Fundamentals of imaging electroporation with applications to electrical impedance tomography of irreversible electroporation.
ISBN : 9781109530766
Electroporation is an important subject of research in recent years which is gaining increasing attention from different aspects. Recent studies have implicated electroporation in many processes ranging from electrical shock injury through cardiacMoreElectroporation is an important subject of research in recent years which is gaining increasing attention from different aspects. Recent studies have implicated electroporation in many processes ranging from electrical shock injury through cardiac defibrillation to treatment of cancer.-Electroporation is a process in which pores are created in the cell membrane as a result of a large transmembrane potential. These pores, which usually reseal a short time after the transmembrane potential returns to its normal value, make the membrane permeable to many molecules of different sizes including some macro molecules which are not able to penetrate the membrane in significant quantities under normal conditions. When the transmembrane potential is very large or persists for a long time, the pores will not reseal, eventually leading to the cells death. This is called irreversible electroporation.-Recently, reversible and irreversible electroporation has been proposed for several clinical applications. Although its being used for more than 30 years in labs for in vitro applications such as introducing plasmids into cells, the application of in vivo tissue electroporation is still limited. One of the major hurdles preventing the use of this tool is the lack of real time control over this process. A reliable imaging modality that can detect an electroporated area would undoubtedly boost the clinical uses of electroporation.-Electrical Impedance Tomography (EIT) is an imaging modality that is designed to detect regions according to their impedance. Since electroporation increases the cell membrane permeability, ions can flow more easily in and out of the cell thereby lowering the impedance. EIT could be used to image these lower impedance regions. However, its currently an unreliable tool with very few clinical applications due to the mathematically ill-posed nature of the problem.-In this thesis I describe a minimally invasive EIT system for real time three dimensional imaging of an in vivo electroporation process which was successfully tested in rodent hepatic cells. Histology analysis showed good correlation between the extent of tissue damage caused by irreversible electroporation and the EIT images. This new method may lead the way to real time control of in vivo electroporation for genetic treatment of diseases in tissue and tissue ablation.
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