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温度限制对使用聚焦超声诱导声流治疗肿瘤的影响。

The effect of temperature constraints on the treatment of tumors using focused ultrasound-induced acoustic streaming.

作者信息

Price Sebastian E N, Gjennestad Magnus Aa, Kjelstrup Signe, Hansen Rune

机构信息

Porelab and Department of Chemistry, The Norwegian University of Science and Technology NTNU, 7491, Trondheim, Norway.

SINTEF Energy Research, Torgarden, PO Box 4761, 7465, Trondheim, Norway.

出版信息

Sci Rep. 2025 Jan 2;15(1):49. doi: 10.1038/s41598-024-83782-w.

Abstract

The transport of drugs into tumor cells near the center of the tumor is known to be severely hindered due to the high interstitial pressure and poor vascularization. The aim of this work is to investigate the possibility to induce acoustic streaming in a tumor. Two tumor cases (breast and abdomen) are simulated to find the acoustic streaming and temperature rise, while varying the focused ultrasound transducer radius, frequency, and power for a constant duty cycle (1%). In the absence of perfusion, the simulated rise in temperature, despite the low duty cycle, never reaches a steady state and is fitted to a logarithmic equation, enabling predictions of the temperature for long treatment times. Higher frequencies and larger probe radii are found to result in shorter treatment times relative to the temperature rise, at the cost of a smaller treated area. Results from the simulations indicate that it may be possible to achieve reasonable acoustic streaming values in tumor without the temperature exceeding 50 °C. Treatment times for streaming a distance of 50 μm in the breast case are shown to range from less than one and a half hour to 93 h, depending on the probe settings.

摘要

众所周知,由于肿瘤中心附近的间质压力高且血管化程度差,药物向肿瘤细胞的转运受到严重阻碍。这项工作的目的是研究在肿瘤中诱导声流的可能性。模拟了两个肿瘤病例(乳腺和腹部),以在占空比恒定(1%)的情况下,通过改变聚焦超声换能器的半径、频率和功率来找到声流和温度升高情况。在没有灌注的情况下,尽管占空比很低,但模拟的温度升高从未达到稳态,而是拟合为对数方程,从而能够预测长时间治疗的温度。相对于温度升高,发现更高的频率和更大的探头半径会导致治疗时间更短,但代价是治疗区域更小。模拟结果表明,有可能在肿瘤中实现合理的声流值,而温度不超过50°C。在乳腺病例中,使声流距离达到50μm的治疗时间显示,根据探头设置,范围从不到一个半小时到93小时不等。

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