The Journal of Membrane Biology

, Volume 246, Issue 11, pp 833–842 | Cite as

Planning of Electroporation-Based Treatments Using Web-Based Treatment-Planning Software

  • Denis Pavliha
  • Bor Kos
  • Marija Marčan
  • Anže Županič
  • Gregor Serša
  • Damijan Miklavčič
Article

Abstract

Electroporation-based treatment combining high-voltage electric pulses and poorly permanent cytotoxic drugs, i.e., electrochemotherapy (ECT), is currently used for treating superficial tumor nodules by following standard operating procedures. Besides ECT, another electroporation-based treatment, nonthermal irreversible electroporation (N-TIRE), is also efficient at ablating deep-seated tumors. To perform ECT or N-TIRE of deep-seated tumors, following standard operating procedures is not sufficient and patient-specific treatment planning is required for successful treatment. Treatment planning is required because of the use of individual long-needle electrodes and the diverse shape, size and location of deep-seated tumors. Many institutions that already perform ECT of superficial metastases could benefit from treatment-planning software that would enable the preparation of patient-specific treatment plans. To this end, we have developed a Web-based treatment-planning software for planning electroporation-based treatments that does not require prior engineering knowledge from the user (e.g., the clinician). The software includes algorithms for automatic tissue segmentation and, after segmentation, generation of a 3D model of the tissue. The procedure allows the user to define how the electrodes will be inserted. Finally, electric field distribution is computed, the position of electrodes and the voltage to be applied are optimized using the 3D model and a downloadable treatment plan is made available to the user.

Keywords

Electroporation Electrochemotherapy Nonthermal irreversible electroporation Treatment planning Telemedicine 

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Denis Pavliha
    • 1
  • Bor Kos
    • 1
  • Marija Marčan
    • 1
  • Anže Županič
    • 1
  • Gregor Serša
    • 2
  • Damijan Miklavčič
    • 1
  1. 1.Faculty of Electrical EngineeringUniversity of LjubljanaLjubljanaSlovenia
  2. 2.Institute of Oncology LjubljanaLjubljanaSlovenia

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