Noninvasive Focused Monitoring and Irradiation of Head Tissue Phantoms at Microwave Frequencies

A Preclinical System Prototype for Focused Microwave Breast Hyperthermia Guided by Compressive Thermoacoustic Tomography

OBJECTIVE

As a newly developed technique, focused microwave breast hyperthermia (FMBH) can provide accurate and cost-effective treatment of breast tumors with low side effect. A clinically feasible FMBH system requires a guidance technique to monitor the microwave power distribution in the breast. Compressive thermoacoustic tomography (CTT) is a suitable guidance approach for FMBH, which is more cost-effective than MRI. However, no experimental validation based on a realized FMBH-CTT system has been reported, which greatly hinders the further advancement of this novel approach.

METHODS

We developed a preclinical system prototype for the FMBH-CTT technique, containing a microwave phased antenna array, a microwave source, an ultrasound transducer array and associated data acquisition module.

RESULTS

Experimental results employing homogeneous and inhomogeneous breast-mimicking phantoms demonstrate that the CTT technique can offer reliable guidance for the entire process of the FMBH. In addition, small phase noises do not deteriorate the overall performance of the system prototype.

CONCLUSION

The realized preclinical FMBH-CTT system prototype is capable for noninvasive, accurate and low-side-effect breast tumor treatment with effective guidance.

SIGNIFICANCE

The experimentally validated FMBH-CTT system prototype provides a feasible paradigm for CTT guided FMBH, establishes a practical platform for future improvement of this technique, and paves the way for potential clinical translation.

Multi-physics modeling to study the influence of tissue compression and cold stress on enhancing breast tumor detection using microwave radiometry

The influence of tissue compression and external thermal modulation on passive detection of breast tumors using medical microwave radiometry was investigated using multi-physics numerical modeling. A three-dimensional numerical model of the pendant breast with 10 and 6 mm diameter tumors at varying depths (15 mm, 30 mm) was analyzed at thermodynamic equilibrium using a circular waveguide as the receive antenna. The contrast in the brightness temperature, ΔT_B , between the unhealthy and healthy breasts was found to be significantly more for breast compression alone, compared to thermal modulation of the tissue surface, irrespective of tissue composition, tumor size, and depth. The study also concludes that small deep-seated tumor with very low metabolic activity that is not detectable by a radiometer with 0.1 °C sensitivity could be detected under breast compression and short duration cold stress. Thus, detection of deep-seated breast tumors can be significantly improved under controlled tissue compression with an optional cold stress. Bioelectromagnetics. © 2019 Bioelectromagnetics Society.

The effect of using a dielectric matching medium in focused microwave radiometry: an anatomically detailed head model study

Microwave radiometry is a passive technique used to measure in-depth temperature distributions inside the human body, potentially useful in clinical applications. Experimental data imply that it may provide the capability of detecting in-depth local variations of temperature and/or conductivity of excitable tissues at microwave frequencies. Specifically, microwave radiometry may allow the real-time monitoring of brain temperature and/or conductivity changes, associated with local brain activation. In this paper, recent results of our ongoing research regarding the capabilities of focused microwave radiometry for brain intracranial applications are presented. Electromagnetic and thermal simulation analysis was performed using an anatomically detailed head model and a dielectric cap as matching medium placed around it, in order to improve the sensitivity and the focusing attributes of the system. The theoretical results were compared to experimental data elicited while exploring that the sensing depth and spatial resolution of the proposed imaging method at 2.1 GHz areas located 3 cm deep inside the brain can be measured, while at 2.5 GHz, the sensing area is confined specifically to the area of interest. The results exhibit the system's potential as a complementary brain imaging tool for multifrequency in-depth passive monitoring which could be clinically useful for therapeutic, diagnostic, and research applications.

Imaging of Conductivity Changes of Excitable Tissues Based on Focused Passive Microwave

Aims:

Modeling of ionic distribution fluctuations of excitable tissues based on data elicited using focused microwave radiometry.

