Interstitial microwave antennas for thermal therapy

Micro-Opening Ridged Waveguide Tumor Hyperthermia Antenna Combined with Microwave-Sensitive MOF Material for Tumor Microwave Hyperthermia Therapy

Microwave hyperthermia is an emerging minimally invasive therapy in which thermal damage and apoptosis of tumor cells are induced by local heating of tissues with microwave radiation. Recently, microwave hyperthermia has been widely used in clinical practice; however, uneven aggregation and dispersion of malignant tumors after microwave hyperthermia are the main problems associated with this method. In this work, a microridged waveguide tumor hyperthermia antenna with an operating frequency of 915 MHz was designed. Although its volume is only 6.6 cm3, it exhibited a highly focused heating effect, achieving rapid heating in a small area. However, microwave hyperthermia has several shortcomings. Microwaves cannot specifically identify and target tumors; this decreases the efficiency of the treatment if the temperature of the tumor site is not sufficiently high for its size and location. Therefore, Zr metal-organic framework (ZrMOF)-derived composite ZCNC was synthesized using the ultrasonic aerosol flow method, which has good microwave sensitization and biosafety. ZCNC reduced the damage to normal cells and greatly improved the tumor treatment effect of microwave hyperthermia (tumor inhibition rate reached 78.01%). Thus, the proposed strategy effectively improves the current clinical microwave hyperthermia treatment method.

Experimental Investigation of Magnetic Nanoparticle-Enhanced Microwave Hyperthermia

The objective of this study was to evaluate microwave heating enhancements offered by iron/iron oxide nanoparticles dispersed within tissue-mimicking media for improving efficacy of microwave thermal therapy. The following dopamine-coated magnetic nanoparticles (MNPs) were considered: 10 and 20 nm diameter spherical core/shell Fe/Fe₃O₄, 20 nm edge-length cubic Fe₃O₄, and 45 nm edge-length/10 nm height hexagonal Fe₃O₄. Microwave heating enhancements were experimentally measured with MNPs dissolved in an agar phantom, placed within a rectangular waveguide. Effects of MNP concentration (2.5-20 mg/mL) and microwave frequency (2.0, 2.45 and 2.6 GHz) were evaluated. Further tests with 10 and 20 nm diameter spherical MNPs dispersed within a two-compartment tissue-mimicking phantom were performed with an interstitial dipole antenna radiating 15 W power at 2.45 GHz. Microwave heating of 5 mg/mL MNP-agar phantom mixtures with 10 and 20 nm spherical, and hexagonal MNPs in a waveguide yielded heating rates of 0.78 ± 0.02 °C/s, 0.72 ± 0.01 °C/s and 0.51 ± 0.03 °C/s, respectively, compared to 0.5 ± 0.1 °C/s for control. Greater heating enhancements were observed at 2.0 GHz compared to 2.45 and 2.6 GHz. Heating experiments in two-compartment phantoms with an interstitial dipole antenna demonstrated potential for extending the radial extent of therapeutic heating with 10 and 20 nm diameter spherical MNPs, compared to homogeneous phantoms (i.e., without MNPs). Of the MNPs considered in this study, spherical Fe/Fe₃O₄ nanoparticles offer the greatest heating enhancement when exposed to microwave radiation. These nanoparticles show strong potential for enhancing the rate of heating and radial extent of heating during microwave hyperthermia and ablation procedures.

Hyperthermia generated with ferucarbotran (Resovist®) in an alternating magnetic field enhances cisplatin-induced apoptosis of cultured human oral cancer cells

Hyperthermia is a promising anti-cancer treatment in which the tissue temperature is increased to 42-45 °C, and which is often used in combination with chemotherapy or radiation therapy. Our aim in the present work was to examine the feasibility of combination therapy for oral cancer with cisplatin and hyperthermia generated with ferucarbotran (Resovist(®); superparamagnetic iron oxide) in an alternating magnetic field (AMF). First, we established that administration of ferucarbotran at the approved dosage for magnetic resonance imaging provides an iron concentration sufficient to increase the temperature to 42.5 °C upon exposure to AMF. Then, we examined the effect of cisplatin combined with ferucarbotran/AMF-induced hyperthermia on cultured human oral cancer cells (HSC-3 and OSC-19). Cisplatin alone induced apoptosis of cancer cells in a dose-dependent manner, as is well known. However, the combination of cisplatin with ferucarbotran/AMF was significantly more effective than cisplatin alone. This result suggests that it might be possible to reduce the clinically effective dosage of cisplatin by administering it in combination with ferucarbotran/AMF-induced hyperthermia, thereby potentially reducing the incidence of serious cisplatin-related side effects. Further work seems justified to evaluate simultaneous thermo-chemotherapy as a new approach to anticancer therapy.

