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 In this paper, a review of the recently obtained results as well as new unpublished data will be presented and discussed.

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 imaging is an active area of research that has garnered interest over the past few years. The main desired improvements to microwave imaging are related to the performances of radiating systems and identification algorithms. To achieve these improvements, antennas suitable to guarantee demanding requirements are needed. In particular, they must operate in close proximity to the objects under examination, ensure an adequate bandwidth, as well as reduced dimensions and low production costs. In addition, in near-field microwave imaging systems, the antenna should provide an ultra-wideband (UWB) response. Given the relevance of the foreseen applications, many UWB antenna designs for microwave imaging applications have been proposed in the literature. In this paper, a comprehensive review of different UWB antenna designs for near-field microwave imaging is presented. The antennas are classified according to the manufacturing technology and radiative performances. Particular attention is also paid to the radiation mechanisms as well as the techniques used to reduce the size and improve the bandwidth.

This paper experimentally validates the capability of a microwave prototype device to localize hemorrhages and ischemias within the brain as well as proposes an innovative calibration technique based on the measured data. In the reported experiments, a 3-D human-like head phantom is considered, where the brain is represented either with a homogeneous liquid mimicking brain dielectric properties or with ex vivo calf brains. The microwave imaging (MWI) system works at 1 GHz, and it is realized with a low-complexity architecture formed by an array of twenty-four printed monopole antennas. Each antenna is embedded into the “brick” of a semi-flexible dielectric matching medium, and it is positioned conformal to the head upper part. The imaging algorithm exploits a differential approach and provides 3-D images of the brain region. It employs the singular value decomposition of the discretized scattering operator obtained via accurate numerical models. The MWI system analysis shows promising reconstruction results and extends the device validation.

Thermal ablation treatments are gaining a lot of attention in the clinics thanks to their reduced invasiveness and their capability of treating non-surgical patients. The effectiveness of these treatments and their impact in the hospital’s routine would significantly increase if paired with a monitoring technique able to control the evolution of the treated area in real-time. This is particularly relevant in microwave thermal ablation, wherein the capability of treating larger tumors in a shorter time needs proper monitoring. Current diagnostic imaging techniques do not provide effective solutions to this issue for a number of reasons, including economical sustainability and safety. Hence, the development of alternative modalities is of interest. Microwave tomography, which aims at imaging the electromagnetic properties of a target under test, has been recently proposed for this scope, given the significant temperature-dependent changes of the dielectric properties of human tissues induced by thermal ablation. In this paper, the outcomes of the first ex vivo experimental study, performed to assess the expected potentialities of microwave tomography, are presented. The paper describes the validation study dealing with the imaging of the changes occurring in thermal ablation treatments. The experimental test was carried out on two ex vivo bovine liver samples and the reported results show the capability of microwave tomography of imaging the transition between ablated and untreated tissue. Moreover, the discussion section provides some guidelines to follow in order to improve the achievable performances.

In this paper the propagation of a UWB pulse into a layered model of the human body is studied to characterize absorption and reflection of the UWB signal due to the different body tissues. Several time behaviours for the incident UWB pulse are considered and compared with reference to the feasibility of breath and heartbeat activity monitoring. Results show that if the UWB source is placed far from the human body, the reflection coming from the interface between air and skin can be used to detect the respiratory activity. On the contrary, if the UWB source is placed close to the human body, a small reflection due to the interface between the posterior lung wall and the bone, which is well distanced in time from the reflections due to the first layers of the body model, can be used to detect lung and heart changes associated with the cardio-respiratory activity.