Engineering aspects of hyperthermia therapy.

The continuing accrual of positive results in clinical cancer trials of adjunctive, synergistic hyperthermia therapy remains a strong motivation for the development of improved hyperthermia equipment and software. Indeed, the lack of needed engineering tools can be viewed as the major stumbling block to hyperthermia's effective clinical implementation. Developing clinically effective systems will be difficult, however, because (a) it requires solving several complex engineering problems, for which (b) setting appropriate design and evaluation goals is currently difficult owing to a lack of critical biological, physiological, and clinical knowledge, two tasks which must (c) be accomplished within a complicated social/political structure.

[1]  D Machin,et al.  Relationship between thermal dose and outcome in thermoradiotherapy treatments for superficial recurrences of breast cancer: data from a phase III trial Sherar, , 2004 .

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

[3]  K. Hynynen,et al.  The effect of wave reflection and refraction at soft tissue interfaces during ultrasound hyperthermia treatments. , 1992, The Journal of the Acoustical Society of America.

[4]  W. Joines,et al.  The calculated and measured temperature distribution of a phased interstitial antenna array (invasive applicators) , 1990 .

[5]  R. Roemer,et al.  Optimal power deposition with finite-sized, planar hyperthermia applicator arrays , 1992, IEEE Transactions on Biomedical Engineering.

[6]  C. Diederich Ultrasound applicators with integrated catheter-cooling for interstitial hyperthermia: theory and preliminary experiments. , 1996, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[7]  R. Seip,et al.  Noninvasive estimation of tissue temperature response to heating fields using diagnostic ultrasound , 1995, IEEE Transactions on Biomedical Engineering.

[8]  Om P. Gandhi,et al.  Use of the Finite-Difference Time-Domain Method in Calculating EM Absorption in Human Tissues , 1987, IEEE Transactions on Biomedical Engineering.

[9]  D. Sullivan,et al.  Direct use of CT scans for hyperthermia treatment planning , 1992, IEEE Transactions on Biomedical Engineering.

[10]  Eduardo G. Moros,et al.  Phase III study of interstitial thermoradiotherapy compared with interstitial radiotherapy alone in the treatment of recurrent or persistent human tumors: A prospectively controlled randomized study by the radiation therapy oncology group , 1993 .

[11]  J. MacFall,et al.  Magnetic resonance thermometry during hyperthermia for human high-grade sarcoma. , 1998, International journal of radiation oncology, biology, physics.

[12]  J. Overgaard,et al.  Randomised trial of hyperthermia as adjuvant to radiotherapy for recurrent or metastatic malignant melanoma , 1995, The Lancet.

[13]  M.S. Ibbini,et al.  A field conjugation method for direct synthesis of hyperthermia phases-array heating patterns , 1989, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[14]  R B Roemer,et al.  Optimal actuator placement for large scale systems: a reduced-order modelling approach. , 1998, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[15]  K. Hynynen,et al.  Scanned focussed ultrasound hyperthermia: initial clinical results. , 1988, International journal of radiation oncology, biology, physics.

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

[17]  D. Chakraborty,et al.  Temperature distributions in tumor models heated by self-regulating nickel-copper alloy thermoseeds. , 1984, Medical physics.

[18]  M. Gautherie,et al.  Whole Body Hyperthermia: Biological and Clinical Aspects , 1992, Clinical Thermology.

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

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

[21]  J. MacFall,et al.  Verification of a hyperthermia model method using MR thermometry. , 1995, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[22]  K. Hynynen,et al.  Feasibility and toxicity of transrectal ultrasound hyperthermia in the treatment of locally advanced adenocarcinoma of the prostate. , 1993, International journal of radiation oncology, biology, physics.

[23]  M Kikuchi,et al.  Guide to the use of hyperthermic equipment. 1. Capacitively-coupled heating. , 1993, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[24]  K. Hynynen,et al.  Experimental evaluation of two simple thermal models using hyperthermia in muscle in vivo. , 1993, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[25]  E. Wissler,et al.  Pennes' 1948 paper revisited. , 1998, Journal of applied physiology.

