• Title/Summary/Keyword: Interstitial hyperthermia

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The Study of Standardization of Temperature Distribution of Interstitial Hyperthermia -In Phantoms and Living cat's brain tissue (Normal Tissue)- (915 MHz 극초단파 자입온열시 온도분포 적정화에 관한 연구 -조직등가물 및 가묘대뇌를 대상으로-)

  • Kyoung Hwan Koh;Cho Chul Koo;Park Young Hwan;Yoo Seong Yul;Kim Jong Hyun;Lee Seung Hoon
    • Radiation Oncology Journal
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    • v.8 no.1
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    • pp.7-15
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    • 1990
  • The ultimate objective of our experiment is to obtain the precise distribution of temperature in malignant tumors occurring in cerebral parenchyme of human beings when we will carry out interstitial hyperthermia in the near future. To achieve this purpose, first of all, it is necessary to make an attempt at performing interstitial hyperthermia in vivo under the similar condition of human beings. Therefore, we chose cats as materials much alike tissue characteristics of human beings. Moreover, it is also necessary to get the basic data from dynamic phantom in order to standardize and compare results obtained from interstitial hyperthermia carried out in cats. By having performed these experiments we got the following results. 1) On doing interstitial hyperthermia with 915 MHz microwave, the possible treated volume was 2 cm by 2 cm by 6 cm according to $50\%$ specific absorption rate (SAR). 2) The distribution of temperature within non-circulated static phantom was much the same as power density in air, but we observed that the temperature, within $5\~10$ minutes, rose to more higher than $55^{\circ}C$ not measured with Ga-As fiberoptic thermistor which was not impeded by microwave after performing interstitial hyperthermia. 3) Within dynamic phantom in which normal saline was circulating, temperature reached steady state which was maintained for more than 45 minutes through transit period in 5 minutes after starting interstitial hyperthermia. 4) When we interrupted circulation in the dynamic phantom, we observed that temperature rose to the same level as in the static phantom. 5) We could carry out interstitial hyperthermia safely when we used the generating power below 5 watts. Abrupt interruption of circulation caused a rapid increase in temperature. Times taking to rise to maximum $55^{\circ}C$ were 15.2 minutes (SE 0.4),9.7 minutes (SE 0.3), and 6.3 min-utes (SE 0.4) respectively with generating powers of 5,10, and 15 watts.

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A Theoretical Analysis of Thermic Endfire Interstitial Applicator

  • Park, Jong-Kweon;Eom, Hyo-Joon
    • Journal of electromagnetic engineering and science
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    • v.1 no.1
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    • pp.60-62
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    • 2001
  • A novel approach for modeling the thermic endfire interstitial applicator is presented. A hypothetical semi-infinite circular cylinder is added in the endfire direction in order to facilitate the theoretical modeling approach. The Fourier transform and mode-matching technique is utilized to obtain a solution in fast-convergent series Numerical computations for the input impedance are performed to check the Validity of the theoretical model.

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Fabrication of Combined Probes for Interstitial hyperthermia and Brachyradiotherapy (고 선량율 근접 및 온열치료 병용 삽입관의 제작과 특성)

  • Chu, Sung-Sil;Kim, Sung-Kyu
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2004.11a
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    • pp.85-87
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    • 2004
  • We fabricated flexible thermoradiotherapy probes to alternated combination with Interstitial hyperthermia and Brachyradiotherapy thermoradiotherapy probe was coated by gold plate on polyethylene brachytherapy probe. When Agar phantom was heated 15 minute with 30 W radiofrequency power, temperature increased as 5oC for polyethylene probe and 20oC for gold coated polyethylene probe. We observed that the 1 cm square array would heat a volume with a 1.25 cm radius circular field cross section to therapeutic temperatures (90% relative SAR using Tm) and the 2 cm square array with a 1.75 cm radius rectangular field with central inhomogeneity. With 2 cm long electrode implants, we observed that the 1 cm square array would heat a 3 cm long sagittal section to therapeutic temperature (90% relative SAR using Tm). The histopathological changes associated with RF heating of normal canine brains have been correlated with thermal distributions. RF needle electrode heating was applied for 50 min to generate tissue temperatures of 43${\circ}$C. We obtained a quarter of the heated tissue material immediately after heating and sacrificed at intervals from 7${\sim}$30 days. The acute stage was demonstrated by liquefactive necrosis, pyknosis of neuronal element in the gray matter. Mild gliosis occurring around the necrosis was demonstrated in the last sacrificed (days30)canine brain.

