Mariano E Giménez1,2,3,4, Carlos Federico Davrieux1,2,3, Paola Saccomandi2,5, Edgardo Serra3, Giuseppe Quero1,6, Mariano Palermo3,4, Jacques Marescaux1,2. 1. IRCAD (Institute for Research on Cancer of the Digestive System), Strasbourg, France. 2. IHU-Strasbourg (Institute Hopitalo-Universitaire), Strasbourg, France. 3. DAICIM Foundation (Teaching, Research, Assistance in Minimal Invasive Surgery), Buenos Aires, Argentina. 4. School of Medicine, University of Buenos Aires, Argentina. 5. Department of Mechanical Engineering, Politecnico di Milano, Milan, Italy. 6. Digestive Surgery Unit, Fondazione Policlinico Agostino Gemelli IRCCS, Rome, Italy.
Abstract
Background: Ablation therapies are one of the main local treatments for solid organ tumors. After applying any ablation therapy, few days should be waited to perform an imaging study and analyze the result. In this work, we analyzed the correlation between elastography monitoring after procedure and the result of ablation. The objective of this study is to determine tissue changes in vivo in short term after the application of ablation systems using different diagnostic imaging methods. Materials and Methods: Descriptive study in an in vivo swine model. Different types of ablation therapies (radiofrequency ablation, microwave ablation [MWA], and LASER ablation [LA]) were applied in the liver and kidneys. We compared their results by medical image monitoring (ultrasound, computed tomography, elastography) and macroscopic analysis. Results: All the animals survived the procedures. No major intraoperative complications were reported. We determined the characteristics of each procedure. MWA session was faster than the other types of ablation therapies. Regarding ablation area diameters, the largest was achieved with MWA and the smallest with LA. Macroscopically, we observed a central ablation zone, a peripheral ablation zone, and surrounding normal tissue. It was correlated with elastography images. Conclusion: Monitoring of the results of ablation therapies shortly after their application is possible through imaging studies. It allows determining the size of the ablation zone, its characteristics, ruling out complications, and its early results. Elastography could efficiently support this goal.
Background: Ablation therapies are one of the main local treatments for solid organ tumors. After applying any ablation therapy, few days should be waited to perform an imaging study and analyze the result. In this work, we analyzed the correlation between elastography monitoring after procedure and the result of ablation. The objective of this study is to determine tissue changes in vivo in short term after the application of ablation systems using different diagnostic imaging methods. Materials and Methods: Descriptive study in an in vivo swine model. Different types of ablation therapies (radiofrequency ablation, microwave ablation [MWA], and LASER ablation [LA]) were applied in the liver and kidneys. We compared their results by medical image monitoring (ultrasound, computed tomography, elastography) and macroscopic analysis. Results: All the animals survived the procedures. No major intraoperative complications were reported. We determined the characteristics of each procedure. MWA session was faster than the other types of ablation therapies. Regarding ablation area diameters, the largest was achieved with MWA and the smallest with LA. Macroscopically, we observed a central ablation zone, a peripheral ablation zone, and surrounding normal tissue. It was correlated with elastography images. Conclusion: Monitoring of the results of ablation therapies shortly after their application is possible through imaging studies. It allows determining the size of the ablation zone, its characteristics, ruling out complications, and its early results. Elastography could efficiently support this goal.