Radiofrequency Ablation: Importance of Background Tissue Electrical Conductivity—An Agar Phantom and Computer Modeling Study

PURPOSE: To determine whether radiofrequency (RF)-induced heating can be correlated with background electrical conductivity in a controlled experimental phantom environment mimicking different background tissue electrical conductivities and to determine the potential electrical and physical basis for such a correlation by using computer modeling.

MATERIALS AND METHODS: The effect of background tissue electrical conductivity on RF-induced heating was studied in a controlled system of 80 two-compartment agar phantoms (with inner wells of 0.3%, 1.0%, or 36.0% NaCl) with background conductivity that varied from 0.6% to 5.0% NaCl. Mathematical modeling of the relationship between electrical conductivity and temperatures 2 cm from the electrode (T2cm) was performed. Next, computer simulation of RF heating by using two-dimensional finite-element analysis (ETherm) was performed with parameters selected to approximate the agar phantoms. Resultant heating, in terms of both the T2cm and the distance of defined thermal isotherms from the electrode surface, was calculated and compared with the phantom data. Additionally, electrical and thermal profiles were determined by using the computer modeling data and correlated by using linear regression analysis.

RESULTS: For each inner compartment NaCl concentration, a negative exponential relationship was established between increased background NaCl concentration and the T2cm (R2 = 0.64–0.78). Similar negative exponential relationships (r2 > 0.97%) were observed for the computer modeling. Correlation values (R2) between the computer and experimental data were 0.9, 0.9, and 0.55 for the 0.3%, 1.0%, and 36.0% inner NaCl concentrations, respectively. Plotting of the electrical field generated around the RF electrode identified the potential for a dramatic local change in electrical field distribution (ie, a second electrical peak [“E-peak”]) occurring at the interface between the two compartments of varied electrical background conductivity. Linear correlations between the E-peak and heating at T2cm (R2 = 0.98–1.00) and the 50°C isotherm (R2 = 0.99–1.00) were established.

CONCLUSION: These results demonstrate the strong relationship between background tissue conductivity and RF heating and further explain electrical phenomena that occur in a two-compartment system.

