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肿瘤治疗电场(TTFields)综述:基于计算模型推断的临床意义。

A Review on Tumor-Treating Fields (TTFields): Clinical Implications Inferred From Computational Modeling.

出版信息

IEEE Rev Biomed Eng. 2018;11:195-207. doi: 10.1109/RBME.2017.2765282. Epub 2018 Feb 13.

Abstract

Tumor-treating fields (TTFields) are a cancer treatment modality that uses alternating electric fields of intermediate frequency (∼100-500 kHz) and low intensity (1-3 V/cm) to disrupt cell division. TTFields are delivered by transducer arrays placed on the skin close to the tumor and act regionally and noninvasively to inhibit tumor growth. TTFields therapy is U.S. Food and Drug Administration approved for the treatment of glioblastoma multiforme, the most common and aggressive primary human brain cancer. Clinical trials testing the safety and efficacy of TTFields for other solid tumor types are underway. The objective of this paper is to review computational approaches used to characterize TTFields. The review covers studies of the macroscopic spatial distribution of TTFields generated in the human head, and of the microscopic field distribution in tumor cells. In addition, preclinical and clinical findings related to TTFields and principles of its operation are summarized. Particular emphasis is put on outlining the potential clinical value inferred from computational modeling.

摘要

肿瘤治疗电场(TTFields)是一种癌症治疗方式,利用中频(~100-500 kHz)和低强度(1-3 V/cm)的交变电场来破坏细胞分裂。TTFields 通过放置在靠近肿瘤的皮肤表面的换能器阵列来传递,局部和非侵入性地抑制肿瘤生长。TTFields 治疗已获得美国食品和药物管理局批准,用于治疗多形性胶质母细胞瘤,这是最常见和侵袭性的原发性人脑癌。正在进行临床试验,以测试 TTFields 治疗其他实体瘤类型的安全性和有效性。本文的目的是回顾用于描述 TTFields 的计算方法。综述涵盖了在人头中产生的 TTFields 的宏观空间分布以及肿瘤细胞中微观场分布的研究。此外,还总结了与 TTFields 相关的临床前和临床发现及其操作原理。特别强调了从计算模型推断出的潜在临床价值。

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