基于稀缺温度测量的微波癌症热疗实时三维温度重建

Real-time 3D temperature reconstruction in microwave cancer hyperthermia from scarce temperature measurements.

作者信息

Gaffoglio Rossella, Giordanengo Giorgio, Righero Marco, Zucchi Marcello, Firuzalizadeh Maryam, Musacchio Adorisio Giuseppe, Bellone Aurora, Vallan Alberto, Perrone Guido, Vecchi Giuseppe

机构信息

Advanced Computing, Photonics & Electromagnetics, Fondazione LINKS, Torino, I-10138, Italy.

Department of Electronics and Telecommunications, Politecnico di Torino, Torino, I-10129, Italy.

出版信息

Nat Commun. 2025 May 24;16(1):4824. doi: 10.1038/s41467-025-59748-5.

Abstract

Oncological microwave hyperthermia is a clinically proven sensitizer of radio- and chemo-therapies; it acts by selectively increasing the temperature of tumor cells by means of antenna applicators. Its current limitations mostly come from the inability to reliably predict, and hence control, temperature inside the patient during treatment, especially for deep-seated tumors. Simulations are employed in treatment planning, but due to related uncertainties invasive thermometry is necessary, usually via catheters. Being invasive, their use must be minimized and provides very limited spatial information. Here, we demonstrate an approach to obtain 3D temperature information in real time from few measurement points via massive use of high-performance simulations carried out prior to treatment. The proposed technique is tested both in a fully anthropomorphic in-silico scenario, and in an experimental controlled setting. The obtained results demonstrate the potential of the proposed method as a low-cost real-time temperature monitoring technique in cancer hyperthermia. Use with intra-luminal, minimally-invasive catheters is supported by the positive outcome experimentally obtained using data points directly acquired in the trachea-mimicking phantom structure.

摘要

肿瘤微波热疗是一种经临床验证的放疗和化疗增敏剂;它通过天线施加器选择性地提高肿瘤细胞的温度来发挥作用。其目前的局限性主要源于在治疗过程中无法可靠地预测并因此控制患者体内的温度,尤其是对于深部肿瘤。在治疗规划中会使用模拟,但由于相关的不确定性,通常需要通过导管进行侵入性温度测量。由于具有侵入性,必须尽量减少其使用,并且其提供的空间信息非常有限。在此,我们展示了一种通过在治疗前大量使用高性能模拟从少数测量点实时获取三维温度信息的方法。所提出的技术在完全拟人化的计算机模拟场景和实验控制环境中均进行了测试。获得的结果证明了所提出的方法作为一种低成本的癌症热疗实时温度监测技术的潜力。在模拟气管的体模结构中直接获取数据点进行实验所获得的阳性结果支持了该方法与腔内微创导管的联合使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70fb/12102297/5312c4196752/41467_2025_59748_Fig1_HTML.jpg

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