Stigliano Robert V, Shubitidze Fridon, Petryk James D, Shoshiashvili Levan, Petryk Alicia A, Hoopes P Jack
a Thayer School of Engineering at Dartmouth College , Hanover , New Hampshire ;
b Geisel School of Medicine at Dartmouth College , Hanover , New Hampshire ;
Int J Hyperthermia. 2016 Nov;32(7):735-48. doi: 10.1080/02656736.2016.1195018. Epub 2016 Jul 20.
Magnetic nanoparticle hyperthermia therapy is a promising technology for cancer treatment, involving delivering magnetic nanoparticles (MNPs) into tumours then activating them using an alternating magnetic field (AMF). The system produces not only a magnetic field, but also an electric field which penetrates normal tissue and induces eddy currents, resulting in unwanted heating of normal tissues. Magnitude of the eddy current depends, in part, on the AMF source and the size of the tissue exposed to the field. The majority of in vivo MNP hyperthermia therapy studies have been performed in small animals, which, due to the spatial distribution of the AMF relative to the size of the animals, do not reveal the potential toxicity of eddy current heating in larger tissues. This has posed a non-trivial challenge for researchers attempting to scale up to clinically relevant volumes of tissue. There is a relative dearth of studies focused on decreasing the maximum temperature resulting from eddy current heating to increase therapeutic ratio.
This paper presents two simple, clinically applicable techniques for decreasing maximum temperature induced by eddy currents. Computational and experimental results are presented to understand the underlying physics of eddy currents induced in conducting, biological tissues and leverage these insights to mitigate eddy current heating during MNP hyperthermia therapy.
Phantom studies show that the displacement and motion techniques reduce maximum temperature due to eddy currents by 74% and 19% in simulation, and by 77% and 33% experimentally.
Further study is required to optimise these methods for particular scenarios; however, these results suggest larger volumes of tissue could be treated, and/or higher field strengths and frequencies could be used to attain increased MNP heating when these eddy current mitigation techniques are employed.
磁性纳米颗粒热疗是一种很有前景的癌症治疗技术,包括将磁性纳米颗粒(MNPs)输送到肿瘤中,然后使用交变磁场(AMF)激活它们。该系统不仅会产生磁场,还会产生电场,该电场会穿透正常组织并感应出涡流,从而导致正常组织产生不必要的发热。涡流的大小部分取决于AMF源以及暴露于该场的组织大小。大多数体内MNP热疗研究是在小动物身上进行的,由于AMF相对于动物大小的空间分布,这些研究并未揭示涡流加热在较大组织中的潜在毒性。这给试图扩大到临床相关组织体积的研究人员带来了不小的挑战。相对缺乏专注于降低涡流加热导致的最高温度以提高治疗比率的研究。
本文提出了两种简单的、临床适用的降低涡流诱导最高温度的技术。给出了计算和实验结果,以了解在导电生物组织中感应出的涡流的基本物理原理,并利用这些见解来减轻MNP热疗期间的涡流加热。
模型研究表明,位移和运动技术在模拟中可将涡流导致的最高温度降低74%和19%,在实验中可降低77%和33%。
需要进一步研究以针对特定情况优化这些方法;然而,这些结果表明,当采用这些减轻涡流的技术时,可以治疗更大体积的组织,和/或可以使用更高的场强和频率来实现增加的MNP加热。