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导管和涂层对钯镍热籽性能的影响:植入技术的评估与设计

The effect of catheters and coatings on the performance of palladium-nickel thermoseeds: evaluation and design of implantation techniques.

作者信息

van Wieringen N, van Dijk J D, van Veldhuizen J, Nieuwenhuys G J

机构信息

Department of Radiotherapy, University of Amsterdam, The Netherlands.

出版信息

Int J Hyperthermia. 1997 Mar-Apr;13(2):187-204. doi: 10.3109/02656739709012382.

Abstract

In the development of materials for self-regulating thermoseeds much effort is put in improvement of the self-regulating temperature control mechanism of the seeds. The catheters and coatings which are needed to implant the seeds or to guarantee biocompatibility, generally impair the optimized performance of the ferromagnetic seeds. The influence of various coatings on the performance of PdNi seeds has been investigated by means of one-dimensional modelling and calorimetric experiments. Implantation using thin walled catheters is acceptable provided that the catheters are filled with water to assure good thermal coupling. Air layers inside catheters should be avoided as they reduce the sharp gradient of the heat production at the Curie temperature significantly. An alternative for the application of catheters is to insert the seeds into metallic needles. The effect of shielding by the metal needle can be minimized by driving the seed into its saturated state using a high magnetic field strength. The thermal interaction between the seed and surrounding tissue can also be enhanced by placing PdNi, e.g. tubular, on the outside of the catheter or brachytherapy needle. An additional advantage of this new design is an increase in the heat production and the quality of temperature control due to an increase in the amount of PdNi. For permanent implantation seeds can be coated with an inert metal, ceramics or plastic. The performance of the seeds is not affected by any of the coatings if certain conditions are met. For plastic coatings the thickness of the coating has to be very thin, preferably < or = 20 microns, to avoid thermal isolation.

摘要

在自调节热籽材料的研发过程中,人们投入了大量精力来改进籽源的自调节温度控制机制。植入籽源或确保生物相容性所需的导管和涂层,通常会损害铁磁籽源的优化性能。通过一维建模和量热实验研究了各种涂层对钯镍籽源性能的影响。如果导管充满水以确保良好的热耦合,那么使用薄壁导管进行植入是可以接受的。应避免导管内出现空气层,因为它们会显著降低居里温度下产热的陡峭梯度。导管应用的一种替代方法是将籽源插入金属针中。通过使用高磁场强度将籽源驱动到其饱和状态,可以使金属针对屏蔽效果的影响最小化。通过在导管或近距离治疗针的外部放置钯镍(例如管状),也可以增强籽源与周围组织之间的热相互作用。这种新设计的另一个优点是,由于钯镍用量的增加,产热量和温度控制质量都有所提高。对于永久性植入,籽源可以用惰性金属、陶瓷或塑料进行涂层处理。如果满足某些条件,籽源的性能不会受到任何一种涂层的影响。对于塑料涂层,涂层厚度必须非常薄,最好小于或等于20微米,以避免热隔离。

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