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Lopes LB, Pintarelli GB, Guedert R, Andrade DLLS, Antonio AC, Ramos CTS, da Silva JR, Rangel MMM, Suzuki DOH. Novel tetrapolar single-needle electrode for electrochemotherapy in bone cavities: Modeling, design and validation. Med Eng Phys 2024; 125:104120. [PMID: 38508798 DOI: 10.1016/j.medengphy.2024.104120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 01/12/2024] [Accepted: 02/14/2024] [Indexed: 03/22/2024]
Abstract
Electrochemotherapy is a cancer treatment in which local pulsed electric fields are delivered through electrodes. The effectiveness of the treatment depends on exposing the tumor to a threshold electric field. Electrode geometry plays an important role in the resulting electric field distribution, especially in hard-to-reach areas and deep-seated tumors. We designed and developed a novel tetrapolar single-needle electrode for proper treatment in bone cavities. In silico and in vitro experiments were performed to evaluate the electric field and electric current produced by the electrode. In addition, tomography images of a real case of nasal cavity tumor were segmented into a 3D simulation to evaluate the electrode performance in a bone cavity. The proposed electrode was validated and its operating range was set up to 650 V. In the nasal cavity tumor, we found that the electrode can produce a circular electric field of 3 mm with an electric current of 14.1 A at 500 V, which is compatible with electrochemotherapy standards and commercial equipment.
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Affiliation(s)
- Lucas B Lopes
- Institute of Biomedical Engineering, Federal University of Santa Catarina, Florianópolis, 88040-900, SC, Brazil.
| | - Guilherme B Pintarelli
- Institute of Biomedical Engineering, Federal University of Santa Catarina, Florianópolis, 88040-900, SC, Brazil; Department of Control and Automation Engineering, Federal University of Santa Catarina, Blumenau, 89036-004, SC, Brazil
| | - Raul Guedert
- Institute of Biomedical Engineering, Federal University of Santa Catarina, Florianópolis, 88040-900, SC, Brazil
| | - Daniella L L S Andrade
- Institute of Biomedical Engineering, Federal University of Santa Catarina, Florianópolis, 88040-900, SC, Brazil
| | - Afrânio C Antonio
- Institute of Biomedical Engineering, Federal University of Santa Catarina, Florianópolis, 88040-900, SC, Brazil
| | - Clara T S Ramos
- Institute of Biomedical Engineering, Federal University of Santa Catarina, Florianópolis, 88040-900, SC, Brazil
| | - Jéssica R da Silva
- Institute of Biomedical Engineering, Federal University of Santa Catarina, Florianópolis, 88040-900, SC, Brazil
| | | | - Daniela O H Suzuki
- Institute of Biomedical Engineering, Federal University of Santa Catarina, Florianópolis, 88040-900, SC, Brazil
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Guedert R, Andrade DLLS, Pintarelli GB, Suzuki DOH. Biological dispersion in the time domain using finite element method software. Sci Rep 2023; 13:22868. [PMID: 38129500 PMCID: PMC10739869 DOI: 10.1038/s41598-023-49828-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2023] [Accepted: 12/12/2023] [Indexed: 12/23/2023] Open
Abstract
Biological tissue exhibits a strong dielectric dispersion from DC to GHz. Implementing biological dispersion in the time domain with commercial finite element method software could help improve engineering analysis of electrical transient phenomena. This article describes the steps required to implement time-domain biological dispersion with commercial finite element method software. The study begins with the presentation of a genetic algorithm to fit the experimental dispersion curve of Solanum tuberosum (potato tuber) to multipoles of first-order Debye dispersion. The results show that it is possible to represent the biological dispersion of S. tuberosum from 40 Hz to 10 MHz in a 4-pole Debye dispersion. Then, a set of auxiliary differential equations is used to transform the multipole Debye dispersion from the frequency domain to the time domain. The equations are implemented in the commercial software COMSOL Multiphysics. A comparison between the frequency and time domain simulations was used to validate the method. An analysis of the electric current with square-wave pulsed voltage was performed. We found that the computer implementation proposed in this work can describe the biological dispersion and predict the electric current.
