Fessenden P, Lee E R, Samulski T V
Cancer Res. 1984 Oct;44(10 Suppl):4799s-4804s.
Hyperthermia has little hope of progressing as a clinical modality without accurate assessment of the temperature distributions obtained. At the present time only direct, invasive temperature-measuring techniques are possible, posing severe limitations. Established techniques for clinical temperature measurement have developed over the past few years, and for both ultrasound and electromagnetic hyperthermia it is possible to get temperature-time profiles at a large number of spatial points. Position uncertainty, thermal conduction smearing, and artifactual heating limit the accuracy to about 0.2 degrees (electromagnetic) or 0.5 degrees (ultrasound), but this is probably less of a hindrance than the inadequate percentage of tumor and normal tissue volume for which achieved temperatures can be documented.
如果不能准确评估所获得的温度分布,热疗作为一种临床治疗方式几乎没有发展的希望。目前只有直接的侵入性温度测量技术可行,这带来了严重的限制。过去几年已经开发出了临床温度测量的成熟技术,对于超声和电磁热疗来说,在大量空间点获取温度-时间曲线是可能的。位置不确定性、热传导模糊以及人为加热将精度限制在约0.2摄氏度(电磁)或0.5摄氏度(超声),但这可能比能够记录温度的肿瘤和正常组织体积所占比例不足造成的阻碍要小。