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CT-based evaluation of tissue expansion in cryoablation of ex vivo kidney

  • Frank Hübner EMAIL logo , Moritz Klaus , Norbert Siedow , Christian Leithäuser and Thomas Josef Vogl
Published/Copyright: November 6, 2023

Abstract

Objectives

To evaluate tissue expansion during cryoablation, the displacement of markers in ex vivo kidney tissue was determined using computed tomographic (CT) imaging.

Methods

CT-guided cryoablation was performed in nine porcine kidneys over a 10 min period. Markers and fiber optic temperature probes were positioned perpendicular to the cryoprobe shaft in an axial orientation. The temperature measurement was performed simultaneously with the acquisitions of the CT images in 5 s intervals. The distance change of the markers to the cryoprobe was determined in each CT image and equated to the measured temperature at the marker.

Results

The greatest increase in the distance between the markers and the cryoprobe was observed in the initial phase of cryoablation. The maximum displacement of the markers was determined to be 0.31±0.2 mm and 2.8±0.02 %, respectively.

Conclusions

The mean expansion of ex vivo kidney tissue during cryoablation with a single cryoprobe is 0.31±0.2 mm. The results can be used for identification of basic parameters for optimization of therapy planning.


Corresponding author: Frank Hübner, Institute of Diagnostic and Interventional Radiology, University Hospital, Goethe University Frankfurt, Theodor-Stern-Kai 7, 60590Frankfurt, Germany, E-mail:

  1. Ethical Approval: Not applicable.

  2. Informed consent: Informed consent was obtained from all individuals included in this study.

  3. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  4. Competing interests: Authors state no conflict of interest.

  5. Research funding: None declared.

References

1. Vogl, TJ, Zegelman, A, Bechstein, WO, Zeuzem, S, Zangos, S. Treatment of liver metastases of colorectal carcinoma: overview of hyperthermal ablation methods. Dtsch Med Wochenschr 1946 2013;138:792–8. https://doi.org/10.1055/s-0032-1332997.Search in Google Scholar PubMed

2. Vogl, TJ, Nour-Eldin, NEA, Hammerstingl, RM, Panahi, B, Naguib, NNN. Microwave ablation (MWA): basics, technique and results in primary and metastatic liver neoplasms – review article. ROFO Fortschr Geb Rontgenstr Nuklearmed 2017;189:1055–66. https://doi.org/10.1055/s-0043-117410.Search in Google Scholar PubMed

3. Morrison, PR, Silverman, SG, Tuncali, K, Tatli, S. MRI-guided cryotherapy. J Magn Reson Imaging JMRI 2008;27:410–20. https://doi.org/10.1002/jmri.21260.Search in Google Scholar PubMed

4. Mahnken, AH, König, AM, Figiel, JH. Current technique and application of percutaneous cryotherapy. ROFO Fortschr Geb Rontgenstr Nuklearmed 2018;190:836–46. https://doi.org/10.1055/a-0598-5134.Search in Google Scholar PubMed

5. Gage, AA, Baust, J. Mechanisms of tissue injury in cryosurgery. Cryobiology 1998;37:171–86. https://doi.org/10.1006/cryo.1998.2115.Search in Google Scholar PubMed

6. Yılmaz, S, Özdoğan, M, Cevener, M, Ozluk, A, Kargi, A, Kendiroglu, F, et al.. Use of cryoablation beyond the prostate. Insights Imaging 2016;7:223–32. https://doi.org/10.1007/s13244-015-0460-7.Search in Google Scholar PubMed PubMed Central

7. Ward, RC, Lourenco, AP, Mainiero, MB. Ultrasound-guided breast cancer cryoablation. AJR Am J Roentgenol 2019;213:716–22. https://doi.org/10.2214/ajr.19.21329.Search in Google Scholar

8. Song, KD. Percutaneous cryoablation for hepatocellular carcinoma. Clin Mol Hepatol 2016;22:509–15. https://doi.org/10.3350/cmh.2016.0079.Search in Google Scholar PubMed PubMed Central

9. Hübner, F, Schreiner, R, Panahi, B, Vogl, TJ. Evaluation of the thermal sensitivity of porcine liver in CT-guided cryoablation: an initial study. Med Phys 2020;47:4997–5005. https://doi.org/10.1002/mp.14432.Search in Google Scholar PubMed

10. de Marini, P, Cazzato, RL, Garnon, J, Shaygi, B, Koch, G, Auloge, P, et al.. Percutaneous MR-guided prostate cancer cryoablation technical updates and literature review. BJR Open 2019;1:1–9. 20180043. https://doi.org/10.1259/bjro.20180043.Search in Google Scholar PubMed PubMed Central

11. Niu, LZ, Li, JL, Xu, KC. Percutaneous cryoablation for liver cancer. J Clin Transl Hepatol 2014;2:182–8. https://doi.org/10.14218/JCTH.2014.00017.Search in Google Scholar PubMed PubMed Central

12. Kim, R, Kang, TW, Cha, DI, Song, KD, Lee, MW, Rhim, H, et al.. Percutaneous cryoablation for perivascular hepatocellular carcinoma: therapeutic efficacy and vascular complications. Eur Radiol 2019;29:654–62. https://doi.org/10.1007/s00330-018-5617-6.Search in Google Scholar PubMed