Antitumor effects of inductive hyperthermia using magnetic ferucarbotran nanoparticles on human lung cancer xenografts in nude mice

BACKGROUND

The effects of inductive hyperthermia on lung cancer have yet to be fully investigated. Magnetic nanoparticles used in inductive hyperthermia are made-to-order and expensive. This study was performed to investigate the use of ferucarbotran in inductive hyperthermia and to clarify whether inductive hyperthermia using ferucarbotran promotes antitumor effects in vivo using a lung cancer cell line.

METHODS

We injected A549 cells subcutaneously into the right thighs of BALB/c nu/nu nude mice. Forty mice with A549 xenografts were then classified into three groups. Group 1 was the control group. All mice in groups 2 and 3 had ferucarbotran injected into their tumors, and mice in group 3 were then subjected to alternating magnetic field irradiation. We evaluated tumor temperature during the hyperthermic procedure, the time course of tumor growth, histologic findings in tumors after hyperthermic treatment, and adverse events.

RESULTS

Intratumor temperature rose rapidly and was maintained at 43°C-45°C for 20 minutes in an alternating magnetic field. Tumor volumes in groups 1 and 2 increased exponentially, but tumor growth in group 3 was significantly suppressed. No severe adverse events were observed. Histologic findings for the tumors in group 3 revealed mainly necrosis.

CONCLUSION

Inductive hyperthermia using ferucarbotran is a beneficial and promising approach in the treatment of lung cancer. Ferucarbotran is a novel tool for further development of inductive hyperthermia.

Synthesis and characterization of magnetic poly(divinyl benzene)/Fe3O4, C/Fe3O4/Fe, and C/Fe onionlike fullerene micrometer-sized particles with a narrow size distribution

Magnetic poly(divinyl benzene)/Fe(3)O(4) microspheres with a narrow size distribution were produced by entrapping the iron pentacarbonyl precursor within the pores of uniform porous poly(divinyl benzene) microspheres prepared in our laboratory, followed by the decomposition in a sealed cell of the entrapped Fe(CO)(5) particles at 300 °C under an inert atmosphere. Magnetic onionlike fullerene microspheres with a narrow size distribution were produced by annealing the obtained PDVB/Fe(3)O(4) particles at 500, 600, 800, and 1100 °C, respectively, under an inert atmosphere. The formation of carbon graphitic layers at low temperatures such as 500 °C is unique and probably obtained because of the presence of the magnetic iron nanoparticles. The annealing temperature allowed control of the composition, size, size distribution, crystallinity, porosity, and magnetic properties of the produced magnetic microspheres.

Magnetic nanoparticle-induced hyperthermia treatment under magnetic resonance imaging

Super paramagnetic iron oxide Fe(3)O(4) nanoparticles prepared via photochemical reaction in pure form were used for inducing hyperthermia to treat subcutaneous Ehrlich carcinoma implanted in female mice. Our results indicate that the mean temperature profiles at the rectum, periphery of the tumor surface and at the center of the tumor during hyperthermia treatment increased gradually. The maximum temperature achieved in the tumor center was 47±1°C after 20 min with radiofrequency exposures at 25 kW. The acquired magnetic resonance images identified apoptotic cells in the center of the tumor which were exposed to magnetic resonance hyperthermia (MRH). Apoptotic cells presented as dark signal intensity in the T(1)-weighted images which were further confirmed by pathological examinations. Also, the results revealed that the tumor size in the all mice exposed to MRH is still as the same as before the treatment, but the rate of tumor growth was very slow by comparing with the growth rate of the control group.

Targeted hyperthermia using magnetite cationic liposomes and an alternating magnetic field in a mouse osteosarcoma model

We undertook a study of the anti-tumour effects of hyperthermia, delivered via magnetite cationic liposomes (MCLs), on local tumours and lung metastases in a mouse model of osteosarcoma. MCLs were injected into subcutaneous osteosarcomas (LM8) and subjected to an alternating magnetic field which induced a heating effect in MCLs. A control group of mice with tumours received MCLs but were not exposed to an AMF. A further group of mice with tumours were exposed to an AMF but had not been treated with MCLs. The distribution of MCLs and local and lung metastases was evaluated histologically. The weight and volume of local tumours and the number of lung metastases were determined. Expression of heat shock protein 70 was evaluated immunohistologically. Hyperthermia using MCLs effectively heated the targeted tumour to 45 degrees C. The mean weight of the local tumour was significantly suppressed in the hyperthermia group (p = 0.013). The mice subjected to hyperthermia had significantly fewer lung metastases than the control mice (p = 0.005). Heat shock protein 70 was expressed in tumours treated with hyperthermia, but was not found in those tumours not exposed to hyperthermia. The results demonstrate a significant effect of hyperthermia on local tumours and reduces their potential to metastasise to the lung.

