• Title/Summary/Keyword: ablation condition

Search Result 59, Processing Time 0.022 seconds

Cooled radiofrequency ablation of genicular nerves for knee osteoarthritis

  • Myong-Hwan Karm;Hyun-Jung Kwon;Chan-Sik Kim;Doo-Hwan Kim;Jin-Woo Shin;Seong-Soo Choi
    • The Korean Journal of Pain
    • /
    • v.37 no.1
    • /
    • pp.13-25
    • /
    • 2024
  • Knee osteoarthritis (OA) is a prevalent and debilitating musculoskeletal condition that significantly affects the quality of life of millions of individuals worldwide. In recent years, cooled radiofrequency ablation (CRFA) has become a viable treatment option for knee OA. This review thoroughly evaluated the existing literature on CRFA therapy for knee OA. It delved into the mechanisms behind CRFA, evaluated its clinical efficacy, and investigated potential avenues for future research and application. The insights gained from this review are crucial for healthcare professionals, researchers, and policymakers, offering an updated perspective on CRFA's role as a viable therapeutic option for knee OA.

Relation between Ablation Execution Time and Radiation Exposure Effect in the Treatment of Atrial-fibrillation using Cryo-balloon and 3D Radio-frequency Ablation (냉각 풍선 절제술과 3D 고주파 절제술을 이용한 심방세동 치료 시 절제술 시행 시간과 방사선 피폭 영향과의 연관성)

  • Seo, Young-Hyun
    • Journal of the Korean Society of Radiology
    • /
    • v.16 no.4
    • /
    • pp.427-434
    • /
    • 2022
  • Atrial fibrillation treatment includes 3D RFCA and Cryo-balloon ablation. Both procedures have in common that they enter after understanding the structure of the heart using angiography equipment. Therefore, there is a disadvantage that the effect of exposure according to the procedure time can be a threat to both the patient and the operator, so this study aims to confirm the relationship between the total ablation time and the effect of radiation exposure. We used follow-up data (retrospective) from 41 patients who underwent coronary angiography and arrhythmia at the same time from March 2019 to July 2022. The range for total ablation time was based on the recorded data from the start to the end of the total ablation. The end point of 3D RFCA was when the ablation was completed for 4 pulmonary veins, and in the case of Cryo-balloon ablation, the data that succeeded in electrical insulation were included. As a result of analyzing the total ablation time, the time taken for Cryo-balloon ablation was 1037.29±103.66 s, which was 2448.61 s faster than 3D RFCA using 3485.9±405.71 s, and was statistically significant. (p<0.05) As a result of analyzing the total fluoroscopy time, the exposure time for 3D RFCA was 2573.75±239.08 s, which was less by 1717.15 s than the exposure time for Cryo-balloon ablation, 4290.9±420.42 s, and was statistically significant. In the case of total area dose product, 3D RFCA was 59.04±13.1 uGy/m2, which was lower than Cryo-balloon ablation 980.6±658.07 uGy/m2 by 921.56 uGy/m2, which was statistically significant. As the insulation time of the Cryo-balloon ablation is shorter than that of the 3D RFCA, the method using the Cryo-balloon ablation is considered to be effective when the patient's condition is not good and a quick procedure is required. However, in patients with permanent Atrial fibrillation, there is a high probability of structural changes in the heart, so it is considered that 3D RFCA is better than Cryo-balloon ablation, which is difficult to manipulate.

Thermal Performance Evaluations of Tungsten/Yttria as Nozzle Throat Insert Material for Long Duration Firing (장시간 연소 텅스텐/이트리아 노즐목 삽입재의 내열성능 평가)

  • Kang, Yoon-Goo;Park, Jong-Ho
    • Journal of the Korean Society for Aeronautical & Space Sciences
    • /
    • v.38 no.2
    • /
    • pp.200-205
    • /
    • 2010
  • Heat-resistance of W/$Y_2O_3$ as throat insert material was evaluated to develop rocket motor keeping thrust uniformly under condition of high-temperature, high-pressure and long-burn time. Test was conducted with varying burn time, and test results were compared with CIT. Test showed that ablation rate was decreased according as burn time was increased, and that ablation rate of W/$Y_2O_3$ was about 55 % of CIT. Macro/micro structures of throat insert did not show a peculiar phenomenon by increased burn time. In addition, the vacuum heat treatment is effective for the prevention of crack in throat insert.

