Ablation of Hepatic Tumors Simultaneous 微波消融治疗肝肿瘤的同时ppt课件.ppt

美国自发性脑出血处理指南课件慢性鼻炎吃什么药好慢性鼻窦炎吃什中医中药治疗高血脂饮食保健资料子宫肌瘤合并胆囊炎围手术期护理中医药对冠心病稳定性心绞痛长期治疗价值 慢性单纯性苔藓痤疮白癜风教材课程 Comparison of Microwave and Radiofrequency Ablation of Hepatic Tissue in a Porcine in vivo Model. Andrew Wright MD, Chris Johnson, Fred Lee Jr. MD, and David Mahvi MD Departments of Radiology and Surgery University of Wisconsin Hospital Microwave Ablation Theoretical advantages over radiofrequency ablation No ground pad Not limited by tissue charring and impedence changes Larger zone of active heating Use of Multiple Probes Hypothesis Because microwave and radiofrequency ablation are both heat based, there will be no difference in ablation size or lesion pathology between the two technologies Methods Microwave Ablation Vivant Medical prototype system 10 minute ablation, 40 Watts Radiofrequency Ablation RITA Medical Systems Starburst 10 minute ablation, 3cm deployment 100oC target temperature Microwave Ablation System ? Vivant Medical ? 13g, 15cm dipole antenna ? 915MHz generator ? Fiberoptic temperature monitor Radiofrequency Ablation System ? RITA Medical ? 14g, 15cm expandable array ? 460 kHz generator ? Integrated thermocouple Treatment Protocol Nineteen crossbred female swine 0, 2, and 28 day survival groups Mix of MW and RF lesions in each animal Pathology, serial CT scanning 28 Day survival group 4 MW or 4 RF lesions in each animal Pathology, serial lab draws Lesion Volume * * * p=.02 Lesion Length * * ? ? ? * p.001 ? p=.02 ? p.001 ? Lesion Diameter Laboratory Data * * p0.001 No significant difference in AST, ALT, LDH, Alkaline Phosphatase, WBC, or HCT * * * * 美国自发性脑出血处理指南课件慢性鼻炎吃什么药好慢性鼻窦炎吃什中医中药治疗高血脂饮食保健资料子宫肌瘤合并胆囊炎围手术期护理中医药对冠心病稳定性心绞痛长期治疗价值 慢性单纯性苔藓痤疮白癜风教材课程 3.6cm length of actively radiating antenna