Capacitive-loaded interstitial antennas for perfect matching and desirable SAR distributions

New interstitial antennas are proposed. They basically consist of coaxial cable and two types of capacitive loads. One is tipped at the end of antennas, which helps almost perfect matching possible. The others are located in the middle and needed for better specific absorption rate (SAR) distribution. To distinguish them, one at the end is called the end-capacitive load (ECL) and the others in the middle the middle-capacitive loads (MCLs). Depending on the number of the MCLs, ZMIA (zero MCL interstitial antenna), OMIA (one MCL interstitial antenna) and two MCL interstitial antenna (TMIA) are named and a matching technique based on transmission line theory is suggested. To verify the technique, the three antennas immersed in muscle phantom are designed, fabricated, measured and compared. The measured reflection coefficients of ZMIA, OMIA, and TMIA are -28.4, -21.9, and -22.8 dB, respectively, one of which, -28.4 dB may be considered as the best among those reported. The compared results show that the measured ones are in good agreement with the calculated (predicted) ones. The three antennas are also measured for the SAR distributions. The measured results indicate that the TMIA has the best performance as expected and the region more than 43 degrees C is a rugby ball (major axis 6 cm and minor axis 2.9 cm) with only one TMIA, which confirms that they may be used for the treatment for big-sized and deep-seated tumor or cancer.

Medical application of functionalized magnetic nanoparticles

Since magnetic particles have unique features, the development of a variety of medical applications has been possible. The most unique feature of magnetic particles is their reaction to a magnetic force, and this feature has been utilized in applications such as drug targeting and bioseparation including cell sorting. Recently, magnetic nanoparticles have attracted attention because of their potential as contrast agents for magnetic resonance imaging (MRI) and heating mediators for cancer therapy (hyperthermia). Magnetite cationic liposomes (MCLs), one of the groups of cationic magnetic particles, can be used as carriers to introduce magnetite nanoparticles into target cells since their positively charged surface interacts with the negatively charged cell surface; furthermore, they find applications to hyperthermic treatments. Magnetite nanoparticles conjugated with antibodies (antibody-conjugated magnetoliposomes, AMLs) are also applied to hyperthermia and have enabled tumor-specific contrast enhancement in MRI via systemic administration. Since magnetic nanoparticles are attracted to a high magnetic flux density, it is possible to manipulate cells labeled with magnetic nanoparticles using magnets; this feature has been applied in tissue engineering. Magnetic force and MCLs were used to construct multilayered cell structures and a heterotypic layered 3D coculture system. Thus, the applications of these functionalized magnetic nanoparticles with their unique features will further improve medical techniques.

Studies on microwaves in medicine and biology: from snails to humans

This d'Arsonval Medal acceptance presentation highlights several research themes selected from Dr. Lin's published works, focusing on the microwave portion of the nonionizing electromagnetic spectrum. The topics discussed include investigation of microwave effects on the spontaneous action potentials and membrane resistance of isolated snail neurons, effects on the permeability of blood brain barriers in rats, the phenomenon and interaction mechanism for the microwave auditory effect (the hearing of microwave pulses by animals and humans), the development of miniature catheter antennas for microwave interstitial hyperthermia treatment of cancer, the application of transcatheter microwave ablation for treatment of cardiac arrhythmias, and the use of noninvasive wireless technology for sensing of human vital signs and blood pressure pulse waves. The paper concludes with some observations on research and other endeavors in the interdisciplinary field of bioelectromagnetics.

Hyperthermia using magnetite cationic liposomes for hamster osteosarcoma

BACKGROUND: We have developed magnetite cationic liposomes (MCLs) and applied them to local hyperthermia as a mediator. MCLs have a positive charge and generate heat under an alternating magnetic field (AMF) by hysteresis loss. In this study, the effect of hyperthermia using MCLs was examined in an in vivo study of hamster osteosarcoma. METHOD: MCLs were injected into the osteosarcoma and then subjected to an AMF. RESULTS: The tumor was heated at over 42 degrees C, but other normal tissues were not heated as much. Complete regression was observed in 100% of the treated group hamsters, whereas no regression was observed in the control group hamsters. At day 12, the average tumor volume of the treated hamsters was about 1/1000 of that of the control hamsters. In the treated hamsters, no regrowth of osteosarcomas was observed over a period of 3 months after the complete regression. CONCLUSION: These results suggest that this treatment is effective for osteosarcoma.

