@article {227, title = {First-in-human demonstration of floating EMG sensors and stimulators wirelessly powered and operated by volume conduction}, journal = {Journal of NeuroEngineering and Rehabilitation}, volume = {21}, year = {2024}, pages = {4}, chapter = {4}, doi = {10.1186/s12984-023-01295-5}, url = {https://doi.org/10.1186/s12984-023-01295-5}, author = {Laura Becerra-Fajardo and Jesus Minguillon and Krob, Marc O. and Camila Rogrigues and Miguel Gonz{\'a}lez-S{\'a}nchez and {\'A}lvaro Meg{\'\i}a-Garc{\'\i}a and Redondo Gal{\'a}n, Carolina and Guiti{\'e}rrez Henares, Francisco and Albert Comerma and del Ama, Antonio J. and {\'A}ngel Gil-Agudo and Francisco Grandas and Andreas Schneider and Filipe O. Barroso and Antoni Ivorra} } @article {226, title = {Dynamics of High-Density Unipolar Epicardial Electrograms During PFA}, journal = {Circulation: Arrhythmia and Electrophysiology}, year = {2023}, pages = {e011914}, chapter = {e011914}, doi = {10.1161/CIRCEP.123.011914}, url = {https://www.ahajournals.org/doi/10.1161/CIRCEP.123.011914}, author = {Gerard Amor{\'o}s-Figueras and Sergi Casabella-Ramon and Zoraida Moreno-Weidmann and Antoni Ivorra and Jose M. Guerra and Tomas Garcia-Sanchez} } @article {228, title = {Effects of Contact Force on Lesion Size During Pulsed Field Catheter Ablation: Histochemical Characterization of Ventricular Lesion Boundaries}, journal = {Circulation: Arrhythmia and Electrophysiology}, volume = {(Online ahead of print.)}, year = {2023}, pages = {e012026}, doi = {10.1161/CIRCEP.123.012026}, url = {https://doi.org/10.1161/CIRCEP.123.012026}, author = {Hiroshi Nakagawa and Q. Castellv{\'\i} and Robert Neal and Steven Girouard and Jacob Laughner and Atsushi Ikeda and Masafumi Sugawara and Yoshimori An and Hussein, Ayman A. and Shady Nakhla and Tyler Taigen and Jakub Srounbek and Mohamed Kanj and Pasquale Santangeli and Walid I. Saliba and Antoni Ivorra and Oussama M. Wazni} } @article {215, title = {Powering Electronic Implants by High Frequency Volume Conduction: In Human Validation}, journal = {IEEE Transactions on Biomedical Engineering}, volume = {70}, year = {2023}, month = {08/2022}, pages = {659-670}, chapter = {659}, doi = {10.1109/TBME.2022.3200409}, url = {https://ieeexplore.ieee.org/document/9864046}, author = {Jesus Minguillon and Marc Tudela-Pi and Laura Becerra-Fajardo and Enric Perera-Bel and del Ama, Antonio J. and {\'A}ngel Gil-Agudo and {\'A}lvaro Meg{\'\i}a-Garc{\'\i}a and Aracelys Garc{\'\i}a-Moreno and Antoni Ivorra} } @article {213, title = {Auricular transcutaneous vagus nerve stimulation acutely modulates brain connectivity in mice}, journal = {Frontiers in Cellular Neuroscience}, volume = {16}, year = {2022}, pages = {856855}, chapter = {856855}, doi = {10.3389/fncel.2022.856855}, url = {https://www.frontiersin.org/articles/10.3389/fncel.2022.856855/abstract}, author = {Cecilia Brambilla-Pisoni and Emma Mu{\~n}oz-Moreno and Ianire Gallego-Amaro and Rafael Maldonado and Antoni Ivorra and Guadalupe Soria and Andr{\'e}s Ozaita} } @article {217, title = {A computational comparison of Radiofrequency and Pulsed Field Ablation in terms of lesion morphology in the cardiac chamber}, journal = {Scientific Reports}, volume = {12}, year = {2022}, chapter = {16144}, doi = {10.1038/s41598-022-20212-9}, url = {https://doi.org/10.1038/s41598-022-20212-9}, author = {Mario G{\'o}mez-Barea and Tomas Garcia-Sanchez and Antoni Ivorra} } @article {214, title = {Floating EMG Sensors and Stimulators Wirelessly Powered and Operated by Volume Conduction for Networked Neuroprosthetics}, journal = {Journal of NeuroEngineering and Rehabilitation}, volume = {19}, year = {2022}, pages = {57}, chapter = {57}, doi = {10.1186/s12984-022-01033-3}, url = {https://doi.org/10.1186/s12984-022-01033-3}, author = {Laura Becerra-Fajardo and Krob, Marc O. and Jesus Minguillon and Camila Rogrigues and Christine Welsch and Marc Tudela-Pi and Albert Comerma and Filipe O. Barroso and Andreas Schneider and Antoni Ivorra} } @article {209, title = {Modeling methods for treatment planning in overlapping electroporation treatments}, journal = {IEEE Transactions on Biomedical Engineering}, volume = {69}, year = {2022}, month = {09/2021}, pages = {1318 - 1327}, chapter = {1318}, doi = {10.1109/TBME.2021.3115029}, url = {https://ieeexplore.ieee.org/document/9547807}, author = {Enric Perera-Bel and Borja Mercadal and Tomas Garcia-Sanchez and Miguel A. Gonz{\'a}lez-Ballester and Antoni Ivorra} } @article {218, title = {Parametric study of Pulsed Field Ablation with biphasic waveforms in an in vivo heart model: the role of frequency}, journal = {Circulation: Arrhythmia and Electrophysiology}, volume = {15}, year = {2022}, pages = {693-705}, chapter = {693}, doi = {10.1161/CIRCEP.122.010992}, url = {https://www.ahajournals.org/doi/abs/10.1161/CIRCEP.122.010992}, author = {Tomas Garcia-Sanchez and Gerard Amor{\'o}s-Figueras and Esther Jorge and Mar{\'\i}a C. Campos and Elad Maor and Jose M. Guerra and Antoni Ivorra} } @article {224, title = {PIRET {\textemdash} A Platform for Treatment Planning in Electroporation-Based Therapies}, journal = {Transactions on Biomedical Engineering}, volume = {(Accepted)}, year = {2022}, author = {Enric Perera-Bel and Kenneth N. Aycock and Zaid Salameh and Mario G{\'o}mez-Barea and Rafael Davalos and Antoni Ivorra and Miguel A. Gonz{\'a}lez-Ballester} } @article {216, title = {Wireless networks of injectable microelectronic stimulators based on rectification of volume conducted high frequency currents}, journal = {Journal of Neural Engineering}, volume = {19}, year = {2022}, pages = {056015}, chapter = {056015}, doi = {10.1088/1741-2552/ac8dc4}, url = {https://iopscience.iop.org/article/10.1088/1741-2552/ac8dc4}, author = {Aracelys Garc{\'\i}a-Moreno and Albert Comerma and Marc Tudela-Pi and Jesus Minguillon and Laura Becerra-Fajardo and Antoni Ivorra} } @article {206, title = {Comparing High-Frequency With Monophasic Electroporation Protocols in an In Vivo Beating Heart Model}, journal = {JACC: Clinical Electrophysiology}, volume = {7}, year = {2021}, pages = {959-964}, chapter = {959}, doi = {10.1016/j.jacep.2021.05.003}, author = {Eyal Heller and Tomas Garcia-Sanchez and Yonatan Moshkovits and Raul Rabinovici and Dvora Grynberg and Amit Segev and Samuel Asirvatham and Antoni Ivorra and Elad Maor} } @article {207, title = {Volume Conduction for Powering Deeply Implanted Networks of Wireless Injectable Medical Devices: a Numerical Parametric Analysis}, journal = {IEEE Access }, volume = {9}, year = {2021}, pages = {100594-100605}, chapter = {100594-100605}, doi = {10.1109/ACCESS.2021.3096729}, url = {https://ieeexplore.ieee.org/document/9481290}, author = {Marc Tudela-Pi and Jesus Minguillon and Laura Becerra-Fajardo and Antoni Ivorra} } @article {184, title = {Auricular transcutaneous vagus nerve stimulation improves memory persistence in na{\"\i}ve mice and in an intellectual disability mouse model}, journal = {Brain Stimulation}, volume = {13}, year = {2020}, pages = {494-498}, chapter = {494}, doi = {10.1016/j.brs.2019.12.024}, url = {https://doi.org/10.1016/j.brs.2019.12.024}, author = {Anna V{\'a}zquez-Oliver and Cecilia Brambilla-Pisoni and Mikel Domingo-Gainza and Rafael Maldonado and Antoni Ivorra and Andr{\'e}s Ozaita} } @article {187, title = {Dynamics of Cell Death After Conventional IRE and H-FIRE Treatments}, journal = {Annals of Biomedical Engineering}, volume = {48}, year = {2020}, pages = {1451{\textendash}1462}, chapter = {pages1451}, doi = {10.1007/s10439-020-02462-8}, url = {https://doi.org/10.1007/s10439-020-02462-8}, author = {Borja Mercadal and Natalie Beitel-White and Kenneth N. Aycock and Q. Castellv{\'\i} and Rafael Davalos and Antoni Ivorra} } @article {198, title = {EView: An electric field visualization web platform for electroporation-based therapies}, journal = {Computer Methods and Programs in Biomedicine}, volume = {197}, year = {2020}, pages = {105682}, chapter = {105682}, doi = {10.1016/j.cmpb.2020.105682}, author = {Enric Perera-Bel and Carlos Yag{\"u}e and Borja Mercadal and Mario Ceresa and Natalie Beitel-White and Rafael Davalos and Miguel A. Gonz{\'a}lez-Ballester and Antoni Ivorra} } @article {185, title = {High-voltage pulsed electric