13. Rabin, Y, Shitzer, A. Numerical solution of the multidimensional freezing problem during cryosurgery. J Biomech Eng 1998;120:32–7. https://doi.org/10.1115/1.2834304.Search in Google Scholar PubMed

14. Rossi, MR, Rabin, Y. Experimental verification of numerical simulations of cryosurgery with application to computerized planning. Phys Med Biol 2007;52:4553–67. https://doi.org/10.1088/0031-9155/52/15/013.Search in Google Scholar PubMed PubMed Central

15. Kim, C, O’Rourke, AP, Mahvi, DM, Webster, JG. Finite-element analysis of ex vivo and in vivo hepatic cryoablation. IEEE Trans Biomed Eng 2007;54:1177–85. https://doi.org/10.1109/tbme.2006.889775.Search in Google Scholar

16. Rieder, C, Schwenke, M, Pätz, T, Georgii, J, Ballhausen, H, Schwen, LO, et al.. Evaluation of a numerical simulation for cryoablation – comparison with bench data, clinical kidney and lung cases. Int J Hyperther 2020;37:1268–78. https://doi.org/10.1080/02656736.2020.1845402.Search in Google Scholar PubMed

17. Golkar, E, Rao, PP, Joskowicz, L, Gangi, A, Essert, C. GPU-based 3D iceball modeling for fast cryoablation simulation and planning. Int J Comput Assist Radiol Surg 2019;14:1577–88. https://doi.org/10.1007/s11548-019-02051-8.Search in Google Scholar PubMed

18. Liu, D, Brace, CL. CT imaging during microwave ablation: analysis of spatial and temporal tissue contraction. Med Phys 2014;41:113303. https://doi.org/10.1118/1.4897381.Search in Google Scholar PubMed PubMed Central

19. Farina, L, Nissenbaum, Y, Cavagnaro, M, Goldberg, SN. Tissue shrinkage in microwave thermal ablation: comparison of three commercial devices. Int J Hyperth Off J Eur Soc Hyperthermic Oncol North Am Hyperth Group 2018;34:382–91. https://doi.org/10.1080/02656736.2017.1362115.Search in Google Scholar PubMed

20. Rossmann, C, Garrett-Mayer, E, Rattay, F, Haemmerich, D. Dynamics of tissue shrinkage during ablative temperature exposures. Physiol Meas 2014;35:55–67. https://doi.org/10.1088/0967-3334/35/1/55.Search in Google Scholar PubMed PubMed Central

21. Hussain, AJ, Ahmed, Z. A survey on video compression fast block matching algorithms. Neurocomputing 2019;335:215–37. https://doi.org/10.1016/j.neucom.2018.10.060.Search in Google Scholar

22. Hoffmann, NE, Bischof, JC. The cryobiology of cryosurgical injury. Urology 2002;60:40–9. https://doi.org/10.1016/s0090-4295(02)01683-7.Search in Google Scholar PubMed

23. Adam, LC, Raja, J, Ludwig, JM, Adeniran, A, Gettinger, SN, Kim, HS. Cryotherapy for nodal metastasis in NSCLC with acquired resistance to immunotherapy. J Immunother Cancer 2018;6:147. https://doi.org/10.1186/s40425-018-0468-x.Search in Google Scholar PubMed PubMed Central

24. Cawley, MF, McGlynn, D, Mooney, PA. Measurement of the temperature of density maximum of water solutions using a convective flow technique. Int J Heat Mass Tran 2006;49:1763–72. https://doi.org/10.1016/j.ijheatmasstransfer.2005.11.018.Search in Google Scholar

25. Ho, CJ, Tu, FJ. Numerical study of transition to oscillatory convection in a vertical enclosure containing water near its density extreme. Am Soc Mech Eng Heat Transf Div Publ HTD 1997;348:39–44.Search in Google Scholar

26. Lonsdale, K. The structure of ice. Proc R Soc Lond Ser Math Phys Sci 1958;247:424–34.10.1098/rspa.1958.0197Search in Google Scholar

27. Liu, D, Brace, CL. Numerical simulation of microwave ablation incorporating tissue contraction based on thermal dose. Phys Med Biol 2017;62:2070–86. https://doi.org/10.1088/1361-6560/aa5de4.Search in Google Scholar PubMed PubMed Central

28. Brace, CL, Diaz, TA, Hinshaw, JL, Lee, FT. Tissue contraction caused by radiofrequency and microwave ablation: a laboratory study in liver and lung. J Vasc Interv Radiol JVIR 2010;21:1280–6. https://doi.org/10.1016/j.jvir.2010.02.038.Search in Google Scholar PubMed PubMed Central

29. Ljungberg, B, Albiges, L, Abu-Ghanem, Y, Bedke, J, Capitanio, U, Dabestani, S, et al.. European association of urology guidelines on renal cell carcinoma: the 2022 update. Eur Urol 2022;82:399–410. https://doi.org/10.1016/j.eururo.2022.03.006.Search in Google Scholar PubMed

Received: 2023-05-06
Accepted: 2023-10-11
Published Online: 2023-11-06
Published in Print: 2024-04-25

© 2023 Walter de Gruyter GmbH, Berlin/Boston

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