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大剂量聚焦超声轻度热疗改善血脑肿瘤屏障通透性的应用

Large-Volume Focused-Ultrasound Mild Hyperthermia for Improving Blood-Brain Tumor Barrier Permeability Application.

作者信息

Chan Hsin, Chang Hsin-Yun, Lin Win-Li, Chen Gin-Shin

机构信息

Institute of Biomedical Engineering, National Taiwan University, Taipei 100, Taiwan.

Institute of Biomedical Engineering and Nanomedicine, National Health Research Institutes, Miaoli 35053, Taiwan.

出版信息

Pharmaceutics. 2022 Sep 22;14(10):2012. doi: 10.3390/pharmaceutics14102012.

DOI:10.3390/pharmaceutics14102012
PMID:36297445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9610093/
Abstract

Mild hyperthermia can locally enhance permeability of the blood-tumor barrier in brain tumors, improving delivery of antitumor nanodrugs. However, a clinical transcranial focused ultrasound (FUS) system does not provide this modality yet. The study aimed at the development of the transcranial FUS technique dedicated for large-volume mild hyperthermia in the brain. Acoustic pressure, multiple-foci, temperature and thermal dose induced by FUS were simulated in the brain through the skull. A 1-MHz, 114-element, spherical helmet transducer was fabricated to verify large-volume hyperthermia in the phantom. The simulated results showed that two foci were simultaneously formed at (2, 0, 0) and (-2, 0, 0) and at (0, 2, 0) and (0, -2, 0), using the phases of focusing pattern 1 and the phases of focusing pattern 2, respectively. Switching two focusing patterns at 5 Hz produced a hyperthermic zone with an ellipsoid of 7 mm × 6 mm × 11 mm in the brain and the temperature was 41-45 °C in the ellipsoid as the maximum intensity was 150 W/cm and sonication time was 3 min. The phased array driven by switching two mode phases generated a 41 °C-contour region of 10 ± 1 mm × 8 ± 2 mm × 13 ± 2 mm in the phantom after 3-min sonication. Therefore, we have demonstrated our developed FUS technique for large-volume mild hyperthermia.

摘要

轻度体温升高可局部增强脑肿瘤中血脑屏障的通透性,改善抗肿瘤纳米药物的递送。然而,临床经颅聚焦超声(FUS)系统尚未提供这种方式。该研究旨在开发专用于大脑大容量轻度体温升高的经颅FUS技术。通过颅骨对FUS在大脑中诱导产生的声压、多焦点、温度和热剂量进行了模拟。制作了一个1MHz、114阵元的球形头盔换能器,以在体模中验证大容量热疗效果。模拟结果表明,分别使用聚焦模式1的相位和聚焦模式2的相位,在(2, 0, 0)和(-2, 0, 0)以及(0, 2, 0)和(0, -2, 0)处同时形成了两个焦点。以5Hz的频率切换两种聚焦模式,在大脑中产生了一个尺寸为7mm×6mm×11mm的椭球形热区,当最大强度为150W/cm²且超声处理时间为3分钟时,该椭球体内的温度为41 - 45°C。在超声处理3分钟后,由切换两种模式相位驱动的相控阵在体模中产生了一个尺寸为10±1mm×8±2mm×13±2mm、温度为41°C的轮廓区域。因此,我们展示了我们开发的用于大容量轻度体温升高的FUS技术。

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Int J Hyperthermia. 2021;38(1):1590-1600. doi: 10.1080/02656736.2021.1998658.
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Calculating the Effect of Ribs on the Focus Quality of a Therapeutic Spherical Random Phased Array.计算肋骨对治疗性球形随机相控阵焦点质量的影响。
Sensors (Basel). 2021 Feb 9;21(4):1211. doi: 10.3390/s21041211.
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CBTRUS Statistical Report: Primary Brain and Other Central Nervous System Tumors Diagnosed in the United States in 2012-2016.
美国 2012-2016 年诊断的原发性脑和其他中枢神经系统肿瘤 CBTRUS 统计报告。
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