Atrial fibrillation (A-fib) affects millions of patients in the US, and percutaneous catheter radiofrequency (RF) ablation is a common treatment. However, the lack of intraoperative feedback on ablation-induced lesions can lead to complications or recurrence. This study investigates the feasibility of using photoacoustic (PA) frequency analysis to identify ablation-induced necrotic lesions in ex vivo liver tissue samples. PA imaging, employing laser-generated ultrasound (US), enables monitoring and mapping of ablation-induced lesions by exploiting spectral differences between ablated and non-ablated tissue. Spectral unmixing techniques in multi-wavelength PA imaging provide real-time monitoring but are impractical due to extended acquisition times. Acoustic frequency-based tissue characterization has previously been reported to examine different contrast sources. In this study, porcine liver tissue samples underwent RF ablation, followed by US/PA imaging scanning. PA signals are processed using Fast Fourier Transformation (FFT) for frequency information extraction. Spectrum unmixing confirms the presence of ablation-induced necrosis. Preliminary results from seven ablation samples demonstrate effective tissue boundary capture and identification of ablated necrotic regions using PA imaging. Frequency spectra analysis shows distinct differences (double-sided P-value < 0.01), with ablated tissue exhibiting lower frequencies. These findings suggest the feasibility of frequency-based PA tissue identification for monitoring ablation procedures. Future work involves developing a tissue characterization algorithm based on frequency analysis to enhance real-time feedback during RF ablation therapy.
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