Electromagnetic-based hyperthermic therapies induce a controlled increase of temperature in a specific tissue target in order to increase the tissue perfusion or metabolism, or even to induce cell necrosis. These therapies require accurate knowledge of dielectric and thermal properties to optimise treatment plans. While dielectric properties have been well investigated, only a few studies have been conducted with the aim of understanding the changes of thermal properties as a function of temperature; i.e., thermal conductivity, volumetric heat capacity and thermal diffusivity. In this study, we experimentally investigate the thermal properties of ex vivo ovine liver in the hyperthermic temperature range, from 25 °C to 97 °C. A significant increase in thermal properties is observed only above 90 °C. An analytical model is developed to model the thermal properties as a function of temperature. Thermal properties are also investigated during the natural cooling of the heated tissue. A reversible phenomenon of the thermal properties is observed; during the cooling, thermal properties followed the same behaviour observed in the heating process. Additionally, tissue density and water content are evaluated at different temperatures. Density does not change with temperature; mass and volume losses change proportionally due to water vaporisation. A 30% water loss was observed above 90 °C.
The dielectric characterization of tissue targets of microwave thermal ablation (MTA) have improved the efficacy and pre-procedural planning of treatment. In some clinical scenarios, the tissue target lies at the interface with an external layer of fat. The aim of this work is to investigate the influence of the dielectric contrast between fat and target tissue on the shape and size of the ablation zone. A 2.45 GHz monopole antenna is placed parallel to an interface modelled by fat and a tissue characterized by higher dielectric properties and powered at 30 and 60 W for 60 s. The performances of MTA are numerically investigated considering different interface scenarios (i.e., different widths of fat layer, shifts in the antenna alignment) and a homogeneous reference scenario. Experiments (N = 10) are conducted on ex vivo porcine tissue to validate the numerical results. Asymmetric heating patterns are obtained in the interface scenario, the ablation zone in the target tissue is two-fold to ten-fold the size of the zone in the adipose tissue, and up to four times larger than the homogenous scenario. The adipose tissue reflects the electromagnetic energy into the adjacent tissue target, reducing the heating in the opposite direction.
15 January 2021 in IEEE Journal of Electromagnetics, RF and Microwaves in Medicine and Biology
Historically, adrenal glands diseases causing hypertension, such as Primary Aldosteronism (PA), have been treated through pharmacotherapy or surgical resection. Given the shortcomings of the available treatment options, the interest in alternative and less invasive treatment modalities such as microwave ablation (MWA), has increased. In order to develop and optimize this novel electromagnetic-based therapy, an accurate knowledge of the dielectric properties of human adrenal glands, as well as preclinical animal models, is crucial. In particular, ovine models represent a feasible animal model to test the safety and performances of MWA. In this study, the dielectric properties of ovine adrenal glands and of normal and diseased human adrenal glands are characterized ex vivo in the microwave frequency range. The dielectric properties of the two functional tissues (cortex and medulla) composing ovine adrenal glands are measured using the open-ended coaxial probe technique and represented with a two pole Cole-Cole model in the frequency range from 0.5 GHz to 8 GHz. This paper presents the first dielectric data of normal and diseased human adrenal tissues, including a functioning adenoma responsible for PA and it compares the human data with data from the animal model.