Literature DB >> 19695903

Lethal isotherms of cryoablation in a phantom study: effects of heat load, probe size, and number.

Peter J Littrup1, Bassel Jallad, Vinaya Vorugu, Gunnar Littrup, Brandt Currier, Mikhail George, Donald Herring.   

Abstract

PURPOSE: To assess the effects on the proportions of lethal ice (ie, colder than -30 degrees C) in phantoms with different heat loads created by varying the size and number of cryoprobes spaced 2 cm apart.
MATERIALS AND METHODS: Thermocouples at 0.5-, 1.0-, and 1.5-cm intervals from 1.7- or 2.4-mm-diameter cryoprobes were held by jigs accommodating a maximum of four cryoprobes. Agar phantoms (N = 24) used three sets of baseline temperatures: approximately 6 degrees C, 24 degrees C, and 39 degrees C. Temperatures during 15-minute freeze cycles were correlated with actual thermocouple locations seen within the ice by computed tomography (CT). Diameters and surface areas of the -30 degrees C lethal isotherm were assessed over time as percentages of the overall ice ball.
RESULTS: The high-heat load phantom experiments (39 degrees C) showed the greatest impact on lethal zones by percentage for all probe configurations. At 15 minutes, single-, double-, triple-, and quadruple-probe arrangements of 2.4-mm cryoprobes had average lethal ice diameters of 1.2, 3.3, 4.1, and 4.9 cm, respectively, comprising 13%, 46%, 51%, and 56% surface areas of lethal ice, respectively. Surface areas and diameters of lethal ice made by 1.7-mm cryoprobes were 71% and 84% of those made by 2.4-mm cryoprobes, respectively. Lethal ice resides less than 1 cm behind the leading edge for nearly all probe configurations and heat loads.
CONCLUSIONS: Single cryoprobes create very low percentages of lethal ice. Multiple cryoprobes overcome the high heat load of body temperature phantoms and help compensate for the lower freeze capacity of thinner cryoprobes.

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Year:  2009        PMID: 19695903      PMCID: PMC2762356          DOI: 10.1016/j.jvir.2009.05.038

Source DB:  PubMed          Journal:  J Vasc Interv Radiol        ISSN: 1051-0443            Impact factor:   3.464


  26 in total

1.  A semi-empirical treatment planning model for optimization of multiprobe cryosurgery.

Authors:  R Baissalov; G A Sandison; B J Donnelly; J C Saliken; J G McKinnon; K Muldrew; J C Rewcastle
Journal:  Phys Med Biol       Date:  2000-05       Impact factor: 3.609

2.  A model for the time dependent three-dimensional thermal distribution within iceballs surrounding multiple cryoprobes.

Authors:  J C Rewcastle; G A Sandison; K Muldrew; J C Saliken; B J Donnelly
Journal:  Med Phys       Date:  2001-06       Impact factor: 4.071

3.  Thermal maps around two adjacent cryoprobes creating overlapping ablations in porcine liver, lung, and kidney.

Authors:  Sompol Permpongkosol; Theresa L Nicol; Hema Khurana; Richard E Link; Qihui Jim Zhai; Louis R Kavoussi; Stephen B Solomon
Journal:  J Vasc Interv Radiol       Date:  2007-02       Impact factor: 3.464

4.  Differences in ablation size in porcine kidney, liver, and lung after cryoablation using the same ablation protocol.

Authors:  Sompol Permpongkosol; Theresa L Nicol; Richard E Link; Ioannis Varkarakis; Hema Khurana; Qihui Jim Zhai; Louis R Kavoussi; Stephen B Solomon
Journal:  AJR Am J Roentgenol       Date:  2007-04       Impact factor: 3.959

5.  Thermal conductivity of ordered molecular water.

Authors:  William Evans; Jacob Fish; Pawel Keblinski
Journal:  J Chem Phys       Date:  2007-04-21       Impact factor: 3.488

6.  New strategies for the placement of cryoprobes in malignant tumors of the liver for reducing the probability of recurrences after hepatic cryosurgery.

