Establishment of a Tissue-Mimicking Surrogate for Pulmonary Lesions to Improve the Development of RFA Instruments and Algorithms

(1) Development of radiofrequency ablation (RFA) systems for pulmonary lesions is restricted by availability of human tumor specimens and limited comparability of animal tissue. We aimed to develop a new surrogate tissue overcoming these drawbacks. (2) Reference values for electrical impedance in lu...

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Main Authors: Louisa Bühler, Markus D. Enderle, Nicolas Kahn, Markus Polke, Marc A. Schneider, Claus Peter Heußel, Felix J. F. Herth, Walter Linzenbold
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/5/1100
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author Louisa Bühler
Markus D. Enderle
Nicolas Kahn
Markus Polke
Marc A. Schneider
Claus Peter Heußel
Felix J. F. Herth
Walter Linzenbold
author_facet Louisa Bühler
Markus D. Enderle
Nicolas Kahn
Markus Polke
Marc A. Schneider
Claus Peter Heußel
Felix J. F. Herth
Walter Linzenbold
author_sort Louisa Bühler
collection DOAJ
description (1) Development of radiofrequency ablation (RFA) systems for pulmonary lesions is restricted by availability of human tumor specimens and limited comparability of animal tissue. We aimed to develop a new surrogate tissue overcoming these drawbacks. (2) Reference values for electrical impedance in lung tumor tissue were collected during routine lung tumor RFA (<i>n</i> = 10). Subsequently, a tissue-mimicking surrogate with comparable electrical impedance and facilitating detection of the ablation margins was developed. (3) The mean electrical impedance for all patients was 103.5 ± 14.7 Ω. In the optimized surrogate tissue model consisting of 68% agar solution, 23% egg yolk, 9% thermochromic ink, and variable amounts of sodium chloride, the mean electrical impedance was adjustable from 74.3 ± 0.4 Ω to 183.2 ± 5.6 Ω and was a function (y = 368.4x + 175.2; R<sup>2</sup> = 0.96; <i>p</i> < 0.001) of sodium chloride concentration (between 0 and 0.3%). The surrogate tissue achieved sufficient dimensional stability, and sample cuts revealed clear margins of color change for temperatures higher 60 °C. (4) The tissue-mimicking surrogate can be adapted to lung tumor with respect to its electrical properties. As the surrogate tissue allows for simple and cost-effective manufacturing, it is suitable for extensive laboratory testing of RFA systems for pulmonary ablation.
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spelling doaj.art-85714c2446c04d2fbc2446b8b08480a42023-11-23T10:11:03ZengMDPI AGBiomedicines2227-90592022-05-01105110010.3390/biomedicines10051100Establishment of a Tissue-Mimicking Surrogate for Pulmonary Lesions to Improve the Development of RFA Instruments and AlgorithmsLouisa Bühler0Markus D. Enderle1Nicolas Kahn2Markus Polke3Marc A. Schneider4Claus Peter Heußel5Felix J. F. Herth6Walter Linzenbold7Erbe Elektromedizin GmbH, 72072 Tübingen, GermanyErbe Elektromedizin GmbH, 72072 Tübingen, GermanyDepartment of Pneumology and Respiratory Care Medicine, Thoraxklinik at Heidelberg University Hospital, 69126 Heidelberg, GermanyDepartment of Pneumology and Respiratory Care Medicine, Thoraxklinik at Heidelberg University Hospital, 69126 Heidelberg, GermanyTranslational Lung Research Center Heidelberg (TLRC), Member of the German Center for Lung Research (DZL), University of Heidelberg, 69120 Heidelberg, GermanyTranslational Lung Research Center Heidelberg (TLRC), Member of the German Center for Lung Research (DZL), University of Heidelberg, 69120 Heidelberg, GermanyDepartment of Pneumology and Respiratory Care Medicine, Thoraxklinik at Heidelberg University Hospital, 69126 Heidelberg, GermanyErbe Elektromedizin GmbH, 72072 Tübingen, Germany(1) Development of radiofrequency ablation (RFA) systems for pulmonary lesions is restricted by availability of human tumor specimens and limited comparability of animal tissue. We aimed to develop a new surrogate tissue overcoming these drawbacks. (2) Reference values for electrical impedance in lung tumor tissue were collected during routine lung tumor RFA (<i>n</i> = 10). Subsequently, a tissue-mimicking surrogate with comparable electrical impedance and facilitating detection of the ablation margins was developed. (3) The mean electrical impedance for all patients was 103.5 ± 14.7 Ω. In the optimized surrogate tissue model consisting of 68% agar solution, 23% egg yolk, 9% thermochromic ink, and variable amounts of sodium chloride, the mean electrical impedance was adjustable from 74.3 ± 0.4 Ω to 183.2 ± 5.6 Ω and was a function (y = 368.4x + 175.2; R<sup>2</sup> = 0.96; <i>p</i> < 0.001) of sodium chloride concentration (between 0 and 0.3%). The surrogate tissue achieved sufficient dimensional stability, and sample cuts revealed clear margins of color change for temperatures higher 60 °C. (4) The tissue-mimicking surrogate can be adapted to lung tumor with respect to its electrical properties. As the surrogate tissue allows for simple and cost-effective manufacturing, it is suitable for extensive laboratory testing of RFA systems for pulmonary ablation.https://www.mdpi.com/2227-9059/10/5/1100tissue-mimicking phantomthermochromicagarradiofrequency ablationelectrical impedancelung cancer
spellingShingle Louisa Bühler
Markus D. Enderle
Nicolas Kahn
Markus Polke
Marc A. Schneider
Claus Peter Heußel
Felix J. F. Herth
Walter Linzenbold
Establishment of a Tissue-Mimicking Surrogate for Pulmonary Lesions to Improve the Development of RFA Instruments and Algorithms
Biomedicines
tissue-mimicking phantom
thermochromic
agar
radiofrequency ablation
electrical impedance
lung cancer
title Establishment of a Tissue-Mimicking Surrogate for Pulmonary Lesions to Improve the Development of RFA Instruments and Algorithms
title_full Establishment of a Tissue-Mimicking Surrogate for Pulmonary Lesions to Improve the Development of RFA Instruments and Algorithms
title_fullStr Establishment of a Tissue-Mimicking Surrogate for Pulmonary Lesions to Improve the Development of RFA Instruments and Algorithms
title_full_unstemmed Establishment of a Tissue-Mimicking Surrogate for Pulmonary Lesions to Improve the Development of RFA Instruments and Algorithms
title_short Establishment of a Tissue-Mimicking Surrogate for Pulmonary Lesions to Improve the Development of RFA Instruments and Algorithms
title_sort establishment of a tissue mimicking surrogate for pulmonary lesions to improve the development of rfa instruments and algorithms
topic tissue-mimicking phantom
thermochromic
agar
radiofrequency ablation
electrical impedance
lung cancer
url https://www.mdpi.com/2227-9059/10/5/1100
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