评估等离子体光热疗法对表皮下肿瘤的热损伤。

IF 2.4 4区 医学 Q3 ENGINEERING, BIOMEDICAL Physical and Engineering Sciences in Medicine Pub Date : 2024-09-01 Epub Date: 2024-05-16 DOI:10.1007/s13246-024-01433-w
Amit Kumar Shaw, Divya Khurana, Sanjeev Soni
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引用次数: 0

摘要

质子光热疗法(PPTT)是利用纳米粒子和近红外辐射,使肿瘤内的温度达到 50 ℃ 以上,从而达到热损伤的目的。PPTT 主要针对浅表肿瘤进行探索,而对其治疗深层表皮下肿瘤的潜力处理不力,因此需要对此类肿瘤的热损伤进行评估。本文对位于 3-9 毫米深度的浸润性导管癌(IDC)的 PPTT 热损伤程度进行了数值分析。利用合适的组织-肿瘤模拟模型对所开发的数值模型进行了验证。嵌入金纳米棒(GNRs)的肿瘤(IDC)受到宽带近红外辐射。研究了不同浓度的 GNRs 及其空间分布(即均匀分布、静脉注射(周边分布)和瘤内注射(局部分布))对位于不同深度的表皮下肿瘤热损伤的影响。结果表明,较低的 GNRs 浓度会导致更均匀的内部发热,最终导致均匀的温升。此外,纳米粒子的外围分布使肿瘤内的空间温升更加均匀。总之,通过根据肿瘤位置适当选择纳米粒子的分布、剂量/浓度和辐照参数,PPTT 有可能对深度达 9 毫米的表皮下肿瘤产生热损伤。此外,对于较浅的肿瘤,静脉注射纳米粒子似乎是一个不错的选择,而对于较深的肿瘤,则需要均匀分布以达到必要的热损伤。未来,该算法可能会进一步扩展,包括三维患者特异性肿瘤和基于小鼠模型的实验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Assessment of thermal damage for plasmonic photothermal therapy of subsurface tumors.

Plasmonic photothermal therapy (PPTT) involves the use of nanoparticles and near-infrared radiation to attain a temperature above 50 °C within the tumor for its thermal damage. PPTT is largely explored for superficial tumors, and its potential to treat deeper subsurface tumors is dealt feebly, requiring the assessment of thermal damage for such tumors. In this paper, the extent of thermal damage is numerically analyzed for PPTT of invasive ductal carcinoma (IDC) situated at 3-9 mm depths. The developed numerical model is validated with suitable tissue-tumor mimicking phantoms. Tumor (IDC) embedded with gold nanorods (GNRs) is subjected to broadband near-infrared radiation. The effect of various GNRs concentrations and their spatial distributions [viz. uniform distribution, intravenous delivery (peripheral distribution) and intratumoral delivery (localized distribution)] are investigated for thermal damage for subsurface tumors situated at various depths. Results show that lower GNRs concentrations lead to more uniform internal heat generation, eventually resulting in uniform temperature rise. Also, the peripheral distribution of nanoparticles provides a more uniform spatial temperature rise within the tumor. Overall, it is concluded that PPTT has potential to induce thermal damage for subsurface tumors, at depths of upto 9 mm, by proper choice of nanoparticle distribution, dose/concentration and irradiation parameters based on the tumor location. Moreover, intravenous administration of nanoparticles seems a good choice for shallower tumors, while for deeper tumors, uniform distribution is required to attain the necessary thermal damage. In the future, the algorithm may be extended further, involving 3D patient-specific tumors and through mice model-based experiments.

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CiteScore
8.40
自引率
4.50%
发文量
110
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