Shoshiashvili Levan, Shamatava Irma, Kakulia David, Shubitidze Fridon
Department of Electrical and Electronics Engineering, Faculty of Exact and Natural Sciences, Ivane Javakhishvili Tbilisi State University, 0179 Tbilisi, Georgia.
Thayer School of Engineering, Dartmouth College, Hanover, NH 03755, USA.
Cancers (Basel). 2023 Mar 8;15(6):1672. doi: 10.3390/cancers15061672.
Magnetic nanoparticle (MNP) hyperthermia therapy is a treatment technique that can be used alone or as an adjunct to radiation and/or chemotherapies for killing cancer cells. During treatment, MNPs absorb a part of electromagnetic field (EMF) energy and generate localized heat when subjected to an alternating magnetic field (AMF). The MNP-absorbed EMF energy, which is characterized by a specific absorption rate (SAR), is directly proportional to AMF frequency and the magnitude of transmitting currents in the coil. Furthermore, the AMF penetrates inside tissue and induces eddy currents in electrically conducting tissues, which are proportional to the electric field ( = σ). The eddy currents produce Joule heating (<·> = 0.5·σ·E) in the normal tissue, the rate of energy transfer to the charge carriers from the applied electric fields. This Joule heating contains only the electric field because the magnetic field is always perpendicular to the velocity of the conduction charges, i.e., it does not produce work on moving charge. Like the SAR due to MNP, the electric field produced by the AMF coil is directly proportional to AMF frequency and the magnitude of transmitting currents in the coil. As a result, the Joule heating is directly proportional to the square of the frequency and transmitter current magnitude. Due to the fast decay of magnetic fields from an AMF coil over distance, MNP hyperthermia treatment of deep-seated tumors requires high-magnitude transmitting currents in the coil for clinically achievable MNP distributions in the tumor. This inevitably produces significant Joule heating in the normal tissue and becomes more complicated for a standard MNP hyperthermia approach for deep-seated tumors, such as pancreatic, prostate, liver, lung, ovarian, kidney, and colorectal cancers. This paper presents a novel human-sized AMF coil and MNP hyperthermia system design for safely and effectively treating deep-seated cancers. The proposed design utilizes the spatial distribution of electric and magnetic fields of circular coils. Namely, it first minimizes the SAR due to eddy currents in the normal tissue by moving the conductors away from the tissue (i.e., increasing coils' radii), and second, it increases the magnetic field at the targeted area (z = 0) due to elevated coils (|z| > 0) by increasing the radius of the elevated coils (|z| > 0). This approach is a promising alternative aimed at overcoming the limitation of standard MNP hyperthermia for deep-seated cancers by taking advantage of the transmitter coil's electric and magnetic field distributions in the human body for maximizing AMF in tumor regions and avoiding damage to normal tissue. The human-sized coil's AMF, MNP activation, and eddy current distribution characteristics are investigated for safe and effective treatment of deep-seated tumors using numerical models. Namely, computational results such as AMF, Joule heating SAR, and temperature distributions are presented for a full-body, 3D human model. The SAR and temperature distributions clearly show that the proposed human-sized AMF coil can provide clinically relevant AMF to the region occupied by deep-seated cancers for the application of MNP hyperthermia therapy while causing less Joule heating in the normal tissues than commonly used AMF techniques.
磁性纳米颗粒(MNP)热疗是一种治疗技术,可单独使用,也可作为放疗和/或化疗的辅助手段来杀死癌细胞。在治疗过程中,磁性纳米颗粒吸收一部分电磁场(EMF)能量,并在受到交变磁场(AMF)作用时产生局部热量。磁性纳米颗粒吸收的EMF能量以比吸收率(SAR)为特征,它与AMF频率和线圈中传输电流的大小成正比。此外,AMF穿透组织内部并在导电组织中感应出涡流,涡流与电场(=σ)成正比。涡流在正常组织中产生焦耳热(<·>=0.5·σ·E),即从施加的电场向电荷载流子的能量转移速率。这种焦耳热仅包含电场,因为磁场始终垂直于传导电荷的速度,即它不会对移动电荷做功。与磁性纳米颗粒产生的SAR一样,AMF线圈产生的电场与AMF频率和线圈中传输电流的大小成正比。因此,焦耳热与频率的平方和发射电流大小成正比。由于AMF线圈产生的磁场随距离快速衰减,对于深部肿瘤的MNP热疗,为了在肿瘤中实现临床上可达到的MNP分布,需要在线圈中施加高幅值的传输电流。这不可避免地会在正常组织中产生大量焦耳热,对于深部肿瘤(如胰腺癌、前列腺癌、肝癌、肺癌、卵巢癌、肾癌和结直肠癌)的标准MNP热疗方法来说,情况会变得更加复杂。本文提出了一种新颖的人体尺寸AMF线圈和MNP热疗系统设计,用于安全有效地治疗深部癌症。所提出的设计利用了圆形线圈的电场和磁场的空间分布。具体而言,它首先通过将导体移离组织(即增加线圈半径)来最小化正常组织中由于涡流产生的SAR,其次,通过增加抬高线圈(|z|>0)的半径,增加抬高线圈(|z|>0)在目标区域(z = 0)产生的磁场。这种方法是一种有前途的替代方案,旨在通过利用发射线圈在人体中的电场和磁场分布,在肿瘤区域最大化AMF并避免对正常组织造成损伤,从而克服深部癌症标准MNP热疗的局限性。利用数值模型研究了人体尺寸线圈的AMF、MNP激活和涡流分布特性,以安全有效地治疗深部肿瘤。具体来说,给出了全身三维人体模型的计算结果,如AMF、焦耳热SAR和温度分布。SAR和温度分布清楚地表明,所提出的人体尺寸AMF线圈可以为深部癌症占据的区域提供临床上相关的AMF,用于MNP热疗,同时在正常组织中产生的焦耳热比常用的AMF技术少。