Optimization of applicator positioning

Fraunhofer ITWM

It is highly important to completely destroy the tumour in RFA because surviving cells may develop resistance towards heat and promote more aggressive tumour growth. In order to provide more assurance for doctors, the “Medical Therapy Planning” (MTP) group and colleagues at the Fraunhofer Institute for Medical Image Computing MEVIS develop an imaging-based planning system for patient-individual planning of RFA therapy.

Interactive interface of the planning software. The current solution can be modified according to planning criteria (e.g. minimal temperature or distance to critical organs) or the applicator position itself in the left part of the screen.

The software:

  • allows to consider important clinical aspects of the therapy (such as
    the complete ablation of the tumour or the heat distribution in
    neighbouring organs) systematically,
  • calculates optimal applicator positions considering critical
    anatomical structures which obstruct access to the tumour (e.g. the ribs),
  • allows the classical forward planning of the therapy where the
    applicator can be positioned freely and the quality of the resulting
    therapy is automatically measured according to various clinical aspects
    and displayed,
  • allows inverse therapy planning where clinical aims can be formulated
    and adjusted iteratively in an intuitive way and the system calculates
    the applicator position to best reach the so specified goals.