Key result
Electrode depth, orientation, and porosity alter RF ablation outcomes, while thermal relaxation only matters under 30 seconds.
Why the study?
A fully coupled electro-thermo-mechanical model incorporating fluid–structure interaction and non-Fourier bio-heat transfer effects for cardiac ablation was developed to better predict treatment outcomes.
A fully coupled electro-thermo-mechanical model demonstrates that electrode positioning and tissue porosity are critical factors in predicting RF ablation volumes.
Should not guide clinical ablation techniques; leaves open validation of electrode and porosity effects in human studies.
In this study, a fully coupled electro-thermo-mechanical model of radiofrequency (RF)-assisted cardiac ablation has been developed, incorporating fluid–structure interaction, thermal relaxation time effects and porous media approach. A non-Fourier based bio-heat transfer model has been used for predicting the temperature distribution and ablation zone during the cardiac ablation. The blood has been modeled as a Newtonian fluid and the velocity fields are obtained utilizing the Navier–Stokes equations. The thermal stresses induced due to the heating of the cardiac tissue have also been accounted. Parametric studies have been conducted to investigate the effect of cardiac tissue porosity, thermal relaxation time effects, electrode insertion depths and orientations on the treatment outcomes of the cardiac ablation. The results are presented in terms of predicted temperature distributions and ablation volumes for different cases of interest utilizing a finite element based COMSOL Multiphysics software. It has been found that electrode insertion depth and orientation has a significant effect on the treatment outcomes of cardiac ablation. Further, porosity of cardiac tissue also plays an important role in the prediction of temperature distribution and ablation volume during RF-assisted cardiac ablation. Moreover, thermal relaxation times only affect the treatment outcomes for shorter treatment times of less than 30 s.
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Singh et al. (2021) studied Cardiac Ablation. Coupled electro-thermo-mechanical model of radiofrequency (RF)-assisted cardiac ablation was evaluated on Temperature distribution and ablation volume. Electrode insertion depth, orientation, and cardiac tissue porosity significantly affect the treatment outcomes of RF-assisted cardiac ablation, while thermal relaxation times only affect outcomes for treatment times under 30 seconds.
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