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Affiliation(s)
- Raul Guedert
- Department of Electrical and Electronic Engineering, Centre of Technology, Institute of Biomedical Engineering, Federal University of Santa Catarina, Florianopolis, 88040-900, Brazil.
| | - Daniella L L S Andrade
- Department of Electrical and Electronic Engineering, Centre of Technology, Institute of Biomedical Engineering, Federal University of Santa Catarina, Florianopolis, 88040-900, Brazil
| | - Guilherme B Pintarelli
- Department of Control, Automation and Computer Engineering, Federal University of Santa Catarina, Blumenau, 89036-256, Brazil
| | - Daniela O H Suzuki
- Department of Electrical and Electronic Engineering, Centre of Technology, Institute of Biomedical Engineering, Federal University of Santa Catarina, Florianopolis, 88040-900, Brazil
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Andrade DLLS, Pintarelli GB, Rosa JV, Paro IB, Pagano PJT, Silva JCN, Suzuki DOH. Musa acuminata as electroporation model. Bioelectrochemistry 2023; 154:108549. [PMID: 37639773 DOI: 10.1016/j.bioelechem.2023.108549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Revised: 08/17/2023] [Accepted: 08/19/2023] [Indexed: 08/31/2023]
Abstract
Electrochemotherapy (ECT) and Irreversible electroporation (IRE) are cancer treatments based on electric field distribution in tissues. Solanum tuberosum (potato tissue) phantom is known to mimic changes in the electrical conductivity that occur in animal tissues during electroporation (EP). Electric field distribution is assessed through enzymatic staining. However, the 24-h wait for this assessment could slow agile response scenarios. We developed and validated the Musa acuminata (cavendish banana) conductivity model, which quickly evaluates EP by tissue staining. We investigated the frequency response of the tissue using impedance spectroscopy analysis, conductivity changes, and enzymatic staining. We optimized three usual EP models: adapted Gompertz, smoothed Heaviside, and the sigmoid or logistic function. We found dielectric parameters in banana tissue similar to those in potato (electrical conductivity of 0.035 S/m and relative permittivity of 4.1×104). The coefficients of determination R2 were 99.94% (Gompertz), 99.85% (Heaviside), and 99.58% (sigmoid). The sigmoid and Heaviside functions described the calibration and validation electric currents with 95% confidence. We observed the electroporated areas in bananas 3h30m after EP. Staining was significant after 450 V/cm. The conductivity model of Musa acuminata suits treatment planning, hardware development, and training scenarios. Banana phantom supports the 3Rs practice and is a reliable alternative for potato in EP studies.
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Affiliation(s)
- Daniella L L S Andrade
- Institute of Biomedical Engineering, Department of Electrical and Electronics Engineering, Federal University of Santa Catarina, Florianópolis, SC, Brazil
| | - Guilherme B Pintarelli
- Department of Control and Automation Engineering, Federal University of Santa Catarina, Blumenau, SC, Brazil
| | - Juliana V Rosa
- Institute of Biomedical Engineering, Department of Electrical and Electronics Engineering, Federal University of Santa Catarina, Florianópolis, SC, Brazil
| | - Isabela B Paro
- Institute of Biomedical Engineering, Department of Electrical and Electronics Engineering, Federal University of Santa Catarina, Florianópolis, SC, Brazil
| | - Pedro J T Pagano
- Institute of Biomedical Engineering, Department of Electrical and Electronics Engineering, Federal University of Santa Catarina, Florianópolis, SC, Brazil
| | - Julia C N Silva
- Institute of Biomedical Engineering, Department of Electrical and Electronics Engineering, Federal University of Santa Catarina, Florianópolis, SC, Brazil
| | - Daniela O H Suzuki
- Institute of Biomedical Engineering, Department of Electrical and Electronics Engineering, Federal University of Santa Catarina, Florianópolis, SC, Brazil
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Guedert R, Brasil Pintarelli G, Mena Barreto Silva FR, Ota Hisayasu Suzuki D. Effects of pulse repetition rate in static electrochemotherapy models. Bioelectrochemistry 2023; 153:108499. [PMID: 37413821 DOI: 10.1016/j.bioelechem.2023.108499] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 06/28/2023] [Accepted: 06/29/2023] [Indexed: 07/08/2023]
Abstract
Electroporation alters cell membrane structure and tissue electrical properties by short and intense pulsed electric fields (PEF). Static mathematical models are often used to explain the change in electrical properties of tissues caused by electroporation. Electric pulse repetition rate may play an important role, as tissue dielectric dispersion, electroporation dynamics, and Joule heating may affect the electrical properties. In this work, we investigate the effects on the magnitude of the electric current when the repetition rate of the standard electrochemotherapy protocol is increased. Liver, oral mucosa, and muscle tissues were studied. Ex vivo animal experiments show that the magnitude of the electric current increases when the repetition rate is changed from 1 Hz to 5 kHz (10.8% for liver, 5.8% for oral mucosa, and 4.7% for muscle). Although a correction factor could reduce the error to less than 1%, dynamic models seem to be necessary to analyze different protocol signatures. Authors should be aware that static models and experimental results can only be compared if they use exactly the same PEF signature. The repetition rate is a key information to consider in the pretreatment computer study because the current at 1 Hz PEF differs from a 5 kHz PEF.
