University Health Network

Sunnybrook Research Institute

Sunnybrook Health Sciences Centre

Michael D Sherar

Claire McCann

Gregory J Czarnota

John Hunt

Kieran Murphy

Michael C Kolios

Robert Weersink

Mark William Taylor

Michael Jewett

John R Kachura

Sean Davidson

Alex Furse

Michael Kolios

Adam Tunis

Brock James Miller

Various embodiments are described herein for a system and a method for treatment planning for providing ablative therapy to a patient. The treatment planning may involve segmenting images of the patient to define areas to receive treatment, defining trial parameters, simulating treatment of ablative therapy to the patient according to the trial parameters; analyzing a thermal dose distribution resulting from the simulated treatment to determine treatment effectiveness; determining when the treatment effectiveness meets a treatment effectiveness criteria; and providing an indication of the trial parameters when the treatment effectiveness meets the treatment effectiveness criteria.

System and method for minimally invasive thermal ablation treatment planning

A coil electrode for use with an RFA (radio frequency ablation) apparatus, has a lead portion, and a helical portion coupled to the lead portion, the helical portion being formed of Nitinol SE510. Further, an RFA (radio frequency ablation) apparatus, comprises an applicator, the applicator including a handle and a cannulating delivery needle mounted to the handle, the cannulating delivery needle including a tip spaced apart from the handle. A coil electrode includes a lead portion housed in the cannulating delivery needle, and a helical portion coupled to the lead portion, the helical portion formed of Nitinol. The helical portion has a retracted state when housed within the cannulating delivery needle and a deployed state when moved out of the tip of the cannulating delivery needle.

Coil electrode for thermal therapy

A method of detecting cellular damage within a subject comprises transmitting low frequency ultrasound (20 MHz or below) into a selected site within the subject wherein the selected site has been exposed to a stress capable of causing cellular death at the selected site. At least a portion of ultrasound backscattered from the ultrasound transmitted into the selected site is received. The received backscattered ultrasound is compared to a control backscatter measurement. An increase or a decrease in intensity or spectral slope of the received backscattered ultrasound when compared to the control backscatter measurement indicates cellular death or damage at the selected site within the subject.

Methods of monitoring cellular death using low frequency ultrasound

A single-coil RF electrode, along with an associated method of operation, has been developed for use in an RF applicator, RFA apparatus or RFA system for heating tumors, including large tumors with a single heating session. The RF electrode generally has a helical geometry, although many variations exist, and is provided with an excitation current having a frequency that is sufficient for magnetic induction and coupling of various electric and magnetic fields to produce an electric field within the volume surrounded by the coil for directly applying heat to the tissue therein.

Coil electrode apparatus for thermal therapy

A non-invasive method of monitoring apoptosis in cell culture, ex-vivo tissues and in-vivo tissues using high frequency ultrasound imaging is provided. The method includes the steps of: 1) imaging a selected site of the cell culture or tissues using high frequency (above 20 MHz) ultrasound imaging (before image); 2) exposing the selected site to an apoptosis-inducing stress; 3) imaging the selected site or a portion thereof, using ultrasound imaging at subsequent timed intervals (after image(s)); 4) measuring the signal amplitude of a region of interest of the selected site in the before and after images; 5) comparing the signal amplitude measurements for the regions of interest in the before and after images and determining whether the after image regions exhibit an increase in amplitude as compared to the before image regions which is an indication that apoptosis has begun; and 6) measuring the change in the frequency spectrum of the radiofrequency ultrasound backscatter signal in the region of interest in the before and after images and confirming that apoptosis has begun when the slope of the frequency spectrum has increased.

Use of high frequency ultrasound imaging to detect and monitor the process of apoptosis in living tissues, ex-vivo tissues and cell-culture

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Toronto, Canada

Michael D Sherar