• 제목/요약/키워드: Microwave hyperthermia

검색결과 32건 처리시간 0.027초

Long-term Efficacy of Microwave Hyperthermia Combined with Chemoradiotherapy in Treatment of Nasopharyngeal Carcinoma with Cervical Lymph Node Metastases

  • Kang, Min;Liu, Wen-Qi;Qin, Yu-Tao;Wei, Zhu-Xin;Wang, Ren-Sheng
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권12호
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    • pp.7395-7400
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    • 2013
  • Objective: The long-term efficacy of microwave hyperthermia combined with chemoradiotherapy in treating nasopharyngeal carcinoma (NPC) with metastatic foci in cervical lymph nodes was evaluated. Methods: A total of 154 cases of N2 or N3 stage NPC were randomized into two groups: hyperthermia group (76 cases) and control group (78 cases). Both received cisplatin chemotherapy and radiotherapy. In addition, the hyperthermia group further received microwave hyperthermia to the metastatic cervical nodes with different patterns (before or after radiotherapy), heating temperatures (T90< $43^{\circ}C$ and $T90{\geq}43^{\circ}C$) and hyperthermia episodes (< 4 times, 4-10 times and > 10 times). Results: The 3-month and 5-year complete response (CR) rates of cervical lymph nodes in the hyperthermia group were significantly higher than those in the control group. The 5-year disease-free survival (DFS) rate and the 3-year / 5-year overall survival rate in the hyperthermia group were also significantly higher. There was no significant difference in 5-year metastatic rates. In the hyperthermia group, the 3-month and 5-year CR rates of T90< $43^{\circ}C$ treatment were significantly lower than with $T90{\geq}43^{\circ}C$ treatment. The CR rate was highest when the hyperthermia was performed 4-10 times. There were no significant differences in 3-month and 5-year CR rates between hyperthermia before or after radiotherapy treatment. Conclusion: Microwave hyperthermia combined with chemoradiotherapy can increase local control, DFS and 3, 5-year overall survival rates of patients with N2 ~ N3 stage NPC. The heating temperature should be over $43^{\circ}C$ with hyperthermia repeated 4-10 times.

극초단파와 초음파온열치료에 의한 각종암의 임상치료 (Clinical Applications of Microwave and Ultrasound in Hyperthermia: Preliminary Results)

  • 고경환;박영환;조철구;류성열
    • Radiation Oncology Journal
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    • 제6권1호
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    • pp.75-80
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    • 1988
  • Twenty seven lesions of 25 patients with locally advanced malignant tumors were treated with combined hyperthermia introduced by microwave and ultrasound and radiotherapy. Most of all patients were failed with previous conventional therapeutic trial. Hyperthermia had been done immediately after radiotherapy, twice a week, $43^{\circ}C$ for one hour and radiotherapy had been done 5 fractions per week with fraction size of 2Gy upto 30 to 60Gy. Conclusions are as follows. 1. Total response rate (PR+PR) to thermoradiotherapy with microwave and ultrasound was $81\%$. 2. Tumor depth, minimum temperature of tumor center, number of heat fraction and radiation dose were statistically significant factors affecting response. 3. Hyperthermia with microwave and ultrasound can be used efficiently to control locally advanced malignant disease whether previously received near tolerance dose of radiotherapy or not.

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915 MHz 극초단파 및 초음파를 이용한 온열치료와 방사선치료 병합치료에 의한 두경부암의 치료성적 (Clinical Result of Combined Radiotherapy and Hyperthermia Induced by 915 MHz Microwave and Ultrasound in Locally Advanced Malignant Tumors of Head and Neck)

  • 고경환;박영환;조철구;류성렬
    • 대한두경부종양학회지
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    • 제6권1호
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    • pp.40-45
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    • 1990
  • Thirty five lesions of 35 patients with locally advanced malignant tumors of head and neck were received thermoradiotherapy with ultrasound and/or 915 MHz microwave. Most of all patients were failed with previous conventional therapeutic trial. Hyperthermia had been done immediately after radiotherapy, twice a week, $43^{\circ}C$ for one hour and radiotherapy had been done 5 fractions per week with a fraction size of 2 Gy up to total 30 to 60 Gy. Conclusions are as follows; 1) Total response rate (CR+PR) of thermoradiotherapy with microwave and ultrasound was 80%. 2) Tumor depth, minimum temperature of tumor center, number of heat fraction and irradiation dose were statistically significant factors affecting response. 3) Hyperthermia with microwave and ultrasound can be used efficiently to control locally advanced malignant tumors in head and neck whether previously received near tolerance dose of radiotherapy or not.