field laboratory device with asymmetric voltage multiplier for marine macroalgae electroporation}, journal = {Innovative Food Science and Emerging Technologies}, volume = {(In press, Journal Pre-proof)}, year = {2020}, doi = {10.1016/j.ifset.2020.102288}, author = {Klimentiy Levkov and Yoav Linzon and Borja Mercadal and Antoni Ivorra and C{\'e}sar Gonz{\'a}lez and Alexander Golberg} } @article {188, title = {In vitro study on the mechanisms of action of electrolytic electroporation (E2)}, journal = {Bioelectrochemistry}, volume = {133}, year = {2020}, pages = {107482}, chapter = {107482}, doi = {10.1016/j.bioelechem.2020.107482}, url = {https://doi.org/10.1016/j.bioelechem.2020.107482}, author = {Nina Klein and Borja Mercadal and Michael Stehling and Antoni Ivorra} } @article {193, title = {Injectable Sensors Based on Passive Rectification of Volume-Conducted Currents}, journal = {IEEE Transactions on Biomedical Circuits and Systems}, volume = {14}, year = {2020}, pages = {867-878}, chapter = {867}, doi = {10.1109/TBCAS.2020.3002326}, url = {https://ieeexplore.ieee.org/document/9117042}, author = {Shahid Malik and Q. Castellv{\'\i} and Laura Becerra-Fajardo and Marc Tudela-Pi and Aracelys Garc{\'\i}a-Moreno and Maryam Shojaei Baghini and Antoni Ivorra} } @article {196, title = {Interleaved intramuscular stimulation with minimally overlapping electrodes evokes smooth and fatigue resistant forces}, journal = {Journal of Neural Engineering}, volume = {17}, year = {2020}, pages = {046037}, chapter = {046037}, doi = {10.1088/1741-2552/aba99e}, url = {https://doi.org/10.1088/1741-2552/aba99e}, author = {Ahmed Eladly and Jaume Del Valle and Jesus Minguillon and Borja Mercadal and Laura Becerra-Fajardo and Xavier Navarro and Antoni Ivorra} } @article {189, title = {Power Transfer by Volume Conduction: In Vitro Validated Analytical Models Predict DC Powers above 1 mW in Injectable Implants}, journal = {IEEE Access}, volume = {8}, year = {2020}, pages = {37808-37820}, chapter = {37808}, doi = {10.1109/ACCESS.2020.2975597}, author = {Marc Tudela-Pi and Laura Becerra-Fajardo and Aracelys Garc{\'\i}a-Moreno and Jesus Minguillon and Antoni Ivorra} } @article {195, title = {Pulsed radiofrequency for chronic pain: in vitro evidence of an electroporation mediated calcium uptake}, journal = {Bioelectrochemistry}, volume = {136}, year = {2020}, pages = {107624}, chapter = {107624}, doi = {10.1016/j.bioelechem.2020.107624}, author = {Borja Mercadal and Rub{\'e}n Vicente and Antoni Ivorra} } @article {180, title = {The combination of electroporation and electrolysis (E2) employing different electrode arrays for ablation of large tissue volumes}, journal = {PLoS One}, volume = {14}, year = {2019}, pages = {e0221393}, chapter = {e0221393}, doi = {10.1371/journal.pone.0221393}, url = {https://doi.org/10.1371/journal.pone.0221393}, author = {Nina Klein and Enric Guenther and Florin Botea and Mihail Pautov and Simona Dima and Dana Tomescu and Mihai Popescu and Antoni Ivorra and Michael Stehling and Irinel Popescu} } @article {169, title = {Avoiding neuromuscular stimulation in liver irreversible electroporation using radiofrequency electric fields}, journal = {Physics in Medicine and Biology}, volume = {63}, year = {2018}, pages = {035027}, chapter = {035027}, doi = {10.1088/1361-6560/aaa16f}, author = {Q. Castellv{\'\i} and Borja Mercadal and Xavier Moll and Fontdevila, Dolors and Andaluz, Anna and Antoni Ivorra} } @article {174, title = {Design, Construction and Validation of an Electrical Impedance Probe with Contact Force and Temperature Sensors Suitable for in-vivo Measurements}, journal = {Scientific Reports}, volume = {8}, year = {2018}, pages = {14818}, chapter = {14818}, doi = {10.1038/s41598-018-33221-4}, author = {A. Ruiz-Vargas and Antoni Ivorra and J. W. Arkwright} } @article {159, title = {Effect of applied voltage, duration and repetition frequency of RF pulses for pain relief on temperature spikes and electrical field: A computer modeling study}, journal = {International Journal of Hyperthermia }, volume = {34}, year = {2018}, pages = {112-121}, chapter = {112}, doi = {10.1080/02656736.2017.1323122}, url = {http://dx.doi.org/10.1080/02656736.2017.1323122}, author = {El{\.z}bieta Ewertowska and Borja Mercadal and V{\'\i}ctor Mu{\~n}oz and Antoni Ivorra and Trujillo, Macarena and Berjano, Enrique} } @article {168, title = {Impedance spectroscopy measurements as a tool for distinguishing different luminal content during bolus transit studies}, journal = {Neurogastroenterology and Motility}, volume = {30}, year = {2018}, pages = {e13274}, chapter = {e13274}, doi = {10.1111/nmo.13274}, author = {A. Ruiz-Vargas and R. Mohd Rosli and Antoni Ivorra and J. W. Arkwright} } @article {171, title = {Irreversible electroporation for the treatment of cardiac arrhythmias}, journal = {Expert Review of Cardiovascular Therapy}, volume = {16}, year = {2018}, pages = {349-360 }, chapter = {349}, doi = {10.1080/14779072.2018.1459185}, url = {https://www.tandfonline.com/doi/abs/10.1080/14779072.2018.1459185}, author = {Alan Sugrue and Elad Maor and Antoni Ivorra and Vaibhav Vaidya and Chance Witt and Suraj Kapa and Samuel Asirvatham} } @article {161, title = {Modeling Liver Electrical Conductivity during Hypertonic Injection}, journal = {International Journal for Numerical Methods in Biomedical Engineering}, volume = {34}, year = {2018}, pages = {e2904}, chapter = {e2904}, doi = {10.1002/cnm.2904}, author = {Q. Castellv{\'\i} and Patricia S{\'a}nchez-Vel{\'a}zquez and Xavier Moll and Berjano, Enrique and Andaluz, Anna and Burd{\'\i}o, Fernando and Bijnens, Bart and Antoni Ivorra} } @article {153, title = {Anatomically Realistic Simulations of Liver Ablation by Irreversible Electroporation: Impact of Blood Vessels on Ablation Volumes and Undertreatment}, journal = {Technology in Cancer Research \& Treatment}, volume = {[Epub ahead of print]}, year = {2017}, doi = {10.1177/1533034616687477}, author = {Radwan Qasrawi and Louis Silve and Fernando Burd{\'\i}o and Ziad Abdeen and Antoni Ivorra} } @article {165, title = {Avoiding nerve stimulation in irreversible electroporation: a numerical modeling study}, journal = {Physics in Medicine and Biology}, volume = {62}, year = {2017}, pages = {8060-8079}, chapter = {8060}, doi = {https://doi.org/10.1088/1361-6560/aa8c53}, author = {Borja Mercadal and Christopher Arena and Rafael Davalos and Antoni Ivorra} } @article {152, title = {Demonstration of 2 mm thick microcontrolled injectable stimulators based on rectification of high frequency current bursts}, journal = {IEEE Transactions on Neural Systems and Rehabilitation Engineering}, volume = {25}, year = {2017}, pages = {1343 - 1352}, chapter = {1343}, doi = {10.1109/TNSRE.2016.2623483}, author = {Laura Becerra-Fajardo and Marieluise Schmidbauer and Antoni Ivorra} } @article {166, title = {Focused Transhepatic Electroporation Mediated by Hypersaline Infusion throuth the Portal Vein in Rat Model. Preliminary Results on Differential Conductivity}, journal = {Radiology and Oncology}, volume = {51}, year = {2017}, pages = {415-421}, chapter = {415}, author = {Clara Pa{\~n}ella and Q. Castellv{\'\i} and Xavier Moll and Rita Quesada and Alberto Villanueva and M. Iglesias and Dolores Naranjo and Patricia S{\'a}nchez-Vel{\'a}zquez and Andaluz, Anna and Luis Grande and Antoni Ivorra and Burd{\'\i}o, Fernando} } @article {158, title = {Long-term effectiveness of irreversible electroporation in a murine model of colorectal liver metastasis}, journal = {Scientific reports}, volume = {7}, year = {2017}, chapter = {44821}, doi = {10.1038/srep44821}, author = {Patricia S{\'a}nchez-Vel{\'a}zquez and Q. Castellv{\'\i} and Alberto Villanueva and M. Iglesias and Rita Quesada and Clara Pa{\~n}ella and Marta C{\'a}ceres and Dimitri Dorcaratto and Andaluz, Anna and Xavier Moll and Jos{\'e} M. Burd{\'\i}o and Luis Grande and Antoni Ivorra and Burd{\'\i}o, Fernando} } @article {151, title = {Dependence of electroporation detection threshold on cell radius: an explanation to observations non compatible with Schwan{\textquoteright}s equation model}, journal = {Journal of Membrane Biology}, volume = {249}, year = {2016}, pages = {663-676}, chapter = {663}, abstract = {

