standard deviation error of the measured tissue resistivity of ±1.96%.
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    Hepatic bipolar radio-frequency ablation between separated multiprong electrodes
    (2001-10-01)
    Haemmerich, Dieter
    ;
    Staelin, S. Tyler
    ;
    Tungjitkusolmun, Supan
    ;
    Lee, Fred T.
    ;
    Mahvi, David M.
    Radio-frequency (RF) ablation has become an important means of treatment of nonresectable primary and metastatic liver tumors. Major limitations are small lesion size, which make multiple applications necessary, and incomplete killing of tumor cells, resulting in high recurrence rates. We examined a new bipolar RF ablation method incorporating two probes with hooked electrodes (RITA model 30). We performed monopolar and bipolar in vivo experiments on three pigs. The electrodes were 2.5 cm apart and rotated 45° relative to each other. We used temperature-controlled mode at 95 °C. Lesion volumes were 3.9 ± 1.8 cm <sup>3</sup> (n = 7) for the monopolar case and 12.2 ± 3 cm <sup>3</sup> (n = 10) for the bipolar case. We generated finite-element models (FEMs) of monopolar and bipolar configurations. We analyzed the distribution of temperature and electric field of the finite element model. The lesion volumes for the FEM are 7.95 cm <sup>3</sup> for the monopolar and 18.79 cm <sup>3</sup> for the bipolar case. The new bipolar method creates larger lesions and is less dependent on local inhomogenities in liver tissue-such as blood perfusion-compared with monopolar RF ablation. A limitation of the new method is that the power dissipation of the two probes cannot be controlled independently in response to different conditions in the vicinity of each probe. This may result in nonuniform lesions and decreased lesion size.