对射频消融病变的建模图像引导左心房纤维颤动治疗:模型公式及初步评价
Toward Modeling of Radio-frequency Ablation Lesions for Image-guided Left Atrial Fibrillation Therapy: Model Formulation and Preliminary Evaluation
关键词:房颤治疗;图像引导导管导航;温度分布与病变特征;生物医学
摘 要:In the context of image-guided left atrial fibrillation therapy, relatively very little work has been done to consider the changes that occur in the tissue during ablation in order to monitor therapy delivery. Here we describe a technique to predict the lesion progression and monitor the radio-frequency energy delivery via a thermal ablation model that uses heat transfer principles to estimate the tissue temperature distribution and resulting lesion. A preliminary evaluation of the model was conducted in ex vivo skeletal beef muscle tissue while emulating a clinically relevant tissue ablation protocol. The predicted temperature distribution within the tissue was assessed against that measured directly using fiberoptic temperature probes and showed agreement within 5℃ between the model-predicted and experimentally measured tissue temperatures at prescribed locations. We believe this technique is capable of providing reasonably accurate representations of the tissue response to radio-frequency energy delivery.