It is widely accepted that electroporation occurs when the cell transmembrane voltage induced by an external applied electric field reaches a threshold. Under this assumption, in order to trigger electroporation in a spherical cell, Schwan{\textquoteright}s equation leads to an inversely proportional relationship between the cell radius and the minimum magnitude of the applied electric field. And, indeed, several publications report experimental evidences of an inverse relationship between the cell size and the field required to achieve electroporation. However, this dependence is not always observed or is not as steep as predicted by Schwan{\textquoteright}s equation. The present numerical study attempts to explain these observations that do not fit Schwan{\textquoteright}s equation on the basis of the interplay between cell membrane conductivity, permeability and transmembrane voltage. For that, a single cell in suspension was modeled and it was determined the electric field necessary to achieve electroporation with a single pulse according to two effectiveness criteria: a specific permeabilization level, understood as the relative area occupied by the pores during the pulse, and a final intracellular concentration of a molecule due to uptake by diffusion after the pulse, during membrane resealing. The results indicate that plausible model parameters can lead to divergent dependencies of the electric field threshold on the cell radius. These divergent dependencies were obtained through both criteria and using two different permeabilization models. This suggests that the interplay between cell membrane conductivity, permeability and transmembrane voltage might be the cause of results which are non compatible with the Schwan{\textquoteright}s equation model.\ 