Calculation of Pressure Rise of Self-blast Circuit Breaker considering Nozzle Ablation (노즐 용삭을 고려한 복합 소호형 차단기의 압력 상승 계산)

  • Bae, Cae-Yoon;Ahn, Heui-Sup;Jung, Yong-Woo;Choi, Jong-Ung;Oh, Il-Sung
    • Proceedings of the KIEE Conference
    • /
    • 2006.07b
    • /
    • pp.677-678
    • /
    • 2006
  • Pressure risc is an important design factor and affects significantly on the characteristics of gas circuit breakers. For self-blast circuit breakers, the nozzle ablation plays important role in pressure-building up and should be properly considered for the accurate calculation. In this paper, the nozzle ablation is treated as a boundary condition and the pressure is calculated from mass fractions of PTFE and SF6. The amount of the ablated mass of a nozzle is assumed to be proportional to the are energy and the area of nozzle surface that directly touches arc. The calculation result is compared with measured data and shows good agreement with it.

  • PDF

Numerical Analysis for Thermal Response of Silica Phenolic in Solid Rocket Motor (고체 로켓 추진기관에서 실리카/페놀릭 열반응 해석 연구)

  • Seo, Sangkyu;Hahm, Heecheol;Kang, Yoongoo
    • Proceedings of the Korean Society of Propulsion Engineers Conference
    • /
    • 2017.05a
    • /
    • pp.521-528
    • /
    • 2017
  • In this paper, the numerical analysis for heat conduction of silica/phenolic composite material, which is used for solid rocket nozzle liner or insulator, was conducted. 1-D Finite Difference Method for the analysis of silica/phenolic during the firing of solid rocket motor was used to calculate the heat conduction considering the surface ablation and the thermal decomposition. The boundary condition at the nozzle wall took into account the convective heat transfer, which was obtained by integration equation. The numerical results of the surface ablation and char depth were compared with the results of test motor that is TPEM-10. It was found that the result of calculation is favorably agreed with the thermal response of test motor.

  • PDF

Numerical Analysis for Thermal Response of Silica Phenolic in Solid Rocket Motor (고체 로켓 추진기관에서 실리카/페놀릭 열반응 해석 연구)

  • Seo, Sangkyu;Hahm, Heecheol;Kang, Yoongoo
    • Journal of the Korean Society of Propulsion Engineers
    • /
    • v.22 no.4
    • /
    • pp.76-84
    • /
    • 2018
  • In this paper, the numerical analysis for heat conduction of silica/phenolic composite material, used for solid rocket nozzle liners or insulators, is conducted. A 1-dimensional finite difference method for the analysis of silica/phenolic during the firing of a solid rocket motor is used to calculate heat conduction, considering surface ablation and thermal decomposition. The boundary condition at the nozzle wall, considering the convective heat transfer, is obtained via integration equations. The numerical results of the surface ablation and char depth are compared with the results of a TPEM-10 test motor, finding that the result of calculation agrees with the thermal response of the test motor.

Evaluation of MCCI Behaviors in the Calandria Vault of CANDU-6 Plants Using CORQUENCH Code (CORQUENCH 코드를 활용한 중수로 calandria vault에서의 MCCI 거동 분석)

  • Seon Oh YU
    • Transactions of the Korean Society of Pressure Vessels and Piping
    • /
    • v.17 no.2
    • /
    • pp.90-100
    • /
    • 2021
  • Molten corium-concrete interaction (MCCI) is one of the most important phenomena that can lead to the potential hazard of late containment failure due to basemat penetration during a severe accident. In this study, MCCI analytical models of the CORQUENCH code were prepared through verification calculations of several experiments, which had been performed using concrete types similar to those of the calandria vault floor in CANDU-6 plants. The behaviors of thermal-hydraulic variables related to MCCI phenomena were analyzed under the conditions of dry floor and water flooding during the severe accident stemming from a hypothetic station blackout. Uncertainty analyses on the ablation depth were also carried out. It was estimated that the concrete ablation was not interrupted due to the continuous MCCI process under the dry condition but was terminated within 24 hours under the water flooding condition. It was confirmed that the water flooding as a mitigating action was effective to achieve the quenching and thermal stabilization of the melt discharged from the calandria vessel, showing that the present models are capable of reasonably simulating MCCI phenomena in CANDU-6 plants. This study is expected to provide the technical bases to the accident management strategy during the late-phase severe accidents.