Authors:  W K Berger; J Poledna
Journal:  Int J Colorectal Dis       Date:  2001-09       Impact factor: 2.571

7.  CT-guided percutaneous cryotherapy of renal masses.

Authors:  Peter J Littrup; Abraham Ahmed; Hussein D Aoun; Daniel L Noujaim; Ted Harb; Sam Nakat; Khaled Abdallah; Barbara A Adam; Raghu Venkatramanamoorthy; Wael Sakr; J Edson Pontes; Lance K Heilbrun
Journal:  J Vasc Interv Radiol       Date:  2007-03       Impact factor: 3.464

8.  Targeted cryoablation of the prostate: 7-year outcomes in the primary treatment of prostate cancer.

Authors:  Duke K Bahn; Fred Lee; Robert Badalament; Anil Kumar; Jeffrey Greski; Michael Chernick
Journal:  Urology       Date:  2002-08       Impact factor: 2.649

9.  Cancer statistics, 2008.

Authors:  Ahmedin Jemal; Rebecca Siegel; Elizabeth Ward; Yongping Hao; Jiaquan Xu; Taylor Murray; Michael J Thun
Journal:  CA Cancer J Clin       Date:  2008-02-20       Impact factor: 508.702

10.  Histopathological study of breast cancer and normal breast tissue after magnetic resonance-guided cryotherapy ablation.

Authors:  Marc Pusztaszeri; Georges Vlastos; Karen Kinkel; Marie-Françoise Pelte
Journal:  Cryobiology       Date:  2007-06-02       Impact factor: 2.487

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  38 in total

1.  Percutaneous cryoablation of metastatic renal cell carcinoma for local tumor control: feasibility, outcomes, and estimated cost-effectiveness for palliation.

Authors:  Hyun J Bang; Peter J Littrup; Dylan J Goodrich; Brandt P Currier; Hussein D Aoun; Lance K Heilbrun; Ulka Vaishampayan; Barbara Adam; Allen C Goodman
Journal:  J Vasc Interv Radiol       Date:  2012-04-25       Impact factor: 3.464

2.  Combined magnetic resonance imaging and optical surgical navigation system guidance of percutaneous liver cryoablation in a porcine model.

Authors:  Kang Zhou; Zhuoli Zhang; Matteo Figini; Junjie Shangguan; Yining Wang; Haifeng Shi; Yumei Li; Zhengyu Jin; Jie Pan
Journal:  Am J Transl Res       Date:  2018-05-15       Impact factor: 4.060

Review 3.  Thermal Ablation of Bone Metastases.

Authors:  Michael R Moynagh; A Nicholas Kurup; Matthew R Callstrom
Journal:  Semin Intervent Radiol       Date:  2018-11-05       Impact factor: 1.513

4.  Percutaneous Image-Guided Cryoablation of Hepatic Tumors: Single-Center Experience With Intermediate to Long-Term Outcomes.

Authors:  Daniel I Glazer; Servet Tatli; Paul B Shyn; Mark G Vangel; Kemal Tuncali; Stuart G Silverman
Journal:  AJR Am J Roentgenol       Date:  2017-09-27       Impact factor: 3.959

5.  Percutaneous cryoablation of metastatic lesions from non-small-cell lung carcinoma: initial survival, local control, and cost observations.

Authors:  Hyun J Bang; Peter J Littrup; Brandt P Currier; Dylan J Goodrich; Hussein D Aoun; Lydia C Klein; Jarret C Kuo; Lance K Heilbrun; Shirish Gadgeel; Allen C Goodman
Journal:  J Vasc Interv Radiol       Date:  2012-06       Impact factor: 3.464

Review 6.  Laparoscopic renal cryoablation.

Authors:  Marc Schiffman; Amiel Moshfegh; Adam Talenfeld; Joseph J Del Pizzo
Journal:  Semin Intervent Radiol       Date:  2014-03       Impact factor: 1.513

7.  Subclinical Breast Cancer: Minimally Invasive Approaches. Our Experience with Percutaneous Radiofrequency Ablation vs. Cryotherapy.

Authors:  Guglielmo Manenti; Angela L Scarano; Chiara A Pistolese; Tommaso Perretta; Elena Bonanno; Augusto Orlandi; Giovanni Simonetti
Journal:  Breast Care (Basel)       Date:  2013-10       Impact factor: 2.860

8.  Percutaneous local ablation of unifocal subclinical breast cancer: clinical experience and preliminary results of cryotherapy.

Authors:  Guglielmo Manenti; Tommaso Perretta; Eleonora Gaspari; Chiara A Pistolese; Lia Scarano; Elsa Cossu; Elena Bonanno; Oreste C Buonomo; Giuseppe Petrella; Giovanni Simonetti; Salvatore Masala
Journal:  Eur Radiol       Date:  2011-06-17       Impact factor: 5.315

Review 9.  Tumor ablation: common modalities and general practices.

Authors:  Erica M Knavel; Christopher L Brace
Journal:  Tech Vasc Interv Radiol       Date:  2013-12

Review 10.  Cryosurgery in the treatment of women with breast cancer-a review.

Authors:  Radoslaw Tarkowski; Marek Rzaca
Journal:  Gland Surg       Date:  2014-05
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