}, author = {Borja Mercadal and P. Thomas Vernier and Antoni Ivorra} } @article {150, title = {Irreversible electroporation of the liver: is there a safe limit to the ablation volume?}, journal = {Scientific Reports}, volume = {6}, year = {2016}, pages = {23781}, doi = {10.1038/srep23781}, author = {Patricia S{\'a}nchez-Vel{\'a}zquez and Q. Castellv{\'\i} and Alberto Villanueva and Rita Quesada and Clara Pa{\~n}ella and Marta C{\'a}ceres and Dimitri Dorcaratto and Andaluz, Anna and Xavier Moll and Trujillo, Macarena and Jos{\'e} M. Burd{\'\i}o and Berjano, Enrique and Luis Grande and Antoni Ivorra and Burd{\'\i}o, Fernando} } @article {149, title = {A Versatile Multilevel Converter Platform for Cancer Treatment Using Irreversible Electroporation}, journal = {IEEE Journal of Emerging and Selected Topics in Power Electronics}, volume = {4}, year = {2016}, pages = {236 - 242}, chapter = {236}, issn = {2168-6777}, doi = {10.1109/JESTPE.2015.2512324}, author = {H{\'e}ctor Sarnago and {\'O}scar Luc{\'\i}a and Alejandro Naval and Jos{\'e} M. Burd{\'\i}o and Q. Castellv{\'\i} and Antoni Ivorra} } @article {138, title = {In Vivo Demonstration of Addressable Microstimulators Powered by Rectification of Epidermically Applied Currents for Miniaturized Neuroprostheses}, journal = {Plos One}, volume = {10}, year = {2015}, month = {07/2015}, chapter = {e0131666}, doi = {10.1371/journal.pone.0131666}, url = {http://dx.doi.org/10.1371\%2Fjournal.pone.0131666}, author = {Laura Becerra-Fajardo and Antoni Ivorra} } @article {144, title = {In vivo demonstration of injectable microstimulators based on charge-balanced rectification of epidermically applied currents}, journal = {Journal of Neural Engineering}, volume = {12}, year = {2015}, chapter = {066010}, doi = {10.1088/1741-2560/12/6/066010}, author = {Antoni Ivorra and Laura Becerra-Fajardo and Q. Castellv{\'\i}} } @article {137, title = {Tumor growth delay by adjuvant alternating electric fields which appears non-thermally mediated}, journal = {Bioelectrochemistry}, volume = {105}, year = {2015}, month = {2015/10//}, pages = {16 - 24}, keywords = {Alternating electric field, Chemotherapeutic adjuvant, Hyperthermia, Pancreatic tumor, TTFields}, isbn = {1567-5394}, doi = {10.1016/j.bioelechem.2015.04.006}, author = {Q. Castellv{\'\i} and Mireia M. Ginest{\`a} and G. Capella and Antoni Ivorra} } @article {141, title = {Comparison of the effects of the repetition rate between microsecond and nanosecond pulses: Electropermeabilization-induced electro-desensitization?}, journal = {Biochimica et Biophysica Acta (BBA) - General Subjects}, volume = {1840}, year = {2014}, pages = {2139 - 2151}, keywords = {Electroporation}, issn = {0304-4165}, doi = {http://dx.doi.org/10.1016/j.bbagen.2014.02.011}, url = {http://www.sciencedirect.com/science/article/pii/S0304416514000725}, author = {Aude Silve and A. Guimer{\`a} Brunet and B. Al-Sakere and Antoni Ivorra and L.M. Mir} } @article {Gonzalez-Sosa2014, title = {{Fast flow-through non-thermal pasteurization using constant radiofrequency electric fields}}, journal = {Innovative Food Science and Emerging Technologies}, volume = {22}, year = {2014}, pages = {pp.116-123}, chapter = {116}, doi = {DOI: 10.1016/j.ifset.2014.01.003}, author = {J. Gonz{\'a}lez-Sosa and A. Ruiz-Vargas and G. Arias and Antoni Ivorra} } @article {Trujillo2013, title = {{Can electroporation previous to radiofrequency hepatic ablation enlarge thermal lesion size? A feasibility study based on theoretical modelling and in vivo experiments.}}, journal = {International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group}, volume = {29}, number = {3}, year = {2013}, pages = {211{\textendash}8. {\textcopyright} 2013 Informa UK Ltd.}, abstract = {

