Gersing E, Krüger W, Osypka M, Vaupel P
Zentrum Physiologie und Pathophysiologie der Universität, Göttingen, Germany.
Physiol Meas. 1995 Aug;16(3 Suppl A):A153-60. doi: 10.1088/0967-3334/16/3a/015.
In cancer therapy, hyperthermic treatment by microwaves requires a non-invasive and reliable method for measuring the temperature distribution inside the body. EIT seems to be able to evaluate the temperature-dependent tissue impedance for delivering the temperature profile in a cross-section of the body. Assuming a temperature coefficient of the resistivity of an electrolyte of about -2% degrees C-1 and temperature measurement to an accuracy of 0.5 degree C, the error in impedance measurement must be lower than 1%. Irrespective of the accuracy of the tomographic measuring system itself, a problem arises from the fact that the fluid content in the tissue as well as the fluid distribution between the extracellular and the intracellular compartment change with temperature. Measurements of the impedance spectra of skeletal muscle and tumours of rats during hyperthermic treatment deliver very different temperature coefficients of the resistivity from -1.3% degree C-1 to -3% degree C-1, thus questioning the feasibility of the EIT as a temperature measuring method. However, changes in the tissue caused by hyperthermia (e.g., fluid shifts, development of oedema and membrane disintegration) can be detected.
在癌症治疗中,通过微波进行热疗需要一种非侵入性且可靠的方法来测量体内的温度分布。电阻抗断层成像(EIT)似乎能够评估与温度相关的组织阻抗,以在身体的横截面上呈现温度分布。假设电解质电阻率的温度系数约为-2%/℃,且温度测量精度为0.5℃,则阻抗测量的误差必须低于1%。不管断层测量系统本身的精度如何,一个问题源于组织中的液体含量以及细胞外和细胞内隔室之间的液体分布会随温度变化这一事实。在热疗过程中对大鼠骨骼肌和肿瘤的阻抗谱测量得出电阻率的温度系数差异很大,从-1.3%/℃到-3%/℃,因此质疑了EIT作为温度测量方法的可行性。然而,热疗引起的组织变化(如液体转移、水肿形成和细胞膜崩解)是可以被检测到的。