Dosimetry for interventional oncology

Confirm tumour coverage before every ablation.

hapchot generates a patient-specific simulation of your ablation zone.
Confirm coverage. Check margins. Then trigger.

The challenge

Percutaneous tumour ablation is performed blind.

No real-time visualisation of the treated zone. No patient-specific modelling. Practitioners rely on theoretical ablation zones that do not account for individual anatomy or tissue properties.

The curative potential of ablation is not limited by the technique, but by the absence of control over the delivered dose.

90%*[1]

recurrence risk when tumour coverage falls below 95%

Up to 50%[2]

local recurrence rate in some indications, leading to re-ablation and therapeutic escalation

€6–15k[3]

cost per recurrence in retreatment and re-hospitalisation costs per patient

* For irreversible electroporation (IRE) of hepatocellular carcinoma (HCC) tumours

Introducing hapchot

The product

Peri-operative assistance for percutaneous tumour ablations

Patient-specific simulation of the ablation zone to confirm tumour coverage and correct needle placement before triggering treatment.

Thermal

Heat or cold destroys the tumour

RFAMWACryo

Electroporation

An electric field destroys the tumour

IREECT
1

Radiologists

Intervene with certainty: confirm the margins and adjust the needles before the trigger.

2

Hospitals

Fewer repeat ablations: better tumour coverage means fewer retreatments.

3

Patients

Precise treatment from the first procedure: less therapeutic escalation, fewer repeated procedures.

The hapchot device — a mobile cart with the planning screen

How it works

Plan. Place. Treat. Confirm.

hapchot adds the check before you trigger.

  1. Plan

    1 / 6

    Plan the ablation

    Today

    Planned on pre-operative imaging, often with the manufacturer’s theoretical ablation zones.

    With hapchot

    Plan on the patient’s segmented CT or MRI: choose the modality, position the needles or applicators, simulate the zone against the tumour and adjust until the planned coverage and margins satisfy you.

    Electroporation
    Patient-specific ablation zone.
    Thermal
    Theoretical ablation zone. Patient-specific modelling planned for v2.
    hapchot planning software: IRE then microwave planning walkthrough
  2. Place

    2 / 6

    Place the needles

    Today

    Needles or applicators are placed under CT or ultrasound guidance, navigation or robotics.

    With hapchot

    Unchanged. hapchot works with your guidance system.

  3. Check 1/2 · Added by hapchot

    3 / 6

    Rebuild the anatomy as it is now

    Today

    Before the trigger, coverage is usually judged by eye on the needle-in images.

    With hapchot

    With the needles in place, elastic image fusion rebuilds the anatomy as the patient lies on the table: a digital twin that shows where the tumour and its surrounding anatomy actually are now.

    Digital twin: intra-operative anatomy rebuilt by elastic image fusion
  4. Check 2/2 · Added by hapchot

    4 / 6

    Check coverage, adjust, re-run

    With hapchot

    The ablation zone is simulated for the needles as placed and checked against the tumour. If coverage or margins fall short, correct a position and re-run, before any energy is delivered.

    Electroporation
    Patient-specific prediction of the treated zone.
    Thermal
    Theoretical zone on the fused, needle-in anatomy. Patient-specific modelling planned for v2.
    Treatment prediction: the ablation zone simulated for the electrodes as placed
  5. Treat

    5 / 6

    Deliver the energy

    Today

    Your usual generator delivers heat, cold or an electric field.

    With hapchot

    Unchanged. hapchot works alongside your generator.

  6. Confirm

    6 / 6

    Confirm the ablation

    Today

    Post-ablation imaging, then follow-up imaging.

    With hapchot

    Register the post-ablation scan with the simulated zone and compare it with the tissue actually treated, to report the margin achieved.

    Electroporation
    Compared with the oedema on a day-3 control MRI.
    Thermal
    Compared with the necrosis on the post-ablation scan, often on the table.
    Control MRI after electroporation of a liver tumour: the oedema marks the treated zone
    Post-op MRI
    The same MRI with the oedema segmented in yellow and the tumour in red, to measure the margin achieved
    Oedema and tumour segmented

Your workflow stays the same. Now you know the coverage before you trigger, not after.