Control of interstitial thermal coagulation: comparative evaluation of microwave and ultrasound applicators

This study presents a comparative evaluation of the control of heating and thermal coagulation with microwave (MW) and ultrasound (US) interstitial applicators. Helical coil MW antennas (17 mm and 25 mm length radiating antennae) were tested using an external implant catheter (2.2 mm o.d.) with water-cooling. US applicators with tubular transducers (2.2 and 2.5 mm o.d., 10 mm length, single-element and 3-element) were utilized with a direct-coupled configuration and internal water-cooling. Measurements of E-field distributions (for MW) and acoustic beam distributions (for US) were used to characterize the applicator energy output. Thermal performance was evaluated through multiple heating trials in vitro (bovine liver) and in vivo (porcine thigh muscle and liver) at varied levels of applied power (20-40 W for microwave, 15-35 W for ultrasound) and heating times (0.5-5 min). Axial temperature distributions in the tissue were recorded during heating, and dimensions of the resulting lesions of thermal coagulation were measured. Both MW and US applicators produced large volumes of tissue coagulation ranging from 8 to 20 cm3 with singular heating times of 5 min. Radial depth of lesions for both MW and US applicators increased with heating duration and power levels, though US produced notably larger lesion diameters (30-42 mm for US vs 18-26 mm for MW, 5 min heating). Characteristic differences between the applicators were observed in axial energy distribution, tissue temperatures, and thermal lesion shapes. MW lesions increased significantly in axial dimensions (beyond the active applicator length) as applied power level and/or heating duration was increased, and lesion shapes were generally not uniform. US provided greater control and uniformity of heating, with energy deposition and axial extent of thermal lesions corresponding to the length of the active transducer(s). The improved ability to control the extent of thermal coagulation demonstrated by the US applicators provides greater potential to target a specific region of tissue.

Ultrasound applicators with internal water-cooling for high-powered interstitial thermal therapy

Internal water-cooling of direct-coupled ultrasound (US) applicators for interstitial thermal therapy (hyperthermia and coagulative thermal therapy) was investigated. Implantable applicators were constructed using tubular US sources (360 angular acoustic emittance, approximately 7 MHz) of 10 mm length and 1.5, 1.8, 2.2, and 2.5 mm outer diameter (OD). Directional applicators were also constructed using 2.2 mm OD tubes sectored to provide active acoustic sectors of 90 degrees and 200 degrees. A water-cooling mechanism was integrated within the inner lumen of the applicator to remove heat from the inner transducer surface. High levels of convective heat transfer (2100-3800 W/m2K) were measured for practical water flow rates of 20-80 mL/min. Comparative acoustic measurements demonstrated that internal water-cooling did not significantly degrade the acoustic intensity or beam distribution of the US transducers. Water-cooling allowed substantially higher levels of applied electrical power (> 45 W) than previous designs (with air-cooling or no cooling), without detriment to the applicators. High-temperature heating trials performed with these applicators in vivo (porcine liver and thigh muscle) and in vitro (bovine liver) showed improved thermal penetration and coagulation. Radial depth of coagulation from the applicator surface ranged from 12 to 20 mm for 1-5 min of sonication with 28-W applied power. Higher powers (41 W) demonstrated increased coagulation depths (approximately 9 mm) at shorter times (15 s). Thermal lesion dimensions (angular and axial expanse) produced with directional applicators were controlled and directed, and corresponded to the active zone of the transducer. These characteristic lesion shapes were also generally unchanged with different sonication times and power, and were found to be consistent with previous coagulation studies using air-cooled applicators. The implementation of water-cooling is a significant advance for the application of ultrasound interstitial thermal therapy (USITT), providing greater treatment volumes, shorter treatment times, and the potential for treatment of highly perfused tissue with shaped lesions.

