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优化用于血癌治疗的肿瘤治疗电场:电场分布与剂量密度分析

Optimizing tumor treating fields for blood cancer therapy: Analysis of electric field distribution and dose density.

作者信息

Nasori Nasori, Firdhaus Miftakhul, Farahdina Ulya, Khamimatul Ula Rini

机构信息

Laboratory of Medical Physics and Biophysics, Department of Physics, Faculty Science and Data Analytic, Institute Teknologi Sepuluh Nopember, Surabaya 60111, Indonesia.

Research Center Of Electronics, National Research and Innovation Agency of Indonesia (BRIN), Jakarta, 10340, Indonesia and Nusa Putra University, Sukabumi, Indonesia.

出版信息

Biophys Physicobiol. 2024 Apr 18;21(2):e210013. doi: 10.2142/biophysico.bppb-v21.0013. eCollection 2024.

DOI:10.2142/biophysico.bppb-v21.0013
PMID:39206129
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11347819/
Abstract

Blood cancer is a condition in which white blood cells grow uncontrollably. Tumor treating fields (TTF) are a modality of cancer treatment that utilizes electric fields to target malignant cells. To optimize the efficacy of TTF, it is necessary to investigate the distribution of electric field through varying electrode configurations and input parameters. This allows for enhancement of electric field intensity in targeted areas while minimizing intensity in sensitive areas. Analysis of electric field distribution was conducted through simulation of brachial models with varying electrode configurations and input parameters, utilizing the COMSOL Multiphysics 5.4 software. Additionally, investigations were carried out to assess tissue dose density. The dose density value at primary target for all electrode configurations and input parameters do not exceed the threshold value (770 W/m), whereas the electric field value at the primary target satisfied the threshold value (100 V/m) on the system that used 4 plate-shaped electrodes and arm contour-shaped electrodes with an input voltage of 20 V, and at the input voltage 15 V, only 4 arm contour-shaped electrodes that satisfied the threshold value. An increase in input voltage, electrodes addition, and electrodes adjustment to skin contour shape result in an enhancement of electric field distribution and average electric field value at primary targets.

摘要

血癌是一种白细胞不受控制生长的病症。肿瘤治疗电场(TTF)是一种癌症治疗方式,它利用电场靶向恶性细胞。为了优化TTF的疗效,有必要通过改变电极配置和输入参数来研究电场分布。这能够在增强目标区域电场强度的同时,将敏感区域的强度降至最低。利用COMSOL Multiphysics 5.4软件,通过模拟具有不同电极配置和输入参数的臂部模型来进行电场分布分析。此外,还进行了研究以评估组织剂量密度。所有电极配置和输入参数在主要靶点处的剂量密度值均未超过阈值(770 W/m),而在使用4个板状电极和臂轮廓形状电极且输入电压为20 V的系统中,主要靶点处的电场值满足阈值(100 V/m),在输入电压为15 V时,只有4个臂轮廓形状电极满足阈值。输入电压的增加、电极的添加以及将电极调整为皮肤轮廓形状会导致主要靶点处的电场分布和平均电场值增强。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/757b/11347819/4d514f73328c/21_e210013-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/757b/11347819/fa506267f4b6/21_e210013-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/757b/11347819/756a587e412f/21_e210013-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/757b/11347819/878ab5df84ad/21_e210013-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/757b/11347819/4d514f73328c/21_e210013-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/757b/11347819/fa506267f4b6/21_e210013-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/757b/11347819/dc332184ea62/21_e210013-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/757b/11347819/12d9bf0be48c/21_e210013-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/757b/11347819/5c9f4fe0b2ae/21_e210013-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/757b/11347819/36be03fee33f/21_e210013-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/757b/11347819/89c0b1f88a7d/21_e210013-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/757b/11347819/21ca7cab9689/21_e210013-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/757b/11347819/eb523f0ca30f/21_e210013-g008.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/757b/11347819/878ab5df84ad/21_e210013-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/757b/11347819/4d514f73328c/21_e210013-g011.jpg

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本文引用的文献

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Diagnosis and Treatment of Chronic Lymphocytic Leukemia: A Review.慢性淋巴细胞白血病的诊断与治疗:综述
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Tumor Treating Fields (TTFields) Therapy Concomitant with Taxanes for Cancer Treatment.肿瘤电场(TTFields)疗法联合紫杉烷类药物用于癌症治疗。
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Medicinal Plants with Anti-Leukemic Effects: A Review.具有抗白血病作用的药用植物:综述。
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Tumor treating fields perturb the localization of septins and cause aberrant mitotic exit.肿瘤治疗电场扰乱了septin蛋白的定位并导致异常的有丝分裂退出。
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