hyperthermia applicator for small superficial tumour treatment paolo togni 1,jan vrba 1, luca...

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Hyperthermia Applicator for Small Hyperthermia Applicator for Small Super cial Super cial Tumour Treatment Tumour Treatment Paolo TOGNI Paolo TOGNI 1 1 ,Jan VRBA ,Jan VRBA 1 1 , Luca VANNUCCI , Luca VANNUCCI 2 1 Dept. of EM Field, Czech Technical University in Prague Dept. of EM Field, Czech Technical University in Prague 2 Dept.of Immunology, Institute of Microbiology, Academy Dept.of Immunology, Institute of Microbiology, Academy of Sciences of Czech Republic of Sciences of Czech Republic [email protected] , , [email protected] , , [email protected]

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Page 1: Hyperthermia Applicator for Small Superficial Tumour Treatment Paolo TOGNI 1,Jan VRBA 1, Luca VANNUCCI 2 1 Dept. of EM Field, Czech Technical University

Hyperthermia Applicator for Small SuperficialHyperthermia Applicator for Small SuperficialTumour TreatmentTumour Treatment

Paolo TOGNIPaolo TOGNI1 1 ,Jan VRBA,Jan VRBA 1 1 , Luca VANNUCCI , Luca VANNUCCI22

11Dept. of EM Field, Czech Technical University in PragueDept. of EM Field, Czech Technical University in Prague22Dept.of Immunology, Institute of Microbiology, Academy of Sciences of Dept.of Immunology, Institute of Microbiology, Academy of Sciences of

Czech RepublicCzech Republic

[email protected], , [email protected], , [email protected]

Page 2: Hyperthermia Applicator for Small Superficial Tumour Treatment Paolo TOGNI 1,Jan VRBA 1, Luca VANNUCCI 2 1 Dept. of EM Field, Czech Technical University

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OutlineOutline

Introduction Introduction on on experimental research experimental research

Applicator design descriptionApplicator design description

Computer Simulation optimizationComputer Simulation optimization

Experimental evaluationExperimental evaluation

In-vivo experimentsIn-vivo experiments

ConclusionsConclusions

Page 3: Hyperthermia Applicator for Small Superficial Tumour Treatment Paolo TOGNI 1,Jan VRBA 1, Luca VANNUCCI 2 1 Dept. of EM Field, Czech Technical University

ResearchResearch

Microwave Hyperthermia as anti-cancer Microwave Hyperthermia as anti-cancer treatment treatment

Study morphological changes induced in Study morphological changes induced in superficial layerssuperficial layers

Immunological responses Immunological responses

Melanoma in animal model Melanoma in animal model

Page 4: Hyperthermia Applicator for Small Superficial Tumour Treatment Paolo TOGNI 1,Jan VRBA 1, Luca VANNUCCI 2 1 Dept. of EM Field, Czech Technical University

44

Model Model CharacteristicsCharacteristics

Small tumour Small tumour dimensions:dimensions:

diameter 15-20 mmdiameter 15-20 mm

Limited deepness:Limited deepness:

around 10 mmaround 10 mm

Small animal body Small animal body

SubcutaneousSubcutaneous

Applicator Applicator RequirementRequirement

Focused HeatingFocused Heating

Limited E-field Limited E-field penetration depthpenetration depth

Superficial CoolingSuperficial Cooling

Page 5: Hyperthermia Applicator for Small Superficial Tumour Treatment Paolo TOGNI 1,Jan VRBA 1, Luca VANNUCCI 2 1 Dept. of EM Field, Czech Technical University

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Applicator Design (I)Applicator Design (I)

Planar StructurePlanar Structure

Squared resonant cavitySquared resonant cavity

Circular Slot-line radiating apertureCircular Slot-line radiating aperture

Working Frequency Working Frequency

2450 MHz (ISM)2450 MHz (ISM)

Agar Phantom

Water BolusPlanar Applicator

Page 6: Hyperthermia Applicator for Small Superficial Tumour Treatment Paolo TOGNI 1,Jan VRBA 1, Luca VANNUCCI 2 1 Dept. of EM Field, Czech Technical University

Applicator Design (II)Applicator Design (II)