Axial control of thermal coagulation using a multi-element interstitial ultrasound applicator with internal cooling

A multi-element, direct-coupled ultrasound (US) applicator with internal water cooling was investigated for axial control of interstitial thermal coagulation. A prototype implantable applicator was constructed with a linear array of three tubular PZT ultrasound transducers (each 2.5 mm OD, 10 mm length, 360 degrees emittance). Acoustic beam distributions from each element were measured and found to be collimated within the transducer length. The internally cooled applicator could sustain high levels of applied power to each transducer (0 to 40 W) and maintain acceptable applicator surface temperatures (<100 degrees C). Thermal performance of the applicator was investigated through heating trials in vivo (porcine thigh muscle and liver) and in vitro (bovine liver). The radial depth of thermal lesions produced was dependent on the applied power and sonication time and was controlled independently with power levels to each transducer element. With 18 W per element (applied electrical power) for 3 min, cylindrical thermal lesions were produced with a diameter of ~3 cm and a length ranging from 1.2 cm (with one element) to 3.5 cm (three elements). Higher powers (24 to 30 W) for 3 to 5 min provided increased depths of coagulation (~4 cm diameter lesions). Analysis of axial lesion shapes demonstrated that individual variation of power to each transducer element provided control of axial heating and depth of coagulation (for custom lesion shapes); lesion lengths corresponded to the number of active transducers. This ability to control the heating distribution dynamically along the length of the applicator has potential for improved target localization of thermal coagulation and necrosis in high temperature thermal therapy.

Angular directivity of thermal coagulation using air-cooled direct-coupled interstitial ultrasound applicators

The performance characteristics and thermal coagulation of tissue produced by directional air-cooled, direct-coupled interstitial ultrasound (US) applicators were evaluated. Prototype applicators (2.2 mm o.d.) were constructed using cylindrical transducers sectored into angular active zones of 90 degrees, 200 degrees, 270 degrees, and 360 degrees. Acoustic characterization of the applicators showed the beam output to be angularly directed from the active sector of the transducer and collimated within the axial extent. Empirical determination of the average convective heat transfer coefficient, resulting from airflow cooling the inner surface of the transducer, showed significantly high levels of transfer (> 700 W m(-2) degrees C(-1)) with a flow rate of 5.6 L min(-1). Thermal performance of the applicators was characterized through high temperature heating in vivo (porcine thigh muscle, 11 trials) and in vitro (bovine liver, 46 trials). Results demonstrated directional coagulation of tissue, with good correlation between the angular extent of the lesions and the active acoustic sector. Radial depth of coagulation with a 200 degrees applicator extended 8-17 mm, with a heating time of 1-10 min, respectively. Angular and axial lesion shape remained similar over the course of 1-10 min heating trials. Implementation of air-cooling within direct-coupled interstitial US applicators provided enhanced directivity of heating in angular and axial dimensions, and significantly increased the power handling and radial depth of tissue coagulation.

Antitumor immunity induction by intracellular hyperthermia using magnetite cationic liposomes

Induction of antitumor immunity to T-9 rat glioma by intracellular hyperthermia using functional magnetic particles was investigated. Magnetite cationic liposomes (MCLs), which have a positive surface charge, were used as heating mediators for intracellular hyperthermia. Solid T-9 glioma tissues were formed subcutaneously on both femurs of female F344 rats, and MCLs were injected via a needle only into the left solid tumors (treatment side). The rats were then divided into two groups, which received no irradiation, or irradiation for 30 min given three times at 24-h intervals with an alternating magnetic field (118 kHz, 384 Oe). On the treatment side, the tumor tissue disappeared completely in many rats exposed to the magnetic field. The tumor tissue on the opposite side also disappeared completely, even though MCLs were not injected into the right solid tumors. To examine whether a long-lasting and tumor-specific immunity could be generated, the rats that had been cured by the hyperthermia treatment were rechallenged with T-9 cells 3 months later. After a period of transient growth, all tumors disappeared. Furthermore, immunocytochemical assay revealed that the immune response induced by the hyperthermia treatment was mediated by both CD8+ and CD4+ T cells and accompanied by a marked augmentation of tumor-selective cytotoxic T lymphocyte activity. These results suggest that our magnetic particles are potentially effective tools for hyperthermic treatment of solid tumors, because in addition to killing of the tumor cells by heat, a host immune response is induced.

A dipole-type intracavitary hyperthermic applicator with a metallic reflector: experiments and theoretical analysis

A water-cooled electromagnetic (EM) dipole, for intracavitary hyperthermia, embodying a metallic reflector to give directional characteristics to the SAR and then to the heating pattern in the biological tissue, is considered. The influence of the reflector on the SAR deposition has been theoretically modelled with an EM analysis which uses the method of moments (MOM). A thermal model, based on the heat transfer equation, is used to predict temperature distribution, which exhibits a directivity related to the angular extension of the reflector. Experiments have been carried out in a polyacrylamide phantom. The temperature distribution detected with a liquid crystal sheet shows fairly good agreement with theoretical predictions.

