ASPETTI TECNICI DELLA RADIOFREQUENZA (RTA)
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1 ASPETTI TECNICI DELLA RADIOFREQUENZA (RTA) Alberto Mormile S.C. di Endocrinologia, Diabetologia e Malattie del metabolismo AO Ordine Mauriziano di Torino Direttore: Dr Paolo Limone
2 Disclosure of interest: none Roma,
3 Indice 1.Cos è la radiofrequenza 2. Effetto del calore sui tessuti biologici 3. Strategie per incrementare l effetto del calore sui tessuti 4. L apparecchiatura per il trattamento con radiofrequenza 5. I diversi tipi di aghi 6. La tecnica moving shot
4 Heat induced radiofrequency thermal ablation (RTA) is a consolidated, safe and minimally invasive approach for the treatment of hepatic nodular lesions and neoplasm of different organs (kidney, spleen, prostate, breast, lung, bone) RTA has been proposed as a new tool for the treatment of thyroid nodules.
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6 Heating and tissue: RF Roma, Frictional Heating Conductive Heating Conduction Over Time...
7 Indice 1. Cos è la radiofrequenza 2.Effetto del calore sui tessuti biologici 3. Strategie per incrementare l effetto del calore sui tessuti 4. L apparecchiatura per il trattamento con radiofrequenza 5. I diversi tipi di aghi 6. La tecnica moving shot
8 Heating and tissue Roma, Temperature ( C) < >200 Cellular Effect No significant cell damage Reversible cell damage Irreversible cell damage (denaturation) Coagulation (collagens converted to glucose) Desiccation (boiling of intra- and extracellular water) Carbonization
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10 Heating and tissue Roma, When temperature exceeds 105 C, cells are dehidrated and carbonated. This event stops heat and energy dispersion to the tissue around, with reduction of the treatment efficacy. applethe RTA should ideally induce a prolonged tissue s heating with temperature ranging from 50 and 105 C in the volume of tissue to ablate.
11 Heating and tissue: Radiofrequency Roma, Lesion Size Depends on Electrode Size and Temperature Lesion Size (cm) Body Temp Cell Death Electrode Temperature ( C) SB XLi (7 cm) SB XL & Flex (5 cm) SB XL & Flex (3 cm) StarBurst SDE (2 cm)
12 Heating and tissue: laser Roma,
13 Indice 1. Cos è la radiofrequenza 2. Effetto del calore sui tessuti biologici 3.Strategie per incrementare l effetto del calore sui tessuti 4. L apparecchiatura per il trattamento con radiofrequenza 5. I diversi tipi di aghi 6. La tecnica moving shot
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18 Indice 1. Cos è la radiofrequenza 2. Effetto del calore sui tessuti biologici 3. Strategie per incrementare l effetto del calore sui tessuti 4.L apparecchiatura per il trattamento con radiofrequenza 5. I diversi tipi di aghi 6. La tecnica moving shot
19 Equipment Roma, P.C. (opz.) Electric line Generator Heating Needle Adhesive patches
20 Indice 1. Cos è la radiofrequenza 2. Effetto del calore sui tessuti biologici 3. Strategie per incrementare l effetto del calore sui tessuti 4. L apparecchiatura per il trattamento con radiofrequenza 5.I diversi tipi di aghi 6. La tecnica moving shot
21 HEATING NEEDLES Roma,
22 RTA: hooked array StarBust XL 14G
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24 RTA: saline infusion Uniblate 16 G Talon 14G
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26 RTA: Internally cooled needle Roma,
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28 Cooling RF Conventional RF from electrode
29 Indice 1. Cos è la radiofrequenza 2. Effetto del calore sui tessuti biologici 3. Strategie per incrementare l effetto del calore sui tessuti 4. L apparecchiatura per il trattamento con radiofrequenza 5. I diversi tipi di aghi 6.La tecnica moving shot
30 RTA:Internally cooled needle (18 G 19 G) Roma,
31 The moving shot technique (with internally cooled needle) Roma,
32
33 Grazie per l attenzione
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