Han Haopeng, Oberacker Eva, Kuehne Andre, Wang Shuailin, Eigentler Thomas Wilhelm, Grass Eckhard, Niendorf Thoralf
Berlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), 13125 Berlin, Germany.
Humboldt-Universität zu Berlin, Institute of Computer Science, 10099 Berlin, Germany.
Cancers (Basel). 2021 Feb 28;13(5):1001. doi: 10.3390/cancers13051001.
Glioblastoma multiforme (GBM) is the most lethal and common brain tumor. Combining hyperthermia with chemotherapy and/or radiotherapy improves the survival of GBM patients. Thermal magnetic resonance (ThermalMR) is a hyperthermia variant that exploits radio frequency (RF)-induced heating to examine the role of temperature in biological systems and disease. The RF signals' power and phase need to be supervised to manage the formation of the energy focal point, accurate thermal dose control, and safety. Patient position during treatment also needs to be monitored to ensure the efficacy of the treatment and avoid damages to healthy tissue. This work reports on a multi-channel RF signal supervision module that is capable of monitoring and regulating RF signals and detecting patient motion. System characterization was performed for a broad range of frequencies. Monte-Carlo simulations were performed to examine the impact of power and phase errors on hyperthermia performance. The supervision module's utility was demonstrated in characterizing RF power amplifiers and being a key part of a feedback control loop regulating RF signals in heating experiments. Electromagnetic field simulations were conducted to calculate the impact of patient displacement during treatment. The supervision module was experimentally tested for detecting patient motion to a submillimeter level. To conclude, this work presents a cost-effective RF supervision module that is a key component for a hyperthermia hardware system and forms a technological basis for future ThermalMR applications.
多形性胶质母细胞瘤(GBM)是最致命且常见的脑肿瘤。将热疗与化疗和/或放疗相结合可提高GBM患者的生存率。热磁共振(ThermalMR)是一种热疗变体,它利用射频(RF)诱导加热来研究温度在生物系统和疾病中的作用。需要对RF信号的功率和相位进行监测,以管理能量焦点的形成、精确的热剂量控制和安全性。治疗期间患者的位置也需要监测,以确保治疗效果并避免对健康组织造成损害。本文报道了一种多通道RF信号监测模块,该模块能够监测和调节RF信号并检测患者运动。针对广泛的频率范围进行了系统特性分析。进行了蒙特卡洛模拟,以研究功率和相位误差对热疗性能的影响。该监测模块在表征RF功率放大器以及作为加热实验中调节RF信号的反馈控制回路的关键部分方面的效用得到了证明。进行了电磁场模拟,以计算治疗期间患者位移的影响。该监测模块经过实验测试,可检测亚毫米级别的患者运动。总之,本文介绍了一种经济高效的RF监测模块,它是热疗硬件系统的关键组件,并为未来的ThermalMR应用奠定了技术基础。