Rossmann Christian, Haemmerich Dieter
Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina, USA.
Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina, USA; Department of Bioengineering, Clemson University, Clemson, South Carolina, USA.
Crit Rev Biomed Eng. 2014;42(6):467-92. doi: 10.1615/critrevbiomedeng.2015012486.
The application of supraphysiological temperatures (>40°C) to biological tissues causes changes at the molecular, cellular, and structural level, with corresponding changes in tissue function and in thermal, mechanical and dielectric tissue properties. This is particularly relevant for image-guided thermal treatments (e.g. hyperthermia and thermal ablation) delivering heat via focused ultrasound (FUS), radiofrequency (RF), microwave (MW), or laser energy; temperature induced changes in tissue properties are of relevance in relation to predicting tissue temperature profile, monitoring during treatment, and evaluation of treatment results. This paper presents a literature survey of temperature dependence of electrical (electrical conductivity, resistivity, permittivity) and thermal tissue properties (thermal conductivity, specific heat, diffusivity). Data of soft tissues (liver, prostate, muscle, kidney, uterus, collagen, myocardium and spleen) for temperatures between 5 to 90°C, and dielectric properties in the frequency range between 460 kHz and 3 GHz are reported. Furthermore, perfusion changes in tumors including carcinomas, sarcomas, rhabdomyosarcoma, adenocarcinoma and ependymoblastoma in response to hyperthmic temperatures up to 46°C are presented. Where appropriate, mathematical models to describe temperature dependence of properties are presented. The presented data is valuable for mathematical models that predict tissue temperature during thermal therapies (e.g. hyperthermia or thermal ablation), as well as for applications related to prediction and monitoring of temperature induced tissue changes.
将超生理温度(>40°C)应用于生物组织会在分子、细胞和结构层面引起变化,同时组织功能以及热、机械和介电组织特性也会相应改变。这对于通过聚焦超声(FUS)、射频(RF)、微波(MW)或激光能量传递热量的图像引导热治疗(如热疗和热消融)尤为重要;温度引起的组织特性变化与预测组织温度分布、治疗期间的监测以及治疗结果评估相关。本文对电(电导率、电阻率、介电常数)和热组织特性(热导率、比热、扩散率)的温度依赖性进行了文献综述。报告了软组织(肝脏、前列腺、肌肉、肾脏、子宫、胶原蛋白、心肌和脾脏)在5至90°C温度范围内的数据,以及在460 kHz至3 GHz频率范围内的介电特性。此外,还介绍了包括癌、肉瘤、横纹肌肉瘤、腺癌和室管膜母细胞瘤在内的肿瘤在高达46°C的热疗温度下的灌注变化。在适当的情况下,还介绍了描述特性温度依赖性的数学模型。所呈现的数据对于预测热疗(如热疗或热消融)期间组织温度的数学模型以及与预测和监测温度引起的组织变化相关的应用具有重要价值。