A numerical study on thermal ablation of brain tumor with intraoperative focused ultrasound

Ultrasound-assisted starch hydrolyzing by alpha-amylase: Implementation of computational fluid dynamics, acoustic field determination, and rheology modeling

The study aimed to optimize the ultrasonic-assisted modification (UAM) of corn and potato starch by assessing the influence of ultrasound geometry, power, and frequency on the fluid flow for sonicated starch to achieve porous starch with a higher degree of hydrolyzing by α-amylase. This assessment was conducted through mathematical modeling and 3D computational fluid dynamics (CFD) simulations. The ultrasonic pressure field is determined by the solution of the non-linear Westervelt equation in the frequency domain. Then, the obtained field is utilized to simulate the dissipated power and flow field characteristics. According to the results obtained from the Rapid Visco Analyzer (RVA), it was observed that the peak and final viscosity of hydrolyzed sonicated starch were less than hydrolyzed native starch. This decrease in viscosity indicates a breakdown of the starch structure, leading to a more fluid-like consistency. The shear rate and shear stress data are used for rheology modeling. The fluid's viscosity is represented based on three models of Herschel-Bulkley, Casson, and Power law (Ostwald-de Waele). The magnitude of yield shear stress at low shear rates, the shear-thinning behavior, and the nearly Newtonian fluid nature at high shear rates are extracted from the viscosity models. The surfaces of the starch granules were analyzed using scanning electron microscopy (SEM) revealed that sonication treatments caused damage, cracks, and porosity on the surfaces of the starch granules which were prone to amylolytic enzymes. This indicates that the structural integrity of the granules was compromised and facilitated enzyme penetration. This study proposes that ultrasonication can be utilized to produce damaged starch, which is susceptible to hydrolysis by α-amylase. This approach holds the potential for reducing enzyme consumption in various industries.

Electroporation-Based Therapy for Brain Tumors: A Review

Electroporation-based therapy (EBT), as a high-voltage-pulse technology has been prevalent with favorable clinical outcomes in the treatment of various solid tumors. This review paper aims to promote the clinical translation of EBT for brain tumors. First, we briefly introduced the mechanism of pore formation in a cell membrane activated by external electric fields using a single cell model. Then, we summarized and discussed the current in vitro and in vivo preclinical studies, in terms of (1) the safety and effectiveness of EBT for brain tumors in animal models, and (2) the blood-brain barrier (BBB) disruption induced by EBT. Two therapeutic effects could be achieved in EBT for brain tumors simultaneously, i.e., the tumor ablation induced by irreversible electroporation (IRE) and transient BBB disruption induced by reversible electroporation (RE). The BBB disruption could potentially improve the uptake of antitumor drugs thereby enhancing brain tumor treatment. The challenges that hinder the application of EBT in the treatment of human brain tumors are discussed in the review paper as well.

Ultrasound-mediated disruption of the blood tumor barrier for improved therapeutic delivery

The blood-brain barrier (BBB) is a major anatomical and physiological barrier limiting the passage of drugs into brain. Central nervous system tumors can impair the BBB by changing the tumor microenvironment leading to the formation of a leaky barrier, known as the blood-tumor barrier (BTB). Despite the change in integrity, the BTB remains effective in preventing delivery of chemotherapy into brain tumors. Focused ultrasound is a unique noninvasive technique that can transiently disrupt the BBB and increase accumulation of drugs within targeted areas of the brain. Herein, we summarize the current understanding of different types of targeted ultrasound mediated BBB/BTB disruption techniques. We also discuss influence of the tumor microenvironment on BBB opening, as well as the role of immunological response following disruption. Lastly, we highlight the gaps between evaluation of the parameters governing opening of the BBB/BTB. A deeper understanding of physical opening of the BBB/BTB and the biological effects following disruption can potentially enhance treatment strategies for patients with brain tumors.

Microstructure-based non-Fourier heat transfer modeling of HIFU treatment for thyroid cancer

BACKGROUND AND OBJECTIVES

High intensity focused ultrasound is an emerging non-invasive technique for the thermal ablation of cancer. Modeling of high intensity focused ultrasound as a method to induce hyperthermia, by considering non-equilibrium convective heat transfer has been under-represented in the previous studies. Therefore, in the present study, we aimed to study the effect of blood vessels during high intensity focused ultrasound ablation of thyroid cancer. In addition, high intensity focused ultrasound modeling was greatly improved by considering non-Fourier heat transfer.

METHODS

The modified dual-phase-lag model was used for the modeling of heat transfer in thyroid cancer during the ultrasound irradiation. The model parameters were linked with the tissue's microstructure parameters. Meanwhile, an interfacial convective heat transfer was considered between the blood vessels and the extravascular matrix. The extent of the vascular region was determined using the field emission scanning electron microscopy images. The non-linear Westervelt equation was solved for the sound wave to determine the heat source for the induced hyperthermia treatment.

RESULTS

Referring to the acoustic results, sharp-wave ripples were observed due to the inclusion of notable amplitudes of excited harmonics. The thermal results showed a maximum temperature rise of 25.08°C and 51.47°C at the powers of 5 W and 10 W using the modified dual-phase-lag model, while the Pennes model predicted a temperature rise of 28.77°C and 55.5°C at the same powers. It was also concluded that a constant blood temperature, overestimates the dissipated energy and the temperature reduction during the cooling period, as a 15% deviation in the tumor temperature was observed from the non-equilibrium state at 10.65 s exposure and 10 W power. Eventually, the calculation of the ablated volumes indicated that the volumes were up to 4.5 times larger by the Pennes model compared to the modified dual-phase-lag model.

CONCLUSIONS

It can be concluded from the results that there should be a serious concern on the high intensity focused ultrasound modeling based on the parameters of blood vessels. Based on the thermal maps, the cancerous tissue should be exposed to a higher energy level of ultrasound waves in order to cause the desired damage against the estimated energy level predicted by the Pennes model.