Biomedical subjects

J G Webster

Publications and source records attributed to J G Webster.

At least 19 recordsLinked to original sources

PubMed2003

Hepatic bipolar radiofrequency ablation creates coagulation zones close to blood vessels: a finite element study.

Radiofrequency (RF) ablation has become an important means of treatment of non-resectable primary and metastatic liver tumours. Recurrence of treated tumours is associated with cancer cell survival next to blood vessels. The paper examines the performance of classical monopolar, and two configurations of bipolar, RF ablation using a LeVeen ten-prong catheter. Finite element method models of monopolar and bipolar configurations were created at 5 mm distance from a vessel of the size of a typical portal vein (10 mm diameter). In one bipolar configuration, the probes were oriented in the same axial direction (asymmetric configuration); in the second bipolar configuration, the two probes were facing each other (symmetric configuration). The distribution of temperature and current density was analysed for three different flow conditions: normal flow, reduced flow due to portal hypertension and high flow. For normal flow, the distance between the formed coagulation zone and the blood vessel was 1.8 mm for monopolar, 1 mm for asymmetric bipolar, and 0.2 mm for symmetric bipolar, configurations. Symmetric bipolar RF ablation creates coagulation zones significantly closer to blood vessels compared with monopolar RF ablation. This may reduce tumour cell survival next to blood vessels and reduce recurrence rates.

Catheter Ablation↗

PubMed2003

In vivo electrical conductivity of hepatic tumours.

Knowledge of electrical tissue conductivity is necessary to determine deposition of electromagnetic energy and can further be used to diagnostically differentiate between normal and neoplastic tissue. We measured 17 rats with a total of 24 tumours of the K12/TRb rat colon cancer cell line. In each animal we measured in vivo hepatic tumour and normal tissue conductivity at seven frequencies from 10 Hz to 1 MHz, at different tumour stages between 6 and 12 weeks after induction. Conductivity of normal liver tissue was 1.26 +/- 0.15 mS cm(-1) at 10 Hz, and 4.61 +/- 0.42 mS cm(-1) at 1 MHz. Conductivity of tumour was 2.69 +/- 0.91 mS cm(-1) at 10 Hz, and 5.23 +/- 0.82 mS cm(-1) at 1 MHz. Conductivity was significantly different between normal and tumour tissue (p < 0.05). We determined the percentage of necrosis and fibrosis at the measurement site. We fitted the conductivity data to the Cole-Cole model. For the tumour data we determined Spearman's correlation coefficients between the Cole-Cole parameters and age, necrosis, fibrosis and tumour volume and found significant correlation between necrosis and the Cole-Cole parameters (p < 0.05). We conclude that necrosis within the tumour and the associated membrane breakdown is likely responsible for the observed change in conductivity.

Animals↗

PubMed2002

Changes in electrical resistivity of swine liver after occlusion and postmortem.

The resistivity of swine liver tissue was measured in vivo, during induced ischaemia and post-mortem, so that associated changes in resistivity could be quantified. Plunge electrodes, the four-terminal method and a computer-automated measurement system were used to acquire resistivities between 10Hz and 1 MHz. Liver resistivity was measured in vivo in three animals at 11 locations. At 10 Hz, resistivity was 758 +/- 170 ohm x cm. At 1 MHz, the resistivity was 250 +/- 40 ohm x cm. The resistivity time course was measured during the first 10 min after the liver blood supply in one animal had been occluded. Resistivity increased steadily during occlusion. The change in resistivity of an excised tissue sample was measured during the first 12h after excision in one animal. Resistivity increased during the first 2h by 53% at 10 Hz and by 32% at 1 MHz. After 2h, resistivity decreased, probably owing to membrane breakdown. The resistivity data were fitted to a Cole-Cole circle, from which extracellular resistance Re, intracellular resistance Ri and cell membrane capacitance Cm were estimated. Re increased during the first 2h by 95% and then decreased, suggesting an increase in extracellular volume. Cm increased during the first 4 h by 40%, possibly owing to closure of membrane channels, and then decreased, suggesting membrane breakdown. Ri stayed constant during the initial 6h and then increased.