A theoretical model for input impedance of interstitial microwave antennas with choke

PURPOSE

Two important characteristics for interstitial microwave antennas used in clinical hyperthermia are: (1) a good impedance match to minimize reflected power; and (2) a good power deposition pattern which is independent of insertion depth. A major problem of the miniature coaxial dipole antennas used for interstitial hyperthermia is the fact that the impedance and power deposition patterns of these antennas change with insertion depth. One possible solution is the addition of a coaxial choke. A theoretical model for calculating the input impedance of interstitial microwave antennas having a coaxial choke is presented, which may serve as the first step in the design of such antennas.

METHODS AND MATERIALS

A theoretical model for calculating the input impedance of coaxial microwave antennas with and without a choke is presented using insulated antenna theory. The theoretical model was used to calculate the input impedance of several prototype antennas having various choke and feedline dimensions, and comparison was made with experimentally measured impedance measurements in tissue-equivalent phantom.

RESULTS

The choke section of the antenna is not ideal if conventional plastic insulation is used as the choke dielectric, because the desired radiating length of the antenna is significantly shorter than the quarter-wavelength in the choke dielectric. Impedance calculations based on the theoretical model correlate reasonably well with experimentally measured impedance. Based on these calculations, the effect of parameters such as choke layer thickness and choke dielectric constant are discussed for a 915 MHz antenna with choke.

CONCLUSION

The theoretical model can serve as a design aid for optimizing choked microwave antenna designs, as well as predicting the impedance match of a given antenna design at a given insertion depth. The model allows the effect of some variables not accessible experimentally such as termination impedance to be studied, which may also be useful in the understanding of these antennas. Calculations are easily performed on a desktop computer.

SAR distributions in interstitial microwave antenna arrays with a single dipole displacement

The use of interstitial microwave antenna array hyperthermia (IMAAH) as a treatment for cancer, in conjunction with radiation therapy and chemotherapy, has been investigated widely. The heating pattern produced by a coherently phased 915 MHz asymmetric antenna array displays the maximum power deposition in the array center. This paper investigates the effect of variable insertion depth between antennas of an array on the heating patterns produced. The "study" of this heating behavior demonstrates a similar effect to that of the variably phased arrays, showing a shift of the heating peak towards the periphery of the tumor, offering a more simple method for the clinical treatment of such tumors.

Evaluation of microwave and radio frequency catheter ablation in a myocardium-equivalent phantom model

A highly localized burst of energy applied to the myocardium via a transvenous catheter-mounted power source can be used to destroy endocardial tissue regions which mediate life-threatening arrhythmias. In the past, high-voltage direct current pulses, radio-frequency (RF) current, and laser light have been used as energy sources. In this paper, the use of 2450 MHz microwave energy applied via a miniature coaxial cable-mounted helical coil antenna designed specifically for this application was investigated as a means to increase the treated volume of cardiac tissue in a controllable and efficient manner during ablation. Using an array of fiber optic temperature probes implanted in a saline-perfused, tissue-equivalent gel phantom model designed to simulate the myocardium during ablation, the heating pattern from the microwave antenna was characterized and compared to that induced by a commercial RF electrode catheter at 550 kHz. Effects of variable contact angle between the heat source and heart wall were assessed in terms of the radial penetration and overall volume of heated tissue. Heating patterns from the RF electrodes dropped off much more abruptly both radially and axially than the microwave antenna such that the volume of effectively heated tissue was more than ten times larger for the microwave antenna when the heat sources were well-coupled to the tissue, and more than four times larger for the microwave antenna when the sources were angled 30 degrees away from the tissue surface.

Three-dimensional theoretical temperature distributions produced by 915 MHz dipole antenna arrays with varying insertion depths in muscle tissue

Interstitial microwave antenna array hyperthermia (IMAAH) systems are currently being used in the treatment of cancer. The insertion depth of an interstitial microwave antenna, defined as the length of the antenna from the tip to the point of insertion in tissue, affects its ability to produce uniform power deposition patterns in tumor volumes. The effect of varying insertion depths on the ability of an IMAAH system to heat two theoretical tumor models was examined. Four dipole microwave antennas were implanted in a 2 x 2 cm array and driven at 915 MHz in muscle tissue. The explicit power deposition patterns were calculated for each insertion depth using known theory. The bioheat transfer equation was solved for the 3-dimensional steady-state temperature distributions in cylindrical and ellipsoidal tumor models using a finite element method. Homogeneous and nonhomogeneous blood flow models were considered. As a basis of comparison of the various temperature distributions, the volume of tumor heated to greater than or equal to 43 degrees C was calculated. Under the conditions of this study, the insertion depth was shown to have a significant effect on the ability of an IMAAH system to heat the tumor volumes. A sharp decrease in the percentage of tumor volume heated to greater than or equal to 43 degrees C was seen for insertion depths between 7.8 and 14.6 cm. At an insertion depth of 11.7 cm (3/4 lambda) there was virtually no heating of the tumor. Regions of elevated power occurred outside of the desired treatment volume, stressing the importance of adequate thermometry techniques and demonstrating the need for hyperthermia treatment planning prior to implantation of an antenna array. Plots of the power deposition patterns and the corresponding temperatures produced in the diagonal plane of the antenna arrays are present.