© RSNA, 2005

References

  • 1 Dupuy DE, Goldberg SN. Image-guided radiofrequency tumor ablation: challenges and opportunities—part II. J Vasc Interv Radiol 2001; 12:1135–1148. Crossref, MedlineGoogle Scholar
  • 2 Nahum Goldberg S, Dupuy DE. Image-guided radiofrequency tumor ablation: challenges and opportunities—part I. J Vasc Interv Radiol 2001; 12:1021–1032. Crossref, MedlineGoogle Scholar
  • 3 Solbiati L, Livraghi T, Goldberg SN, Ierace T, DellaNoce M, Gazelle GS. Percutaneous radiofrequency ablation of hepatic metastases from colorectal cancer: long-term results in 117 patients. Radiology 2001; 221:159–166. LinkGoogle Scholar
  • 4 Livraghi T, Meloni F, Goldberg SN, Lazzaroni S, Solbiati L, Gazelle GS. Hepatocellular carcinoma: radio-frequency ablation of medium and large lesions. Radiology 2000; 214:761–768. LinkGoogle Scholar
  • 5 Abdalla EK, Vauthey JN, Ellis LM, et al. Recurrence and outcomes following hepatic resection, radiofrequency ablation, and combined resection/ablation for colorectal liver metastases. Ann Surg 2004; 239:818–827. Crossref, MedlineGoogle Scholar
  • 6 de Baere T, Elias D, Dromain C, et al. Radiofrequency ablation of 100 hepatic metastases with a mean follow-up of more than 1 year. AJR Am J Roentgenol 2000; 175:1619–1625. Crossref, MedlineGoogle Scholar
  • 7 Lu DS, Raman SS, Vodopich DJ, Wang M, Sayre J, Lassman C. Effect of vessel size on creation of hepatic radiofrequency lesions in pigs: assessment of the “heat sink” effect. AJR Am J Roentgenol 2002; 178:47–51. Crossref, MedlineGoogle Scholar
  • 8 Goldberg SN, Hahn PF, Tanabe KK, et al. Percutaneous radiofrequency tissue ablation: does perfusion-mediated tissue cooling limit coagulation necrosis? J Vasc Interv Radiol 1998; 9:101–111. Google Scholar
  • 9 Kariya Z, Yamakado K, Nakatuka A, Onoda M, Kobayasi S, Takeda K. Radiofrequency ablation with and without balloon occlusion of the renal artery: an experimental study in porcine kidneys. J Vasc Interv Radiol 2003; 14:241–245. Crossref, MedlineGoogle Scholar
  • 10 Pennes HH. Analysis of tissue and arterial blood temperatures in the resting human forearm. J Appl Physiol 1948; 1:93–122. Crossref, MedlineGoogle Scholar
  • 11 Goldberg SN, Gazelle GS, Mueller PR. Thermal ablation therapy for focal malignancy: a unified approach to underlying principles, techniques, and diagnostic imaging guidance. AJR Am J Roentgenol 2000; 174:323–331. Crossref, MedlineGoogle Scholar
  • 12 Goldberg SN, Ahmed M, Gazelle GS, et al. Radio-frequency thermal ablation with NaCl solution injection: effect of electrical conductivity on tissue heating and coagulation—phantom and porcine liver study. Radiology 2001; 219:157–165. LinkGoogle Scholar
  • 13 Lobo SM, Afzal K, Ahmed M, Kruskal JB, Lenkinski RE, Goldberg SN. Radiofrequency ablation: modeling the enhanced temperature response surface of adjuvant NaCl pretreatment. Radiology 2004; 230:175–182. LinkGoogle Scholar
  • 14 Ahmed M, Lobo SM, Weinstein J, et al. Improved coagulation with saline solution pretreatment during radiofrequency tumor ablation in a canine model. J Vasc Interv Radiol 2002; 13:717–724. Crossref, MedlineGoogle Scholar
  • 15 Ahmed M, Liu Z, Afzal KS, et al. Radiofrequency tumor ablation: effect of surrounding tissue composition on induced coagulation in a canine tumor model. Radiology 2004; 230:761–767. LinkGoogle Scholar
  • 16 Goldberg SN, Gazelle GS, Solbiati L, Rittman WJ, Mueller PR. Radiofrequency tissue ablation: increased lesion diameter with a perfusion electrode. Acad Radiol 1996; 3:636–644. Crossref, MedlineGoogle Scholar
  • 17 Humphries S, Platt RC, Ryan TR. ETherm finite element modeling of electrical heating and non-linear thermal transport in biological media. Proc Am Soc Mech Eng High Temp Division-355. Vol 131. New York, NY: American Society of Mechanical Engineers, 1997; 131–134. Google Scholar
  • 18 Tungjitkusolmun S, Staelin ST, Haemmerich D, et al. Three-dimensional finite-element analyses for radio-frequency hepatic tumor ablation. IEEE Trans Biomed Eng 2002; 49:3–9. Crossref, MedlineGoogle Scholar
  • 19 Haemmerich D, Chachati L, Wright AS, Mahvi DM, Lee FT Jr, Webster JG. Hepatic radiofrequency ablation with internally cooled probes: effect of coolant temperature on lesion size. IEEE Trans Biomed Eng 2003; 50:493–500. Crossref, MedlineGoogle Scholar
  • 20 Jain MK, Wolf PD. Temperature-controlled and constant-power radio-frequency ablation: what affects lesion growth? IEEE Trans Biomed Eng 1999; 46:1405–1412. Crossref, MedlineGoogle Scholar
  • 21 Tungjitkusolmun S, Woo EJ, Cao H, Tsai JZ, Vorperian VR, Webster JG. Thermal-electrical finite element modeling for radio frequency cardiac ablation: effects of changes in myocardial properties. Med Biol Eng Comput 2000; 38:562–568. Crossref, MedlineGoogle Scholar
  • 22 Humphries S. Field solutions on computers. Boca Raton, Fla: CRC, 1997. Google Scholar
  • 23 Dadd JS, Ryan TP, Platt R. Tissue impedance as a function of temperature and time. Biomed Sci Instrum 1996; 32:205–214. MedlineGoogle Scholar
  • 24 Gabriel C, Gabriel S. Compilation of the dielectric properties of body tissues at RF and microwave frequencies. http://www.brooks.af.mil/AFRL/HED/hedr/reports/dielectric/home.html. Accessed September 18, 2004. Google Scholar
  • 25 Duck FA. Thermal properties of tissues. In: Physical properties of tissues. San Diego, Calif: Academic Press, 1990; 9–42, 167–223. Google Scholar
  • 26 Haemmerich D, Ozkan R, Tungjitkusolmun S, et al. Changes in electrical resistivity of swine liver after occlusion and postmortem. Med Biol Eng Comput 2002; 40:29–33. Crossref, MedlineGoogle Scholar
  • 27 Organ LW. Electrophysiologic principles of radiofrequency lesion making. Appl Neurophysiol 1976; 39:69–76. MedlineGoogle Scholar
  • 28 Dewhirst MW, Viglianti BL, Lora-Michiels M, Hanson M, Hoopes PJ. Basic principles of thermal dosimetry and thermal thresholds for tissue damage from hyperthermia. Int J Hyperthermia 2003; 19:267–294. Crossref, MedlineGoogle Scholar
  • 29 Ahmed M, Monsky WE, Girnun G, et al. Radiofrequency thermal ablation sharply increases intratumoral liposomal doxorubicin accumulation and tumor coagulation. Cancer Res 2003; 63:6327–6333. MedlineGoogle Scholar
  • 30 Bhattacharya A, Mahajan RL. Temperature dependence of thermal conductivity in biological tissues. Physiol Meas 2003; 24:769–783. Crossref, MedlineGoogle Scholar

Article History

Published in print: Aug 2005