Skip to main content

Advertisement

Log in

Simultaneous microwave ablation using multiple antennas in explanted bovine livers: relationship between ablative zone and antenna

  • Original Article
  • Published:
Radiation Medicine Aims and scope Submit manuscript

Abstract

Purpose

Our purpose was to determine the optimal antenna spacing to achieve large ablative zones without indentations when microwave ablation is performed with simultaneous activation of two or three antennas.

Materials and methods

Microwave ablation was performed with single-antenna activation and simultaneous activation of two or three antennas with a spacing of 1.5, 2.0, 2.5, or 3.0 cm in explanted bovine livers. Microwave energy was applied for 10 min with a power of 45 W. The shapes and sizes of the ablative zones created were recorded and compared.

Results

The shape of the ablative zone was ellipsoid in the axial plane (along the antenna axis) and spherical in the transverse plane (perpendicular to the antenna axis) in single-antenna ablation. The ablative zones were spherical or ellipsoid in both the axial and transverse planes in two-and three-antenna ablation with an antenna spacing of 2.0 cm or less. Indentations were observed between the ablative zones created by the antennas when the spacing was 2.5 cm or more, reducing the minimum transverse diameter. When two-or three-antenna ablation was performed with a spacing of 2.0 cm or less, the axial and minimum transverse diameters were significantly larger than in single-antenna ablation. The largest volume (almost two or three times the single-activation volume) was achieved in two-or three-antenna ablation with an antenna spacing of 2.0 cm.

Conclusion

We found that simultaneous microwave ablation using multiple microwave antennas creates large ablative zones without indentations when multiple antennas are activated with an antenna spacing of 2.0 cm or less.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Livraghi T, Goldberg SN, Lazzaroni S, Meloni F, Ierace T, Solbiati L, et al. Small hepatocellular carcinoma: treatment with radio-frequency ablation versus ethanol injection. Radiology 1999;210(3):655–661.

    PubMed  CAS  Google Scholar 

  2. Yamakado K, Nakatsuka A, Ohmori S, Shiraki K, Nakano T, Ikoma J, et al. Radiofrequency ablation combined with chemoembolization in hepatocellular carcinoma: treatment response based on tumor size and morphology. J Vasc Intervent Radiol 2002;13(12):1225–1232.

    Article  Google Scholar 

  3. Takaki H, Yamakado K, Nakatsuka A, Fuke H, Murata K, Shiraki K, Takeda K. Radiofrequency ablation combined with chemoembolization for the treatment of hepatocellular carcinomas 5 cm or smaller: risk factors for local tumor progression. J Vasc Intervent Radiol 2007;18(7):856–861.

    Article  Google Scholar 

  4. Liang P, Dong B, Yu X, Yu D, Wang Y, Feng L, et al. Prognostic factors for survival in patients with hepatocellular carcinoma after percutaneous microwave ablation. Radiology 2005;235(1):299–307.

    Article  PubMed  Google Scholar 

  5. Seki T, Wakabayashi M, Nakagawa T, Itho T, Shiro T, Kunieda K, et al. Ultrasonically guided percutaneous microwave coagulation therapy for small hepatocellular carcinoma. Cancer (Phila) 1994;74(3):817–825.

    Article  CAS  Google Scholar 

  6. Shimada S, Hirota M, Beppu T, Matsuda T, Hayashi N, Tashima S, et al. Complications and management of microwave coagulation therapy for primary and metastatic liver tumors. Jpn J Surg 1998;28:1130–1137.

    Article  CAS  Google Scholar 

  7. Dong B, Liang P, Yu X, Su L, Yu D, Cheng Z, et al. Percutaneous sonographically guided microwave coagulation therapy for hepatocellular carcinoma: results in 234 patients. AJR 2003;180:1547–1555.

    PubMed  Google Scholar 

  8. Lu M, Chen J, Xie X, Liu L, Huang XQ, Liang LJ, et al. Hepatocellular carcinoma: US-guided percutaneous microwave coagulation therapy. Radiology 2001;221:167–172.

    Article  PubMed  CAS  Google Scholar 

  9. Yu NC, Lu DSK, Raman SS, Dupuy DE, Simon CJ, Lassman C, et al. Hepatocellular carcinoma: microwave ablation with multiple straight and loop antenna clusters. Pilot comparison with pathologic findings. Radiology 2006;239(1):269–275.