Coaxial cable feedingCoaxial cable feeding

Just TM mode can be excitedJust TM mode can be excited

Dominat Mode Dominat Mode TTMM111010

Page 7: Hyperthermia Applicator for Small Superficial Tumour Treatment Paolo TOGNI 1,Jan VRBA 1, Luca VANNUCCI 2 1 Dept. of EM Field, Czech Technical University

SS11 11 ParameterParameter Evaluation Evaluation

Opimized using Computer simulator:Opimized using Computer simulator:

Cavity dimensionsCavity dimensions Slot line aperture WidthSlot line aperture Width

Vector analzyer measurements:Vector analzyer measurements:

Low Bolus thikness dLow Bolus thikness deependentpendent High cHigh contact ontact dependentdependent Integrated bolus Integrated bolus neededneeded

Page 8: Hyperthermia Applicator for Small Superficial Tumour Treatment Paolo TOGNI 1,Jan VRBA 1, Luca VANNUCCI 2 1 Dept. of EM Field, Czech Technical University

SAR distributionSAR distribution inside phantominside phantom

Low Penetration DepthLow Penetration Depth

Page 9: Hyperthermia Applicator for Small Superficial Tumour Treatment Paolo TOGNI 1,Jan VRBA 1, Luca VANNUCCI 2 1 Dept. of EM Field, Czech Technical University

SAR distributionSAR distribution on phantom surfaceon phantom surface

Tumour covering depends on bolus Tumour covering depends on bolus thicknessthickness20 mm optimal thickness for our 20 mm optimal thickness for our mouse modelmouse model

Page 10: Hyperthermia Applicator for Small Superficial Tumour Treatment Paolo TOGNI 1,Jan VRBA 1, Luca VANNUCCI 2 1 Dept. of EM Field, Czech Technical University

Temperature distribution measurementsTemperature distribution measurements

IR Camera measurement:IR Camera measurement:

Limited Temperature Limited Temperature penetrationpenetration

Better results expected on Better results expected on animal model for the effect of animal model for the effect of blood perfusionblood perfusion

Without Water BolusWithout Water Bolus

Page 11: Hyperthermia Applicator for Small Superficial Tumour Treatment Paolo TOGNI 1,Jan VRBA 1, Luca VANNUCCI 2 1 Dept. of EM Field, Czech Technical University

Temperature distribution measurementsTemperature distribution measurements

IR Camera measurement:IR Camera measurement:

Effective Superficial coolingEffective Superficial cooling

Reduced Reduced temperature temperature penetration depthpenetration depth

70 mm

6 mm

With Water BolusWith Water Bolus

Page 12: Hyperthermia Applicator for Small Superficial Tumour Treatment Paolo TOGNI 1,Jan VRBA 1, Luca VANNUCCI 2 1 Dept. of EM Field, Czech Technical University

System for HyperthermiaSystem for Hyperthermia

Page 13: Hyperthermia Applicator for Small Superficial Tumour Treatment Paolo TOGNI 1,Jan VRBA 1, Luca VANNUCCI 2 1 Dept. of EM Field, Czech Technical University

In-vivo ExperimentsIn-vivo Experiments

Proper tumour temperature during treatmentProper tumour temperature during treatment Suitable skin coolingSuitable skin cooling Limited body temperature enhancement during treatmentLimited body temperature enhancement during treatment

Page 14: Hyperthermia Applicator for Small Superficial Tumour Treatment Paolo TOGNI 1,Jan VRBA 1, Luca VANNUCCI 2 1 Dept. of EM Field, Czech Technical University

ConclusionConclusion

Applicator suitable to treat small superficial Applicator suitable to treat small superficial tumourstumoursSuitable tumour coveringSuitable tumour coveringReduced enhancement of body Reduced enhancement of body temperature expectedtemperature expectedSuitable to used on surfaces with complex Suitable to used on surfaces with complex contourcontourPerspective of clinical practice also in Perspective of clinical practice also in array configurationarray configuration

Page 15: Hyperthermia Applicator for Small Superficial Tumour Treatment Paolo TOGNI 1,Jan VRBA 1, Luca VANNUCCI 2 1 Dept. of EM Field, Czech Technical University

Acknowledgements:

This study is funded by the Grant Agency of the Academy of Sciences of the Czech Republic IAA500200510, Institutional Research Concepts No. AV0Z50200510 and by the Grant Agency of the Czech Republic, Grant No.102/08/H081

Thank you for your attention!Thank you for your attention!