Patient-Specific Liver Ablation Simulation via Lattice-Boltzmann Heat Diffusion

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Solution Overview

Problem

Current ablation therapies for liver tumors, such as radiofrequency ablation, face challenges in optimal probe placement and heat distribution due to the liver's complex anatomy and blood circulation, leading to variable treatment outcomes and reduced efficiency.

Innovation Solution

A patient-specific simulation method using medical imaging data to model heat diffusion, cellular necrosis, and blood flow, employing the Lattice Boltzmann method and computational fluid dynamics to accurately predict temperature distributions and tissue damage, allowing for interactive planning of ablation procedures.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If a probe is placed in the target area for radiofrequency ablation, then heat is conducted into the surrounding tissue causing coagulative necrosis, but the hepatic blood vessels dissipate heat and reduce RFA efficiency

Engineering Contradiction:
Improveablation success rateVSAvoidheat dissipation
Core Design Contradiction:
ReliabilityVSLoss of energy

Solution Approach 1:

The system performs preliminary simulation of the ablation process before actual treatment. It creates a virtual model of the patient's liver anatomy and blood vessels, pre-calculates heat diffusion patterns, and predicts the impact of different probe placements on treatment effectiveness, allowing optimization of the ablation strategy in advance

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The system incorporates feedback by continuously monitoring actual temperature measurements during the ablation procedure and comparing them against the simulated predictions. This feedback loop allows real-time adjustment of power delivery and probe positioning to compensate for heat dissipation by blood vessels and achieve optimal ablation outcomes

Inventive Principle:
Principle #23Feedback

2Ease of operation

If intra-operative imaging techniques such as ultrasound are used to place the probe, then the probe can be positioned at the target location, but the success of the procedure depends on optimal placement which is difficult to achieve

Engineering Contradiction:
Improveprobe placementVSAvoidprobe placement accuracy
Core Design Contradiction:
Ease of operationVSManufacturing precision

Solution Approach 1:

The system performs preliminary simulation of the ablation process before actual treatment. It creates a virtual model of the patient's liver anatomy and blood vessels, pre-calculates heat diffusion patterns, and predicts the impact of different probe placements on treatment effectiveness, allowing optimization of the ablation strategy in advance

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The system creates a virtual copy or digital twin of the patient's liver anatomy from preoperative imaging data. This virtual model includes detailed representations of blood vessels, tissue structures, and tumor locations, allowing simulation of heat diffusion and ablation outcomes before the actual procedure without exposing patients to additional radiation or contrast agents

Inventive Principle:
Principle #26Copying

3Measurement precision

If a patient-specific simulation model is created using medical imaging data, then accurate temperature distribution and tissue damage can be predicted, but the computational complexity increases

Engineering Contradiction:
Improvetemperature distribution predictionVSAvoidcomputational model complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The computational domain is segmented into multiple regions corresponding to different tissue types, blood vessels, and anatomical structures. Each region can be simulated with appropriate physical parameters and boundary conditions, allowing the complex liver anatomy to be broken down into manageable computational units that can be processed efficiently

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The system uses parameterized models where tissue properties such as thermal conductivity, heat capacity, and blood flow rates are varied according to the specific patient's anatomy and physiology. The model parameters are adjusted based on imaging data and can be modified to simulate different ablation scenarios, power levels, and treatment durations without requiring complete re-simulation

Inventive Principle:
Principle #35Parameter changes

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Enables efficient and accurate simulation of liver tumor ablation, improving treatment planning by visualizing necrosis areas and optimizing probe placement, thereby increasing the effectiveness of minimally invasive ablation therapies.

Implementation Method 1

Heat diffusion due to ablation based on a virtual ablation probe position and the simulated blood flow in the liver and the circulatory system of the liver is simulated by solving a bio-heat equation at each of a plurality of nodes of the computational domain

Methodology Applied
Scientific EffectHeat diffusion: Conduction (thermal)

Implementation Method 2

The biological heat transfer model is coupled to a computational fluid dynamics (CFD) solver to accurately take into account the effect of blood circulation on the dissipated heat

Methodology Applied
Scientific EffectBlood circulation: Convection

Implementation Method 3

Electrodes at the tip of the probe create heat, which is conducted into the surrounding tissue, causing coagulative necrosis at temperatures between 50° C. and 100° C.

Methodology Applied
Scientific EffectJoule heating: Joule Heating

Data Source

PatentUS10748438B2System and method for interactive patient specific simulation of radiofrequency ablation therapy
Publication Date: 2020.08.18 SIEMENS HEALTHINEERS AG
  • US10748438B2 patent drawing
  • US10748438B2 patent drawing
  • US10748438B2 patent drawing

AI summary

A method and system for interactive patient-specific simulation of liver tumor ablation is disclosed. A patient-specific anatomical model of the liver and circulatory system of the liver is estimated from 3D medical image data of a patient. A computational domain is generated from the patient-specific anatomical model of the liver. Blood flow in the liver and the circulatory system of the liver is simulated based on the patient-specific anatomical model. Heat diffusion due to ablation is simulated based on a virtual ablation probe position and the simulated blood flow in the liver and the circulatory system of the liver by solving a bio-heat equation for each node on the level-set representation using a Lattice-Boltzmann method (LBM) implementation. Cellular necrosis in the liver is computed based on the simulated heat diffusion. Visualizations of a computed necrosis region and temperature maps of the liver are generated. A user input is interactively received to modify the position of the virtual ablation probe, the heat diffusion and cellular necrosis is re-simulated based on the user input, and the visualizations of the computed necrosis region and the temperature maps are updated.