Determination of Tissue Thermal Conductivity as a Function of Thermal Dose and Its Application in Finite Element Modeling of Electrosurgical Vessel Sealing

• Published in: IEEE transactions on biomedical engineering 2020-10, Vol.67 (10), p.2862-2869
• Main Authors: Yang, Che-Hao, Li, Wei, Chen, Roland K.
• Format: Article
• Language: English
• Subjects: Bleeding; Blood vessels; Conductivity; Electrical resistivity; Electrosurgery; Finite element method; finite element modeling (FEM); Heat conductivity; Heat transfer; inverse heat transfer; Iterative methods; Liver; Material properties; Model accuracy; Modelling; Regression models; Resistance heating; Sealing; Temperature; Temperature distribution; Temperature measurement; Thermal conductivity; thermal dose; Tissues; vessel sealing
• ISSN: 0018-9294; 1558-2531
• DOI: 10.1109/TBME.2020.2972465

Objective: Electrosurgical vessel sealing is a process commonly used to control bleeding during surgical procedures. Finite element (FE) modeling is often performed to obtain a better understanding of thermal spread during this process. The accuracy of the FE model depends on the implemented material properties. Thermal conductivity is one of the most important properties that affect temperature distribution. The goal of this study is to determine the tissue thermal conductivity as a function of thermal dose.  Methods:  We developed an iterative approach to correlating tissue thermal conductivity to more accurately calculated thermal dose, which cannot be experimentally measured. The resulting regression model was then implemented into an electrosurgical vessel sealing FE model to examine the accuracy of this FE model.  Results:  The results show that with the regression model, more reasonable temperature and thermal dose prediction can be achieved at the center of the sealed vessel tissue. The resulting electrical current and impedance from the FE model match with the experimental results.  Conclusion:  The developed approach can be used to determine the correlation between thermal dose and thermal conductivity. Describing the thermal conductivity as a function of thermal dose allows modeling of irreversible changes in tissue properties.  Significance:  By having a more accurate temperature estimation at the center of the sealed vessel, more insight is provided into how the tissue reacts during the vessel sealing process.