[26]  J. MacFall,et al.  Non-invasive thermometry using magnetic resonance diffusion imaging: potential for application in hyperthermic oncology. , 1992, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[27]  B.J. James,et al.  Creation of three-dimensional patient models for hyperthermia treatment planning , 1992, IEEE Transactions on Biomedical Engineering.

[28]  K. Hynynen,et al.  Development of scanned focussed ultrasound hyperthermia: clinical response evaluation. , 1991, International journal of radiation oncology, biology, physics.

[29]  K. Hynynen,et al.  Patterns of changes of tumour temperatures during clinical hyperthermia: implications for treatment planning, evaluation and control. , 1995, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[30]  K D Paulsen,et al.  An enhanced electrical impedance imaging algorithm for hyperthermia applications. , 1997, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[31]  K Hynynen,et al.  The feasibility of MRI feedback control for intracavitary phased array hyperthermia treatments. , 1998, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[32]  G. Hahn Hyperthermia and Cancer , 1982, Springer US.

[33]  N. Maratos,et al.  Optimal steady-state temperature distribution for a phased array hyperthermia system , 1993, IEEE Transactions on Biomedical Engineering.

[34]  A W Dutton,et al.  A generic tissue convective energy balance equation: Part I--theory and derivation. , 1998, Journal of biomechanical engineering.

[35]  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.

[36]  V. Sathiaseelan,et al.  Theoretical Analysis and Clinical Demonstration of the Effect of Power Pattern Control Using the Annular Phased-Array Hyperthermia System , 1986 .

[37]  The effect of air cooling on the radial temperature distribution of a single microwave hyperthermia antenna in vivo. , 1991, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[38]  W. Dewey,et al.  Thermal dose determination in cancer therapy. , 1984, International journal of radiation oncology, biology, physics.

[39]  K. Hynynen,et al.  The effects of curved tissue layers on the power deposition patterns of therapeutic ultrasound beams. , 1994, Medical physics.

[40]  J. Oleson,et al.  Results of a phase I regional hyperthermia device evaluation: microwave annular array versus radiofrequency induction coil. , 1986, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[41]  U. H. Patel,et al.  Effective estimation and computer control of minimum tumour temperature during conductive interstitial hyperthermia. , 1991, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[42]  K Hynynen,et al.  The feasibility of interstitial ultrasound hyperthermia. , 1992, Medical physics.

[43]  K. Paulsen,et al.  Calculation of Power Deposition Patterns in Hyperthermia , 1990 .

[44]  K. Hynynen,et al.  The feasibility of using electrically focused ultrasound arrays to induce deep hyperthermia via body cavities , 1991, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[45]  C. Diederich,et al.  Direct-coupled interstitial ultrasound applicators for simultaneous thermobrachytherapy: a feasibility study. , 1996, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[46]  W.L. Straube,et al.  A reflected-scanned ultrasound system for external simultaneous thermoradiotherapy , 1996, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[47]  M. Gautherie,et al.  Methods of External Hyperthermic Heating , 1990, Clinical Thermology.

[48]  A. Guy,et al.  Nonionizing electromagnetic wave effects in biological materials and systems , 1972 .

[49]  A W Dutton,et al.  The simulation of discrete vessel effects in experimental hyperthermia. , 1994, Journal of biomechanical engineering.

[50]  D Machin,et al.  Radiotherapy with or without hyperthermia in the treatment of superficial localized breast cancer: results from five randomized controlled trials. International Collaborative Hyperthermia Group. , 1996, International journal of radiation oncology, biology, physics.

[51]  K. Hynynen,et al.  Focusing of therapeutic ultrasound through a human skull: a numerical study. , 1998, The Journal of the Acoustical Society of America.

