Heat conduction in live tissue during radiofrequency electrosurgery.

In this paper, we propose a method to model radiofrequency electrosurgery to capture the phenomena at higher temperatures and present the methods for parameter estimation. Experimental data taken from our surgical trials performed on in vivo porcine liver show that a non-Fourier Maxwell-Cattaneo-type model can be suitable for this application when used in combination with an Arrhenius-type model that approximates the energy dissipation in physical and chemical reactions. The resulting model structure has the advantage of higher accuracy than existing ones, while reducing the computation time required.

Minimally Invasive Live Tissue High-Fidelity Thermophysical Modeling Using Real-Time Thermography.

We present a novel thermodynamic parameter estimation framework for energy-based surgery on live tissue, with direct applications to tissue characterization during electrosurgery. This framework addresses the problem of estimating tissue-specific thermodynamics in real-time, which would enable accurate prediction of thermal damage impact to the tissue and damage-conscious planning of electrosurgical procedures. Our approach provides basic thermodynamic information such as thermal diffusivity, and also allows for obtaining the thermal relaxation time and a model of the heat source, yielding in real-time a controlled hyperbolic thermodynamics model. The latter accounts for the finite thermal propagation time necessary for modeling of the electrosurgical action, in which the probe motion speed often surpasses the speed of thermal propagation in the tissue operated on. Our approach relies solely on thermographer feedback and a knowledge of the power level and position of the electrosurgical pencil, imposing only very minor adjustments to normal electrosurgery to obtain a high-fidelity model of the tissue-probe interaction. Our method is minimally invasive and can be performed in situ. We apply our method first to simulated data based on porcine muscle tissue to verify its accuracy and then to in vivo liver tissue, and compare the results with those from the literature. This comparison shows that parameterizing the Maxwell-Cattaneo model through the framework proposed yields a noticeably higher fidelity real-time adaptable representation of the thermodynamic tissue response to the electrosurgical impact than currently available. A discussion on the differences between the live and the dead tissue thermodynamics is also provided.

Minimally Invasive Live Tissue High-fidelity Thermophysical Modeling using Real-time Thermography.

We present a novel thermodynamic parameter estimation framework for energy-based surgery on live tissue, with direct applications to tissue characterization during electrosurgery. This framework addresses the problem of estimating tissue-specific thermodynamics in real-time, which would enable accurate prediction of thermal damage impact to the tissue and damage-conscious planning of electrosurgical procedures. Our approach provides basic thermodynamic information such as thermal diffusivity, and also allows for obtaining the thermal relaxation time and a model of the heat source, yielding in real-time a controlled hyperbolic thermodynamics model. The latter accounts for the finite thermal propagation time necessary for modeling of the electrosurgical action, in which the probe motion speed often surpasses the speed of thermal propagation in the tissue operated on. Our approach relies solely on thermographer feedback and a knowledge of the power level and position of the electrosurgical pencil, imposing only very minor adjustments to normal electrosurgery to obtain a high-fidelity model of the tissue-probe interaction. Our method is minimally invasive and can be performed in situ. We apply our method first to simulated data based on porcine muscle tissue to verify its accuracy and then to in vivo liver tissue, and compare the results with those from the literature. This comparison shows that parameterizing the Maxwell-Cattaneo model through the framework proposed yields a noticeably higher fidelity real-time adaptable representation of the thermodynamic tissue response to the electrosurgical impact than currently available. A discussion on the differences between the live and the dead tissue thermodynamics is also provided.

Infinite-Dimensional Adaptive Boundary Observer for Inner-Domain Temperature Estimation of 3D Electrosurgical Processes using Surface Thermography Sensing.

We present a novel 3D adaptive observer framework for use in the determination of subsurface organic tissue temperatures in electrosurgery. The observer structure leverages pointwise 2D surface temperature readings obtained from a real-time infrared thermographer for both parameter estimation and temperature field observation. We introduce a novel approach to decoupled parameter adaptation and estimation, wherein the parameter estimation can run in real-time, while the observer loop runs on a slower time scale. To achieve this, we introduce a novel parameter estimation method known as attention-based noise-robust averaging, in which surface thermography time series are used to directly estimate the tissue's diffusivity. Our observer contains a real-time parameter adaptation component based on this diffusivity adaptation law, as well as a Luenberger-type corrector based on the sensed surface temperature. In this work, we also present a novel model structure adapted to the setting of robotic surgery, wherein we model the electrosurgical heat distribution as a compactly supported magnitude- and velocity-controlled heat source involving a new nonlinear input mapping. We demonstrate satisfactory performance of the adaptive observer in simulation, using real-life experimental ex vivo porcine tissue data.

Mach Fronts in Random Media with Fractal and Hurst Effects.

An investigation of transient second sound phenomena due to moving heat sources on planar random media is conducted. The spatial material randomness of the relaxation time is modeled by Cauchy or Dagum random fields allowing for decoupling of fractal and Hurst effects. The Maxwell-Cattaneo model is solved by a second-order central differencing. The resulting stochastic fluctuations of Mach wedges are examined and compared to unperturbed Mach wedges resulting from the heat source traveling in a homogeneous domain. All the examined cases are illustrated by simulation movies linked to this paper.