Method for Estimating Thermal Ablation Volume and Geometry
This invention pertains a system and methods for ablation treatment of tissues. The invention aims to improve current models that allow predicting the volume and geometry of thermal ablations. Particularly the invention consists in a method that allows accounting for effects that occur when vapor that forms at the ablation site is able to seep in cavities that might encroach the ablation site and to deliver heat to the tissues of those cavities, creating an ablation geometry that is not described by current ablation models.
1 . A method for estimating the volume and geometry of tissues necrotized by thermal ablations making use of models which account for the thermal effects of vapor traveling in ducts, interstitial spaces, holes, cavities present in the tissues and encroaching the ablations site, comprising the steps of:
computing the temperature in the tissues under the effect of the ablation power applied to the tissues, where this power might be, for example, of electrical or electromagnetic nature;
accounting for the thermal power absorbed from the tissues by the evaporation of water present in the tissues;
redistributing part of the thermal power absorbed from evaporation to the volumes and/or surfaces of said ducts, interstitial spaces, holes, cavities encroaching the ablations site, thus modeling the heating that vapor causes by traveling through those structures and/or by condensing in those structures;
updating the computed temperature based on the redistribution of heat to the volumes and/or surfaces of said ducts, interstitial spaces, holes, cavities encroaching the ablations site;
computing which tissues are necrotized by the ablation using a relationship that links, at least, but not limited to, the temperature in the tissues to the damage of tissues.
2 . The method of claim 1 where part of the thermal power absorbed from evaporation is redistributed in a region along the shaft of a needle-shaped ablation device to model the heating effect of vapor that infiltrates the track in the tissues created by the insertion of the needle-shaped device, similarly to the particular embodiment shown in FIG. 6 where this region is cylindrical ( 603 ).
3 . The method of claim 1 where part of the power absorbed from evaporation is redistributed to surfaces of liver fissures, to model the heating effect of vapor that infiltrates such fissures, similarly to the particular embodiment shown in FIG. 10 where these surfaces are indicated as ( 1006 ).
4 . The method of claim 1 applied to the study or design of ablation devices.
5 . The method of claim 1 applied in systems for treatment planning.
6 . The method of claim 1 applied in systems for intraoperative guidance.
7 . The method of claim 2 applied to the study or design of ablation devices.
8 . The method of claim 2 applied in systems for treatment planning.
9 . The method of claim 2 applied in systems for intraoperative guidance.
10 . The method of claim 3 applied to the study or design of ablation devices.
11 . The method of claim 3 applied in systems for treatment planning.
12 . The method of claim 3 applied in systems for intraoperative guidance.
13 . The method of using a deformable liver model carrying information about the anatomy of the liver fissures, and adapted to medical images of the patient, in order to estimate the true intracorporal position of the fissures in the patient from the adapted deformable liver model.
14 . The method of injecting high-contrast media such as gases, powders, or liquids at the ablation site, where these gases, powders, or liquids might travel to ducts, interstitial spaces, holes, cavities present in the tissues and render these structures visible in medical images by virtue of enhancing contrast, and possibly by virtue of enlarging these gaps.