A water-cooled EM applicator radiating in a phantom equivalent tissue--experiments and numerical analysis

A prototype of a water-cooled electromagnetic applicator for intracavitary hyperthermia has been tested. The temperature distributions produced in a polyacrylamide dissipative medium have been shown using liquid crystals. A complete electromagnetic and heat transfer model can predict the experimental temperatures.

Comparison of six microwave antennas for hyperthermia treatment of cancer: sar results for single antennas and arrays

Interstitial techniques of inserting catheters into tumors for the purpose of applying therapeutic irradiation and hyperthermia are in widespread use. Several miniature microwave antenna designs are currently used for these treatments. These include multisection, hot-tip, 2- and 3-node, dipole and helical antennas, all of which are commercially available. The antenna designs are diverse enough to have a dramatic effect on the power deposition patterns either as single antennas or when used in arrays. Aside from the dipole antenna, most of the antennas have never been evaluated experimentally or theoretically in arrays, although the array configuration is used in the vast majority of all clinical treatments. Power deposition or SAR (specific absorption rate) tests were run in muscle equivalent phantom. Single antennas were evaluated at 400 points in a plane and isoSAR contours drawn, normalized to maximum SAR. Single antennas were also compared in large and small diameter catheters to evaluate catheter dependent antenna performance. The dipole, multisection, hot-tip and helical antennas were evaluated in arrays of four antennas located at the corners of a square, spaced 2.0 cm apart. Arrays of antennas were evaluated at 441 points in three planes orthogonal to the antenna axes. Results in the single antenna studies showed that the dipole was less affected by snugness of catheter fit than the multisection, hot-tip or helical antennas. In large catheters, the latter three antennas showed more extreme tip heating performance. The 2- and 3-node antennas deposited only 20% SAR in the distal 30 mm of antenna length. In arrays, the multisection, hot-tip, and dipole antennas all yielded 80-90% SAR centrally in the central measurement plane. Comparing the three antennas, the dipole array deposited 20% more power centrally in a plane near the insertion point, and the multisection and hot-tip antenna designs deposited 10% more central power in a plane near the antenna tips. The helical antenna array deposited only 30% SAR centrally in the plane near the antenna tips and in the central plane. Only 10% SAR was measured centrally near the insertion point, as expected for tip-heating antennas. Finally, the clinical significance of the results is discussed as applied to human tumors undergoing hyperthermia treatments.

RTOG quality assurance guidelines for interstitial hyperthermia

This document specifies the current recommendations for quality assurance for hyperthermia administration with interstitial techniques as specified by the Radiation Therapy Oncology Group (RTOG). The document begins by providing a brief description of the physical principles behind the use of the three most commonly used methods of interstitial hyperthermia: radiofrequency (RF-LCF), microwave antennas, and ferromagnetic seeds. Emphasis is placed on features that effect quality assurance. Specific recommendations are provided for: a) Pretreatment planning and equipment performance checks, b) Implant considerations and documentation, c) Thermometry, and d) Safety procedures. Specific details regarding quality assurance issues that are common to all local and regional hyperthermia methods are outlined in previous documents sponsored by the RTOG. It is anticipated that technological advances may lead to future modifications of this document.

Evaluation of heating patterns of microwave interstitial applicators using miniature electric field and fluoroptic temperature probes

The SAR patterns were determined for four commercially available microwave (915 MHz) interstitial applicators. Values of SAR were determined using a miniature (3 mm diameter) implantable isotropic electric field probe or a custom 0.25 mm diameter fluoroptic temperature probe. These are the smallest such probes that are currently available. Similar radial variation of SAR was found at the axial position of the gap in the outer conductor for each applicator. Electric field probe measurements are much faster and avoid some of the errors caused by the rapid spatial variation of SAR with interstitial applicators. The major limitation on the electric field probe is its size; it is larger than the applicators being tested.

