一种促进胶质瘤磁热疗的新型端口。

IF 1.7 4区 医学 Q4 BIOPHYSICS Journal of Biomechanical Engineering-Transactions of the Asme Pub Date : 2024-01-01 DOI:10.1115/1.4063556
Benjamin Rodriguez, Peter Campbell, Joseph Borrello, Ian Odland, Tyree Williams, Eugene I Hrabarchuk, Tirone Young, Anirudh Sharma, Alexander J Schupper, Benjamin Rapoport, Robert Ivkov, Constantinos Hadjipanayis
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引用次数: 0

摘要

高级别胶质瘤(HGG)是最常见的原发性脑恶性肿瘤,在标准的护理治疗下,其预后仍然不佳(中位生存率为15-18个月)。磁热疗(MHT)是一种新兴的干预措施,利用磁性氧化铁纳米颗粒(MIONPs)的铁磁特性靶向切除后留下的癌症细胞。我们报道了一种新的端口装置,用于促进MHT治疗中靶病变内MIONP的定位、递送和温度测量。我们进行了深入的文献和知识产权审查,以确定设想的端口设备的规格。在设置设计参数后,与神经外科医生的彻底合作指导了迭代建模过程。原型是使用Fusion 360(Autodesk,San Rafael,CA)开发的,并用耐用树脂打印在Form 3打印机(Formlabs,Medford,MA)上。然后,在ProJet 660Pro 3D打印机(3D Systems,Rock Hill,SC)上打印的模拟头骨和基于天然脑组织机械和电化学特性的大脑模型中对原型进行了测试。该体模采用基于当前MHT工作流程的AMF序列进行MHT加热测试。成功地进行了定位、交付和温度测量。这项研究的目的有两个:首先,创建并验证一种新型设备的程序框架,为即将进行的全面动物试验奠定基础;其次,阐明工程师和临床医生之间的合作方法,推动医疗创新的进步。
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A Novel Port to Facilitate Magnetic Hyperthermia Therapy for Glioma.

High-grade gliomas (HGG) are the most common primary brain malignancy and continue to be associated with a dismal prognosis (median survival rate of 15-18 months) with standard of care therapy. Magnetic hyperthermia therapy (MHT) is an emerging intervention that leverages the ferromagnetic properties of magnetic iron-oxide nanoparticles (MIONPs) to target cancer cells that are otherwise left behind after resection. We report a novel port device to facilitate localization, delivery, and temperature measurement of MIONPs within a target lesion for MHT therapy. We conducted an in-depth literature and intellectual property review to define specifications of the conceived port device. After setting the design parameters, a thorough collaboration with neurological surgeons guided the iterative modeling process. A prototype was developed using Fusion 360 (Autodesk, San Rafael, CA) and printed on a Form 3 printer (Formlabs, Medford, MA) in Durable resin. The prototype was then tested in a phantom skull printed on a Pro-Jet 660Pro 3D printer (3D Systems, Rock Hill, SC) and a brain model based on mechanical and electrochemical properties of native brain tissue. This phantom underwent MHT heating tests using an alternating magnetic field (AMF) sequence based on current MHT workflow. Successful localization, delivery, and temperature measurement were demonstrated. The purpose of this study was twofold: first, to create and validate the procedural framework for a novel device, providing the groundwork for an upcoming comprehensive animal trial and second, to elucidate a cooperative approach between engineers and clinicians that propels advancements in medical innovation.

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来源期刊
CiteScore
3.40
自引率
5.90%
发文量
169
审稿时长
4-8 weeks
期刊介绍: Artificial Organs and Prostheses; Bioinstrumentation and Measurements; Bioheat Transfer; Biomaterials; Biomechanics; Bioprocess Engineering; Cellular Mechanics; Design and Control of Biological Systems; Physiological Systems.
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