Animals↗

PubMed2001

Guidelines for predicting lesion size at common endocardial locations during radio-frequency ablation.

We used the finite element method to study the effect of radio-frequency (RF) catheter ablation on tissue heating and lesion formation at different intracardiac sites exposed to different regional blood velocities. We examined the effect of application of RF current in temperature- and power-controlled mode above and beneath the mitral valve annulus where the regional blood velocities are high and low respectively. We found that for temperature-controlled ablation, more power was delivered to maintain the preset tip temperature at sites of high local blood velocity than at sites of low local blood velocity. This induced more tissue heating and larger lesion volumes than ablations at low velocity regions. In contrast, for power-controlled ablation, tissue heating was less at sites of high compared with low local blood velocity for the same RF power setting. This resulted in smaller lesion volumes at sites of low local velocity. Our numerical analyzes showed that during temperature-controlled ablation at 60 degrees C, the lesion volumes at sites above and underneath the mitral valve were comparable when the duration of RF current application was 10 s. When the duration of RF application was extended to 60 s and 120 s, lesion volumes were 33.3% and 49.4% larger above the mitral valve than underneath the mitral valve. Also, with temperature-controlled ablation, tip temperature settings of 70 degrees C or greater were associated with a risk of tissue overheating during long ablations at high local blood velocity sites. In power-controlled ablation (20 W), the lesion volume formed underneath the mitral valve was 165.7% larger than the lesion volume above the mitral valve after 10 s of ablation. We summarized the guidelines for energy application at low and high flow regions.

Blood Flow Velocity↗

PubMed2001

Measurement of directional thermal properties of biomaterials.

This paper presents an experimental technique to measure the directional thermal conductivity and thermal diffusivity of materials. A heated thermistor heats the sample and a sensing thermistor placed about 2.5 mm away measures the temperature rise due the heating pulse at the heated thermistor. An empirical relation between the power delivered by the first thermistor and the temperature rise recorded by the sensing thermistor is used to measure the thermal conductivity of the material along the line joining the thermistors. Diffusivity of the material is determined from the delay between the power pulse in the heated thermistor and the temperature pulse at the sensing thermistor. Signal processing was done to eliminate errors in the measurement due to change of base line temperature. Uncertainty of the measurement technique was found to be 5% when tested in media of known thermal properties. The thermal conductivity and thermal diffusivity of swine left ventricle in normal and ablated conditions were measured using this technique. The thermal conductivity of the tissue dropped significantly from 0.61 to 0.50 W.m(-1).K(-1) after ablation while the diffusivity dropped from 2.1 x 10(-7) to 1.7 x 10(-7)m2.s(-1).

Analysis of Variance↗

PubMed2001

Flow effect on lesion formation in RF cardiac catheter ablation.

This study investigated the flow effect on the lesion formation during radio-frequency cardiac catheter ablation in temperature-controlled mode. The blood flow in heart chambers carries heat away from the endocardium by convection. This cooling effect requires more power from the ablation generator and causes a larger lesion. We set up a flow system to simulate the flow inside the heart chamber. We performed in vitro ablation on bovine myocardium with three different flow rates (0 L/min, 1 L/min and 3 L/min) and two target temperatures (60 degrees C and 80 degrees C). During ablation, we also recorded the temperatures inside the myocardium with a three-thermocouple temperature probe. The results show that lesion dimensions (maximum depth, maximum width and lesion volume) are larger in high flow rates (p<0.01). Also, the temperature recordings show that the tissue temperature rises faster and reaches a higher temperature under higher flow rate.

Animals↗

PubMed2001

Hepatic bipolar radio-frequency ablation between separated multiprong electrodes.