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Affiliation(s)
- Raul Guedert
- Institute of Biomedical Engineering, Federal University of Santa Catarina, Florianópolis, SC, Brazil.
| | - Guilherme Brasil Pintarelli
- Department of Control and Automation Engineering, Federal University of Santa Catarina, Blumenau, SC, Brazil.
| | - Fátima Regina Mena Barreto Silva
- Hormone and Signals Transduction Laboratory, Núcleo de Bioeletricidade Celular (NUBIOCEL), Departamento de Bioquímica, Center of Biological Sciences, Federal University of Santa Catarina, Florianópolis, SC, Brazil.
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Andrade DLLS, Guedert R, Pintarelli GB, Rangel MMM, Oliveira KD, Quadros PG, Suzuki DOH. Electrochemotherapy treatment safety under parallel needle deflection. Sci Rep 2022; 12:2766. [PMID: 35177779 PMCID: PMC8854592 DOI: 10.1038/s41598-022-06747-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Accepted: 02/02/2022] [Indexed: 11/09/2022] Open
Abstract
Electrochemotherapy is a selective electrical-based cancer treatment. A thriving treatment depends on the local electric field generated by pairs of electrodes. Electrode damage as deflection can directly affect this treatment pillar, the distribution of the electric field. Mechanical deformations such as tip misshaping and needle deflection are reported with needle electrode reusing in veterinary electrochemotherapy. We performed in vitro and in silico experiments to evaluate potential problems with ESOPE type II electrode deflection and potential treatment pitfalls. We also investigated the extent to which the electric currents of the electroporation model can describe deflection failure by comparing in vitro with the in silico model of potato tuber (Solanum tuberosum). The in silico model was also performed with the tumor electroporation model, which is more conductive than the vegetal model. We do not recommend using deflected electrodes. We have found that a deflection of ± 2 mm is unsafe for treatment. Inward deflection can cause dangerous electrical current levels when treating a tumor and cannot be described with the in silico vegetal model. Outward deflection can cause blind spots in the electric field.
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Affiliation(s)
- Daniella L L S Andrade
- Institute of Biomedical Engineering, Federal University of Santa Catarina, Florianópolis, 88040-900, Brazil
| | - Raul Guedert
- Institute of Biomedical Engineering, Federal University of Santa Catarina, Florianópolis, 88040-900, Brazil
| | - Guilherme B Pintarelli
- Institute of Biomedical Engineering, Federal University of Santa Catarina, Florianópolis, 88040-900, Brazil
| | | | | | | | - Daniela O H Suzuki
- Institute of Biomedical Engineering, Federal University of Santa Catarina, Florianópolis, 88040-900, Brazil.
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da Luz JCDS, Antunes F, Clavijo-Salomon MA, Signori E, Tessarollo NG, Strauss BE. Clinical Applications and Immunological Aspects of Electroporation-Based Therapies. Vaccines (Basel) 2021; 9:727. [PMID: 34358144 PMCID: PMC8310106 DOI: 10.3390/vaccines9070727] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Revised: 06/14/2021] [Accepted: 06/21/2021] [Indexed: 12/21/2022] Open
Abstract
Reversible electropermeabilization (RE) is an ultrastructural phenomenon that transiently increases the permeability of the cell membrane upon application of electrical pulses. The technique was described in 1972 by Neumann and Rosenheck and is currently used in a variety of applications, from medicine to food processing. In oncology, RE is applied for the intracellular transport of chemotherapeutic drugs as well as the delivery of genetic material in gene therapies and vaccinations. This review summarizes the physical changes of the membrane, the particularities of bleomycin, and the immunological aspects involved in electrochemotherapy and gene electrotransfer, two important EP-based cancer therapies in human and veterinary oncology.
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Affiliation(s)
- Jean Carlos dos Santos da Luz
- Viral Vector Laboratory, Cancer Institute of São Paulo, University of São Paulo, São Paulo 01246-000, Brazil; (J.C.d.S.d.L.); (F.A.); (N.G.T.)
| | - Fernanda Antunes
- Viral Vector Laboratory, Cancer Institute of São Paulo, University of São Paulo, São Paulo 01246-000, Brazil; (J.C.d.S.d.L.); (F.A.); (N.G.T.)
| | | | - Emanuela Signori
- Institute of Translational Pharmacology, CNR, 00133 Rome, Italy;
| | - Nayara Gusmão Tessarollo
- Viral Vector Laboratory, Cancer Institute of São Paulo, University of São Paulo, São Paulo 01246-000, Brazil; (J.C.d.S.d.L.); (F.A.); (N.G.T.)
| | - Bryan E. Strauss
- Viral Vector Laboratory, Cancer Institute of São Paulo, University of São Paulo, São Paulo 01246-000, Brazil; (J.C.d.S.d.L.); (F.A.); (N.G.T.)
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