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Reactive- Loaded Interstitial Antenna (리엑턴스가 장하된 인체에 사용되는 삽입형 안테나)

  • Ahn, Hee-Ran;Myung, Noh-Hoon;Kim, Bumman
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.14 no.9
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    • pp.979-984
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    • 2003
  • A reactive-loaded interstitial antenna(RLIA) is proposed for 2.45 GHz. It basically consists of a coaxial cable and a reactive load(RL). The RL is tipped at the end of the antenna and contributes to almost perfect matching and desirable heating area. For the almost perfect matching, a matching technique based on transmission line theory is suggested and the RLIA immersed in muscle phantom is designed, fabricated, measured and compared. The measured return loss of the RLIA is - 28.377 dB, which may be considered the best among those reported. Due to the excellent matching performance, the RLIA can also be applied for the treatment of deep-seated tumor or cancer with only one RLIA.

Synergistic Effects of Cisplatin-epigel and Interstitial KTP Laser Treatment on a Xenografted Squamous Cell Carcinoma

  • Song, Min Seok;Lee, Sang Joon;Chung, Phil Sang;Woo, Seung Hoon
    • Medical Lasers
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    • v.10 no.3
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    • pp.170-175
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    • 2021
  • Background and Objectives Cisplatin is an important chemotherapy drug for the treatment of head and neck cancer. Interstitial laser treatment (ILT) has cosmetic utility and is very important for maintaining the function of the head and neck after cancer treatment. This study examined the synergistic effects of locally injected cisplatin-epigel and high fever induced by an interstitial potassium titanyl phosphate (KTP) laser treatment on a xenografted human Heinz squamous cell carcinoma. Materials and Methods SNU-1041 (107 cells/0.1 ml) cells were xenografted into the back of nude mice by subcutaneous injection. The ILT group (n = 10) was treated with a KTP laser (1 J/mm3) through a cylindrical diffuser tip inserted into the tumor, monitoring the temperature at 43-45℃. In the combined treatment group (n = 10), local hyperthermia was induced by intratumoral injection of 100-200 ㎍ of cisplatin into a collagen-based gel carrier (cisplatin-epigel), which was released slowly four hours before ILT. After four weeks of follow-up, the treated tumors were evaluated for tumor remission and volume change. Results Eight (80%) of the combined group showed complete tumor remission at the four-week follow-up, whereas only three (30%) of the ILT group showed remission (30%) (p < 0.01). Conclusion The current study has shown the synergistic effects of a local cisplatin injection and high fever from ILT on a xenografted human Heinz squamous cell carcinoma.

Laserthermia Induced Histological Changes in Different Thermal Condition (Laser Hyperthermia에서 조건변동에 따른 병소변화)

  • Kim, Sang-Woo;Lee, Kyung-Yup;Kim, Seong-Ho;Bae, Jang-Ho;Kim, Oh-Lyong;Choi, Byung-Yearn;Cho, Soo-Ho;Shin, Hyun-Jin;Lee, Jun-Ha
    • Journal of Yeungnam Medical Science
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    • v.12 no.2
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    • pp.331-338
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    • 1995
  • Laserthermia is a new method of local hyperthermia using fiber optic guided probe with computer controlled Nd-YAG laser system. We used a synthetic sapphire probe and allowed irradiation with contolled low power laser energy (less than 5W), in different thermal condition (temprature: 38.5~50 degrees C) for 10 minutes, in the normal brain tissue of 18 rabbits. In results, the histological changes of brain tissue was variable (myelin condensation, chromatin condensation, nuclear waving and palisading, RBC discoloration, cell necrosis) in microscopic findings after laser irradiation, but changing area was not occured proportionally in thermal condition level. Cell necrosis appears to over 44.5 degrees C and the distance was about 1.25 mm. This study, using computer controlled laserthermia system for interstitial local hyperthermia, may offer many advantages in the experimental treatment and clinical management of tumor. Minimizing normal tissue damage is now being developed.

