Optimal conditions for "heat-conduct effect" in liver tissue during radiofrequency ablation

Panminerva Med. 2013 Sep;55(3):297-302.

Abstract

Aim: This study was conducted to optimize the "heat-conduct effect" to increase the efficacy of radiofrequency ablation (RFA) in the treatment of liver tumors.

Methods: To simulate the "heat-conduct effect" caused by RFA, isolated pig livers were heated by an inserted metal tube through which water with different incoming temperatures was passed. The tissue temperature was measured within 5- and 10-mm radiuses. Further, changes in color and morphology of the tissue were recorded.

Results: Using an incoming temperature of 70 °C, the effective ablation radius of 5 mm was achieved within 10 min. To expand the effective radius to 10 mm, the tube temperature needed to be maintained at above 80 °C for 40 min; alternatively, the tube temperature above 90 °C and heating time of 25 min were also sufficient.

Conclusion: To achieve the complete ablation in isolated liver within the 10 mm radius by "heat-conduct effect", the temperature of the heating center should be maintained above 80 - 90 °C with the exposure time of 25-40 min.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Catheter Ablation* / adverse effects
  • Hot Temperature* / adverse effects
  • Liver / pathology
  • Liver / surgery*
  • Models, Animal
  • Swine
  • Thermal Conductivity
  • Time Factors