Radio-frequency (RF) ablation has become an important means of treatment of nonresectable primary and metastatic liver tumors. Major limitations are small lesion size, which make multiple applications necessary, and incomplete killing of tumor cells, resulting in high recurrence rates. We examined a new bipolar RF ablation method incorporating two probes with hooked electrodes (RITA model 30). We performed monopolar and bipolar in vivo experiments on three pigs. The electrodes were 2.5 cm apart and rotated 45 degrees relative to each other. We used temperature-controlled mode at 95 degrees C. Lesion volumes were 3.9+/-1.8 cm3 (n=7) for the monopolar case and 12.2 +/- 3 cm3 (n=10) for the bipolar case. We generated finite-element models (FEMs) of monopolar and bipolar configurations. We analyzed the distribution of temperature and electric field of the finite element model. The lesion volumes for the FEM are 7.95 cm3 for the monopolar and 18.79 cm3 for the bipolar case. The new bipolar method creates larger lesions and is less dependent on local inhomogenities in liver tissue-such as blood perfusion-compared with monopolar RF ablation. A limitation of the new method is that the power dissipation of the two probes cannot be controlled independently in response to different conditions in the vicinity of each probe. This may result in nonuniform lesions and decreased lesion size.

Animals↗

PubMed2000

Thermal--electrical finite element modelling for radio frequency cardiac ablation: effects of changes in myocardial properties.

Finite element (FE) analysis has been utilised as a numerical tool to determine the temperature distribution in studies of radio frequency (RF) cardiac ablation. However, none of the previous FE analyses clarified such computational aspects as software requirements, computation time or convergence test. In addition, myocardial properties included in the previous models vary greatly. A process of FE modelling of a system that included blood, myocardium, and an ablation catheter with a thermistor embedded at the tip is described. The bio-heat equation is solved to determine the temperature distribution in myocardium using a commercial software application (ABAQUS). A Cauchy convergence test (epsilon = 0.1 degree C) was performed and it is concluded that the optimal number of elements for the proposed system is 24610. The effects of changes in myocardial properties (+/- 50% electric conductivity, +100%/-50% thermal conductivity, and +100%/-50% specific heat capacity) in both power-controlled (PCRFA) and temperature-controlled RF ablation (TCRFA) were studied. Changes in myocardial properties affect the results of the FE analyses of PCRFA more than those of TCRFA, and the maximum changes in lesion volumes were -58.6% (-50% electric conductivity), -60.7% (+100% thermal conductivity), and +43.2% (-50% specific heat).

Arrhythmias, Cardiac↗

PubMed2000

A new catheter design using needle electrode for subendocardial RF ablation of ventricular muscles: finite element analysis and in vitro experiments.

Radio-frequency (RF) cardiac ablation has been very successful for treating arrhythmias related with atrioventricular junction and accessory pathways with successful cure rates of more than 90%. Even though ventricular tachycardia (VT) is a more serious problem, it is known to be rather difficult to cure VT using RF ablation. In order to apply RF ablation to VT, we usually need to create a deeper and wider lesion. Conventional RF ablation electrodes often fail to produce such a lesion. We propose a catheter-electrode design including one or more needle electrodes with a diameter of 0.5-1.0 mm and length of 2.0-10 mm to create a lesion large enough to treat VT. One temperature sensor could be placed at the middle of the needle electrode for temperature-controlled RF ablation. From finite element analyses and in vitro experiments, we found that the depth of a lesion is 1-2 mm deeper than the insertion depth of the needle and the width increases as we increase the diameter of the needle and the time duration. We showed that a single needle electrode can produce a lesion with about 10-mm width and any required depth. If a wider lesion is required, more than one needle with suggested structures can be used. Or, repeated RF ablations around a certain area using one needle could produce a cluster of lesions. In some cases, a catheter with both conventional electrode and needle electrode at its tip may be beneficial to take advantage of both types of electrode.

Animals↗

PubMed2000

Finite element analyses of uniform current density electrodes for radio-frequency cardiac ablation.

