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热疗诱导固体肿瘤内流体压力和应力降低。

Thermal therapy induced fluid pressure and stress reductions in a solid tumor.

机构信息

Department of Mechanical Engineering, University of Maine, Orono, ME 04469, USA.

出版信息

Microvasc Res. 2022 Jan;139:104250. doi: 10.1016/j.mvr.2021.104250. Epub 2021 Sep 11.

Abstract

This paper presents an investigation on the interstitial fluid pressure and stress reductions in a vascularized solid tumor using a thermal therapy approach. The solid tumor is modeled as a fluid infiltrated poroelastic medium with a pressure source subjected to spatial heating. The distributions of temperature, interstitial fluid pressure, strains and stresses in a spherical tumor are obtained using a thermoporoelasticity theory in which the extracellular solid matrix and the interstitial fluid have different coefficient of thermal expansion (CTE). The numerical results for a solid tumor subjected to uniform spatial heating indicate that the CTE of the solid matrix of the tumor plays a crucial role in the reductions in the fluid pressure and effective stresses caused by the thermal therapy. The pore pressure and effective stresses are reduced when the CTE of the solid matrix is higher than that of the interstitial fluid. The reductions in fluid pressure and stresses may become significant depending on the difference between the CTEs of the solid matrix and interstitial fluid. The reductions reach the maximum at the tumor center and decrease with increasing radial distance from the tumor center. Finally, the thermally induced fluid flow is directed from the surface towards the center thereby potentially improving the microcirculation in the solid tumor.

摘要

本文研究了利用热疗方法降低血管化实体瘤中的间质流体压力和应力。将固体肿瘤模拟为具有压力源的被流体渗透的多孔弹性介质,并对其进行空间加热。使用热渗透弹性理论获得球形肿瘤中的温度、间质流体压力、应变和应力分布,其中细胞外固体基质和间质流体具有不同的热膨胀系数(CTE)。对受到均匀空间加热的实体肿瘤的数值结果表明,肿瘤固体基质的 CTE 在热疗引起的流体压力和有效应力降低中起着至关重要的作用。当固体基质的 CTE 高于间质流体时,孔隙压力和有效应力会降低。流体压力和应力的降低程度取决于固体基质和间质流体的 CTE 之间的差异。在肿瘤中心处达到最大值,并随着距肿瘤中心的径向距离的增加而减小。最后,热诱导的流体流动从表面指向中心,从而有可能改善实体肿瘤中的微循环。

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