In microwave thermal ablation (MTA) therapy, the dielectric properties of the target tissue play an important role in determining the radiation properties of the microwave ablation antenna. In this work, the ex vivo dielectric properties of bovine liver were experimentally characterized as a function of the temperature during MTA at the frequency of 2.45 GHz. The obtained data were compared with measurements performed at the end of the MTA treatment, and considering the heating achieved with a temperature-controlled water bath. Finally, measured data were used to perform a numerical study evaluating the effects of changes in tissue's dielectric properties during the MTA treatment on the radiation properties of a microwave interstitial ablation antenna, as well as on the obtained thermal lesion. Results evidenced a significant decrease of both relative permittivity (about 38%) and electric conductivity (about 33%) in the tissue during treatment as the temperature increased to over 60 °C, with a dramatic drop when the temperature approached 100 °C. Moreover, the numerical study evidenced that changes in tissue's dielectric properties during the MTA treatment affect the distribution of the power absorbed by the tissue (specific absorption rate-SAR, W kg(-1)) surrounding the microwave interstitial ablation antenna, leading to a peak SAR up to 20% lower, as well as to a thermal lesion up to 8% longer. This work may represent a preliminary step towards the future development of a procedure for MTA treatment planning.

Microwave thermal ablation (MTA) is a minimally invasive therapeutic technique aimed at destroying pathologic tissues through a very high temperature increase induced by the absorption of an electromagnetic field at microwave (MW) frequencies. Open problems, which are delaying MTA applications in clinical practice, are mainly linked to the extremely high temperatures, up to 120 °C, reached by the tissue close to the antenna applicator, as well as to the ability of foreseeing and controlling the shape and dimension of the thermally ablated area. Recent research was devoted to the characterisation of dielectric, thermal and physical properties of tissue looking at their changes with the increasing temperature, looking for possible developments of reliable, automatic and personalised treatment planning. In this paper, a review of the recently obtained results as well as new unpublished data will be presented and discussed.

Microwave thermal ablation (MTA) therapies exploit the local absorption of an electromagnetic field at microwave (MW) frequencies to destroy unhealthy tissue, by way of a very high temperature increase (about 60 °C or higher). To develop reliable interventional protocols, numerical tools able to correctly foresee the temperature increase obtained in the tissue would be very useful. In this work, different numerical models of the dielectric and thermal property changes with temperature were investigated, looking at the simulated temperature increments and at the size of the achievable zone of ablation. To assess the numerical data, measurement of the temperature increases close to a MTA antenna were performed in correspondence with the antenna feed-point and the antenna cooling system, for increasing values of the radiated power. Results show that models not including the changes of the dielectric and thermal properties can be used only for very low values of the power radiated by the antenna, whereas a good agreement with the experimental values can be obtained up to 20 W if water vaporization is included in the numerical model. Finally, for higher power values, a simulation that dynamically includes the tissue’s dielectric and thermal property changes with the temperature should be performed.

The aim of this study was to characterise changes in tissue volume during image-guided microwave ablation in order to arrive at a more precise determination of the true ablation zone. The effect of power (20-80 W) and time (1-10 min) on microwave-induced tissue contraction was experimentally evaluated in various-sized cubes of ex vivo liver (10-40 mm ± 2 mm) and muscle (20 and 40 mm ± 2 mm) embedded in agar phantoms (N = 119). Post-ablation linear and volumetric dimensions of the tissue cubes were measured and compared with pre-ablation dimensions. Subsequently, the process of tissue contraction was investigated dynamically during the ablation procedure through real-time X-ray CT scanning. Overall, substantial shrinkage of 52-74% of initial tissue volume was noted. The shrinkage was non-uniform over time and space, with observed asymmetry favouring the radial (23-43 % range) over the longitudinal (21-29%) direction. Algorithmic relationships for the shrinkage as a function of time were demonstrated. Furthermore, the smallest cubes showed more substantial and faster contraction (28-40% after 1 min), with more considerable volumetric shrinkage (>10%) in muscle than in liver tissue. Additionally, CT imaging demonstrated initial expansion of the tissue volume, lasting in some cases up to 3 min during the microwave ablation procedure, prior to the contraction phenomenon. In addition to an asymmetric substantial shrinkage of the ablated tissue volume, an initial expansion phenomenon occurs during MW ablation. Thus, complex modifications of the tissue close to a radiating antenna will likely need to be taken into account for future methods of real-time ablation monitoring.

Thermal properties of ex vivo bovine liver were measured as a function of temperature, by heating tissue samples in a temperature-controlled oil bath over a temperature range from about 21 °C to about 113 °C. Results evidenced temperature-dependent non-linear changes of the thermal properties, with the temperature of 100 °C representing a break point: the thermal properties increased with temperature up to 99 °C and then decreased above 100 °C. The rate of increase appeared dramatic between 90 °C and 99 °C, owing to the onset of vaporisation of water contained in the tissue. In particular, at 99 °C, the thermal conductivity reported an increase of about four times with respect to the value measured at 90 °C, whilst about a two-fold increase was reported for both the volumetric heat capacity and the thermal diffusivity. Temperatures higher than 100 °C were reached only after complete vaporisation of water contained in the tissue, resulting in about 70% loss of weight from the tissue. An overall decrease of about 71% and 63% was reported for the thermal conductivity and volumetric heat capacity, respectively, in the temperature range 101 °C–113 °C. A decrease of about 25% was reported in the measured values of the thermal diffusivity in the temperature range 101 °C–108 °C, whilst a slight increase of measured values, not statistically significant, was observed in the temperature range 108 °C–113 °C. The temperature dependent changes of the thermal parameters were modelled with non-linear regression analysis to calculate the best-fit curves interpolating measured data. The proposed regression models could be used to numerically assess the changes in the thermal properties of biological tissues at supra-physiological temperatures relevant in thermal ablation procedures, as well as their effect on the prediction of the ablation zone dimensions in computational models for treatment planning.

Microwave thermal ablation (MTA) therapy for cancer treatments relies on the absorption of electromagnetic energy at microwave frequencies to induce a very high and localized temperature increase, which causes an irreversible thermal damage in the target zone. Treatment planning in MTA is based on experimental observations of ablation zones in ex vivo tissue, while predicting the treatment outcomes could be greatly improved by reliable numerical models. In this work, a fully dynamical simulation model is exploited to look at effects of temperature-dependent variations in the dielectric and thermal properties of the targeted tissue on the prediction of the temperature increase and the extension of the thermally coagulated zone. In particular, the influence of measurement uncertainty of tissue parameters on the numerical results is investigated. Numerical data were compared with data from MTA experiments performed on ex vivo bovine liver tissue at 2.45GHz, with a power of 60W applied for 10min. By including in the simulation model an uncertainty budget (CI=95%) of ±25% in the properties of the tissue due to inaccuracy of measurements, numerical results were achieved in the range of experimental data. Obtained results also showed that the specific heat especially influences the extension of the thermally coagulated zone, with an increase of 27% in length and 7% in diameter when a variation of -25% is considered with respect to the value of the reference simulation model.