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Microwave Cavity with Controllable Temperature for In Vitro Hyperthermia Investigations

  • Kiourti, Asimina;Sun, Mingrui;He, Xiaoming;Volakis, John L.
    • Journal of electromagnetic engineering and science
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    • 제14권3호
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    • pp.267-272
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    • 2014
  • Hyperthermia is a form of cancer treatment in which affected human tissue is exposed to $>40^{\circ}C$ temperature. In this paper, our goal is to assess the efficacy of fullerene agents to reduce heating time for cancer treatment. Such agents can accelerate heating of cancer cells and improve hyperthermia treatment efficacy. Typically, in vitro testing involves cancer cell culturing, heating cell cultures in accordance to specifications, and recording cancer cell viability after hyperthermia. To heat cell cultures, we design and evaluate a 2.4-GHz microwave cavity with controllable temperature. The cavity is comprised of a polystyrene cell culture dish (diameter = 54 mm, height = 13.5 mm) and a printed monopole antenna placed within the cavity for microwave heating. The culture temperature can be controlled through the intensity and duration of the antenna's microwave radiation. Heating experiments were carried out to validate the cavity's performance for F-12K culture medium (Kaighn's F-12K medium, ATCC). Importantly, fullerene agents were shown to reduce heating time and improve hyperthermia treatment efficacy. The culture medium temperature increased, on average, from $24.0^{\circ}C$ to $50.9^{\circ}C$ (without fullerene) and from $24.0^{\circ}C$ to $56.8^{\circ}C$ (with 3 mg/mL fullerene) within 15 minutes.

온열료법을 이용한 고주파 및 마이크로웨이브 암치료기에 관한 연구 (A Study on the RF and Microwave Hyperthermia System for Cancer Therapy)

  • 유재병;박덕규;양성화;박민용;추성실;이상배
    • 대한전자공학회논문지
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    • 제24권3호
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    • pp.486-492
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    • 1987
  • This study is an attempt to review the theories about the RF and microwave hyperthermia and to get the practical implementation of hyperthermia system on the basic clinical experiments with agar phantoms and four patients. The frequencies of RF power are 8 MHz and 16 MHz, which are effective for the heating of deep-seated and superficial tumors, and microwave is 2.45 GHz, also suitable for the heating of superficial tumors. Even if the long-term effect of clinical applications were not investigated for human living body, it was observee that the RF and microwave hyperthermias are effective for many kinds of cancers in the fixed frequency ranges.

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흰쥐의 직장과 방광에 X-선 조사와 마이크로파 온열요법의 효과에 관한 실험적 연구 (An Experimental Study on the Effect of Combined X-ray and Microwave Hyperthermia on the Rectum and Urinary Bladder of Rats)

  • 이경자;이정식
    • Radiation Oncology Journal
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    • 제4권2호
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    • pp.115-128
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    • 1986
  • 온열요법은 암치료에 있어서 방사선과 병용하였을 때 상호보완 작용을 하여 방사선에 저항성이 높은 세포주기의 S-기에 민감하게 작용하며 세포의 준치사손상의 회복을 저지시킴으로써 방사선의 효과를 상승시킬 수 있다. 저자는 100Watt, 2450MHz의 마이크로파 온열기구를 제작하고 조직등가인 판톰을 이용하여 예비측정과 방열조사 조건 및 방법을 계획한 후 생물학적 반응을 관찰하기 위하여 흰쥐 102마리를 이용하여 온열요법, X-선조사 (6Gy-15Gy) 및 선 조사와 온열요법을 병행하여 직장과 방광의 조직학적 소견을 관찰하여 다음과 같은 결론을 얻었다. 1) 100Watt, 2450MHz의 소형마이코로파 온열발생장치로서 조직을 $40{\sim}50^{\circ}C$로 유지하여 1시간 이상 가열할 수 있었다. 2) 조직온열분포는 깊이 3cm, 직명 2-10cm의 넓이에 $40{\sim}44^{\circ}C$의 온도분포를 계속 유지할 수 있었다. 3) 온열요법 단독으로는 직장의 점막하층의 부종을 볼 수 있었으나 방광의 조직학적 변화는 볼 수 없었다. 4) 점막상피괴사는 직장에 X-선조사 6Gy의 15일군에서, 방광에 8Gy의 15일군에서 각각 나타나기 시작하였으며, 근층괴사는 직장에 X-선조사 8Gy의 15일군에서, 방광에 10Gy의 60일군에서 각각 나타났다. 5) X-선조사와 온열요법병행군에서 직장과 방광의 조직학적변화 (점막과 근층의 괴사)를 관찰하여 열증강율은 1.0으로 증가되지 않음으로서 직장과 방광의 내용선량의 변화가 없음을 시사하였다.

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Electron Spin Resonance (ESR) and Microwave Absorption Studies of Superparamagnetic Iron Oxide Nanoparticles (SPIONs) for Hyperthermia Applications

  • Choi, Yong-Ho;Yi, Terry;Kim, Do-Kyung
    • 한국세라믹학회지
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    • 제48권6호
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    • pp.577-583
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    • 2011
  • Stabilized biocompatible superparamagnetic iron oxide nanoparticles (SPIONs) were prepared by controlled coprecipitation method for hyperthermia application. ESR measurements determined that all of the interactions in the individual SPIONs (1 nm and 11 nm) were antiferromagnetic in nature because the ions contributed to the magnetization with a range of magnetic moments. In-situ monitoring of the temperature increment was performed, showing that the microwave absorption rate of the SPIONs was dispersed in an appropriate host media (polar or non-polar solvents) during microwave irradiation. Microwave absorption energy rates and heat loss of SPIONs in solvent were calculated by non-linear data fitting with an energy balance equation. The microwave absorption rates of SPIONs dispersed in solvent linearly increases when the concentration of SPIONs increases, implying that the microwave absorption rate can be tunable by changing the concentration of SPIONs.