Magnetic Properties of $Nd_xFe_{90.98-x}B_{9.02}$ Thin Films Grown by a KrF Pulsed Laser Ablation Method (KrF Pulsed Laser Ablation 법으로 제조한 $Nd_xFe_{90.98-x}B_{9.02}$ 박막의 자기특성)

  • 김상원;양충진
    • Journal of the Korean Magnetics Society
    • /
    • v.7 no.6
    • /
    • pp.299-307
    • /
    • 1997
  • NdFeB films have been grown onto Si(100) substrate by a KrF pulsed laser ablation of the targets of $Nd_xFe_{90.98-x}B_{9.02}$ (x=17.51~27.51) at the substrate temperature of 620~700 $^{\circ}C$ and the laser beam energy density of 2.75~5.99 J/$\textrm{cm}^2$. The films exhibit no preferred orientation, however, good hard magnetic properties were produced from as-deposited condition : $4{\pi}M_s$=7 kG, $4{\pi}M_r$=4 kG, and $H_c$=300~1000 Oe. The depositon rate was not greatly influenced by changing the substrate temperature, but it increases linearly by increasing the beam energy density. The beam energy density of 3 J/$\textrm{cm}^2$ gave the optimal condition to have the highest $4{\pi}M_r$ and $H_c$ as well. The higher content of Nd induces a higher coercivity and $4{\pi}M_r$ at the same time without prominent change in $4{\pi}M_s$.

  • PDF

A Case of Bronchobiliary Fistula as a Complication of Radiofrequency Ablation (간암환자에서 고주파 열치료 후 발생한 기관지담관루 1예)

  • Lee, Ji-Hyun;Kim, Min-Su;Lee, Jae-Gon;Kim, Dae-Sik;Yang, Hae-Jin;Cho, Dae-Hyeon;Kang, Kyung-Woo
    • Tuberculosis and Respiratory Diseases
    • /
    • v.72 no.2
    • /
    • pp.228-231
    • /
    • 2012
  • Bronchobiliary fistula (BBF), defined as an abnormal communication between the biliary duct and bronchial trees, is a very rare condition. Bilioptysis is a pathognomonic finding for BBF. We studied a 58-year-old man, who had a BBF complicated by liver biloma that occurred after radiofrequency ablation. The diagnosis was confirmed by the presence of bile-stained sputum and an Endoscopic Retrograde Cholangio-Pancreatography. BBF was treated successfully by endoscopic sphincterotomy and biliary drainage with insertion of a double pig-tail plastic stent into the biloma. We suggest that the optimal choice of treatment modality for BBF depends on the natural course of the underlying disease, and the status of the biliary stricture.

Prediction of Local Tumor Progression after Radiofrequency Ablation (RFA) of Hepatocellular Carcinoma by Assessment of Ablative Margin Using Pre-RFA MRI and Post-RFA CT Registration

  • Yoon, Jeong Hee;Lee, Jeong Min;Klotz, Ernst;Woo, Hyunsik;Yu, Mi Hye;Joo, Ijin;Lee, Eun Sun;Han, Joon Koo
    • Korean Journal of Radiology
    • /
    • v.19 no.6
    • /
    • pp.1053-1065
    • /
    • 2018
  • Objective: To evaluate the clinical impact of using registration software for ablative margin assessment on pre-radiofrequency ablation (RFA) magnetic resonance imaging (MRI) and post-RFA computed tomography (CT) compared with the conventional side-by-side MR-CT visual comparison. Materials and Methods: In this Institutional Review Board-approved prospective study, 68 patients with 88 hepatocellulcar carcinomas (HCCs) who had undergone pre-RFA MRI were enrolled. Informed consent was obtained from all patients. Pre-RFA MRI and post-RFA CT images were analyzed to evaluate the presence of a sufficient safety margin (${\geq}3mm$) in two separate sessions using either side-by-side visual comparison or non-rigid registration software. Patients with an insufficient ablative margin on either one or both methods underwent additional treatment depending on the technical feasibility and patient's condition. Then, ablative margins were re-assessed using both methods. Local tumor progression (LTP) rates were compared between the sufficient and insufficient margin groups in each method. Results: The two methods showed 14.8% (13/88) discordance in estimating sufficient ablative margins. On registration software-assisted inspection, patients with insufficient ablative margins showed a significantly higher 5-year LTP rate than those with sufficient ablative margins (66.7% vs. 27.0%, p = 0.004). However, classification by visual inspection alone did not reveal a significant difference in 5-year LTP between the two groups (28.6% vs. 30.5%, p = 0.79). Conclusion: Registration software provided better ablative margin assessment than did visual inspection in patients with HCCs who had undergone pre-RFA MRI and post-RFA CT for prediction of LTP after RFA and may provide more precise risk stratification of those who are treated with RFA.