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基于压缩式热声断层成像引导的聚焦微波乳腺癌热疗的临床前系统原型。

A Preclinical System Prototype for Focused Microwave Breast Hyperthermia Guided by Compressive Thermoacoustic Tomography.

出版信息

IEEE Trans Biomed Eng. 2021 Jul;68(7):2289-2300. doi: 10.1109/TBME.2021.3059869. Epub 2021 Jun 17.

Abstract

OBJECTIVE

As a newly developed technique, focused microwave breast hyperthermia (FMBH) can provide accurate and cost-effective treatment of breast tumors with low side effect. A clinically feasible FMBH system requires a guidance technique to monitor the microwave power distribution in the breast. Compressive thermoacoustic tomography (CTT) is a suitable guidance approach for FMBH, which is more cost-effective than MRI. However, no experimental validation based on a realized FMBH-CTT system has been reported, which greatly hinders the further advancement of this novel approach.

METHODS

We developed a preclinical system prototype for the FMBH-CTT technique, containing a microwave phased antenna array, a microwave source, an ultrasound transducer array and associated data acquisition module.

RESULTS

Experimental results employing homogeneous and inhomogeneous breast-mimicking phantoms demonstrate that the CTT technique can offer reliable guidance for the entire process of the FMBH. In addition, small phase noises do not deteriorate the overall performance of the system prototype.

CONCLUSION

The realized preclinical FMBH-CTT system prototype is capable for noninvasive, accurate and low-side-effect breast tumor treatment with effective guidance.

SIGNIFICANCE

The experimentally validated FMBH-CTT system prototype provides a feasible paradigm for CTT guided FMBH, establishes a practical platform for future improvement of this technique, and paves the way for potential clinical translation.

摘要

目的

聚焦微波乳房热疗(FMBH)作为一种新兴技术,可以为乳房肿瘤提供准确且具有成本效益的治疗,同时副作用较低。一个临床可行的 FMBH 系统需要一种引导技术来监测乳房中的微波功率分布。压缩热声断层扫描(CTT)是 FMBH 的一种合适的引导方法,其成本效益优于 MRI。然而,基于已实现的 FMBH-CTT 系统的实验验证尚未报道,这极大地阻碍了该新方法的进一步发展。

方法

我们开发了一种用于 FMBH-CTT 技术的临床前系统原型,包含微波相控天线阵列、微波源、超声换能器阵列和相关的数据采集模块。

结果

使用均匀和不均匀的乳房模拟体模的实验结果表明,CTT 技术可以为 FMBH 的整个过程提供可靠的引导。此外,小的相位噪声不会降低系统原型的整体性能。

结论

所实现的临床前 FMBH-CTT 系统原型能够进行非侵入性、准确且副作用低的乳房肿瘤治疗,并提供有效的引导。

意义

经实验验证的 FMBH-CTT 系统原型为 CTT 引导的 FMBH 提供了可行的范例,为该技术的未来改进建立了实用的平台,并为潜在的临床转化铺平了道路。

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