[52]  K S Nikita,et al.  Optimum excitation of phases and amplitudes in a phased array hyperthermia system. , 1992, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[53]  H. Arkin,et al.  Recent developments in modeling heat transfer in blood perfused tissues , 1994, IEEE Transactions on Biomedical Engineering.

[54]  C.A. Cain,et al.  Treatment planning for hyperthermia with ultrasound phased arrays , 1996, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[55]  Roger C. Jones,et al.  Magnetic Induction Heating of Ferromagnetic Implants for Inducing Localized Hyperthermia in Deep-Seated Tumors , 1984, IEEE Transactions on Biomedical Engineering.

[56]  M. Mattingly,et al.  Reduced-order modeling for hyperthermia: an extended balanced-realization-based approach , 1998, IEEE Transactions on Biomedical Engineering.

[57]  G. Nussbaum,et al.  Manipulation of Central Axis Heating Patterns with a Prototype, Three-Electrode Capacitive Device for Deep-Tumor Hyperthermia , 1986 .

[58]  M. Yasuda,et al.  Prospective randomized study of hyperthermia combined with chemoradiotherapy for esophageal carcinoma , 1995, Journal of surgical oncology.

[59]  Foi J. McCraw,et al.  Evaluation of equipment for hyperthermic treatment of cancer. , 1988, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[60]  C.A. Cain,et al.  Multiple-focus ultrasound phased-array pattern synthesis: optimal driving-signal distributions for hyperthermia , 1989, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[61]  P. VanBaren,et al.  Noninvasive real-time multipoint temperature control for ultrasound phased array treatments , 1996, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[62]  T L Phillips,et al.  Survival benefit of hyperthermia in a prospective randomized trial of brachytherapy boost +/- hyperthermia for glioblastoma multiforme. , 1998, International journal of radiation oncology, biology, physics.

[63]  J Crezee,et al.  The influence of vasculature on temperature distributions in MECS interstitial hyperthermia: importance of longitudinal control. , 1997, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[64]  K D Paulsen,et al.  Optimization of pelvic heating rate distributions with electromagnetic phased arrays. , 1999, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[65]  M. Chive,et al.  Methods of Hyperthermia Control , 1990, Clinical Thermology.

[66]  R B Roemer,et al.  Optimization of temperature distributions in scanned, focused ultrasound hyperthermia. , 1992, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[67]  C. Dixon,et al.  Transurethral prostate ablation using saline-liquid electrode introduced via flexible cystoscope. , 1998, Journal of endourology.

[68]  H. H. Pennes Analysis of tissue and arterial blood temperatures in the resting human forearm. 1948. , 1948, Journal of applied physiology.

[69]  P. VanBaren,et al.  Multipoint temperature control during hyperthermia treatments: theory and simulation , 1995, IEEE Transactions on Biomedical Engineering.

[70]  B. Trembly,et al.  Effect of phase modulation on the temperature distribution of a microwave hyperthermia antenna array in vivo. , 1994, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[71]  Arthur W. Guy,et al.  Therapeutic applications of electromagnetic power , 1974 .

[72]  C. K. Charny,et al.  Mathematical Models of Bioheat Transfer , 1992 .

[73]  K Hynynen,et al.  A comparison of theoretical and experimental ultrasound field distributions in canine muscle tissue in vivo. , 1992, Ultrasound in medicine & biology.

[74]  Christopher R. Johnson,et al.  The SCIRun Computational Steering Software System , 1997, SciTools.

[75]  S. Weinbaum,et al.  A new simplified bioheat equation for the effect of blood flow on local average tissue temperature. , 1985, Journal of biomechanical engineering.

[76]  J. C. Chato,et al.  Fundamentals of Bioheat Transfer , 1990 .

[77]  P. Stauffer,et al.  Improved Localization of Energy Deposition in Adaptive Phased-Array Hyperthermia Treatment of Cancer , 1996 .

