Paper
22 February 2017 A novel thermal accelerant for augmentation of microwave energy during image-guided tumor ablation
William K. C. Park, Aaron W. P. Maxwell, Victoria E. Frank, Michael P. Primmer, Jarod B. Paul, Cynthia Susai, Scott A. Collins, Tiffany M. Borjeson, Greyson L. Baird, Kara A. Lombardo, Damian E. Dupuy M.D.
Author Affiliations +
Abstract
The greatest challenge in image-guided thermal ablation (IGTA) of liver tumors is a relatively high recurrence rate (ca. 30%) due to incomplete ablation. To meet this challenge, we have developed a novel Thermal Accelerator (TA) to demonstrate its capability to, 1) augment microwave (MW) energy from a distance unattainable by antenna alone; 2) turn into a gel at body temperature; 3) act as a CT or US contrast. We have examined the TA efficiency using in vitro and ex vivo models: microwave power, TA dose, frequencies and TA-to-tip distance were varied, and temperature readings compared with and without TA. Using the in vitro model, it was established that both the rate and magnitude of increase in ablation zone temperature were significantly greater with TA under all tested conditions (p<0.0001). On ultrasound imaging, the TA was echogenic as gel. On CT, TA density was proportional to dose, with average values ranging from 329 HU to 3071 HU at 10 mg/mL and 1,000mg/mL, respectively. TA can be accurately deposited to a target area using CT or US as image-guidance and augment MW energy effectively so that ablation time is significantly reduced, which will contribute to complete ablation. The preliminary results obtained from in vivo experiments using swine as an animal model are consistent with the observations made in in vitro and en vivo studies.
© (2017) COPYRIGHT Society of Photo-Optical Instrumentation Engineers (SPIE). Downloading of the abstract is permitted for personal use only.
William K. C. Park, Aaron W. P. Maxwell, Victoria E. Frank, Michael P. Primmer, Jarod B. Paul, Cynthia Susai, Scott A. Collins, Tiffany M. Borjeson, Greyson L. Baird, Kara A. Lombardo, and Damian E. Dupuy M.D. "A novel thermal accelerant for augmentation of microwave energy during image-guided tumor ablation", Proc. SPIE 10066, Energy-based Treatment of Tissue and Assessment IX, 1006602 (22 February 2017); https://doi.org/10.1117/12.2249772
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KEYWORDS
Microwave radiation

Antennas

Tumors

In vitro testing

Medium wave

Polymers

Computed tomography

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