论文标题
对聚焦超声和间质激光加热的乳腺肿瘤的热机械评估
Thermomechanical Assessment of Breast Tumor Subjected to Focused Ultrasound and Interstitial Laser Heating
论文作者
论文摘要
在激光和超声热治疗期间,始终希望具有深度座位的肿瘤的精确坏死,从而保持相邻的健康组织,并具有最小的热诱导伤害感受性疼痛感。本研究的目的是确定在高强度聚焦超声(HIFU)和激光间质热疗法(LITT)期间脉冲和连续加热下纳米颗粒混合组织的影响。在三维多层脉管系统乳腺肿瘤模型中解决了结合组织热弛豫时间的目前问题(),该模型表示复杂的不均匀组织结构。使用Comsol Multiphysics(印度班加罗尔)软件同时解决了视频,声学,流体,温度和机械场的耦合辐射转移,Helmontz,动量,双相滞后(DPL)和平衡方程。还进行了一项关于琼脂基组织幻影的体外研究,以验证聚焦超声加热的当前数值结果。与未关注的激光加热相比,组织的热弛豫时间在聚焦超声加热下导致热和损伤病史的显着变化。随着组织温度升高有限,更长的脉动加热模式(16.6%)显示了目标特异性坏死损伤,与连续加热模式相比,伤害感受疼痛减轻。此外,纳米颗粒以及多级动脉和静脉的存在会影响外部加热下的热和机械反应。因此,目前的发现可能有助于理解不同外部加热模式以及在热疗法临床实践中肿瘤坏死的作用。
During laser and ultrasound thermotherapy it is always desirable to have a precise necrosis of deeply seated tumor preserving the adjoining healthy tissue with minimum thermally induced nociceptive pain sensation to the patient. The aim of the present study is to determine the effects of nanoparticle mixed tissues under pulsed and continuous heating during high intensity focused ultrasound (HIFU) and laser interstitial thermal therapy (LITT). The present problem incorporating the tissue thermal relaxation times ( ) was solved in a 3-dimensional multilayered vasculature breast tumor model signifying the complex inhomogeneous tissue structure. The coupled Radiative transfer, Helmontz, momentum, dual phase lag (DPL) and equilibrium equations for optic, acoustic, fluid, temperature and mechanical fields respectively were solved simultaneously using COMSOL Multiphysics (Bangalore, India) software. An in-vitro study on agar based tissue phantom was also performed to validate the present numerical results of focused ultrasound heating. The thermal relaxation times of tissue causes significant changes of thermal and damage history under focused ultrasound heating compared to unfocused laser heating. With limited rise in tissue temperature, the pulsed mode of heating for longer period with lower duty cycle (16.6%) shows a target specific necrotic damage with reduced nociceptive pain in contrast to continuous mode of heating. Further, the presence of nanoparticles and multilevel artery and vein affect both the thermal and mechanical response under external heating. Thus, the present findings could help to understand the role of different external heating modes and sources on tumor necrosis during clinical practice of thermo-therapy.