Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Multi-Probe RFA vs. Single-Probe MWA in an Ex-Vivo Bovine Liver Model: Comparison of Volume and Shape of Coagulation Zones

Version 1 : Received: 11 July 2023 / Approved: 11 July 2023 / Online: 12 July 2023 (05:08:12 CEST)

A peer-reviewed article of this Preprint also exists.

Laimer, G.; Bauer, M.; Scharll, Y.; Schullian, P.; Bale, R. Multi-Probe RFA vs. Single-Probe MWA in an Ex Vivo Bovine Liver Model: Comparison of Volume and Shape of Coagulation Zones. Biology 2023, 12, 1103. Laimer, G.; Bauer, M.; Scharll, Y.; Schullian, P.; Bale, R. Multi-Probe RFA vs. Single-Probe MWA in an Ex Vivo Bovine Liver Model: Comparison of Volume and Shape of Coagulation Zones. Biology 2023, 12, 1103.

Abstract

Objectives: To compare the volumes and shapes of the coagulation zone (CZ) of a multi-probe RFA system (three RFA electrodes) and a single-probe MWA system from the same vendor in an ex-vivo bovine liver model. Material & Methods: A total of 48 CZs were obtained in bovine liver specimens with three different ablation system configurations (single-probe MWA vs. multi-probe RFA with 20 mm inter-probe distance [confluent CZ] vs. multi-probe RFA with 50 mm inter-probe distance [three individual CZ]) at 4-, 6-, 8-, and 10-min ablation time using a fixed ablation protocol. Ablation diameters were measured and ellipticity indices (EI) and volumes calculated. Calculations for all systems/configurations were compared. Results: Volumes and diameters increased with ablation time for all configurations. At 4- and 6-min ablation time volumes obtained with the RFA 50 mm setup, and at 8 and 10 min with the RFA 20 mm setup were the largest with 26.5 ± 4.1 mL, 38.1 ± 5.8 mL, 46.3 ± 4.9 mL, 48.4 ± 7.3 mL, respectively. The single-probe MWA could not reach the volumes of the RFA setups for any of the ablation times evaluated. EI were very similar and almost round for RFA 20 mm and single-probe MWA and differed significantly to the more ovoid ones for the RFA 50 mm configuration. Conclusion: The multi-probe RFA system employing three electrodes achieved significantly larger ablation volumes in both configurations (confluent CZ and three individual CZ) per time as compared to a single-probe MWA system in this ex-vivo bovine liver model.

Keywords

Radiofrequency Ablation; Ablation techniques; Liver

Subject

Medicine and Pharmacology, Oncology and Oncogenics

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