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The Clinical Application of Radioactive Iridium (Ir-192) Brachytherapy (방사선 이리디움(Ir-192) 근접치료의 임상적 응용)

  • Yoo, Seong-Yul
    • The Journal of Korean Society for Radiation Therapy
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    • v.3 no.1
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    • pp.11-18
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    • 1989
  • Brachytherapy is known to be a good modality to achieve local control as a boost treatment following limited external irradiation, which may reduce the external beam related complication particularly in head and neck cancer. The authors developed iridium-192 ribbons recently to replace the radium needles in the field of brachytherapy. Total of 48 cases of head and neck and pelvic-perineal cancer patients had been treated with Ir-192 ribbons during last two years from October 1986 to September 1988, and the results were analyzed to assess the applicability of the fabricated sources. The conclusion is as follows; 1. Iridium implant resulted excellent tumor control effect in clinical application. 2. Iridium is superior than radium and cecium in brachytherapy because of easier to use and lesser exposure to the personnel. 3. Afterloading technique is useful to modify dose distribution, to expand treatment site and method, and to develop interstitial hyperthermia.

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Interstitial Hyperthermia by Radiofrequency Needle Electrode System : Phantom and Canine Brain Studies (8 MHz 라디오파를 이용한 자입식 온열치료 -조직등가물질을 통한 온도분포 및 개 뇌실질의 조직병리 변화에 관한 연구-)

  • Lee, Hyung-Sik;Chu, Sung-Sil;Sung, Jin-Sil;Suh, Chang-Ok;Kim, Gwi-Eon;Loh-John-Juhn-Kyu;Kim, Young-Soo;Kim, Sun-Ho;Chung, Song-Sup;Han, Eun-Kyung;Kim, Tae-Seung
    • Radiation Oncology Journal
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    • v.9 no.1
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    • pp.27-35
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    • 1991
  • An interstitial radiofrequency needle electrode system was constructed for interstitial heating of brain tissue. Radiofrequency electrodes with Thermotron RF 8 were tested in an agar phantom and in a normal canine brain to determine how variations in physical factors affected temperature distributions. Temperature distributions were checked after heating with 1 mm diameter needle electrode implants on the corners of 1 and 2 cm squares in a phantom and plot isotherms for various electrodes arrangement. We observed that the 1 cm square array would heat a volume with a 1.25 cm radius circular field cross section to therapeutic temperatures ($90\%$ relative SAR using Tm) and the 2 cm square array with a 1.75 cm radius rectangular field with central inhomogeneity. With 2 cm long electrode implants, we observed that the 1 cm square array would heat a 3 cm long sagittal section to therapeutic temperature ($90\%$ relative SAR using Tm). We found that radiofrequency electrodes could be selected to match the length of the heating area without affecting its performance. The histopathological changes associated with RF heating of normal canine brains have been correlated with thermal distributions. RF needle electrode heating was applied for 50min to generate tissue temperatures of $43^{\circ}C$. We obtained a quarter of the heated tissue material immediately after heating and sacrificed at intervals from $7\sim30$days. The acute stage (immediately after heating) was demonstrated by liquefactive necrosis, pyknosis of neuronal element in the gray matter and by some polymer-phonuclear leukocytes infiltration. The appearance of lipid-laden macrophages surrounding the area of liquefaction necrosis was demonstrated in all three sacrificed dogs. Mild gliosis occurring around the necrosis was demonstrated in the last sacrificed (Days 30) canine brain.

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The Effect of Iridium-192 Implant in the Treatment of Head and Neck Cancer (두경부암에서 방사성이리디움 삽입치료의 효과)

  • Yoo Seong-Yul;Koh Kyoung-Hwan;Cho Chul-Koo
    • Korean Journal of Head & Neck Oncology
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    • v.4 no.1
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    • pp.13-19
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    • 1988
  • Brachytherapy is known to be a good modality to achieve local control as a boost treatment following limited external irradiation, which may reduce the external beam related acute radiation sickness, particularly in head and neck cancer. The authors developed iridium-192 ribbons recently to replace the radium needles. Total of 13 head and neck cancer patients had been treated with Ir-192 ribbons during last one year from October 1986 to September 1987, and the results were analysed to assess the applicability of the fabricated sources. The conclusion is as follows; 1) Iridium implant achieved 54% (7/13) of complete response and 69% (9/13) of overall response rate in head and neck cancer. 2) Iridium is superior to radium and cecium in brachytherapy because of easier to use and lesser exposure to the personnel. 3) Afterloading technique is useful to modify dose distribution, to expand treatment site and method, and to develop interstitial hyperthermia.

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