低温外科设备治疗探针高频钎焊研究

治疗探针是低温外科设备的关键器件.在临床手术过程中,治疗探针的探杆部分(非冷冻区)通常需与人体正常组织紧密接触.为不伤及这些非冷冻组织,对于这种细直径探杆狭小隔层空间的绝热,只能采用高真空加以实现.为获得并维持探杆隔层空间的高真空,必须保证冷冻探针金属组件焊接的质量.文中详细介绍了冷冻探针金属组件的材料处理和高频钎焊技...     

Experimental measurement and theoretical analyses of the freezing-thawing processes around a probe

Both the experimental and the analytical studies of the freezing/thawing process around a cryosurgical cylinder probes in a simulative biological tissue are presented in this paper. The enthalpy method and the finite element scheme are applied to solve the multidimensional phase change problems in cryosurgery. A very good agreement is found between the computed solutions and the experimental results. The influences of different cooling-warming schemes of the probe on the ice ball development, the temperature variation, the axial and the radial temperature gradients inside the tissues, and the requirement of cooling power are analyzed     

模拟生物组织冻结过程实验与分析

冷冻外科中组织冻结过程的分析对手术实施十分重要。本文建立了低温冷刀实验台,在模拟生物组织中进行冷冻实验,测量了冰球内某点的温度变化;并用有限元方法求解了建立在治法基础上的模拟生物组织冻结过程多维数学模型,计算结果与实验值符合较好;用该模型和方法计算了实验条件下冰球内的温度梯度变化和冷刀所需理论冷量;分析了不同的冷刀直径对冻结过程的影响。     

临床低温外科装置

低温冷冻在临床上可用来杀死各类肿瘤组织,冷冻治疗具有许多优越性,如手术过程出血少、痛苦小.文中介绍低温外科装置的工作过程及装置结构,分析冷冻探头的传热过程.最后根据临床应用,对装置的工作压力、冷冻速率、复温速率等重要参数进行讨论.     

前列腺低温微创治疗及器件的研究

利用低温冷冻破坏前列腺增生或肿瘤组织治疗疾病具有许多的优点,如出血少、痛苦小,有时甚至不需要麻醉。前列腺冷冻术可采用两种方法,即穿刺式和接触式。穿刺式就是将探针直接插入病灶组织中心,予以冷冻,主要用于较小的病灶;接触式就是将探针冷冻区接触病灶组织表面予以冷冻,主要用于较小的前列腺增生或不规则的肿瘤等,有时也可将二者结合使用。冷冻术最大的优点还在于可防止肿瘤细胞的扩散。文中详细介绍前列腺冷冻治疗的机理、冷冻探针的结构特点及临床应用效果。     

考虑冷热刀刀头温度响应对制定肿瘤治疗计划的影响

本文对冷热联合治疗肿瘤过程中在体生物组织的温度响应进行了深入的数值研究。组织被当作非理想材料,在一定的温度范围内冷冻和融化,并且考虑了未冻结组织和未损伤组织区域的血液灌注及代谢产热的影响。对比考虑和不考虑冷热刀刀头温度响应两种情形的计算结果表明,拟定治疗计划中若不考虑刀头温度响应,则有可能会造成冷热剂量的不足,从而无法彻底杀灭肿瘤。     

Numerical simulation of tissue freezing by liquid nitrogen based cryoprobe

A model is presented to simulate the cooling processes during tumor cryosurgery with different kinds of flows through the cryoprobe. The heat flux between the cryoprobe wall and the tumor, the heat transfer coefficient under different inflow conditions are obtained numerically. The impact of the inlet mass flow rate, gas volume fraction on these parameters is investigated. It is found that the heat transfer coefficient decreased significantly when inflow changed from two-phase annular flow to droplet flow, and to gas flow. The inlet gas volume fraction and flow velocity only significantly affect the freezing ability of the probe when the inflow is gas or in droplet phase. Simulation of the tumor temperature profiles under different flow conditions show that the heat transfer coefficient is a crucial parameter in temperature prediction during cryosurgery. Results indicate that when the cryoprobe wall is assumed at a constant temperature conventionally, the cooling effect could be overestimated. It would be more reasonable to use the constant wall heat transfer coefficient to simulate the cooling progress under a specific flow.     

MRI-monitored cryosurgery in the rabbit brain

The inability to observe the transient, irregular shape of the frozen region that develops during cryosurgery has inhibited the application of this surgical technique to the treatment of tumors in the brain and deep in visceral organs. We used proton NMR spin-echo and spoiled gradient-echo imaging to monitor the development of frozen lesions during cryosurgery in the rabbit brain and the resulting postervosurgical changes up to 4 hr after freezing. Spoiled gradient-echo images (TE = 14 ms; TR = 50 ms) were acquired during freezing and thawing at a rate of 15 s/slice. Although the frozen region itself is invisible in MR images, its presence is distinguished easily from the surrounding unfrozen soft tissue because of the large contrast difference between frozen and unfrozen regions. T₂-weighted spin-echo images (TE = 100 ms, TR = 2 s) obtained after thawing suggest that edema forms first at the margin of the region that was frozen (cryolesion) and then moves into the region's core. Histological examination showed complete necrosis in the cryolesion and a sharp transition to undamaged tissue at the margin of the lesion and its image. Blood-brain barrier (BBB) damage was investigated using gadolinium-DTPA. The region of edema in the T₂-weighted spin-echo images was coincident with the area of BBB damage in the Gd-DTPA-enhanced T₁-weighted spin-echo images (TE = 33 ms, TR = 400 ms) and both were distinguishable as areas of high signal relative to the surrounding normal tissue. The results of these experiments indicate that MR can both effectively monitor the cryosurgical freezing and thawing cycle and characterize the postcryosurgical changes in tissue during follow-up.     

