A robot-controlled microwave antenna system for uniform hyperthermia treatment of superficial tumours with arbitrary shape

Vesicoureteral reflux in children: a phantom study of microwave heating and radiometric thermometry of pediatric bladder

We have investigated the use of microwave heating and radiometry to safely heat urine inside a pediatric bladder. The medical application for this research is to create a safe and reliable method to detect vesicoureteral reflux, a pediatric disorder, where urine flow is reversed and flows from the bladder back up into the kidney. Using fat and muscle tissue models, we have performed both experimental and numerical simulations of a pediatric bladder model using planar dual concentric conductor microstrip antennas at 915 MHz for microwave heating. A planar elliptical antenna connected to a 500 MHz bandwidth microwave radiometer centered at 3.5 GHz was used for noninvasive temperature measurement inside tissue. Temperatures were measured in the phantom models at points during the experiment with implanted fiberoptic sensors, and 2-D distributions in cut planes at depth in the phantom with an infrared camera at the end of the experiment. Cycling between 20 s with 20 Watts power for heating, and 10 s without power to allow for undisturbed microwave radiometry measurements, the experimental results show that the target tissue temperature inside the phantom increases fast and that the radiometer provides useful measurements of spatially averaged temperature of the illuminated volume. The presented numerical and experimental results show excellent concordance, which confirms that the proposed system for microwave heating and radiometry is applicable for safe and reliable heating of pediatric bladder.

Can we settle with single-band radiometric temperature monitoring during hyperthermia treatment of chestwall recurrence of breast cancer using a dual-mode transceiving applicator?

The total thermal dose that can be delivered during hyperthermia treatments is frequently limited by temperature heterogeneities in the heated tissue volume. Reliable temperature information on the heated area is thus vital for the optimization of clinical dosimetry. Microwave radiometry has been proposed as an accurate, quick and painless temperature sensing technique for biological tissue. Advantages include the ability to sense volume-averaged temperatures from subsurface tissue non-invasively, rather than with a limited set of point measurements typical of implanted temperature probes. We present a procedure to estimate the maximum tissue temperature from a single radiometric brightness temperature which is based on a numerical simulation of 3D tissue temperature distributions induced by microwave heating at 915 MHz. The temperature retrieval scheme is evaluated against errors arising from unknown variations in thermal, electromagnetic and design model parameters. Whereas realistic deviations from base values of dielectric and thermal parameters have only marginal impact on performance, pronounced deviations in estimated maximum tissue temperature are observed for unanticipated variations of the temperature or thickness of the bolus compartment. The need to pay particular attention to these latter applicator construction parameters in future clinical implementation of the thermometric method is emphasized.

A 433 MHz Lucite cone waveguide applicator for superficial hyperthermia

The effective field size (EFS, SAR > or = 50% of the maximum SAR at 1 cm depth) of a conventional 433 MHz water filled waveguide applicator (32 cm2, aperture area 100 cm2) has been increased by: (1) replacement of the two diverging brass side walls which are parallel to the direction of the electric field by Lucite walls; and (2) Placement of a heterogeneous permittivity in the centre of the aperture. SAR distributions were measured at several depths in layered fat-muscle phantoms. With Lucite side walls the SAR distribution becomes wider in the H-plane of the aperture, resulting in a circular SAR distribution. In this situation the EFS is 67 cm2. Additional insertion of a PVC cone with a top angle of 15 degrees at the centre of the aperture increases the EFS to 91 +/- 6 cm2 for a waterbolus of 18 x 18 x 1 cm3. The experiments also demonstrated that the resulting EFS is affected by the waterbolus size and shape. Calorimetric measurements showed that the efficiency of the improved applicator is comparable to the efficiency of the conventional water filled waveguide applicator, 50 and 56% respectively. The modifications reported provide a simple and inexpensive means to increase the EFS and can be easily implemented in water filled waveguide applicators.

Pre-clinical evaluation of a microwave planar array applicator for superficial hyperthermia

Multi-element hyperthermia applicators have an advantage over single-aperture devices in that the power deposition pattern across the applicator surface may be adjusted to improve the resultant temperature distribution. This capability can be used to compensate for irregular tumour geometry as well as heterogeneity of thermal and power absorption parameters within the tissue. This paper evaluates the first commercially available microwave system of this type designed for superficial hyperthermia. The applicator (16-element planar array, 915 MHz, 15.2 x 15.2 cm footprint) was evaluated by the following: (1) measuring absolute SAR distributions in muscle-equivalent liquid phantom with an intervening 1 cm thick layer of fat phantom by scanning a calibrated E-field sensor, and (2) power output measurements using calorimetric methods. The SAR distributions measured for each individual aperture exhibited significant irregularities and differing power deposition patterns. A priori knowledge of these different power deposition characteristics was used to provide appropriate illumination schemes which could be used as initial starting points for producing clinically useful power deposition patterns. Measurements of these composite patterns demonstrate the adjustable nature and flexibility of the heating capabilities of this applicator, which includes 50% iso-SAR coverage that can be extended to the applicator perimeter. This clearly illustrates the clinical utility and potential advantages of this system over single-aperture devices for superficial hyperthermia.