The effect of air cooling on the radial temperature distribution of a single microwave hyperthermia antenna in vivo

Canine skeletal muscle was heated with a single microwave antenna within a brachytherapy catheter driven at 2000 MHz. The radial, steady-state temperature distribution was measured with and without air cooling of the antenna, as produced by room temperature air flowing in the catheter at 7.5 l/min. The axial temperature distribution was also measured with air cooling. In the antenna junction plane the area heated to a given temperature increased by a factor of four with air cooling when the same antenna temperature was enforced. With the same maximum temperature enforced, the area would increase by a factor of 2.5 with air cooling. The axial temperature distribution was not compromised by air cooling.

Characteristics of improved microwave interstitial antennas for local hyperthermia

The heating potentials of two newly-developed microwave interstitial antennas are reported in this paper. The longitudinal (parallel to the antenna) and transverse (over a plane perpendicular to the antenna) specific absorption rate (SAR) distributions of single and an array of four parallel antennas were measured in a muscle equivalent phantom and their performance characterized at 915 MHz in terms of the following parameters: peak depth (location of the profile peak with respect to the surface), 50% HL (effective heating length over which SAR greater than 50% of the peak normalized SAR), dead length (axial length at the antenna tip with SAR less than 50% of peak normalized SAR), and the variations of the specific absorption rate pattern relative to the depth of insertion. The results are analyzed and discussed in terms of these parameters and other factors important in the clinical use of these antennas for effective interstitial hyperthermia.

Electromagnetic and thermal models of a water-cooled dipole radiating in a biological tissue

An insulated, water-cooled dipole, radiating in a biological tissue, is analyzed with a theoretical electromagnetic and thermal model. The SAR and temperature distributions are calculated taking into account the effect of the water flowing inside the applicator. The steady-state temperatures in a dissipative medium, interacting with the dipole, are evaluated for several thicknesses of the external casing, water temperatures and blood perfusions. A correct design of the external casing thickness and a proper choice of the temperature and flow velocity of water allows to control the wall temperature of the applicator within physiological limits. The influence of the blood perfusion on the temperature distribution is investigated.

Intracavitary hyperthermia applicators for treating nasopharyngeal and cervical cancers

Many intracavitary microwave applicators have been designed to heat tissues along the side of an antenna. For tumours in nearly closed-end cavities such as the nasopharynx and cervix, heating near the tip of the applicators is necessary for effective treatment. A nasopharyngeal applicator made of Micro Coax UT-250A and a cervical applicator made of RG-9/U cables were designed to provide heating at the tip. Return losses of 8-12 dB were obtained at 915 MHz by varying the size of two metal sleeves and adjusting the distance between these sleeves and the reflectors at the applicator tips. Heating patterns were evaluated on a muscle phantom with a thermograph. At 915 MHz, maximum heating rates of 1.3 and 0.85 degrees C/W-min, respectively, were observed near the tip of the nasopharyngeal applicator and at its first sleeve opening. When operated at 915 MHz the cervical applicator has a maximum heating rate of 0.25 degrees C/W-min at the tip. Clinically, both applicators require a maximum power of 30 W to provide effective heating. This makes it possible to provide intracavitary hyperthermia at rural hospitals and small clinics with a small portable system.

Thermal distribution studies of helical coil microwave antennas for interstitial hyperthermia

An implantable 915 MHz helical coil antenna was developed for improved localization and control of interstitial microwave hyperthermia. The radiating element consisted of a fine wire coil wound back over the inner conductor of a miniature semi-rigid coaxial cable in place of the terminal portion of outer conductor. The power deposition profiles from single helical coil antennas were studied both in homogeneous phantom and in muscle tissue in vivo and compared to those of single half-wavelength linear dipole antennas. The effects of variable coil length, turn density, and antenna insertion depth in tissue were characterized. The helical coil antennas produced a well-localized heating pattern with a sharp falloff of temperature in both directions axially from the coil element. One of the best heating patterns was obtained with a 35 turn, 35 mm long helical coil element which was separated from the antenna feedline outer conductor by a 1 mm gap (HCS-35(1)/36). This antenna showed a marked shift of the effectively heated volume toward the antenna tip and essentially no dependence of the heating pattern on insertion depth. In contrast, the axial power deposition profiles of dipole antennas were strongly affected by insertion depth and exhibited an inadequately heated area at the antenna tip even with 1/2-3/4 wavelength insertion. Thermal distribution studies showed that the single helical coil microwave antenna provided more predictable, well-localized heating of deep-seated tissues, with minimal requirement for over-implanting of the treatment volume.