Experimental brain hyperthermia: techniques for heat delivery and thermometry.
An experimental canine brain model was developed to assess the effects of hyperthermia for a range of time and temperature endpoints, delivered within a specified distance of an interstitial microwave antenna in normal brain. The target temperature location was defined radially at 5.0 or 7.5 mm from the microwave source at the longitudinal location of maximum heating along the antenna in the left cerebral cortex. Temperatures were measured with fiberoptic probes in a coronal plane at this location in an orthogonal catheter at 1.0 mm intervals. Six antennas were evaluated, including dipole, modified dipole, and four shorted helical antennas with coil lengths from 0.5 to 3.9 cm. Antenna performance evaluated in tissue equivalent phantom by adjusting frequency at a fixed insertion depth of 7.8 cm or adjusting insertion depth at 915 MHz showed dipoles to be much more sensitive to insertion depth and frequency change than helical antennas. Specific absorption rate (SAR) was measured in a brain/skull phantom and isoSAR contours were plotted. In vivo temperature studies were also used to evaluate antenna performance in large and small canine brain tissues. A helical antenna with a 2.0 cm coil length driven at 915 MHz was chosen for the beagle experiments because of tip heating characteristics, well-localized heating along the coil length, and heating pattern appropriate to the smaller beagle cranial vault. Verification of lesion dimensions in 3-D was obtained by orthogonal MRI scans and histology to document the desired heat effect, which was to obtain an imagable lesion with well-defined blood-brain-barrier breakdown and necrotic zones. The desired lesion size was between 1.5 to 2.5 cm diameter radially, in the coronal plane with the greatest diameter.
Ryan
T P
TP
Department of Medicine, Dartmouth-Hitchcock Medical Center, Hanover, NH.
Hoopes
P J
PJ
Taylor
J H
JH
Strohbehn
J W
JW
Roberts
D W
DW
Douple
E B
EB
Coughlin
C T
CT
D000818:Animals; D001921:Brain / Q000033:anatomy & histology* / Q000473:pathology / Q000502:physiology; D004285:Dogs; D006979:Hyperthermia, Induced / Q000295:instrumentation / Q000379:methods*; D008279:Magnetic Resonance Imaging; D008953:Models, Anatomic; D012886:Skull / Q000033:anatomy & histology