Temperature imaging with speed of ultrasonic transmission tomography for medical treatment control:A physical model-based method

Hyperthermia is a promising method to enhance chemo and radiation therapy of breast cancer. In the process of hyperthermia, temperature monitoring is of great importance to assure the effectiveness of treatment. The transmission speed of ultrasound in biomedical tissue changes with temperature. However, when mapping the speed of sound directly to temperature in each pixel as desired for using all speeds of ultrasound data, temperature bipolar edge enhancement artifacts occur near the boundary of two tissues with different speeds of ultrasound. After the analysis of the reasons for causing these artifacts, an optimized method is introduced to rebuild the temperature field image by using the continuity constraint as the judgment criterion. The significant smoothness of the rebuilding image in the transitional area shows that our proposed method can build a more precise temperature image for controlling the medical thermal treatment.     

Cryosurgery - a review of recent advances and current issues

Advances in cryosurgery since 1990 were initiated by the development of improved cryosurgical equipment and by the availability of intraoperative ultrasound to monitor the tissue-freezing process. Interest in research on the effects of freezing on tissue and on new clinical applications was then stimulated. The research led to a better understanding of the mechanisms of cryogenic injury, including cell death by apoptosis, which has emerged as a potential key to the use of adjunctive chemotherapy in the treatment of cancer. Optimization of cryosurgical technique will also improve clinical results.     

The thermal effect of urethral warming during cryosurgery

The heating effect of urethral warming during cryosurgery has been investigated theoretically, via heat transfer simulations. Two warmer configurations have been considered: (i). the clinically available urethral warmer, which has a configuration of a counter flow fluid heat exchanger; (ii). a newly designed urethral warmer, based on a temperature controlled electrical heater, termed a "cryoheater". A dramatic effect of thermal resistance to heat transfer through the heat exchanger wall has been identified, which is absent in the cryoheater. It follows that the cryoheater is expected to be more efficient in generating an unfrozen region around the urethra. It is shown that the conventional heat exchanger may fail to prevent freezing around the urethra in a significant number of prostate cases, depending on the layout of cryoprobes around the urethra. On the other hand, clinical reports exist which suggest that the heat exchanger improves in many cases the outcome of cryosurgery, in terms of long term complications. It is speculated in the current report that the cryoheater can further improve the outcome of cryosurgery, by providing protection from freezing in a wider range of cases. It is suggested that a future study be conducted to examine the correlation between the layout of cryoprobes and surgical outcome.     

细胞尺度冰晶生长行为的相场数值模拟

细胞尺度的冻结损伤机制是实施低温手术及生物材料低温保存的关键,本文围绕低温条件下的微尺度冻结问题,应用相场模型对冰晶的形成过程进行了数值模拟,明确了相场模型相关重要参数的确定方法,并最终得到各向同性条件下,二维平面内冰晶的生长过程及其生长特点.     

Freezing rate affects the survival of a short-term freezing stress in Panagrolaimus davidi, an Antarctic nematode that survives intracellular freezing

The ability of the Antarctic nematode Panagrolaimus davidi to survive a short-term freezing stress depended upon the rate of freezing of its surroundings, measured as the duration of the sample exotherm. The freezing rate increased as the sample volume and freezing temperature decreased and resulted in fewer nematodes surviving. This appears to be due to the greater risk of physical damage by ice crystal growth at high freezing rates. Once frozen the nematodes will then survive exposure to lower temperatures. The environment of the nematode is likely to produce the slow rate of freezing of its surroundings that is necessary for its survival.     

Method of Calculating the Radiance of Point-Source Target in Infrared Image

In traditional method of obtaining the radiance of target in infrared image, a target is often considered as an extended source. In that way, we only need the atmosphere transmittance, path radiance, and target apparent temperature to calculate the blackbody equivalent temperature of the target. However, in real infrared system imaging process, the target may be so far from the sensor that the target should be taken as a point source. In that case, the traditional data analysis method is not applicable anymore. A new method of calculating the radiance of small target is presented, which is based on the infrared system imaging theory. And the parameter needed to be input in this method is easily obtained. This method is tested by three different imaging systems. They are Thermal Vision AGEMA 900, AGEMA 1000, and Airborne Surveillance Pod Imaging System. The method is programmed into software, IRIDAS (Infrared Radiation Image Data Analysis Software) version 1.0. This software includes infrared imaging system calibration, atmosphere modification calculation, target and background selection and radiance calculation. This method can be used in infrared data anaylsis, infrared system evaluation and testing, target and background characteristics obtaining.     

