Ex vivo comparison between thyroid-dedicated bipolar and monopolar radiofrequency electrodes. 2018

Ra Gyoung Yoon, and Jung Hwan Baek, and Sae Rom Chung, and Young Jun Choi, and Jeong Hyun Lee
a Department of Radiology , University of Eulji College of Medicine, Eulji Medical Center , Seoul , Korea.

This study evaluated the characteristics of a thyroid-dedicated bipolar RF electrode (BRFE) and compared its ablation performance with that of monopolar RF electrodes (MRFEs) in normal bovine liver blocks. BRFE was tested on 60 bovine liver blocks with six different time-power combinations, applying 20, 30 and 40 W for 60 and 120 s. Subsequently, BRFE and MRFEs with 0.5-, 0.7- and 1-cm active tips were applied on 160 bovine liver blocks, creating 16 time-electrode combinations (10, 30, 60 and 120 s). The ablation characteristics, RF efficacy and true RF efficacy of each electrode group were then evaluated and compared. True RF efficacy was defined as the total ablation volume created within the total time during which valid RF current was generated. The true RF efficacy of BRFE with 30 W at 60 s was significantly higher than that of BRFE with 20 W and 40 W during the preliminary experiment (p = 0.011). BRFE showed larger vertical and transverse diameters (DT1, DT2) than MRFE with a 0.5-cm active tip (all p values < 0.001, except 10 s). By contrast, MRFE with a 0.7-cm active tip created a larger DT1, DT2, volume, efficacy and true efficacy than BRFE (maximum p value = 0.011). The shape ratio of BRFE was significantly higher than that of MRFEs with 0.5-cm and 0.7-cm tips (all p < 0.001). Application of BRFE with 30 W could achieve a median ablation volumes and efficacy between that of MRFEs with 0.5-cm and 0.7-cm active tips and created a more ellipsoid-shaped ablation zone.

UI MeSH Term Description Entries
D002417 Cattle Domesticated bovine animals of the genus Bos, usually kept on a farm or ranch and used for the production of meat or dairy products or for heavy labor. Beef Cow,Bos grunniens,Bos indicus,Bos indicus Cattle,Bos taurus,Cow,Cow, Domestic,Dairy Cow,Holstein Cow,Indicine Cattle,Taurine Cattle,Taurus Cattle,Yak,Zebu,Beef Cows,Bos indicus Cattles,Cattle, Bos indicus,Cattle, Indicine,Cattle, Taurine,Cattle, Taurus,Cattles, Bos indicus,Cattles, Indicine,Cattles, Taurine,Cattles, Taurus,Cow, Beef,Cow, Dairy,Cow, Holstein,Cows,Dairy Cows,Domestic Cow,Domestic Cows,Indicine Cattles,Taurine Cattles,Taurus Cattles,Yaks,Zebus
D004566 Electrodes Electric conductors through which electric currents enter or leave a medium, whether it be an electrolytic solution, solid, molten mass, gas, or vacuum. Anode,Anode Materials,Cathode,Cathode Materials,Anode Material,Anodes,Cathode Material,Cathodes,Electrode,Material, Anode,Material, Cathode
D000078703 Radiofrequency Ablation Removal of tissue using heat generated from electrodes delivering an alternating electrical current in the frequency of RADIO WAVES. Radio Frequency Ablation,Radio-Frequency Ablation,Ablation, Radio Frequency,Ablation, Radio-Frequency,Ablation, Radiofrequency
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia

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