Theoretical modeling for radiofrequency ablation: state-of-the-art and challenges for the future.
Radiofrequency ablation is an interventional technique that in recent years has come to be employed in very different medical fields, such as the elimination of cardiac arrhythmias or the destruction of tumors in different locations. In order to investigate and develop new techniques, and also to improve those currently employed, theoretical models and computer simulations are a powerful tool since they provide vital information on the electrical and thermal behavior of ablation rapidly and at low cost. In the future they could even help to plan individual treatment for each patient. This review analyzes the state-of-the-art in theoretical modeling as applied to the study of radiofrequency ablation techniques. Firstly, it describes the most important issues involved in this methodology, including the experimental validation. Secondly, it points out the present limitations, especially those related to the lack of an accurate characterization of the biological tissues. After analyzing the current and future benefits of this technique it finally suggests future lines and trends in the research of this area.
Berjano
Enrique J
EJ
Center for Research and Innovation on Bioengineering, Valencia Polytechnic University, Camino de Vera s/n, 46022 Valencia, Spain. eberjano@eln.upv.es
D000818:Animals; D001831:Body Temperature; D006348:Cardiac Surgical Procedures / Q000379:methods*; D017115:Catheter Ablation / Q000379:methods*; D006321:Heart / Q000503:physiopathology* / Q000528:radiation effects*; D006358:Hot Temperature; D006801:Humans; D008955:Models, Cardiovascular; D011846:Radio Waves; D012542:Scattering, Radiation; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome