Methods for enhancing and modulating reversible and irreversible electroporation lesions by manipulating pulse waveforms
A ratio of reversible electroporation and irreversible electroporation may be controlled by selecting a symmetric waveform or asymmetric waveform to either minimize or enhance irreversible effects on cells in the target tissue. Combined reversible and irreversible electroporation includes inserting one or more therapeutic electrodes into a target tissue, introducing an electroporation compound into the target tissue, selecting a pulse waveform that is either 1) asymmetric bipolar that has positive and negative pulses with different durations, or 2) symmetric bipolar that has positive and negative pulses with the same duration, and delivering to the target tissue a series of electrical pulses having the selected pulse waveform.
1. A method for electroporation, the method comprising:
selecting a desired treatment size for an ablation therapy treatment zone;
inserting one or more therapeutic source electrodes into a target tissue;
placing one or more sink electrodes in contact with the target tissue;
selecting automatically by a computer an asymmetric bipolar pulse waveform that has positive pulses and negative pulses with different durations, wherein the computer computes a ratio of durations of the positive pulses and the negative pulses from the desired treatment size such that the ratio varies with the desired treatment size;
delivering to the target tissue a series of electrical pulses having the selected asymmetric bipolar pulse waveform;
whereby the desired treatment size for the ablation treatment zone may be controlled to either minimize or enhance ablation of cells in the target tissue.
2. The method of claim 1 wherein selecting an asymmetric bipolar pulse waveform comprises selecting an energy delivered in each burst, and a number of bursts delivered.
3. The method of claim 1 wherein selecting an asymmetric bipolar pulse waveform comprises computing voltage magnitudes for the positive pulses and the negative pulses.
4. The method of claim 1 wherein selecting an asymmetric bipolar pulse waveform comprises selecting an asymmetric waveform whose positive and negative pulses have different voltage magnitudes, wherein the computer computes the voltage magnitudes of the positive pulses and the negative pulses from the desired treatment size.
5. The method of claim 1 further comprising: selecting a desired treatment size for a reversible treatment zone; introducing an electroporation compound into the target tissue; and wherein the computer computes asymmetric bipolar pulse waveform parameters based on the desired treatment size for the reversible treatment zone.
6. An apparatus for electroporation, the apparatus comprising:
therapeutic electrodes for insertion into a target tissue;
a computer controller for generating an asymmetric bipolar pulse waveform that has positive pulses and negative pulses with different durations, wherein the computer controller computes a ratio of durations of the positive pulses and the negative pulses from a desired treatment size for an ablation therapy treatment zone such that the ratio varies with the desired treatment size;
a hardware controller for generating high voltage electrical pulses to the therapeutic electrodes in accordance with the generated asymmetric bipolar pulse waveform; such that the desired treatment size for the ablation treatment zone may be controlled to either minimize or enhance ablation of cells in the target tissue.
7. The apparatus of claim 6 comprising a high voltage switching circuit comprising four switches to create an H-Bridge configuration for delivering positive and negative polarity pulses from a single high voltage power supply.
8. The apparatus of claim 6 comprising two switches in a totem pole configuration for delivering positive and negative polarity pulses from a positive and negative power supply.
9. The apparatus of claim 6 comprising a transformer in conjunction with an H-Bridge or totem pole configuration to step up a lower voltage to a higher voltage.
10. The apparatus of claim 6 further comprising a capacitor bank comprising switches, wherein each switch is made up of two or more components in parallel and two or more components in series to increase the voltage and current that each switch can deliver.
11. The apparatus of claim 6 comprising a high voltage source connected to a capacitor bank of one or more capacitors in a series-parallel arrangement.
12. The apparatus of claim 6 comprising a high voltage source connected to a single high voltage capacitor.