Skip to main content
Log in

Evaluation of Temperature Distribution Around the Probe in Cryoablation of Lipiodol-Mixed-Tissue Phantom

  • Laboratory Investigation
  • Non-Vascular Interventions
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Purpose

To determine whether lipiodol, which has low thermal conductivity, influences ice ball formation during cryoablation of a lipiodol-mixed-tissue phantom.

Materials and Methods

Lipiodol-mixed-tissue phantoms were created by injecting lipiodol (4–6 ml) into the renal arteries of ex vivo porcine kidneys (lipiodol group). A cryoprobe (CryoHit Needle S) with a holder that was set with thermocouples at various positions around the cryoprobe was inserted. After freezing for 300 s, the followings were evaluated: ice ball size on CT, temperature distribution around the cryoprobe, and calculated distances at 0 °C and − 20 °C. Each variable was compared between lipiodol group (n = 6) those obtained in a control group without lipiodol injection (n = 6).

Results

Mean ice ball diameter (width/length) on CT was 22.1 ± 2.3/22.9 ± 2.3 mm in the lipiodol group and 21.6 ± 0.7/22.2 ± 1.3 mm in the control group. Mean cryoprobe temperature was − 118 ± 3.0 °C in the lipiodol group and − 117 ± 2.6 °C in the control group. In both groups, temperature at the 3 mm thermocouple reached approximately − 50 °C and was < 0 °C within ~ 10 mm of the cryoprobe. Temperature of 0/− 20 °C occurred at a mean distance from the cryoprobe of 11.1 ± 0.5/6.9 ± 0.4 mm in the lipiodol group and 11.0 ± 0.2/6.9 ± 0.2 mm in the control group. There was no significant difference in any variable between the groups.

Conclusion

The inclusion of lipiodol in a tissue phantom had no negative effects on ice ball formation that were related to thermal conductivity.

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.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Schmit GD, Thompson RH, Kurup AN, et al. Usefulness of R.E.N.A.L nephrometry scoring system for predicting outcomes and complications of percutaneous ablation of 751 renal tumors. J Urol. 2013;189(1):30–5.

    Article  Google Scholar 

  2. Uppot RN, Silverman SG, Zagoria RJ, et al. Imaging-guided percutaneous ablation of renal cell carcinoma: a primer of how we do it. AJR Am J Roentgenol. 2009;192(6):1558–70.

    Article  Google Scholar 

  3. Lim E, Kumar S, Seager M, et al. Outcomes of renal tumors treated by image-guided percutaneous cryoablation: immediate and 3- and 5-year outcomes at a regional center. AJR Am J Roentgenol. 2020;215(1):242–7.

    Article  Google Scholar 

  4. Venkatesan AM, Wood BJ, Gervais DA. Percutaneous ablation in the kidney. Radiology. 2011;261(2):375–91.

    Article  Google Scholar 

  5. Michimoto K, Shimizu K, Kameoka Y, et al. Transcatheter arterial embolization with a mixture of absolute ethanol and iodized oil for poorly visualized endophytic renal masses prior to ct-guided percutaneous cryoablation. Cardiovasc Intervent Radiol. 2016;39(11):1589–94.

    Article  Google Scholar 

  6. Miyazaki M, Iguchi T, Takaki H, et al. Ablation protocols and ancillary procedures in tumor ablation therapy: consensus from Japanese experts. Japanese J Radiol. 2016;34(9):647–56.

    Article  CAS  Google Scholar 

  7. Hongo F, Yamada Y, Ueda T, et al. Preoperative lipiodol marking and its role on survival and complication rates of CT-guided cryoablation for small renal masses. BMC Urol. 2017;17(1):10.

    Article  Google Scholar 

  8. Gunn AJ, Mullenbach BJ, Poundstone MM, et al. Transarterial embolization of renal cell carcinoma as an adjunctive therapy prior to cryoablation: a propensity score matching analysis. Diagn Interv Radiol (Ankara, Turkey). 2018;24(6):357–63.

    Article  Google Scholar 

  9. Woodrum DA, Atwell TD, Farrell MA, et al. Role of intraarterial embolization before cryoablation of large renal tumors: a pilot study. J Vasc Interv Radiol: JVIR. 2010;21(6):930–6.

    Article  Google Scholar 

  10. Ahmed M, Solbiati L, Brace CL, et al. Image-guided tumor ablation: standardization of terminology and reporting criteria–a 10-year update. J Vasc Interv Radiol: JVIR. 2014;25(11):1691-705.e4.

    Article  Google Scholar 

  11. Yoshikawa T, Miura H, Hirota T, et al. Fundamental evaluation of thermophysical properties of lipiodol associated with cryoablation: freezing experiments using lipiodol phantom. Cardiovasc Interv Radiol. 2020;43(3):514–9.

    Article  Google Scholar 

  12. Kajiwara K, Yoshimatsu R, Nishimori M, et al. Efficacy of arterial infusion of iodized oil on CT-guided cryoablation for renal cell carcinoma. Minimally invasive therapy & allied technologies : MITAT : official. Journal of the Society for Minimally Invasive Therapy. 2020. https://doi.org/10.1080/13645706.2020.1734622.

  13. Shurrab M, Wang H, Kubo N, et al. The cooling performance of a cryoprobe: establishing guidelines for the safety margins in cryosurgery. Int J Refrig. 2016;67:308–18.

    Article  Google Scholar 

  14. Nakatsuka S, Yashiro H, Inoue M, et al. On freeze-thaw sequence of vital organ of assuming the cryoablation for malignant lung tumors by using cryoprobe as heat source. Cryobiology. 2010;61(3):317–26.

    Article  Google Scholar 

  15. Young JL, Khanifar E, Narula N, et al. Optimal freeze cycle length for renal cryotherapy. J Urol. 2011;186(1):283–8.

    Article  Google Scholar 

  16. Ahmed M. Image-guided tumor ablation: standardization of terminology and reporting criteria–a 10-year update: supplement to the consensus document. J Vasc Interv Radiol: JVIR. 2014;25(11):1706–8.

    Article  Google Scholar 

  17. Hoffmann NE, Bischof JC. The cryobiology of cryosurgical injury. Urology. 2002;60(2 Suppl 1):40–9.

    Article  Google Scholar 

  18. Arnold MM, Kreel L, Wallace AC, et al. Distribution of Lipiodol and evidence for tumor necrosis in hepatocellular carcinoma. Am J Clin Pathol. 1992;97(3):405–10.

    Article  CAS  Google Scholar 

  19. Takamatsu H, Zawlodzka S. Contribution of extracellular ice formation and the solution effects to the freezing injury of PC-3 cells suspended in NaCl solutions. Cryobiology. 2006;53(1):1–11.

    Article  CAS  Google Scholar 

  20. Ishiguro H, Rubinsky B. Mechanical interactions between ice crystals and red blood cells during directional solidification. Cryobiology. 1994;31(5):483–500.

    Article  CAS  Google Scholar 

Download references

Funding

This study was not supported by any funding.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Masanori Yamashita.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving animals were in accordance with the ethical standards of the institution or practice at which the studies were conducted.

Informed Consent

For this type of study informed consent is not required.

Consent of Publication

For this type of study consent for publication is not required.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Yamashita, M., Miura, H., Ohara, Y. et al. Evaluation of Temperature Distribution Around the Probe in Cryoablation of Lipiodol-Mixed-Tissue Phantom. Cardiovasc Intervent Radiol 44, 489–495 (2021). https://doi.org/10.1007/s00270-020-02710-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-020-02710-3

Keywords

Navigation