Zang Meiqi, Zhu Song, Niu Qiang
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai, China.
Department of General Surgery, Shidong Hospital, ShidongHospital Affiliated to University of Shanghai for Science and Technology, Shanghai, China.
Discov Oncol. 2025 Jun 10;16(1):1049. doi: 10.1007/s12672-025-02861-0.
Traditional cancer treatment modalities, such as surgical interventions, radiotherapy, and chemotherapy, persist as the cornerstone of standard care across a wide array of clinical settings. Despite their established effectiveness in combating cancer, these therapies are inherently invasive in nature and have great side effects, which seriously affect the quality of life of patients. Tumor Treating Fields is a low-intensity intermediate-frequency alternating electric field. Based on the current clinical study of Tumor Treating Fields in brain tumors, The U.S. Food and Drug Administration (FDA) initially approved Tumor Treating Fields in 2015 for the treatment of newly diagnosed or relapsed glioblastoma multiforme (GBM) and in 2019 for the treatment of malignant pleural mesothelioma (MPM). However, Tumor Treating Fields is still not widely appreciated in the treatment of high-mortality cancers, and although the therapeutic effect of Tumor Treating Fields has been validated in cell experiments and clinical trials, how to optimize its therapeutic effect remains to be studied. In this paper, the mechanism of Tumor Treating Fields treatment and its clinical progress were reviewed, and the dosimetry and numerical simulation of individualized treatment were comprehensively summarized, in order provide new ideas for further clinical research of this treatment model.
传统的癌症治疗方式,如手术干预、放射治疗和化学疗法,仍然是广泛临床环境中标准治疗的基石。尽管这些疗法在对抗癌症方面已证实有效,但它们本质上具有侵入性且有很大的副作用,严重影响患者的生活质量。肿瘤电场疗法是一种低强度中频交变电场。基于目前肿瘤电场疗法在脑肿瘤方面的临床研究,美国食品药品监督管理局(FDA)于2015年首次批准肿瘤电场疗法用于治疗新诊断或复发的多形性胶质母细胞瘤(GBM),并于2019年批准其用于治疗恶性胸膜间皮瘤(MPM)。然而,肿瘤电场疗法在高死亡率癌症的治疗中仍未得到广泛认可,并且尽管肿瘤电场疗法的治疗效果已在细胞实验和临床试验中得到验证,但如何优化其治疗效果仍有待研究。本文综述了肿瘤电场疗法的治疗机制及其临床进展,并全面总结了个体化治疗的剂量学和数值模拟,以便为该治疗模式的进一步临床研究提供新思路。
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