Mechling J A, Strohbehn J W, Ryan T P
Thayer School of Engineering, Dartmouth College, Hanover, NH 03755.
Int J Radiat Oncol Biol Phys. 1992;22(1):131-8. doi: 10.1016/0360-3016(92)90992-q.
Interstitial microwave antenna array hyperthermia (IMAAH) systems are currently being used in the treatment of cancer. The insertion depth of an interstitial microwave antenna, defined as the length of the antenna from the tip to the point of insertion in tissue, affects its ability to produce uniform power deposition patterns in tumor volumes. The effect of varying insertion depths on the ability of an IMAAH system to heat two theoretical tumor models was examined. Four dipole microwave antennas were implanted in a 2 x 2 cm array and driven at 915 MHz in muscle tissue. The explicit power deposition patterns were calculated for each insertion depth using known theory. The bioheat transfer equation was solved for the 3-dimensional steady-state temperature distributions in cylindrical and ellipsoidal tumor models using a finite element method. Homogeneous and nonhomogeneous blood flow models were considered. As a basis of comparison of the various temperature distributions, the volume of tumor heated to greater than or equal to 43 degrees C was calculated. Under the conditions of this study, the insertion depth was shown to have a significant effect on the ability of an IMAAH system to heat the tumor volumes. A sharp decrease in the percentage of tumor volume heated to greater than or equal to 43 degrees C was seen for insertion depths between 7.8 and 14.6 cm. At an insertion depth of 11.7 cm (3/4 lambda) there was virtually no heating of the tumor. Regions of elevated power occurred outside of the desired treatment volume, stressing the importance of adequate thermometry techniques and demonstrating the need for hyperthermia treatment planning prior to implantation of an antenna array. Plots of the power deposition patterns and the corresponding temperatures produced in the diagonal plane of the antenna arrays are present.
组织间微波天线阵列热疗(IMAAH)系统目前正用于癌症治疗。组织间微波天线的插入深度,定义为天线从尖端到组织中插入点的长度,会影响其在肿瘤体积中产生均匀功率沉积模式的能力。研究了不同插入深度对IMAAH系统加热两种理论肿瘤模型能力的影响。将四个偶极微波天线植入2×2厘米的阵列中,并在肌肉组织中以915兆赫兹驱动。使用已知理论计算每个插入深度的显式功率沉积模式。使用有限元方法求解圆柱形和椭圆形肿瘤模型中三维稳态温度分布的生物热传递方程。考虑了均匀和非均匀血流模型。作为比较各种温度分布的基础,计算了加热到大于或等于43摄氏度的肿瘤体积。在本研究条件下,插入深度对IMAAH系统加热肿瘤体积的能力有显著影响。对于7.8至14.6厘米之间的插入深度,加热到大于或等于43摄氏度的肿瘤体积百分比急剧下降。在11.7厘米(3/4波长)的插入深度下,肿瘤几乎没有加热。在所需治疗体积之外出现了功率升高区域,强调了适当温度测量技术的重要性,并表明在植入天线阵列之前需要进行热疗治疗规划。给出了天线阵列对角平面上的功率沉积模式和相应温度的图。