Thermoelectrical modeling of bipolar coagulation on posterior spinal artery in a porcine spinal surgery model

Roland K. Chen, Khoi D. Than, Paul Park, Albert J. Shih

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

The primary objective of our study was to develop a thermoelectrical model with both solid and liquid phases to calculate tissue temperature during bipolar coagulation of a posterior spinal artery on the spinal cord. Control of thermal spread caused by coagulation is a concern in spinal surgery. This model utilizes a nonisothermal flow to account for the heat transfer due to the movement of cerebrospinal fluid that is induced by electrical field and temperature gradient. The model is validated by in situ temperature measurements on a porcine spinal cord model. The maximum error for tissue temperature of this model is 12.6%, and the overall average error is 4.2%. The lesional region (>50 °C) is identified to be as wide as 5 mm, and thermal dose cumulative equivalent minutes at 43 °C (CEM43) is also calculated with this model. The incorporation of nonisothermal flow has been shown to be crucial in order to accurately predict thermal dose in tissue. The developed model can be further used to establish a guideline for the use of bipolar coagulation.

Original languageEnglish (US)
Article number6581890
Pages (from-to)182-188
Number of pages7
JournalIEEE Transactions on Biomedical Engineering
Volume61
Issue number1
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Keywords

  • Bipolar
  • Coagulation
  • Electrosurgery
  • Finite element modeling (FEM)
  • Nonisothermal flow
  • Thermal dose

ASJC Scopus subject areas

  • Biomedical Engineering

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