Minimally invasive photoacoustic imaging for device guidance and monitoring of radiofrequency ablation

Francis Kalloor Joseph*, Hindrik Kruit, Elina Rascevska, Srirang Manohar

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference contributionAcademicpeer-review

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Abstract

Radiofrequency ablation (RFA) procedures for liver cancer treatment are hindered by high tumor recurrence. This is thought to be due to the intrinsic limitation of the heating mechanism and insufficient real-time feedback from imaging modalities. Most RFA procedures are performed under ultrasound (US) imaging and there are limitations in accurate device guidance and ablation monitoring. We propose photoacoustic (PA) imaging as a potential add-on to US imaging to address these limitations. Specifically, we present two interstitial PA imaging methods. Firstly, an annular fiber probe that can encapsulate an RFA device in its lumen. This device enables RFA device guidance, visualization of major blood vessels and targeting tumor tissue. Secondly, we used a cylindrical diffuser-based interstitial illumination to differentiate coagulated and native tissue. We present our results on RFA device guidance and ablation visualization using these approaches. The contrast provided by PA imaging for RFA needle and multiple electrodes is compared against that of US images. The difference between coagulated and native ex vivo liver tissue using PA imaging is studied. Finally, we propose a protocol to incorporate the minimally invasive PA imaging for the clinical RFA procedures. We would like to conclude with a note on how the proposed approach can potentially improve the outcome of RFA procedures.

Original languageEnglish
Title of host publicationPhotons Plus Ultrasound
Subtitle of host publicationImaging and Sensing 2020
EditorsAlexander A. Oraevsky, Lihong V. Wang
PublisherSPIE International
Volume11240
ISBN (Electronic)9781510632431
DOIs
Publication statusPublished - 17 Feb 2020
EventSPIE BiOS 2020 - The Moscone Center, San Francisco, United States
Duration: 1 Feb 20206 Feb 2020

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume11240
ISSN (Print)1605-7422

Conference

ConferenceSPIE BiOS 2020
CountryUnited States
CitySan Francisco
Period1/02/206/02/20

Keywords

  • Annular fiber
  • Diffuser
  • Interstitial illumination
  • Photoacoustic
  • Radiofrequency ablation
  • Ultrasound

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