PURPOSE: The aim of this study was to assess the feasibility of a hybrid ablative technique based on applying electroporation (EP) pulses just before conducting radiofrequency ablation (RFA). The rationale was that the EP-induced reduction in blood perfusion could be sufficient to reduce the thermal sink effect and hence to increase the coagulation volume in comparison to that created exclusively by RFA. MATERIALS AND METHODS: A modelling study and in vivo experimental study were used. A Cool-tip RF applicator was used both for EP and RFA. RESULTS: Overall, the results did not show any synergy effect from using the hybrid technique. Applying EP pulses prior to RFA did not increase the coagulation zone obtained and the lesions were almost identical. Additional computer simulations provided an explanation for this; the effect of reducing blood perfusion by thermal damage during RFA completely masks the effect of reducing blood perfusion by EP. This is because both thermal damage and EP affect the same zone, i.e. the tissue around the electrode. CONCLUSIONS: Our computer modelling and in vivo experimental findings suggest that the combination of EP and RFA with monopolar applicators does not provide an additional benefit over the use of RFA alone.

}, keywords = {Animals, Catheter Ablation, Combined Modality Therapy, Computer Simulation, Electroporation, Feasibility Studies, Female, Liver, Liver: surgery, Models, Swine, Theoretical}, issn = {1464-5157}, doi = {10.3109/02656736.2013.777854}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23573935}, author = {Trujillo, Macarena and Q. Castellv{\'\i} and Burd{\'\i}o, Fernando and Patricia S{\'a}nchez-Vel{\'a}zquez and Antoni Ivorra and Andaluz, Anna and Berjano, Enrique} } @article {142, title = {In vivo assessment of corneal barrier function through non-invasive impedance measurements using a flexible probe}, journal = {Journal of Physics: Conference Series}, volume = {434}, year = {2013}, pages = {012072}, abstract = {

