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DOI: 10.1148/radiol.2303021801
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Radiofrequency Ablation: Effect of Surrounding Tissue Composition on Coagulation Necrosis in a Canine Tumor Model1

Muneeb Ahmed, MD, Zhengjun Liu, MD, Karim S. Afzal, BA, Dawn Weeks, RTR, S. Melvyn Lobo, MD, Jonathan B. Kruskal, MD, PhD, Robert E. Lenkinski, PhD and S. Nahum Goldberg, MD

1 From the Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA 02215. From the 2002 RSNA scientific assembly. Received December 30, 2002; revision requested March 10, 2003; final revision received July 10; accepted August 18. Supported by National Cancer Institute grant RO1-CA87992–01A1. Address correspondence to S.N.G. (e-mail: sgoldber@caregroup.harvard.edu).



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Figure 1. Effect of different tissue sites on RF tumor ablation effectiveness. A, Tumor implanted in kidney. B, Tumor implanted subcutaneously. C, Tumor implanted in lung. Significantly smaller coagulation diameter (mean, 7 mm) was achieved in the kidney tissue site (A) in comparison to that in subcutaneous (B) and lung (C) tissue sites. In A, viable and perfused tumor, as evidenced by the uptake of 2% Evans blue dye (arrows), persists around the central ablation zone. In B, greater coagulation diameter (9 mm [arrows]) is observed in subcutaneous tumors than in kidney tumors, but viable tumor tissue persists in the tumor margins. In C, greatest coagulation diameter (14 mm) was observed in lung tumors. Tumor was completely treated in this case, including a margin of normal surrounding lung parenchyma (black arrows). White arrow indicates tumor-ablation margin interface.

 


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Figure 2. Graph plots correlation of overall baseline system impedance to RF-induced coagulation diameter for tumors treated in lung, subcutaneous, and kidney tissue sites. Linear correlation is suggested by increasing RF-induced coagulation with increasing electric impedance of surrounding normal parenchyma (y = 167.4x + 51.4, R2 = 0.65).

 





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