Necrosis evolution during high-temperature hyperthermia through implanted heat sources

IEEE Trans Biomed Eng. 2003 Mar;50(3):305-15. doi: 10.1109/TBME.2003.808812.

Abstract

A nonstationary model for high-temperature hyperthermic treatments is developed. The aim of this model is to describe the thermal propagation within a living tissue and to quantify its clinical effects as it regards the physiological status (necrosis) of a neoplastic body. Particular attention is turned to the description of the necrotic transition induced by heating. This leads to the introduction of a necrosis field and to an effective-medium approximation for the corresponding physiological status (vascularization, necrosis, etc.) of the exposed tissue. The resulting nonlinear, nonstationary model is applied to a multilayered spherical structure with a temperature-regulated implant, and to a clinical case of a solid liver tumor. Clinical data on the spatial extent of the necrotized region are in good agreement with model predictions.

Publication types

  • Comparative Study
  • Evaluation Study
  • Validation Study

MeSH terms

  • Computer Simulation
  • Hot Temperature / therapeutic use*
  • Humans
  • Hyperthermia, Induced / methods*
  • Liver Neoplasms / pathology
  • Liver Neoplasms / physiopathology
  • Liver Neoplasms / therapy
  • Models, Biological*
  • Necrosis*
  • Neoplasms / pathology
  • Neoplasms / physiopathology*
  • Neoplasms / therapy*
  • Nonlinear Dynamics
  • Prostheses and Implants
  • Sensitivity and Specificity
  • Stochastic Processes
  • Temperature
  • Therapy, Computer-Assisted / methods