The cornea is a transparent structure composed of three layers: the epithelium, the stroma and the endothelium. To maintain its ransparency the stroma remains in a constant state of dehydration. Consequently, any ion flow disorder through the covering layers can compromise the barrier function and, therefore the corneal homeostasis. Since ionic permeability has a fundamental impact on the passive electrical properties of living tissues, in this work it is proposed and demonstrated a diagnosis method based on tetrapolar impedance measurements performed by electrodes placed on the corneal surface. The contribution of each cornea layer to the total measured impedance has been analysed over a frequency range. Following the obtained guidelines, a flexible probe with integrated electrodes has been developed and manufactured using SU-8 photoresin. The feasibility of the proposed method has been evaluated in vivo by monitoring corneal epithelium wound healing. Obtained impedance measurements have been compared with measurements of permeability to sodium fluorescein from different excised corneas. Successful results demonstrate the feasibility of this novel flexible sensor and its capability to quantify corneal permeability in vivo in a noninvasive way.

}, url = {http://stacks.iop.org/1742-6596/434/i=1/a=012072}, author = {A Guimera and X Illa and E Traver and S Marchan and C Herrero and C Lagunas and M J Maldonado and Antoni Ivorra and R Villa} } @article {Jose2012, title = {{Irreversible electroporation shows efficacy against pancreatic carcinoma without systemic toxicity in mouse models.}}, journal = {Cancer letters}, volume = {317}, number = {1}, year = {2012}, pages = {16{\textendash}23}, abstract = {

Pancreatic ductal adenocarcinoma (PDAC) therapies show limited success. Irreversible electroporation (IRE) is an innovative loco-regional therapy in which high-voltage pulses are applied to induce plasma membrane defects leading to cellular death. In the present study we evaluated the feasibility of IRE against PDAC. IRE treatment exhibited significant antitumor effects and prolonged survival in mice with orthotopic xenografts. Extensive tumor necrosis, reduced tumor cell proliferation and disruption of microvessels were observed at different days post-IRE. Animals had transient increases in transaminases, amylase and lipase enzymes that normalized at 24h post-IRE. These results suggest that IRE could be an effective treatment for locally advanced pancreatic tumors.

}, keywords = {Alanine Transaminase, Alanine Transaminase: blood, Amylases, Amylases: blood, Animals, Aspartate Aminotransferases, Aspartate Aminotransferases: blood, Biological Markers, Biological Markers: blood, Blood Glucose, Blood Glucose: metabolism, Carcinoma, Cell Line, Cell Proliferation, Electrochemotherapy, Electrochemotherapy: adverse effects, Feasibility Studies, Genes, Humans, Lipase, Lipase: blood, Luminescent Measurements, Male, Mice, Microvessels, Microvessels: pathology, Necrosis, Nude, Pancreatic Ductal, Pancreatic Ductal: blood, Pancreatic Ductal: blood supply, Pancreatic Ductal: genetics, Pancreatic Ductal: pathology, Pancreatic Ductal: therapy, Pancreatic Neoplasms, Pancreatic Neoplasms: blood, Pancreatic Neoplasms: blood supply, Pancreatic Neoplasms: genetics, Pancreatic Neoplasms: pathology, Pancreatic Neoplasms: therapy, Reporter, Time Factors, Transfection, Tumor, Xenograft Model Antitumor Assays}, issn = {1872-7980}, doi = {10.1016/j.canlet.2011.11.004}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22079741}, author = {Jos{\'e}, Anabel and Sobrevals, Luciano and Antoni Ivorra and Fillat, Cristina} } @article {Ivorra2011, title = {{Electrochemical prevention of needle-tract seeding.}}, journal = {Annals of biomedical engineering}, volume = {39}, number = {7}, year = {2011}, month = {jul}, pages = {2080{\textendash}9}, abstract = {

