对图像引导左心房颤动的射频消融病变治疗的建模:模型制定和初步评价
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;基于图像的射频消融造型
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.