Methodology:

Focused Microwave Radiometry implemented to carry out measurements of in depth body temperature distributions, may provide the capability of sensing local electrical conductivity fluctuations during the cycle of actions potentials in the case of brain excitable cell clusters. An analog beamformer consisting of a conductive inner-surface ellipsoidal cavity is used to focus the chaotic-black body radiation emerging from human tissues by providing convergence of the electromagnetic energy from one focus area where the phantom or subject is placed, to the other where the antennas of sensitive radiometric receivers are positioned. During the past 10 years numerous phantom, animal and human volunteer experiments have been performed with the focused radiometry imaging system. The results show that the detected changes of the output radiometric voltage are attributed to temperature and/or conductivity changes that occur locally concentrated at the areas of interest under measurement. Theoretical and experimental studies are continuously carried out at various frequency bands in conjunction with the use of matching materials placed around the human head or phantom to improve focusing and detection depth. It seems that the manipulation of the focusing area in the tissue in terms of detection depth and spatial resolution is feasible depending on the suitable combination of operation frequencies and matching material. In this paper, theoretical analysis of ion charge diffusion during the cycle of action potentials, propagating along the axons in case of measurements of specific cortical regions is presented. The ion charge diffusion modeling is based on electromagnetic diffusion analogies in the effort to explain the observed experimental results obtained under various psychophysiological conditions in the case of human volunteer measurements.

Results:

By implementing an analysis based on the continuity equations of ionic charges it is concluded that the microwave radiometry output voltage is not affected by the temporal and spatial average fluctuations of Na⁺, K⁺, and Cl^- ions of neural cell axons.

Conclusion:

The analysis of conductivity fluctuations in the central neural system in conjunction with the electromagnetic analysis of the system, leads to the interpretation of the previously acquired experimental data. The application of this technique with other brain functional mapping methods, may provide complementary knowledge to the understanding of the functional organization of psychophysiological processes.

Experimental study of a hybrid microwave radiometry-hyperthermia apparatus with the use of an anatomical head phantom

This paper presents the latest progress made concerning a hybrid diagnostic and therapeutic system able to provide focused microwave radiometric temperature and/or conductivity variation measurements and hyperthermia treatment. Previous experimental studies of our group have demonstrated the system performance and focusing properties in phantom as well as human experiments. The system is able to detect temperature and conductivity variations with frequency-dependent detection depth and spatial sensitivity. Numerous studies have also demonstrated the improvement of the system focusing properties attributed to the use of dielectric and left handed matching layers. In this study, similar experimental procedures are performed but this time using an anatomical head model as phantom aiming to achieve a more accurate modeling of the system's future real function. This way, another step is made toward the deeper understanding of the system's capabilities, with the view to further use it in experimental procedures with laboratory animals and human volunteers.

Passive monitoring using a combination of focused and phased array radiometry: a simulation study

Aim of this simulation study is to use the focusing properties of a conductive ellipsoidal reflector in conjunction with directive phased microwave antenna configurations in order to achieve brain passive monitoring with microwave radiometry. One of the main modules of the proposed setup which ensures the necessary beamforming and focusing on the body and brain areas of interest is a symmetrical axis ellipsoidal conductive wall cavity. The proposed system operates in an entirely non-invasive contactless manner providing temperature and/or conductivity variations monitoring and is designed to also provide hyperthermia treatment. In the present paper, the effect of the use of patch antennas as receiving antennas on the system's focusing properties and specifically the use of phased array setups to achieve scanning of the areas under measurement is investigated. Extensive simulations to compute the electric field distributions inside the whole ellipsoidal reflector and inside two types of human head models were carried out using single and two element microstrip patch antennas. The results show that clear focusing (creation of "hot spots") inside the head models is achieved at 1.53GHz. In the case of the two element antennas, the "hot spot" performs a linear scan around the brain area of interest while the phase difference of the two microstrip patch antennas significantly affects the way the scanning inside the head model is achieved. In the near future, phased array antennas with multiband and more elements will be used in order to enhance the system scanning properties toward the acquisition of tomography images without the need of subject movement.

Improved radiometric performance attained by an elliptical microwave antenna with suction

We present a new way to securely mount a medical microwave antenna onto the human body for improved in vivo temperature measurements by microwave radiometry. A low cost and simple vacuum pressure source is used to provide suction (negative pressure) on the aperture of an elliptical antenna with vacuum chamber cavity backing. The concept offers improved electromechanical coupling between the antenna surface and the skin of the body. The proposed solution is evaluated experimentally to test repeatability of radiometric temperature measurements by remounting the antenna many times in one sequence on a given anatomical location. Four representative locations (hand, belly, hip, and chest) were used to test the suction antenna concept against anatomical curvature and load variations. Statistical analysis shows a marked decrease in the standard deviation of measured temperatures with the use of suction compared to conventional manual fixation. At repeated measurements, the vacuum antenna produces less uncertainty and improved estimate of the true lossy load temperature. During body movement, the antenna mounted at bone-filled areas shows greatest potential for improved performance.