Needle-tract seeding refers to the implantation of tumor cells by contamination when instruments, such as biopsy needles, are employed to examine, excise, or ablate a tumor. The incidence of this iatrogenic phenomenon is low but it entails serious consequences. Here, as a new method for preventing neoplasm seeding, it is proposed to cause electrochemical reactions at the instrument surface so that a toxic microenvironment is formed. In particular, the instrument shaft would act as the cathode, and the tissues would act as the electrolyte in an electrolysis cell. By employing numerical models and experimental observations reported by researchers on Electrochemical Treatment of tumors, it is numerically showed that a sufficiently toxic environment of supraphysiological pH can be created in a few seconds without excessive heating. Then, by employing an ex vivo model consisting of meat pieces, validity of the conclusions provided by the numerical model concerning pH evolution is confirmed. Furthermore, a simplified in vitro model based on bacteria, instead of tumor cells, is implemented for showing the plausibility of the method. Depending on the geometry of the instrument, suitable current densities will probably range from about 5 to 200 mA/cm(2), and the duration of DC current delivery will range from a few seconds to a few minutes.

}, keywords = {Animals, Electrochemistry, Electrochemistry: methods, Equipment Contamination, Equipment Contamination: prevention \& control, Humans, Needles, Neoplasm Seeding, Neoplasms, Neoplasms: etiology, Neoplasms: prevention \& control}, issn = {1573-9686}, doi = {10.1007/s10439-011-0295-4}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21400019}, author = {Antoni Ivorra} } @article {Ivorra2011a, title = {{Remote electrical stimulation by means of implanted rectifiers.}}, journal = {PloS one}, volume = {6}, number = {8}, year = {2011}, pages = {e23456}, abstract = {

Miniaturization of active implantable medical devices is currently compromised by the available means for electrically powering them. Most common energy supply techniques for implants{\textendash}batteries and inductive couplers{\textendash}comprise bulky parts which, in most cases, are significantly larger than the circuitry they feed. Here, for overcoming such miniaturization bottleneck in the case of implants for electrical stimulation, it is proposed to make those implants act as rectifiers of high frequency bursts supplied by remote electrodes. In this way, low frequency currents will be generated locally around the implant and these low frequency currents will perform stimulation of excitable tissues whereas the high frequency currents will cause only innocuous heating. The present study numerically demonstrates that low frequency currents capable of stimulation can be produced by a miniature device behaving as a diode when high frequency currents, neither capable of thermal damage nor of stimulation, flow through the tissue where the device is implanted. Moreover, experimental evidence is provided by an in vivo proof of concept model consisting of an anesthetized earthworm in which a commercial diode was implanted. With currently available microelectronic techniques, very thin stimulation capsules (diameter \<500 {\textmu}m) deliverable by injection are easily conceivable.

}, keywords = {Animals, Electric Stimulation, Electric Stimulation: instrumentation, Electric Stimulation: methods, Electrodes, Implanted, Oligochaeta, Software}, issn = {1932-6203}, doi = {10.1371/journal.pone.0023456}, url = {http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3151300\&tool=pmcentrez\&rendertype=abstract}, author = {Antoni Ivorra} } @article {Ivorra2010a, title = {{Electric field redistribution during tissue electroporation: its potential impact on treatment planning}}, journal = {Comptes Rendus Physique}, volume = {Accepted (still pending publication)}, year = {2010}, abstract = {
Electroporation is the phenomenon in which cell membrane permeability is increased by exposing the cell to short high electric field pulses. Electroporation is accompanied by an increase of tissue electrical conductivity during the pulses. Such conductivity increase results in a redistribution of the electric field magnitude that can be simulated with simple functions describing the change in tissue conductivity. Experiments on potato tuber reveal that the conductivity increase phenomenon has indeed a significant impact on field distribution, and validate the use of models that take into account such conductivity alteration. For instance, the error in electroporated area estimation can decrease from 30 \% to 3 \%.\ 
}, author = {Antoni Ivorra and Boris Rubinsky and L.M. Mir} } @article {Laufer2010, title = {{Electrical impedance characterization of normal and cancerous human hepatic tissue.}}, journal = {Physiological measurement}, volume = {31}, number = {7}, year = {2010}, pages = {995{\textendash}1009. {\textcopyright} 2010 Institute of Physics and IOP Publishing Limited.}, abstract = {