[78]  J. Oleson Eugene Robertson Special Lecture. Hyperthermia from the clinic to the laboratory: a hypothesis. , 1995, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[79]  Kenneth R. Holmes,et al.  MICROVASCULAR CONTRIBUTIONS IN TISSUE HEAT TRANSFER , 1980, Annals of the New York Academy of Sciences.

[80]  G. Nussbaum Physical aspects of hyperthermia , 1982 .

[81]  Kenneth R. Diller,et al.  Modeling of Bioheat Transfer Processes at High and Low Temperatures , 1992 .

[82]  K Paulsen,et al.  Non-invasive thermal assessment of tissue phantoms using an active near field microwave imaging technique. , 1998, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[83]  J. Overgaard Simultaneous and sequential hyperthermia and radiation treatment of an experimental tumor and its surrounding normal tissue in vivo. , 1980, International journal of radiation oncology, biology, physics.

[84]  S. Weinbaum,et al.  A new fundamental bioheat equation for muscle tissue: Part I--Blood perfusion term. , 1997, Journal of biomechanical engineering.

[85]  F M Waterman,et al.  Blood flow in human tumors during local hyperthermia. , 1991, International journal of radiation oncology, biology, physics.

[86]  D Machin,et al.  Analysis of thermal parameters obtained during phase III trials of hyperthermia as an adjunct to radiotherapy in the treatment of breast carcinoma. , 1997, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[87]  P. Rubin,et al.  Quality assurance problems in clinical hyperthermia and their impact on therapeutic outcome: a Report by the Radiation Therapy Oncology Group. , 1989, International journal of radiation oncology, biology, physics.

[88]  T. Ryan,et al.  Comparison of six microwave antennas for hyperthermia treatment of cancer: sar results for single antennas and arrays. , 1991, International journal of radiation oncology, biology, physics.

[89]  R B Roemer,et al.  Obtaining local SAR and blood perfusion data from temperature measurements: steady state and transient techniques compared. , 1985, International journal of radiation oncology, biology, physics.

[90]  R. Roemer,et al.  Cerebral bloodflow in and around spontaneous malignant gliomas. , 1996, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[91]  E.S. Ebbini,et al.  Direct computation of ultrasound phased-array driving signals from a specified temperature distribution for hyperthermia , 1992, IEEE Transactions on Biomedical Engineering.

[92]  J. Overgaard,et al.  Can mild hyperthermia improve tumour oxygenation? , 1997, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[93]  J. Oleson A Review of Magnetic Induction Methods for Hyperthermia Treatment of Cancer , 1984, IEEE Transactions on Biomedical Engineering.

[94]  K. Hynynen,et al.  Induction of hyperthermia using an intracavitary multielement ultrasonic applicator , 1989, IEEE Transactions on Biomedical Engineering.

[95]  J W Strohbehn,et al.  Temperature distributions from interstitial rf electrode hyperthermia systems: theoretical predictions. , 1983, International journal of radiation oncology, biology, physics.

[96]  H C Charles,et al.  Radiation therapy and hyperthermia improve the oxygenation of human soft tissue sarcomas. , 1996, Cancer research.

[97]  J. Fabre,et al.  Non-invasive microwave multifrequency radiometry used in microwave hyperthermia for bidimensional reconstruction of temperature patterns. , 1993, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[98]  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.

[99]  R B Roemer,et al.  Reconstruction of experimental hyperthermia temperature distributions: application of state and parameter estimation. , 1993, Journal of biomechanical engineering.

[100]  The effect of hydralazine dose on blood perfusion changes during hyperthermia. , 1988, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[101]  S K Das,et al.  Computational techniques for fast hyperthermia temperature optimization. , 1999, Medical physics.

[102]  K Hynynen,et al.  Multi-point feedback control system for scanned, focused ultrasound hyperthermia. , 1990, Physics in medicine and biology.

[103]  P. Stauffer,et al.  Comparative thermal dosimetry of interstitial microwave and radiofrequency-LCF hyperthermia. , 1989, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.