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In vitro evaluation of brain lesioning electrodes (Leksell) using a computer-assisted video system
Linköping University, Department of Biomedical Engineering. Linköping University, The Institute of Technology.
Linköping University, Department of Biomedical Engineering. Linköping University, The Institute of Technology.ORCID iD: 0000-0002-0012-7867
Linköping University, Department of Biomedical Engineering. Linköping University, The Institute of Technology.
Department of Neurosurgery, University of Lund, Lund, Sweden.
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1999 (English)In: Neurological Research, ISSN 0161-6412, Vol. 21, no 1, 89-95 p.Article in journal (Refereed) Published
Abstract [en]

Radiofrequency (RF) generated thermal brain lesions are widely used in functional neurosurgery. The size, shape and development of the lesions depends on system parameter settings and the electrode configuration. Difficulties in studying the effect of these factors in vivo stimulated us to develop an in vitro system for standardized comparison between different electrodes and physical parameters. A computer-assisted video system was set-up allowing continuous video recording of RF-generated coagulations in either a standard albumin solution or in the fresh white of a hen's egg as transparent test substrates. Ten lesions were made with each test electrode (two bipolar and three monopolar) in each of the two substrates at 70 degrees, 80 degrees and 90 degrees C (t = 60 sec). Due to the better homogeneity the lesions in the albumin solution were much more regular and reproducible. This made it possible to calculate the size (width 2.2 +/- 0.1 to 5.3 +/- 0.1 mm and length 3.0 +/- 0.1 to 8.7 +/- 0.3 mm) as well as the volume (8.5 +/- 1.4 mm3 to 133.5 +/- 26.8 mm3). It is concluded that this in vitro system offers a reproducible way to study and document the effect of different electrode configurations and RF-generator settings on the formation of a heat lesion. Even if the results are not directly applicable to the living human brain they give an estimate of the form and size of a coagulation lesion and can be of value for standardized comparisons between different electrodes.

Place, publisher, year, edition, pages
1999. Vol. 21, no 1, 89-95 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-30203PubMedID: 10048063Local ID: 15697OAI: oai:DiVA.org:liu-30203DiVA: diva2:251025
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2016-05-04
In thesis
1. Characterisation and modelling of radio-frequency lesioning in functional neurosurgery
Open this publication in new window or tab >>Characterisation and modelling of radio-frequency lesioning in functional neurosurgery
2001 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis focuses on the characterisation and modelling of the radio frequency (RF) lesioning with emphasis on size estimation in functional neurosurgery. A computer-assisted video system has been set up for standardised test and documentation of protein clots generated by RF-lesioning electrodes in an albumin solution. A standardised test is essential in comparing assessed results of the size and shape of protein clots generated using different parameters. This is beneficial to both the manufacturer oflesioning electrodes as well as the surgeon.

In an animal study, performed analogously to thalamotomy in man, the correlation in size between in vitro protein clots and in vivo lesions has been investigated. The result shows a high correlation between protein clots and lesions observed on MR images; and lesions observed on MR images and corresponding coagulated tissue in histological sectionings. This actualises the value of presurgical electrode tests to validate the electrode function and lesion size in vitro.

A finite element model has been set-up in order to facilitate studies of the growth and the temperature distribution during the lesioning process. Of the utmost importance is the finding of a difference in temperature between maximum temperature, located outside the electrode, compared to the intra-electrode (thermocouple) temperature.

A method for real time monitoring of lesion growth and estimation of lesion size utilising static and/or Doppler broadened laser light is proposed. Implemented in a surgical-assist system, this could give valuable guidance to the surgeon as to whether the desired lesion size is obtained or not and keep the destruction precise, but to a minimum.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2001. 70 p.
Series
Linköping Studies in Science and Technology. Dissertations, ISSN 0345-7524 ; 693
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-29440 (URN)14786 (Local ID)91-7373-033-5 (ISBN)14786 (Archive number)14786 (OAI)
Public defence
2001-06-01, Elsa Brändströmssalen, Universitetssjukhuset, Linköping, 09:15 (Swedish)
Opponent
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2013-02-26

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Eriksson, OlaWårdell, KarinEriksson-Bylund, Nina

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