Determination of Tissue Thermal Conductivity as a Function of Thermal Dose and Its Application in Finite Element Modeling of Electrosurgical Vessel Sealing

A new model of electrosurgical tissue damage for neurosurgery simulation

BACKGROUND

Bipolar hemostasis electrocoagulation is a fundamental procedure in neurosurgery. A precise electrocoagulation model is essential to enable realistic visual feedback in virtual neurosurgical simulation. However, existing models lack an accurate description of the heat damage and irreversible tissue deformation caused by electrocoagulation, thus diminishing the visual realism. This work focuses on the electrocoagulation model for neurosurgery simulation.

METHOD

In this paper, a position-based dynamics (PBD) model with a bioheat transfer and damage prediction (BHTDP) method is developed for simulating the deformation of brain tissue caused by electrocoagulation. The presented BTHDP method uses the Arrhenius equation to predict thermal damage of brain tissue. A deformation model with energy and thermal damage constraints is developed to characterize soft tissue deformation during heat absorption before and after thermal injury. Visual effect of damaged brain tissue is re-rendered.

RESULT

To evaluate the accuracy of the proposed method, numerical simulations were conducted and compared with commercial finite element software. The maximum normalized error of the proposed model for predicting midpoint temperature is 10.3 % and the maximum error for predicting the thermal damage is 5.4 %. The contraction effects of heat-exposed anisotropic tissues are also simulated. The results indicate that the presented electrocoagulation model provides stable and realistic visual effects, making it applicable for simulating the electrocoagulation process in virtual neurosurgery.

Minimally Invasive Live Tissue High-Fidelity Thermophysical Modeling Using Real-Time Thermography

We present a novel thermodynamic parameter estimation framework for energy-based surgery on live tissue, with direct applications to tissue characterization during electrosurgery. This framework addresses the problem of estimating tissue-specific thermodynamics in real-time, which would enable accurate prediction of thermal damage impact to the tissue and damage-conscious planning of electrosurgical procedures. Our approach provides basic thermodynamic information such as thermal diffusivity, and also allows for obtaining the thermal relaxation time and a model of the heat source, yielding in real-time a controlled hyperbolic thermodynamics model. The latter accounts for the finite thermal propagation time necessary for modeling of the electrosurgical action, in which the probe motion speed often surpasses the speed of thermal propagation in the tissue operated on. Our approach relies solely on thermographer feedback and a knowledge of the power level and position of the electrosurgical pencil, imposing only very minor adjustments to normal electrosurgery to obtain a high-fidelity model of the tissue-probe interaction. Our method is minimally invasive and can be performed in situ. We apply our method first to simulated data based on porcine muscle tissue to verify its accuracy and then to in vivo liver tissue, and compare the results with those from the literature. This comparison shows that parameterizing the Maxwell-Cattaneo model through the framework proposed yields a noticeably higher fidelity real-time adaptable representation of the thermodynamic tissue response to the electrosurgical impact than currently available. A discussion on the differences between the live and the dead tissue thermodynamics is also provided.

Wireless Power Transfer Approaches for Medical Implants: A Review

Wireless power transmission (WPT) is a critical technology that provides an alternative for wireless power and communication with implantable medical devices (IMDs). This article provides a study concentrating on popular WPT techniques for IMDs including inductive coupling, microwave, ultrasound, and hybrid wireless power transmission (HWPT) systems. Moreover, an overview of the major works is analyzed with a comparison of the symmetric and asymmetric design elements, operating frequency, distance, efficiency, and harvested power. In general, with respect to the operating frequency, it is concluded that the ultrasound-based and inductive-based WPTs have a low operating frequency of less than 50 MHz, whereas the microwave-based WPT works at a higher frequency. Moreover, it can be seen that most of the implanted receiver’s dimension is less than 30 mm for all the WPT-based methods. Furthermore, the HWPT system has a larger receiver size compared to the other methods used. In terms of efficiency, the maximum power transfer efficiency is conducted via inductive-based WPT at 95%, compared to the achievable frequencies of 78%, 50%, and 17% for microwave-based, ultrasound-based, and hybrid WPT, respectively. In general, the inductive coupling tactic is mostly employed for transmission of energy to neuro-stimulators, and the ultrasonic method is used for deep-seated implants.