Abstract

Background: Irreversible electroporation (IRE) is an ablation technique based on the application of short, high-voltage pulses between needle electrodes (diameter: ~1.0 × 10−3 m). A Finite Difference-based software simulating IRE treatment generally uses rectangular grids, yielding discretization issues when modeling cylindrical electrodes and potentially affecting the validity of treatment planning simulations. Aim: Develop an Electric-Potential Estimation (EPE) method for accurate prediction of the electric-potential distribution in the vicinity of cylindrical electrodes. Methods: The electric-potential values in the voxels neighboring the cylindrical electrode voxels were corrected based on analytical solutions derived for coaxial/cylindrical electrodes. Simulations at varying grid resolutions were validated using analytical models. Low-resolution heterogeneous simulations at 2.0 × 10−3 m excluding/including EPE were compared with high-resolution results at 0.25 × 10−3 m. Results: EPE significantly reduced maximal errors compared to analytical results for the electric-potential distributions (26.6–71.8%→0.4%) and for the electrical resistance (30%→1–6%) at 3.0 × 10−3 m voxel-size. EPE significantly improved the mean-deviation (43.1–52.8%→13.0–24.3%) and the calculation-time gain (>15,000×) of low-resolution compared to high-resolution heterogeneous simulations. Conclusions: EPE can accurately predict the potential distribution of neighboring cylindrical electrodes, regardless of size, position, and orientation in a rectangular grid. The simulation time of treatment planning can therefore be shortened by using large voxel-sized models without affecting accuracy of the electric-field distribution, enabling real-time clinical IRE treatment planning.

Highlights

  • Irreversible Electroporation (IRE) is a local ablation modality that is currently investigated for the treatment of unresectable tumors, including liver, lung, pancreatic, and urological cancers [1,2,3,4,5]

  • Contrary to conventional thermal ablation techniques, in which ablation is achieved by exceeding the thermal-damage temperature threshold, the Irreversible electroporation (IRE) procedure is based on the application of short, high-voltage pulses across needle or plate electrode pairs implanted in and surrounding the target volume to cause nanopores in the cell membranes [6]

  • These errreomrasinnselaowr,tiht eslieglhetclytrioncdreeaaseldsofrroemd2u.4c%edtot3o.5v%a,lpuoesssibslmy daulleertotthhaenfac0t.4th%at athfetevroxel inclusion of Electric-Potential Estimation (EPE). size has the same width as the diameter of the cylindrical electrode

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Summary

Introduction

Irreversible Electroporation (IRE) is a local ablation modality that is currently investigated for the treatment of unresectable tumors, including liver, lung, pancreatic, and urological cancers [1,2,3,4,5]. The influence of individual parameters can be investigated by varying a single parameter, while maintaining other parameters constant This way, computational modelling can assist in the optimization of IRE protocols. Irreversible electroporation (IRE) is an ablation technique based on the application of short, high-voltage pulses between needle electrodes (diameter: ~1.0 × 10−3 m). A Finite Difference-based software simulating IRE treatment generally uses rectangular grids, yielding discretization issues when modeling cylindrical electrodes and potentially affecting the validity of treatment planning simulations. Conclusions: EPE can accurately predict the potential distribution of neighboring cylindrical electrodes, regardless of size, position, and orientation in a rectangular grid. The simulation time of treatment planning can be shortened by using large voxel-sized models without affecting accuracy of the electric-field distribution, enabling real-time clinical IRE treatment planning

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