Simulations of MAPA and APA heating using a whole body thermal model

Simulations of hyperthermia treatments to the extremities and the pelvis with miniannular phased array (MAPA) and annular phased array (APA) applicators have been conducted using a whole-body thermal model of man. The model is an enhanced version of a simpler model and accounts for gross spatial variations in arterial and venous blood temperatures throughout the body during a hyperthermia treatment. Included in the modified model are constitutive relations governing the local thermoregulatory changes in skin and muscle blood flow and sweating during local heating. Results of these simulations reveal that systemic heating is not significant during extremity heating with a MAPA due to the lack of aberrant energy deposition outside of the treated area. A nonthermoregulated tumor can be preferentially heated to therapeutic levels by the MAPA if it is positioned within the central region of the applicator. Simulations of APA treatments show that systemic heating is quite significant when aberrant electromagnetic energy deposition is taken into account. Comparison of simulated results to clinical data indicates that the modified model can predict the deep body temperatures and cardiac output changes in a more realistic manner than the original model.<<ETX>>

[1]  R L Levin,et al.  Human leg heating using a mini-annular phased array. , 1986, Medical physics.

[2]  R L Levin,et al.  Energy deposition patterns in an amputated human lower leg heated with a miniannular phased array. , 1988, Medical physics.

[3]  D E Lemons,et al.  Theory and experiment for the effect of vascular microstructure on surface tissue heat transfer--Part I: Anatomical foundation and model conceptualization. , 1984, Journal of biomechanical engineering.

[4]  T. Adams The control of body temperature. , 1960, Technical report.; TR. Arctic Aeromedical Laboratory.

[5]  C. E. Huckaba,et al.  Calculation of temperature distribution in the human body , 1973 .

[6]  C. Song Effect of local hyperthermia on blood flow and microenvironment: a review. , 1984, Cancer research.

[7]  M. Pitkänen,et al.  Radiation-induced changes in regional blood flow in human tumors. , 1982, International journal of radiation oncology, biology, physics.

[8]  R L Levin,et al.  Experimental characterization of the miniannular phased array as a hyperthermia applicator. , 1987, Medical physics.

[9]  F M Waterman,et al.  Response of human tumor blood flow to local hyperthermia. , 1987, International journal of radiation oncology, biology, physics.

[10]  K. M. Sekins,et al.  Local muscle blood flow and temperature responses to 915MHz diathermy as simultaneously measured and numerically predicted. , 1984, Archives of physical medicine and rehabilitation.

[11]  R. Roemer,et al.  Oscillatory temperature response to constant power applied to canine muscle. , 1985, The American journal of physiology.

[12]  Mark J. Hagmann,et al.  A Whole Body Thenmal Model of Man During Hyperthermia , 1987, IEEE Transactions on Biomedical Engineering.

[13]  Robert B. Roemer,et al.  A Mathematical Model of the Human Temperature Regulatory System - Transient Cold Exposure Response , 1976, IEEE Transactions on Biomedical Engineering.

[14]  E. H. Twizell,et al.  The extrapolation of Padé approximants in the closed-loop simulation of human thermoregulation , 1982 .

[15]  Mark J. Hagmann,et al.  Aberrant Heating: A Problem in Regional Hyperthermia , 1986, IEEE Transactions on Biomedical Engineering.

[16]  J C Chato,et al.  Heat transfer to blood vessels. , 1980, Journal of biomechanical engineering.

[17]  F. Gibbs,et al.  Regional Hyperthermia with an Annular Phased Array in the Experimental Treatment of Cancer: Report of Work in Progress with a Technical Emphasis , 1984, IEEE Transactions on Biomedical Engineering.

[18]  G. E. Myers,et al.  Thermal response of human legs during cooling. , 1970, Journal of applied physiology.

[19]  M J Mäntylä,et al.  Regional blood flow in human tumors. , 1979, Cancer research.