The high current density at the edge of a metal electrode causes hot spots, which can lead to charring or blood coagulation formation during radio-frequency (RF) cardiac ablation. We used finite element analysis to predict the current density distribution created by several electrode designs for RF ablation. The numerical results demonstrated that there were hot spots at the edge of the conventional tip electrode and the insulating catheter. By modifying the shape of the edge of the 5-mm tip electrode, we could significantly reduce the high current density at the electrode-insulator interface. We also studied the current density distribution produced by a cylindrically shaped electrode. We modified the shape of a cylindrical electrode by recessing the edge and filled in a coating material so that the overall structure was still cylindrical. We analyzed the effects of depth of recess and the electrical conductivity of the added material. The results show that more uniform current density can be accomplished by recessing the electrode, adding a curvature to the electrode, and by coating the electrode with a resistive material.

Catheter Ablation↗

PubMed2000

Dependence of apparent resistance of four-electrode probes on insertion depth.

The apparent resistance of a finite-thickness layer measured with a four-electrode plunge probe depends on the electrode insertion depth, electrode spacing, and layer thickness, as well as the resistivity ratio of an underlying layer. A physical model consisting of air, a saline solution layer, and an agar layer simulates the real situation of resistivity measurement. The saline layer represents the finite-thickness layer whose resistivity is to be measured by a plunge electrode probe, and the agar layer represents an underlying perturbing layer. A micropositioner controls the insertion depth of the four electrodes into the saline solution. With the apparent resistance measured on a semi-infinite-thickness layer of saline solution as standard, measurement results show decreasing apparent resistance and increasing error with increasing electrode insertion depth. This information is important for correct measurement of myocardial resistivity in vivo and in vitro.

Calibration↗

PubMed2000

Temperature measurement within myocardium during in vitro RF catheter ablation.

While most commercial ablation units and research systems can provide catheter tip temperature during ablation, they do not provide information about the temperature change inside the myocardium, which determines the lesion size. We present the details of a flow simulation and temperature measurement system, which allows the monitoring of the temperature change inside the myocardium during in vitro radio frequency (RF) cardiac catheter ablation at different blood flow rates to which the catheter site may be exposed. We set up a circulation system that simulated different blood flow rates of 0 to 5 L/min at 37 degrees C. We continuously measured the temperature at the catheter tip using the built-in thermistor and inside the myocardium using a three-thermocouple probe. The system provides a means for further study of the temperature inside myocardium during RF catheter ablation under different flow conditions and at different penetration depths.

Animals↗

PubMed1998

Dual-chamber cardiac pacemaker tester.

To investigate the operation of dual-chamber cardiac pacemakers, a pacemaker tester is developed that is able to examine pacemaker parameters, demand modes and rate-adaptive modes. The tester generates simplified electrograms and responds to pacemaker pulses in a closed-loop simulation. The authors describe the hardware and the software algorithm of the tester. To demonstrate the capabilities of the tester, four tests are presented, together with their results on a rate-adaptive dual-chamber pacemaker.

Algorithms↗

PubMed1998

Measuring human ventilation for apnoea detection using an optical encoder.

We have designed, built and tested a proof-of-concept system based on optical encoder technology for measuring adult or infant ventilation. It uses change in chest circumference to provide an indirect measure of ventilation. The Hewlett-Packard HEDS-9720 optical encoder senses displacement of its matching codestrip. It yields a resolution of 0.17 mm and is accurate to 0.008 mm over a 10 mm test distance. The encoder is mounted on a nylon web belt wrapped around the torso and responds to changes in circumference. Motion of the code strip during respiration is converted to direction of movement (inhalation or exhalation) as well as magnitude of circumference change. Use of two sensor bands, one on the chest and one on the abdomen, may allow detection of obstructive apnoea in which there is no air flow out of or into the subject despite respiratory movement. Applications of this technology include infant apnoea monitoring as well as long-term adult monitoring.

Adult↗

PubMed1998

Model for the administration of low-flow anaesthesia.

