Improved Localization of Energy Deposition in Adaptive Phased-Array Hyperthermia Treatment of Cancer

■ Elevated cell tissue temperature (hyperthermia) due to radio-frequency (RF) energy absorption is known to produce an improved response for malignant tumors in humans when applied in combination with other anticancer modalities. However, clinical studies in thermotherapy have shown the difficulty of localizing RF energy deposition in malignant tissue deep within the body without damaging surrounding healthy tissue. The study presented in this article involves a preclinical investigation of adaptive feedback and computer control of amplitude and phase from coherent RF antenna arrays to provide improved distribution of electromagnetic energy deposition in the body. Measurements in a treatment-planning phantom irradiated with an adaptive antenna-array applicator show that noninvasive adaptive nulling can reduce the RF energy absorption in nearby healthy tissue while focusing energy into a deep-seated tumor site.

[1]  E. Hall,et al.  Radiobiology for the radiologist , 1973 .

[2]  Randy L. Haupt,et al.  Introduction to Adaptive Arrays , 1980 .

[3]  Richard L. Magin,et al.  Focused Array Hyperthermia Applicator: Theory and Experiment , 1983, IEEE Transactions on Biomedical Engineering.

[4]  P. F. Turner,et al.  Mini-Annular Phased Array for Limb Hyperthermia , 1986 .

[5]  P. Turner,et al.  Future trends in heating technology of deep-seated tumors. , 1988, Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer.

[6]  R B Roemer,et al.  Theoretical and experimental evaluation of a temperature controller for scanned focused ultrasound hyperthermia. , 1990, Medical physics.

[7]  S. B. Field,et al.  An Introduction to the Practical Aspects of Clinical Hyperthermia , 1990 .

[8]  J. V. van Dijk,et al.  Visualization by a matrix of light-emitting diodes of interference effects from a radiative four-applicator hyperthermia system. , 1991, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[9]  T L Phillips,et al.  Combining hyperthermia and radiation: how beneficial? , 1991, Oncology.

[10]  Z. Petrovich,et al.  Heating characteristics of a helical microwave applicator for transurethral hyperthermia of benign prostatic hyperplasia. , 1991, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[11]  P. Fessenden,et al.  Body conformable 915 MHz microstrip array applicators for large surface area hyperthermia , 1992, IEEE Transactions on Biomedical Engineering.

[12]  K. Paulsen,et al.  Current sheet applicator arrays for superficial hyperthermia of chestwall lesions. , 1992, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[13]  A. Brahme,et al.  Principles and Practice of Radiation Oncology , 1992 .

[14]  A Hartov,et al.  Performance of an adaptive MIMO controller for a multiple-element ultrasound hyperthermia system. , 1993, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[15]  Chris J. Diederich,et al.  An Adaptive-FocusingAlgorithm for a Microwave Planar Phased-Array Hyperthermia System , 1993 .

[16]  C. Diederich,et al.  Experimental Evaluation of an Adaptive Focusing Algorithm for a Microwave Planar Phased-Array Hyperthermia System at UCSF , 1993 .

[17]  P R Stauffer,et al.  Pre-clinical evaluation of a microwave planar array applicator for superficial hyperthermia. , 1993, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[18]  K. Sugimachi,et al.  Chemotherapy combined with or without hyperthermia for patients with oesophageal carcinoma: a prospective randomized trial. , 1994, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[19]  J W Strohbehn,et al.  Hyperthermia equipment evaluation. , 1994, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[20]  P Wust,et al.  Quality assurance in various radiative hyperthermia systems applying a phantom with LED matrix. , 1994, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[21]  A J Fenn,et al.  Adaptive radiofrequency hyperthermia-phased array system for improved cancer therapy: phantom target measurements. , 1994, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[22]  J. van der Zee,et al.  Quality control of the SIGMA applicator using a lamp phantom: a four-centre comparison. , 1995, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[23]  O Mella,et al.  Hyperthermia as an adjuvant to radiation therapy of recurrent or metastatic malignant melanoma. A multicentre randomized trial by the European Society for Hyperthermic Oncology. , 2009, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[24]  A.J. Fenn,et al.  Experimental investigation of an adaptive feedback algorithm for hot spot reduction in radio-frequency phased-array hyperthermia , 1996, IEEE Transactions on Biomedical Engineering.