Large-volume tissue ablation with radio frequency by using a clustered, internally cooled electrode technique: Laboratory and clinical experience in liver metastases

S. Nahum Goldberg, Luigi Solbiati, Peter F. Hahn, Eric Cosman, Jennifer E. Conrad, Robert Fogle, G. Scott Gazelle

Research output: Contribution to journalArticle

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Abstract

PURPOSE: To evaluate whether coagulation necrosis achievable with radio- frequency (RF) ablation can be increased by using a cluster of closely spaced electrodes. MATERIALS AND METHODS: RF was applied to ex vivo liver (n = 68), in vivo liver (n = 12), and in vivo muscle (n = 15) by using a cluster array of three separate internally cooled electrodes spaced 0.5 cm apart. The diameter of coagulation necrosis achieved with optimal RF deposition (1,400- 2,150 peak mA) for 5-60 minutes of RF application was determined for electrode tip lengths of 1.5-3.0 cm and compared with that obtained by using a single electrode and otherwise similar technique. Ten patients with solitary intrahepatic colorectal metastases were also treated by using cluster electrode RF ablation. RESULTS: In ex vivo liver, simultaneous RF application to electrode clusters for 15, 30, and 45 minutes produced 4.7 cm ± 0.1, 6.2 cm ± 0.1, and 7.0 cm ± 0.2 of coagulation necrosis, respectively. In in vivo liver and muscle, RF applied to electrode clusters for 12 minutes yielded 3.1 cm ± 0.2 and 7.6 cm ± 0.4 of coagulation, respectively. RF application to a single electrode produced maximal coagulation of 2.9 cm in ex vivo liver, 1.8 cm in in vivo liver, and 4.3 cm in muscle (P <.01, all tissues). In colorectal metastases, a single 12-15- minute application of RF to an electrode cluster induced 4.5-7.0 cm of coagulation necrosis. CONCLUSION: Simultaneous RF application to a cluster of three closely spaced internally cooled electrodes enables a larger volume of coagulation in ex vivo liver, in vivo tissues, and hepatic colorectal metastases than previously reported.

Original languageEnglish
Pages (from-to)371-379
Number of pages9
JournalRadiology
Volume209
Issue number2
Publication statusPublished - Nov 1998

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Clinical Laboratory Techniques
Radio
Electrodes
Neoplasm Metastasis
Liver
Necrosis
Muscles

Keywords

  • Liver neoplasms
  • Liver neoplasms, therapy
  • Radiofrequency (RF) ablation

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Large-volume tissue ablation with radio frequency by using a clustered, internally cooled electrode technique : Laboratory and clinical experience in liver metastases. / Goldberg, S. Nahum; Solbiati, Luigi; Hahn, Peter F.; Cosman, Eric; Conrad, Jennifer E.; Fogle, Robert; Gazelle, G. Scott.

In: Radiology, Vol. 209, No. 2, 11.1998, p. 371-379.

Research output: Contribution to journalArticle

Goldberg, S. Nahum ; Solbiati, Luigi ; Hahn, Peter F. ; Cosman, Eric ; Conrad, Jennifer E. ; Fogle, Robert ; Gazelle, G. Scott. / Large-volume tissue ablation with radio frequency by using a clustered, internally cooled electrode technique : Laboratory and clinical experience in liver metastases. In: Radiology. 1998 ; Vol. 209, No. 2. pp. 371-379.
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AU - Conrad, Jennifer E.

AU - Fogle, Robert

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N2 - PURPOSE: To evaluate whether coagulation necrosis achievable with radio- frequency (RF) ablation can be increased by using a cluster of closely spaced electrodes. MATERIALS AND METHODS: RF was applied to ex vivo liver (n = 68), in vivo liver (n = 12), and in vivo muscle (n = 15) by using a cluster array of three separate internally cooled electrodes spaced 0.5 cm apart. The diameter of coagulation necrosis achieved with optimal RF deposition (1,400- 2,150 peak mA) for 5-60 minutes of RF application was determined for electrode tip lengths of 1.5-3.0 cm and compared with that obtained by using a single electrode and otherwise similar technique. Ten patients with solitary intrahepatic colorectal metastases were also treated by using cluster electrode RF ablation. RESULTS: In ex vivo liver, simultaneous RF application to electrode clusters for 15, 30, and 45 minutes produced 4.7 cm ± 0.1, 6.2 cm ± 0.1, and 7.0 cm ± 0.2 of coagulation necrosis, respectively. In in vivo liver and muscle, RF applied to electrode clusters for 12 minutes yielded 3.1 cm ± 0.2 and 7.6 cm ± 0.4 of coagulation, respectively. RF application to a single electrode produced maximal coagulation of 2.9 cm in ex vivo liver, 1.8 cm in in vivo liver, and 4.3 cm in muscle (P <.01, all tissues). In colorectal metastases, a single 12-15- minute application of RF to an electrode cluster induced 4.5-7.0 cm of coagulation necrosis. CONCLUSION: Simultaneous RF application to a cluster of three closely spaced internally cooled electrodes enables a larger volume of coagulation in ex vivo liver, in vivo tissues, and hepatic colorectal metastases than previously reported.

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