The four-electrode method was used to measure the ex vivo complex electrical impedance of tissues from 14 hepatic tumors and the surrounding normal liver from six patients. Measurements were done in the frequency range 1-400 kHz. It was found that the conductivity of the tumor tissue was much higher than that of the normal liver tissue in this frequency range (from 0.14 +/- 0.06 S m(-1) versus 0.03 +/- 0.01 S m(-1) at 1 kHz to 0.25 +/- 0.06 S m(-1) versus 0.15 +/- 0.03 S m(-1) at 400 kHz). The Cole-Cole models were estimated from the experimental data and the four parameters (rho(0), rho(infinity), alpha, f(c)) were obtained using a least-squares fit algorithm. The Cole-Cole parameters for the cancerous and normal liver are 9 +/- 4 Omega m(-1), 2.2 +/- 0.7 Omega m(-1), 0.5 +/- 0.2, 140 +/- 103 kHz and 50 +/- 28 Omega m(-1), 3.2 +/- 0.6 Omega m(-1), 0.64 +/- 0.04, 10 +/- 7 kHz, respectively. These data can contribute to developing bioelectric applications for tissue diagnostics and in tissue treatment planning with electrical fields such as radiofrequency tissue ablation, electrochemotherapy and gene therapy with reversible electroporation, nanoscale pulsing and irreversible electroporation.

}, keywords = {80 and over, Adult, Aged, Electric Impedance, Electrodes, Female, Humans, Liver, Liver Cirrhosis, Liver Cirrhosis: pathology, Liver Neoplasms, Liver Neoplasms: pathology, Liver: pathology, Male, Middle Aged}, issn = {1361-6579}, doi = {10.1088/0967-3334/31/7/009}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20577035}, author = {Laufer, Shlomi and Antoni Ivorra and Reuter, Victor E and Boris Rubinsky and Solomon, Stephen B} } @article {Ivorra2010, title = {{Electrical modeling of the influence of medium conductivity on electroporation.}}, journal = {Physical chemistry chemical physics : PCCP}, volume = {12}, number = {34}, year = {2010}, pages = {10055{\textendash}64}, abstract = {

Electroporation is the phenomenon in which cell membrane permeability is increased by exposing the cell to short high electric field pulses. Experimental data show that the amount of permeabilization depends on the conductivity of the extracellular medium. If medium conductivity decreases then it is necessary to deliver a pulse of larger field amplitude in order to achieve the same effect. Models that do not take into account the permeabilization effect on the membrane conductivity cannot reproduce qualitatively the experimental observations. Here we employ an exponential function for describing the strong dependence of membrane conductivity on transmembrane potential. Combining that model with numerical methods we demonstrate that the dependence on medium conductivity can be explained as being the result of increased membrane conductance due to electroporation. As experimentally observed, extracellular conductivities of about 1 and 0.1 S m(-1) yield very similar results, however, for lower conductivities (\<0.01 S m(-1)) the model predicts that significantly higher field magnitudes will be required to achieve the same amount of permeabilization.

}, keywords = {Biological, Cell Membrane, Cell Membrane Permeability, Cell Membrane: metabolism, Diffusion, Electric Conductivity, Electroporation, Membrane Potentials, Models, Reproducibility of Results}, issn = {1463-9084}, doi = {10.1039/c004419a}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20585676}, author = {Antoni Ivorra and J. Villemejane and L.M. Mir} } @article {Guimera2010, title = {{Non-invasive assessment of corneal endothelial permeability by means of electrical impedance measurements.}}, journal = {Medical engineering \& physics}, volume = {32}, number = {10}, year = {2010}, pages = {1107{\textendash}15. {\textcopyright} 2010 IPEM. Published by Elsevier Ltd.}, abstract = {

The permeability of the corneal endothelial layer has an important role in the correct function of the cornea. Since ionic permeability has a fundamental impact on the passive electrical properties of living tissues, here it is hypothesized that impedance methods can be employed for assessing the permeability of the endothelial layer in a minimally invasive fashion. Precisely, the main objective of the present study is to develop and to analyze a minimally invasive method for assessing the electrical properties of the corneal endothelium, as a possible diagnostic tool for the evaluation of patients with endothelial dysfunction. A bidimensional model consisting of the main corneal layers and a four-electrode impedance measurement setup placed on the epithelium has been implemented and analyzed by means of the finite elements method (FEM). In order to obtain a robust indicator of the permeability of the endothelium layer, the effect of the endothelium electrical properties on the measured impedance has been studied together with reasonable variations of the other model layers. Simulation results show that the impedance measurements by means of external electrodes are indeed sufficiently sensitive to the changes in the electrical properties of the endothelial layer. It is concluded that the method presented here can be employed as non-invasive method for assessing endothelial layer function.

}, keywords = {Biomedical Engineering, Biomedical Engineering: methods, Corneal, Corneal: abnormalities, Corneal: metabolism, Corneal: pathology, Electric Impedance, Electric Impedance: diagnostic use, Endothelium, Finite Element Analysis, Humans, Permeability, Reproducibility of Results, Sensitivity and Specificity}, issn = {1873-4030}, doi = {10.1016/j.medengphy.2010.07.016}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20832346}, author = {A Guimera and Antoni Ivorra and Gabriel, G and R Villa} }