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

Francis Kalloor Joseph; Hindrik Kruit; Elina Rascevska; Srirang Manohar

doi:10.1117/12.2546018

17 February 2020 Minimally invasive photoacoustic imaging for device guidance and monitoring of radiofrequency ablation

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

Proceedings Volume 11240, Photons Plus Ultrasound: Imaging and Sensing 2020; 112405F (2020) https://doi.org/10.1117/12.2546018
Event: SPIE BiOS, 2020, San Francisco, California, United States

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.

Citation Download Citation

Francis Kalloor Joseph, Hindrik Kruit, Elina Rascevska, and Srirang Manohar "Minimally invasive photoacoustic imaging for device guidance and monitoring of radiofrequency ablation", Proc. SPIE 11240, Photons Plus Ultrasound: Imaging and Sensing 2020, 112405F (17 February 2020); https://doi.org/10.1117/12.2546018

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