Methods of reducing adverse effects of non-thermal ablation
The present invention provides systems, methods, and devices for electroporation-based therapies (EBTs). Embodiments provide patient-specific treatment protocols derived by the numerical modeling of 3D reconstructions of target tissue from images taken of the tissue, and optionally accounting for one or more of physical constraints or dynamic tissue properties. The present invention further relates to systems, methods, and devices for delivering bipolar electric pulses for irreversible electroporation exhibiting reduced or no damage to tissue typically associated with an EBT-induced excessive charge delivered to the tissue.
1. A method of reducing adverse effects of irreversible electroporation comprising:
administering at least one biphasic electrical pulse through one or more electrodes to tissue within a patient at a frequency rate of 25 kHz to 1 MHz and with a time delay or zero voltage applied between alternating polarity;
wherein the at least one biphasic pulse is configured to result in irreversible electroporation (IRE) of the tissue or reduces one or more adverse effects of irreversible electroporation.
2. The method of claim 1 , wherein the adverse effects are one or more of thermal damage of the tissue, electrochemical effects, or electrolysis.
3. The method of claim 2 , wherein the at least one biphasic electrical pulse comprises a series of bipolar pulses with a net charge of zero.
4. The method of claim 3 , wherein the net charge of zero is achieved by a change in potential direction between each pulse, or a change in potential direction within each pulse.
5. The method of claim 3 , wherein the at least one biphasic electrical pulse comprises a train of bipolar pulses.
6. The method of claim 1 , wherein the at least one biphasic electrical pulse has a waveform which is square, triangular, trapezoidal, exponential decay, sawtooth, sinusoidal, or comprises a combination of one or more waveform.
7. The method of claim 1 , wherein the time delay is 1 times the pulse length to 5 times the pulse length.
8. The method of claim 1 , wherein the at least one biphasic electrical pulse comprises a series of bipolar pulses.
9. The method of claim 1 , wherein the at least one biphasic electrical pulse comprises a series of bipolar pulses, and a time delay between successive bipolar pulses is introduced.
10. The method of claim 9 , wherein the time delay is 1 times the pulse length to 3 times the pulse length.
11. The method of claim 1 , wherein the at least one biphasic electrical pulse is a multipolar pulse that starts at an initial polarity, then reverses polarity, then returns to the initial polarity.
12. A method of reducing adverse effects of non-thermal ablation comprising:
administering a first pulse having a positive polarity through one or more electrodes to tissue within a patient;
administering a second pulse with a negative polarity through one or more of the electrodes to the tissue;
wherein there is no delay between the first pulse and second pulse and the first pulse and the second pulse are administered at a frequency rate of 25 kHz to 1 MHz;
wherein the first pulse and the second pulse together cause non-thermal ablation of the tissue.
13. The method of claim 12 , wherein the second pulse is the same magnitude as the first pulse.
14. The method of claim 13 , wherein the first pulse and the second pulse are administered simultaneously.
15. The method of claim 13 , wherein the first pulse and the second pulse are offset from each other but overlap.
16. The method of claim 12 , wherein the first pulse is administered from a first pulse generator and the second pulse is administered from a second pulse generator.
17. The method of claim 12 , wherein the first pulse and the second pulse together are administered in a manner that reduces adverse effects of the non-thermal ablation.
18. The method of claim 12 , wherein the non-thermal ablation is irreversible electroporation.
19. A method of reducing adverse effects of non-thermal ablation comprising:
administering at least one biphasic electrical pulse through one or more electrodes to a target site within a patient at a frequency rate of 25 kHz to 1 MHz;
wherein the biphasic electrical pulse is configured to instantly reverse charge when alternating polarity, and wherein the at least one biphasic pulse is configured to result in non-thermal ablation of the tissue.
20. The method of claim 19 , wherein the non-thermal ablation is irreversible electroporation.
21. The method of claim 19 , wherein the at least one biphasic electrical pulse is configured to reduce negative effects of the non-thermal ablation of the tissue.