利用LNG冷能的间接冷冻法海水淡化流程比较

淡水资源缺乏已成为全球性问题,海水淡化方法的研究也日益引起重视。液化天然气在气化时有大量冷能可以利用,考虑到冷冻法海水淡化需要大量冷能,可以把LNG的冷能和冷冻法海水淡化结合起来,形成利用LNG能冷的冷冻法海水淡化流程。文中以间接冷冻法为例,介绍了LNG冷能在海水淡化中的利用;并针对系统中冷媒是否相变而提出了无相变流程和有相变流程,通过HYSYS软件进行模拟,比较分析了各自的优缺点。结果说明无相变流程设备简单、控制方便,但冷媒质量流量大;有相变流程冷媒质量流量小,但流程、设备与控制均较复杂,气相部分体积流量较大,使得气态管路直径较大,相应的换热器尺寸也会更大。     

The use of view angle tilting to reduce distortions in magnetic resonance imaging of cryosurgery

Susceptibility artifacts from magnetic resonance (MR)-compatible cryoprobes can distort MR images of iceballs. In this work, we investigate the ability of view angle tilting (VAT) to correct susceptibility induced distortions in MR images of cryosurgery. The efficacy of VAT was tested in an ex vivo bovine liver model of cryosurgery using MR-compatible cryoprobes. Artifacts on high bandwidth fast spin echo images of freezing obtained with and without VAT were compared with photographs of the actual iceball shape and size. In vivo imaging with VAT was demonstrated during percutaneous MR-guided cryosurgery of pig liver and brain. VAT was most successful in reducing probe and iceball distortions when the imaging plane was normal to the cryoprobe, and the cryoprobe was perpendicular to the main magnetic field of the scanner. VAT had the greatest benefit when used to correct MR images of freezing when the surface of the iceball was relatively near to the cryoprobe. For large iceballs, the artifact was small so the VAT correction was less important. We conclude that VAT significantly reduced distortions in the shape of the signal void corresponding to the extent of freezing visualized during MR-guided cryosurgery. This improved ability to visualize the exact location of the cryoprobe, as well as the precise shape of the iceball, particularly during initial freezing when the iceball is small, has potential to significantly improve the accuracy of MR-guided cryosurgery of small lesions, and the accuracy of MR-assisted temperature calculations that are based on precise imaging of the probe location, and boundary geometry of the iceball.     

生物组织的当量导热系数分析

导热对研究冷刀治疗的传热过程很重要.为了对冷刀治疗热过程有更好的理解,本文研究了生物组织的当量导热系数以及相关因素对当量导热系数的影响.将生物组织视为多孔介质,包括血管和正常组织两部分.建立了血管的分形模型,通过分形维的概念得到血管树的当量导热系数,采用盒计数法得到生物组织的当量导热系数.研究结果表明血管树的形状对组织的当量导热系数有很大的影响.     

基于液氮低温冷刀系统的冻结组织温度场分布研究

设计了基于液氮的低温冷冻治疗系统,并进行动物组织实验研究,得到组织关键测温点的温度变化;并对冷冻过程进行数值模拟,将实验结果与模拟冷冻结果进行对比,根据二者的差异对数值模拟中采用的组织热物性参数进行修正,使模拟结果更接近于实际冷冻过程.     

低温微创手术治疗探头周围组织温度分布研究

采用低温方法对人体深部肿瘤进行杀伤时,既要求对肿瘤组织有最大的杀伤效果,又要保证正常组织,特别是一些重要器官组织,能免受冷冻伤害。文中对冷冻治疗探头形成冰球的大小、以及冻结界面周围组织温度分布进行传热分析和测试,以给出安全区和危险区的范围,这可以为外科手术医生设计低温手术方案提供参考依据。     

The model study of water mass and energy exchange between the inland water body and atmosphere

Based on a one-dimensional eddy diffusion model, a model to study the water mass and energy exchange between the water body (such as lake and wetland) and the atmosphere is developed, which takes the phase change process due to the seasonal melting and freezing of water and the convection mixing process of energy caused by temperature stratification into consideration. The model uses enthalpy instead of temperature as predictive variable, which will help to deal with the phase change process and to design an efficient numerical scheme for obtaining the solution more easily. The performance of the model and the rationality of taking convection mixing into the consideration are validated by using observed data of Kinneret Lake in Israel and Lower Two Medicine Lake in Montana State in America. The comparison of model results with observed data indicates that the model presented here is capable of describing the physical process of water mass and energy between the water body (lake and wetland) and atmosphere. Comparison of the result from wetland with shallow and deep lakes under the same forcing conditions shows that the evaporation from wetland is much greater than that from lakes, which accords with the real observation fact and physical mechanism. Supported by the National Natural Science Foundation of China (Grant Nos. 40575043 and 40605024) and KZCX-sw-229