RESUMO
Magnetic nanoparticles (MNPs) can interact with alternating magnetic fields (AMFs) to deposit localized energy for hyperthermia treatment of cancer. Hyperthermia is useful in the context of multimodality treatments with radiation or chemotherapy to enhance disease control without increased toxicity. The unique attributes of heat deposition and transfer with MNPs have generated considerable attention and have been the focus of extensive investigations to elucidate mechanisms and optimize performance. Three-dimensional (3D) simulations are often conducted with the finite element method (FEM) using the Pennes' bioheat equation. In the current study, the Pennes' equation was modified to include a thermal damage-dependent perfusion profile to improve model predictions with respect to known physiological responses to tissue heating. A normal distribution of MNPs in a model liver tumor was combined with empirical nanoparticle heating data to calculate tumor temperature distributions and resulting survival fraction of cancer cells. In addition, calculated spatiotemporal temperature changes were compared among magnetic field amplitude modulations of a base 150-kHz sinusoidal waveform, specifically, no modulation, sinusoidal, rectangular, and triangular modulation. Complex relationships were observed between nanoparticle heating and cancer tissue damage when amplitude modulation and damage-related perfusion profiles were varied. These results are tantalizing and motivate further exploration of amplitude modulation as a means to enhance efficiency of and overcome technical challenges associated with magnetic nanoparticle hyperthermia (MNH).
Assuntos
Temperatura Corporal/efeitos da radiação , Hipertermia Induzida/métodos , Nanopartículas de Magnetita/efeitos da radiação , Nanopartículas de Magnetita/uso terapêutico , Neoplasias/fisiopatologia , Neoplasias/terapia , Animais , Simulação por Computador , Relação Dose-Resposta à Radiação , Campos Eletromagnéticos , Humanos , Magnetoterapia/métodos , Modelos Biológicos , Doses de RadiaçãoRESUMO
Given the high mortality rate, liver cancer is considered to be a difficult cancer to treat. Consequently, alternative strategies are being developed such as radiofrequency ablation (RFA). RFA applies radiofrequent currents leading to local heating of the tumoral tissue. Accurate numerical modeling contributes to a better knowledge of the physical phenomena and allows optimizations. In this work, the bipolar radiofrequency ablation technique is explored followed by an optimization by means of pulsed currents. Numerical results clearly show the larger ablation zones due to the pulsed currents. Hence, pulsed bipolar RFA increases the efficacy and has the potential to be incorporated in clinical practice.