    Article  PubMed  Google Scholar 

  10. Simon CJ, Dupuy DE, Lannitti DA, Lu DS, Yu NC, Aswad BI, et al. Intraoperative triple antenna hepatic microwave ablation. AJR 2006;187:W333–W340.

    Article  PubMed  Google Scholar 

  11. Shibata T, Iimuro Y, Yamamoto Y, Maetani Y, Ametani F, Itoh K, Konishi J. Small hepatocellular carcinoma: comparison of radio-frequency ablation and percutaneous microwave coagulation therapy. Radiology 2002;223(2):331–337.

    Article  PubMed  Google Scholar 

  12. Lu MD, Xu HX, Xie XY, Yin XY, Chen JW, Kuang M, et al. Percutaneous microwave and radiofrequency ablation for hepatocellular carcinoma: a retrospective comparative study. J Gastroenterol 2005;40(11):1054–1060.

    Article  PubMed  Google Scholar 

  13. Ohmoto K, Yoshioka N, Tomiyama Y, Shibata N, Kawase T, Yoshida K, et al. Thermal ablation therapy for hepatocellular carcinoma: comparison between radiofrequency ablation and percutaneous microwave coagulation therapy. Hepatogastroenterology 2006;53(71):651–654.

    PubMed  Google Scholar 

  14. Simon CJ, Dupuy DE, Mayo-Smith WW. Microwave ablation: principles and applications. Radiographics 2005;25:s69–s83.

    Article  PubMed  Google Scholar 

  15. Wright AS, Lee FT, Mahvi DM. Hepatic microwave ablation with multiple antennae results in synergistically larger zones of coagulation necrosis. Ann Surg Oncol 2003;10(3):275–283.

    Article  PubMed  Google Scholar 

  16. Wright AS, Sampson LA, Warner TF, Mahvi DM, Lee FT. Radiofrequency versus microwave ablation in a hepatic porcine model. Radiology 2005;236(1):132–139.

    Article  PubMed  Google Scholar 

  17. Hines-Peralta AU, Pirani N, Clegg P, Cronin N, Ryan TP, Liu Z, et al. Microwave ablation: results with a 2.45-GHz applicator in ex vivo bovine and in vivo porcine liver. Radiology 2006;239(1):94–102.

    Article  PubMed  Google Scholar 

  18. Mulier S, Ni Y, Frich L, Burdio F, Denys AL, De Wispelaere JF, et al. Experimental and clinical radiofrequency ablation: proposal for standardized description of coagulation size and geometry. Ann Surg Oncol 2007;14(4):1381–1396.

    Article  PubMed  Google Scholar 

  19. Goldberg SN, Grassi CJ, Cardella JF, Charboneau JW, Dodd GD III, Dupuy DE, et al. Image-guided tumor ablation: standardization of terminology and reporting criteria. Radiology 2005;235(3):728–739.

    Article  PubMed  Google Scholar 

  20. Brace CL, Laeseke PF, Sampson LA, Frey TM, van der Weide DW, Lee FT Jr. Microwave ablation with a single small-gauge triaxial antenna: in vivo porcine liver model. Radiology 2007;242(2):435–440.

    Article  PubMed  Google Scholar 

  21. Shibata T, Niinobu T, Ogata N. Comparison of the effects of in-vivo thermal ablation of pig liver by microwave and radiofrequency coagulation. J Hepatobiliary Pancreat Surg 2000;7(6):592–598.

    Article  PubMed  CAS  Google Scholar 

  22. Laeseke PF, Sampson LA, Haemmerich D, Brace CL, Fine JP, Frey TM, et al. Multiple-electrode radiofrequency ablation creates confluent areas of necrosis: in vivo porcine liver results. Radiology 2006;241(1):116–124.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Koichiro Yamakado.

About this article

Cite this article

Oshima, F., Yamakado, K., Nakatsuka, A. et al. Simultaneous microwave ablation using multiple antennas in explanted bovine livers: relationship between ablative zone and antenna. Radiat Med 26, 408–414 (2008). https://doi.org/10.1007/s11604-008-0251-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11604-008-0251-x

Key words

Navigation