Hardware-agnostic. Will be available for multiple solid tumour indications.

Developed in collaboration with INRIA, CNRS, AP-HP, Gustave Roussy, CHU Poitiers, and Université Sorbonne Paris Nord

French National Institute for Research in Digital Science and Technology
French National Centre for Scientific Research
Assistance Publique - Hôpitaux de Paris
Leading European Cancer Centre
University Hospital Centre of Poitiers
Université Sorbonne Paris Nord
French National Institute for Research in Digital Science and Technology
French National Centre for Scientific Research
Assistance Publique - Hôpitaux de Paris
Leading European Cancer Centre
University Hospital Centre of Poitiers
Université Sorbonne Paris Nord

Roadmap

We’re building the product.

The modelling has been validated on 31 patients and is in clinical routine at Hôpital Avicenne.

2026 · nowIn development

Building hapchot v1

  • Prototype tested by partner centres
  • CE technical file in preparation
2027 · 2028Pre-market

Conformity and CE submission

  • CE submission - hapchot v1
  • hapchot v2 R&D - thermal modelling and guidance
2029Commercialisation

CE marking, European launch

  • CE-marked and commercially available
  • Prospective clinical trial of hapchot v1
  • hapchot v2 product development
2030+Expansion

v2, North America, urology

  • hapchot v2 CE-marked
  • FDA 510(k): US launch
  • hapchotURO: prostate ablation

hapchot v1 — elastic image fusion, patient-specific electroporation modelling, and theoretical thermal ablation zones.

hapchot v2 — adds patient-specific thermal modelling and needle guidance.

Founding team

Product development, science, clinical, and business expertise

Leadership

Luc Lafitte

Luc Lafitte

CTO

Leads

Tech & compliance

Brings

12 years in software development

Lead developer of the hapchot software

Simon Revelly

Simon Revelly

CEO

Leads

Business, strategy & product

Brings

8 years in medtech, across product and hospital sales

Ex-head of Product @ Pollen Robotics

Dr. Clair Poignard

Dr. Clair Poignard

CSO

Leads

Science

Brings

Research director at Inria

Expert in modelling for oncology, hapchot co-creator

Scientific and medical advisors

Dr. Baudouin de Senneville

Dr. Baudouin de Senneville

Scientific advisor

Research director @ CNRS

Expert in AI and image processing

Pr. Olivier Seror, MD

Pr. Olivier Seror, MD

Medical advisor

Head of Interventional Radiology @ Hôpital Avicenne, APHP

Global opinion leader in interventional radiology

Dr. Olivier Sutter, MD

Dr. Olivier Sutter, MD

Medical advisor

Interventional Radiologist @ Hôpital Avicenne, APHP

Expert in percutaneous tumour ablation

Clinical partners

Partner with us

We're selecting interventional radiology centres to join research projects around hapchot. hapchot is an investigational device: it is not CE marked and not available for sale.

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References

  • [1]
    Sutter O., et al. "Towards Perioperative, Numerically-Assisted Irreversible Electroporation for Hepatocellular Carcinoma: Clinical Outcomes Informed by Numerical Simulations" (2025).DOI: 10.1007/s00330-025-12223-7

    Presented at World Congress of Electroporation 2024, Rome — and Journées Françaises de Radiologie 2024, Paris.

  • [2]
    Stättner S., et al. "Ablative margins in percutaneous thermal ablation of hepatic tumors: a systematic review." Expert Review of Anticancer Therapy, 2023.
  • [3]
    Charalel R., et al. "Short-Term Out-of-Pocket and Total Costs of Care After Ablation, Resection, or Transplant for Early-Stage Hepatocellular Carcinoma: A National SEER-Medicare Cost Comparison." AJR, vol. 223, 2024.
  • [4]
    Paolucci I., et al. "International multisociety Delphi consensus for liver tumour thermal ablation: margin assessment." Lancet Oncology, 2026.

    Endorsed by ESSE, CIRSE, and SIO. 72-expert Delphi consensus across North America, South America, Europe, and Asia.

  • [5]
    Laimer G., et al. "International multisociety Delphi consensus for liver tumour thermal ablation: procedural and practice standards." Lancet Oncology, 2026.