종양의 온열치료를 위한 마이크로잔 조사장치의 제작과 응용 (Fabrication of Microwave Applicator for Hyperthermia and Thermal Distribution in Tissues)

  • 추성실;이종태;김귀언
    • Radiation Oncology Journal
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    • 제2권1호
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    • pp.11-20
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    • 1984
  • The renewed interest in the use of hyperthermia in cancer therapy is bases on radiobiological and clinical evidence indicated that there may be a significant therapeutic advantage with the use of heat alone or combined with radiation or chemotherapy, There are many methods for generating heat for localized tumor as like radiofrequency, microwave, electromagnetic induction and ultrasound. But it is very difficult to be even thermal dose distribution and stable output of power and then the detection of temperature in tumor is difficult to be precise with thermocouples and semiconductor sensors. We designed the microwave heating generator, dipole antenna applicators and autometic temperature controlled thermocouples for localized hyperthermia on skin and in cavities. 1. The microwave generator with 120 W, 2,450MHz magnetron could be heating up to $40^{\circ}C\~50^{\circ}C\;for\;1\~2$ hours in living tissues. 2. The thermal dose distribution in tissue with microwave was described $42^{\circ}C\~44^{\circ}C$ with in 3 cm depth and $2\~6cm$ diameter area. 3. Skin surface heating applicator with spiral 3 times wave length antenna radiated high Power of microwave. 4, Intracavitary heating applicator with dipole antenna with autometic control temperature sensor kept up continuously constant temperature in tissue. 5. For constant thermal distribution, applied two steps power with 10W microwave after $17\~20W$ during first 10 minutes. 6. The cooling rate by blood flew in living tissue was rised as $10\%$ then meats.

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마이크로파를 이용한 다목적 치료기의 개발 (Development of a Multipurpose Cure-appliance Using Microwave)

  • 박병욱;정병선
    • 대한의용생체공학회:의공학회지
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    • 제10권2호
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    • pp.179-184
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    • 1989
  • There are microwave hyperthermia, microwave surgical knife, and microwave tissue coagulator etc. as the cure-appliance using microwave. The object of this paper is to develope the multipurpose cure-appliance which has the functions that can be used intestinal tumor as well as the existing superficial tumor. And this also have the function of surgical knife and tissue coagulator with endoscope. And then ascertain its functions through the experiments, and to suggest the direction for reserch hereafter.

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흰쥐의 장조직에 X-선 조사와 마이크로파 온열요법의 효과에 관한 실험적 연구 (An Experimental Study on the Effectiveness of Microwave Hyperthermia Combined with Radiation on the Small and Large Intestine in rats)

  • 안경숙;이경자;이정식
    • Radiation Oncology Journal
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    • 제5권2호
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    • pp.83-95
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    • 1987
  • 온열요법은 조직에 $40^{\circ}C-44^{\circ}C$의 열을 가함으로서 방사선에 저항성이 큰 DNA합성기의 세포 및 pH가 낮은 세포에 민감하게 작용하는 생물학적 효과를 암 치료에 이용하는 것이다. 그러나 온열요법은 방사선과의 병행요법에 의하여 발생되는 열증강율 및 치료 이득이 방사선량, 열량, 온도, 가열시간, 온도분포, 조사시간 등에 민감하고 변화가 많으므로 객관적인 치료효과와 통일된 치료방법을 결정하기가 어렵다. 저자는 2450MHz, 100watt의 마이크로파 온열기구와 조직등가인 팬톱을 직접제작하여 예비측정을 통해 방열 조사조건과 방법을 결정한 후 생물학적 반응을 관찰하기 위하여 102마리 흰쥐 소장 및 대장의 조직학적 면화를 관찰하고 열증강율에 따른 효과를 비교 평가하여 다음과 같은 결론을 얻었다. 1 온열요법 단독으로는 소장과 대장의 조직학적 면화는 볼 수 없었다. 2. 방사선 조사 단독군과 병행군에서 소장 및 대장의 점막상피 괴사는 방사선 조사 6Gy에서 관찰되었으며 방사선량의 증가와 관찰시간 경과에 따라 그 정도가 심하여졌다. 3. 방사선 조사 단독군과 병행군에서 소장 및 대장의 근육층의 괴사는 방사선 조사 10Gy에서 관찰되기 시작하였으며 관찰시간의 경과에 따라 그 정도가 심하여졌다. 4. 방사선 조사와 온열요법 병행군에서 소장과 대장의 조직학적 변화(점막상피와 근육층의 괴사)를 관찰하여 열증강율은 증가되지 않았다.

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