A general (multiple-gas) three-compartment mass-balance model of the circle-absorber breathing circuit with intermittent positive-pressure ventilation has been developed. We propose it as a tool to determine flowmeter and vapourizer settings for inhalation anaesthesia by low-flow methods (less than 1 litre min-1 total fresh gas flow). This model reproduces the results of various previously-published mass-balance models, but it appears to underestimate slightly the delivery of fresh gases to the inspired limb of the breathing circuit when tested with clinical data from surgical cases. Low-flow dosing schedules for 35% inspired oxygen and 1% inspired halothane were computed with the model and tested in vitro with a circle-absorber breathing circuit and an active gas-exchange lung at nine values of simulated patient gas exchanges. The mean inspired oxygen concentration over all trials was 32.8% (SD = 1.9%), while the mean inspired halothane concentration was 1.2% (SD = 0.3%). The flow meter and vapourizer settings calculated from the model appear to have sufficient accuracy to be useful in the clinical setting in conjunction with active oxygen and anaesthetic agent monitoring.

Adult↗

PubMed1998

A silicon-based tactile sensor for finger-mounted applications.

This paper presents a silicon-based force sensor packaged in a flexible package and describes the sensors performance on human subjects. The sensing element consists of a circular silicon diaphragm (200-micron thick with a 2-mm radius) over a 10-micron sealed cavity with a solid Torlon dome providing force-to-pressure transduction to the diaphragm. Two dome heights (0.5 and 1.5 mm) were compared. The sensor with the taller dome showed improved sensitivity. Dynamic calibration and tracking experiments are performed with the sensor mounted on the dominant thumb of five human subjects. Both force and loading direction are statistically significant (P < 0.05). Subject variability accounted for 8.7% of the variance, while loading direction accounted for 1.9% of the variance. Average errors for the tracking experiment range from-2.8 to 1.0 N and are subject dependent. Three out of four subjects showed increasing negative error with increasing load.

Adult↗

PubMed1998

Minimizing interference from magnetic resonance imagers during electrocardiography.

Magnetic resonance imaging (MRI) allows a physician to obtain images of internal organs noninvasively. Imaging a moving organ such as the heart requires a trigger so that successive scans can be synchronized. In the case of cardiac imaging this trigger is the electrocardiogram (ECG). When a patient is in an MRI scanner he/she is subjected to both static and dynamic magnetic fields which can cause interference in the ECG. The dynamic fields consist of 8- to 64-MHz radio frequency (RF) pulses and low-frequency magnetic gradient pulses with frequency components below 100 Hz. Conventional bandpass filters are only moderately effective because the passband allows magnetic gradient-induced interference to be superimposed on the ECG, causing distortion of the signal. This paper describes a technique which can be used to remove induced MRI gradient interference from an ECG recorded on a patient inside the bore of a MRI scanner. Induced signal from an external loop is subtracted from the ECG to minimize the low-frequency interference. The gradient induced low-frequency interference was reduced to approximately 20% of its magnitude when using conventional ECG amplifiers.

Animals↗

PubMed1997

Comparison of impedance and inductance ventilation sensors on adults during breathing, motion, and simulated airway obstruction.

The goal of this study was to compare the relative performance of two noninvasive ventilation sensing technologies on adults during artifacts. We recorded changes in transthoracic impedance and cross-sectional area of the abdomen (abd) and rib cage (rc) using impedance pneumography (IP) and respiratory inductance plethysmography (RIP) on ten adult subjects during natural breathing, motion artifact, simulated airway obstruction, yawning, snoring, apnea, and coughing. We used a pneumotachometer to measure air flow and tidal volume as the standard. We calibrated all sensors during natural breathing, and performed measurements during all maneuvers without changing the calibration parameters. No sensor provided the most-accurate measure of tidal volume for all maneuvers. Overall, the combination of inductance sensors [RIP(sum)] calibrated during an isovolume maneuver had a bias (weighted mean difference) as low or lower than all individual sensors and all combinations of sensors. The IP(rc) sensor had a bias as low or lower than any individual sensor. The cross-correlation coefficient between sensors was high during natural breathing, but decreased during artifacts. The cross correlation between sensor pairs was lower during artifacts without breathing than it was during maneuvers with breathing for four different sensor combinations. We tested a simple breath-detection algorithm on all sensors and found that RIP(sum) resulted in the fewest number of false breath detections, with sensitivity of 90.8% and positive predictivity of 93.6%.

Adult↗