Integrated Ultrasound and Photoacoustic-Guided Laser Ablation Theranostic Endoscopic System

• Published in: IEEE transactions on biomedical engineering Vol. 70; no. 1; pp. 67 - 75
• Main Authors: Basij, Maryam, John, Samuel, Bustamante, David, Kabbani, Loay, Maskoun, Waddah, Mehrmohammadi, Mohammad
• Format: Journal Article
• Language: English
• Published: United States IEEE 01.01.2023; The Institute of Electrical and Electronics Engineers, Inc. (IEEE)
• Subjects: Ablation; Animal tissues; Animals; Atrial Fibrillation; Catheter Ablation - methods; Complications; endoscope; Endoscopes; Endoscopy; Fiber lasers; Heart Atria; Imaging; laser; Laser ablation; Laser Therapy; Lasers; Lesions; Measuring instruments; Mice; Monitoring; Optical fiber devices; Optical fibers; photoacoustic; Precision Medicine; Pulmonary Veins - surgery; Radio frequency; Technology; Telemedicine; theranostic; thermometry; tissue characterization; Treatment Outcome; ultrasound
• ISSN: 0018-9294; 1558-2531
• DOI: 10.1109/TBME.2022.3184495

Advancements in ablation techniques have paved the way towards the development of safer and more effective clinical procedures for treating various maladies such as atrial fibrillation (AF). AF is characterized by rapid, chaotic atrial activation and is commonly treated using radiofrequency applicators or laser ablation catheters. However, the lack of thermal lesion formation and temperature monitoring capabilities in these devices prevents them from measuring the treatment outcome directly. In addition, poor differentiation between healthy and ablated tissues leads to incomplete ablation, which reduces safety and causes complications in patients. Hence, a novel photoacoustic (PA)-guided laser ablation theranostic device was developed around a traditional phased-array endoscope. The proposed technology provides lesion formation, tissue distinguishing, and temperature monitoring capabilities. Our results have validated the lesion monitoring capability of the proposed technology through PA correlation maps. The tissue distinguishing capability of the theranostic device was verified by the measurable differences in the PA signal between pre-and post-ablated mice myocardial tissue. The increase in the PA signal with temperature variations caused by the ablation laser confirmed the ability of the proposed device to provide temperature feedback.