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Mechanisms of Cell Death By Freezing Lysis from ice crystal formation Dehydration resulting from solvent gradient Hypoxi mechanisms of cell death by freezing from microvascular destruction
Cooling Injury Fast (close to cryoprobe) Ice forms within the cells Always lethal Slow (far from cryoprobe) Water is removed from the extracellular medium Cells respond by shrinking High salt concentrations damage the cell
Pathology CRYOSURGERY  Adenocarcinoma GG 3+3 (score 6/10) POST-CRYO BIOPSY POST-RADIATION BIOPSY: RADIATION Adenocarcinoma GG 3+4 (score 7/10) PRE-CRYO BIOPSY PRE-XRT BIOPSY
Transrectal Ultrasound Guided Transperineal Placement of 6-8 CRYOprobes Transperineal Placement of 4-6 TEMPprobes TARGETED CRYOABLATION OF THE PROSTATE (TCAP)
Targeted CryoAblation of the Prostate (TCAP) Before  Probes Placed  Freeze
Transrectal Ultrasound Guided Transperineal Placement of 6-8 CRYOprobes Transperineal Placement of 4-6 TEMPprobes FDA Approved Urethral Warming Device to Preserve Urethra TARGETED CRYOABLATION OF THE PROSTATE (TCAP)

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Animation And Cryo Biology

  • 1. Mechanisms of Cell Death By Freezing Lysis from ice crystal formation Dehydration resulting from solvent gradient Hypoxi mechanisms of cell death by freezing from microvascular destruction
  • 2. Cooling Injury Fast (close to cryoprobe) Ice forms within the cells Always lethal Slow (far from cryoprobe) Water is removed from the extracellular medium Cells respond by shrinking High salt concentrations damage the cell
  • 3. Pathology CRYOSURGERY Adenocarcinoma GG 3+3 (score 6/10) POST-CRYO BIOPSY POST-RADIATION BIOPSY: RADIATION Adenocarcinoma GG 3+4 (score 7/10) PRE-CRYO BIOPSY PRE-XRT BIOPSY
  • 4. Transrectal Ultrasound Guided Transperineal Placement of 6-8 CRYOprobes Transperineal Placement of 4-6 TEMPprobes TARGETED CRYOABLATION OF THE PROSTATE (TCAP)
  • 5. Targeted CryoAblation of the Prostate (TCAP) Before Probes Placed Freeze
  • 6. Transrectal Ultrasound Guided Transperineal Placement of 6-8 CRYOprobes Transperineal Placement of 4-6 TEMPprobes FDA Approved Urethral Warming Device to Preserve Urethra TARGETED CRYOABLATION OF THE PROSTATE (TCAP)