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激光诱导间质热疗对脑内三维肿瘤的治疗建模

Treatment Modelling of a 3D Tumour in Brain by Laser-Induced Interstitial Thermotherapy.

作者信息

Amini Sadegh, Ahmadikia Hossein

机构信息

Mechanical Engineering Department, University of Isfahan, Isfahan, Iran.

出版信息

J Lasers Med Sci. 2023 Aug 22;14:e26. doi: 10.34172/jlms.2023.26. eCollection 2023.

Abstract

There are some ways to examine heat transfer in tumor tissue, which is an important issue in bioengineering. One of these ways uses the bioheat equation, proposed by Pennes, in a continuous medium. Another one uses a porous medium to model heat transfer in living tissues. The objective of this paper was to study an approach to modelling the temperature distribution and tumour ablation in brain tissue and compare results to Pennes' approach. This approach presents and uses a porous medium as the tissue instead of a continuous medium. In addition, the two approaches (simulation in continuous and porous medium) are compared in terms of temperature simulation and amount of cell ablation. The density, heat conduction factor, and blood perfusion rate are considered functions of temperature. In these approaches, after an 85-second treatment, the temperature increases to about 90°C. The temperature increase of the porous medium is relatively the same as that of the continuous medium and for this reason, the amount of cancerous cells that are ablated in a porous medium is approximately the same as that in a continuous medium. The volume of cell ablation is about 6500 mm for two ideas. In addition, the degree of damage, computed from the Arrhenius integral method, and the ablated volume of the tumour endorse equality at the end of treatment. According to the results, similar to the continuous approach, the porous approach predicts the temperature and amount of volume of damaged cells. Therefore, it is possible to use the porous approach instead of the Pennes approach for tumour treatment.

摘要

有一些方法可用于研究肿瘤组织中的热传递,这是生物工程中的一个重要问题。其中一种方法是在连续介质中使用由彭尼斯提出的生物热方程。另一种方法是使用多孔介质来模拟活组织中的热传递。本文的目的是研究一种模拟脑组织温度分布和肿瘤消融的方法,并将结果与彭尼斯的方法进行比较。这种方法提出并使用多孔介质作为组织,而非连续介质。此外,从温度模拟和细胞消融量方面对这两种方法(在连续介质和多孔介质中的模拟)进行了比较。密度、热传导系数和血液灌注率被视为温度的函数。在这些方法中,经过85秒的治疗后,温度升高到约90°C。多孔介质的温度升高与连续介质相对相同,因此,在多孔介质中消融的癌细胞数量与连续介质中大致相同。两种方法的细胞消融体积约为6500立方毫米。此外,根据阿伦尼乌斯积分法计算的损伤程度以及肿瘤的消融体积在治疗结束时证实了两者的相等性。根据结果,与连续介质方法类似,多孔介质方法能够预测受损细胞的温度和体积。因此,在肿瘤治疗中可以使用多孔介质方法替代彭尼斯方法。

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