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Numerical simulation of the effect of necrosis area in systemic delivery of magnetic nanoparticles in hyperthermia cancer treatment

机译:粪肥面积在高温癌症治疗中磁性纳米粒子系统递送的数值模拟

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摘要

In a magnetic hyperthermia treatment, malignant cancerous cells are ablated by the heat production of magnetic nanoparticles (MNP) under an external magnetic field. This novel approach is a promising tool to eliminate the tumor cells by a higher temperature inside the tumor microenvironment. MNPs are needed inside the tumor microenvironment to increase the heat, and this could be possible with intravenous drug injection. However, tumors with necrosis regions are more resistant to drug penetration, and this can cause inadequate and nonhomogeneous temperature distribution in the tumor. Hence, in this study, we used numerical methods to investigate the Spatio-temporal temperature field distribution in the necrotic tumor and its surrounding tissue. To this end, an intravenous bolus injection is used to simulate the effect of systemic drug delivery in tumors with necrosis region. Results show that the temperature field with the necrosis region with 10% of the tumor radius is more prone to higher temperature values. The hypoxia region is affected by the high temperature despite the necrosis region in the tumor. However, a broader necrosis region impedes drug penetration inside the inner layers of tumors, which leads to a lower heat generation by the MNPs. Results also demonstrate that only 15.5% of MNP concentration distributed to the necrosis with 50% of tumor radius, leading a temperature of 42 degrees C in the necrosis region, which is not sufficient for the tumor ablation. Therefore, the temperature distribution is dependant on the sizes of necrosis regions in tumors, and tumors with a larger necrotic region (over 20% of tumor radius) are challenging to treat with hyperthermia treatment. This study could help the future in vitro and in vivo studies of hyperthermia treatment in necrotic tumors.
机译:在磁热疗中,恶性癌细胞通过磁性纳米颗粒(MNP)在外部磁场下产生的热量被烧蚀。这种新的方法是一种很有前途的工具,可以通过提高肿瘤微环境内的温度来消除肿瘤细胞。肿瘤微环境中需要MNP来增加热量,这可以通过静脉药物注射实现。然而,具有坏死区域的肿瘤对药物渗透更具抵抗力,这可能导致肿瘤内温度分布不充分且不均匀。因此,在本研究中,我们使用数值方法来研究坏死肿瘤及其周围组织中的时空温度场分布。为此,使用静脉推注来模拟全身给药对坏死区肿瘤的影响。结果表明,坏死区占肿瘤半径10%的温度场更容易出现较高的温度值。尽管肿瘤中存在坏死区域,但缺氧区域仍受到高温的影响。然而,更广泛的坏死区域阻碍了药物在肿瘤内层的渗透,从而导致MNP产生的热量更低。结果还表明,只有15.5%的MNP浓度分布在肿瘤半径为50%的坏死区域,导致坏死区域的温度为42℃,这不足以进行肿瘤消融。因此,温度分布取决于肿瘤坏死区域的大小,坏死区域较大(超过肿瘤半径的20%)的肿瘤很难用热疗治疗。这项研究可能有助于未来在体内外研究热疗治疗坏死性肿瘤。

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