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磁性热疗治疗脑胶质母细胞瘤:对该疗法的历史、疗效和在人类中的应用的综述。

Magnetic hyperthermia therapy for the treatment of glioblastoma: a review of the therapy's history, efficacy and application in humans.

机构信息

a Department of Neurosurgery, Brain Tumor Nanotechnology Laboratory , Tisch Cancer Institute at Mount Sinai , New York , NY , USA.

b Department of Radiation Oncology and Molecular Radiation Sciences , Johns Hopkins University School of Medicine Baltimore , MD , USA.

出版信息

Int J Hyperthermia. 2018 Dec;34(8):1316-1328. doi: 10.1080/02656736.2018.1430867. Epub 2018 Feb 6.

Abstract

Hyperthermia therapy (HT) is the exposure of a region of the body to elevated temperatures to achieve a therapeutic effect. HT anticancer properties and its potential as a cancer treatment have been studied for decades. Techniques used to achieve a localised hyperthermic effect include radiofrequency, ultrasound, microwave, laser and magnetic nanoparticles (MNPs). The use of MNPs for therapeutic hyperthermia generation is known as magnetic hyperthermia therapy (MHT) and was first attempted as a cancer therapy in 1957. However, despite more recent advancements, MHT has still not become part of the standard of care for cancer treatment. Certain challenges, such as accurate thermometry within the tumour mass and precise tumour heating, preclude its widespread application as a treatment modality for cancer. MHT is especially attractive for the treatment of glioblastoma (GBM), the most common and aggressive primary brain cancer in adults, which has no cure. In this review, the application of MHT as a therapeutic modality for GBM will be discussed. Its therapeutic efficacy, technical details, and major experimental and clinical findings will be reviewed and analysed. Finally, current limitations, areas of improvement, and future directions will be discussed in depth.

摘要

热疗(HT)是将身体的某一部位暴露在升高的温度下以达到治疗效果。几十年来,人们一直在研究 HT 的抗癌特性及其作为癌症治疗的潜力。用于实现局部热效应的技术包括射频、超声、微波、激光和磁性纳米粒子(MNPs)。将 MNPs 用于治疗性热疗的产生被称为磁热疗(MHT),并于 1957 年首次尝试作为癌症治疗。然而,尽管最近取得了进展,MHT 仍然没有成为癌症治疗标准护理的一部分。某些挑战,例如肿瘤内的准确测温以及精确的肿瘤加热,排除了其作为癌症治疗方法的广泛应用。MHT 特别适用于治疗胶质母细胞瘤(GBM),这是成人中最常见和侵袭性的原发性脑癌,目前尚无治愈方法。在这篇综述中,将讨论 MHT 作为 GBM 的治疗方式的应用。将回顾和分析其治疗效果、技术细节以及主要的实验和临床发现。最后,将深入讨论当前的局限性、改进领域和未来方向。

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