Effects of internal electrode cooling on irreversible electroporation using a perfused organ model. O'Brien, T. J., Bonakdar, M., Bhonsle, S., Neal, R. E., Aardema, C. H., Robertson, J. L., Goldberg, S. N., & Davalos, R. V. Int J Hyperthermia, 35(1):44-55, 2018. 1464-5157 O'Brien, Timothy J Bonakdar, Mohammad Bhonsle, Suyashree Neal, Robert E 2nd Aardema, Charles H Jr Robertson, John L Goldberg, S Nahum Davalos, Rafael V Journal Article Research Support, Non-U.S. Gov't England 2018/05/29 Int J Hyperthermia. 2018;35(1):44-55. doi: 10.1080/02656736.2018.1473893. Epub 2018 May 28.
doi  abstract   bibtex   
PURPOSE: This study evaluates the effects of active electrode cooling, via internal fluid circulation, on the irreversible electroporation (IRE) lesion, deployed electric current and temperature changes using a perfused porcine liver model. MATERIALS AND METHODS: A bipolar electrode delivered IRE electric pulses with or without activation of internal cooling to nine porcine mechanically perfused livers. Pulse schemes included a constant voltage, and a preconditioned delivery combined with an arc-mitigation algorithm. After treatment, organs were dissected, and treatment zones were stained using triphenyl-tetrazolium chloride (TTC) to demonstrate viability. RESULTS: Thirty-nine treatments were performed with an internally cooled applicator and 21 with a non-cooled applicator. For the constant voltage scenario, the average final electrical current measured was 26.37 and 29.20 A for the cooled and uncooled electrodes respectively ([Formula: see text]). The average final temperature measured was 33.01 and 42.43 °C for the cooled and uncooled electrodes respectively ([Formula: see text]). The average measured ablations (fixed lesion) were 3.88-by-2.08 cm and 3.86-by-2.12 cm for the cooled and uncooled electrode respectively ([Formula: see text], [Formula: see text]). Similarly, the preconditioned/arc-mitigation scenario yielded an average final electrical current measurement of a 41.07 and 47.20 A for the cooled and uncooled electrodes respectively ([Formula: see text]). The average final temperature measured was 34.93 and 44.90 °C for the cooled and uncooled electrodes respectively ([Formula: see text]). The average measured ablations (fixed lesion) were 3.67-by-2.27 cm and 3.58-by-2.09 cm for the cooled and uncooled applicators ([Formula: see text]). CONCLUSIONS: The internally-cooled bipolar applicator offers advantages that could improve clinical outcomes. Thermally mitigating internal perfusion technology reduced tissue temperatures and electric current while maintaining similar lesion sizes.
@article{RN159,
   author = {O'Brien, T. J. and Bonakdar, M. and Bhonsle, S. and Neal, R. E., 2nd and Aardema, C. H., Jr. and Robertson, J. L. and Goldberg, S. N. and Davalos, R. V.},
   title = {Effects of internal electrode cooling on irreversible electroporation using a perfused organ model},
   journal = {Int J Hyperthermia},
   volume = {35},
   number = {1},
   pages = {44-55},
   note = {1464-5157
O'Brien, Timothy J
Bonakdar, Mohammad
Bhonsle, Suyashree
Neal, Robert E 2nd
Aardema, Charles H Jr
Robertson, John L
Goldberg, S Nahum
Davalos, Rafael V
Journal Article
Research Support, Non-U.S. Gov't
England
2018/05/29
Int J Hyperthermia. 2018;35(1):44-55. doi: 10.1080/02656736.2018.1473893. Epub 2018 May 28.},
   abstract = {PURPOSE: This study evaluates the effects of active electrode cooling, via internal fluid circulation, on the irreversible electroporation (IRE) lesion, deployed electric current and temperature changes using a perfused porcine liver model. MATERIALS AND METHODS: A bipolar electrode delivered IRE electric pulses with or without activation of internal cooling to nine porcine mechanically perfused livers. Pulse schemes included a constant voltage, and a preconditioned delivery combined with an arc-mitigation algorithm. After treatment, organs were dissected, and treatment zones were stained using triphenyl-tetrazolium chloride (TTC) to demonstrate viability. RESULTS: Thirty-nine treatments were performed with an internally cooled applicator and 21 with a non-cooled applicator. For the constant voltage scenario, the average final electrical current measured was 26.37 and 29.20 A for the cooled and uncooled electrodes respectively ([Formula: see text]). The average final temperature measured was 33.01 and 42.43 °C for the cooled and uncooled electrodes respectively ([Formula: see text]). The average measured ablations (fixed lesion) were 3.88-by-2.08 cm and 3.86-by-2.12 cm for the cooled and uncooled electrode respectively ([Formula: see text], [Formula: see text]). Similarly, the preconditioned/arc-mitigation scenario yielded an average final electrical current measurement of a 41.07 and 47.20 A for the cooled and uncooled electrodes respectively ([Formula: see text]). The average final temperature measured was 34.93 and 44.90 °C for the cooled and uncooled electrodes respectively ([Formula: see text]). The average measured ablations (fixed lesion) were 3.67-by-2.27 cm and 3.58-by-2.09 cm for the cooled and uncooled applicators ([Formula: see text]). CONCLUSIONS: The internally-cooled bipolar applicator offers advantages that could improve clinical outcomes. Thermally mitigating internal perfusion technology reduced tissue temperatures and electric current while maintaining similar lesion sizes.},
   keywords = {Ablation Techniques/*methods
Animals
Cold Temperature
Disease Models, Animal
Electrodes
Electroporation/*methods
Liver/pathology/*surgery
Swine
Irreversible electroporation
arc mitigation
current
perfused organ model
temperature
thermal damage
thermal mitigation},
   ISSN = {0265-6736},
   DOI = {10.1080/02656736.2018.1473893},
   year = {2018},
   type = {Journal Article}
}

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