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Experimental Studies |
1 From the Departments of Radiology (C.L.B., L.A.S., T.M.F., F.T.L.), Biomedical Engineering (P.F.L.), and Electrical and Computer Engineering (D.W.v.d.W.), University of WisconsinMadison, 600 Highland Ave, Madison, WI 53792-3252. Received December 16, 2005; revision requested February 10; revision received September 20; accepted November 3; final version accepted November 8. Supported by National Institutes of Health Grant R21 RR018303-01. Address correspondence to C.L.B. (e-mail: clbrace{at}wisc.edu).
Purpose: To prospectively investigate the ability of a single generator to power multiple small-diameter antennas and create large zones of ablation in an in vivo swine liver model.
Materials and Methods: Thirteen female domestic swine (mean weight, 70 kg) were used for the study as approved by the animal care and use committee. A single generator was used to simultaneously power three triaxial antennas at 55 W per antenna for 10 minutes in three groups: a control group where antennas were spaced to eliminate ablation zone overlap (n = 6; 18 individual zones of ablation) and experimental groups where antennas were spaced 2.5 cm (n = 7) or 3.0 cm (n = 5) apart. Animals were euthanized after ablation, and ablation zones were sectioned and measured. A mixed linear model was used to test for differences in size and circularity among groups.
Results: Mean (±standard deviation) cross-sectional areas of multiple-antenna zones of ablation at 2.5- and 3.0-cm spacing (26.6 cm2 ± 9.7 and 32.2 cm2 ± 8.1, respectively) were significantly larger than individual ablation zones created with single antennas (6.76 cm2 ± 2.8, P < .001) and were 31% (2.5-cm spacing group: multiple antenna mean area, 26.6 cm2; 3x single antenna mean area, 20.28 cm2) to 59% (3.0-cm spacing group: multiple antenna mean area, 32.2 cm2; 3x single antenna mean area, 20.28 cm2) larger than 3 times the mean area of the single-antenna zones. Zones of ablation were found to be very circular, and vessels as large as 1.1 cm were completely coagulated with multiple antennas.
Conclusion: A single generator may effectively deliver microwave power to multiple antennas. Large volumes of tissue may be ablated and large vessels coagulated with multiple-antenna ablation in the same time as single-antenna ablation.
© RSNA, 2007
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