Laboratory prototype for experimental validation of MR-guided radiofrequency head and neck hyperthermia.
Clinical studies have established a strong benefit from adjuvant mild hyperthermia (HT) to radio- and chemotherapy for many tumor sites, including the head and neck (H&N). The recently developed HYPERcollar allows the application of local radiofrequency HT to tumors in the entire H&N. Treatment quality is optimized using electromagnetic and thermal simulators and, whenever placement risk is tolerable, assessed using invasively placed thermometers. To replace the current invasive procedure, we are investigating whether magnetic resonance (MR) thermometry can be exploited for continuous and 3D thermal dose assessment. In this work, we used our simulation tools to design an MR compatible laboratory prototype applicator. By simulations and measurements, we showed that the redesigned patch antennas are well matched to 50 Ω (S11<-10 dB). Simulations also show that, using 300 W input power, a maximum specific absorption rate (SAR) of 100 W kg(-1) and a temperature increase of 4.5 °C in 6 min is feasible at the center of a cylindrical fat/muscle phantom. Temperature measurements using the MR scanner confirmed the focused heating capabilities and MR compatibility of the setup. We conclude that the laboratory applicator provides the possibility for experimental assessment of the feasibility of hybrid MR-HT in the H&N region. This versatile design allows rigorous analysis of MR thermometry accuracy in increasingly complex phantoms that mimic patients' anatomies and thermodynamic characteristics.
Erasmus Medical Center, Rotterdam, Netherlands.
M M
MM
Paulides
J F
JF
Bakker
L W
LW
Hofstetter
W C M
WC
Numan
R
R
Pellicer
E W
EW
Fiveland
M
M
Tarasek
G C
GC
Houston
G C
GC
van Rhoon
D T B
DT
Yeo
G
G
Kotek
D004867:Equipment Design; D006258:Head and Neck Neoplasms / Q000628:therapy*; D006358:Hot Temperature; D006979:Hyperthermia, Induced / Q000295:instrumentation*; D007753:Laboratories; D008279:Magnetic Resonance Imaging; D019047:Phantoms, Imaging; D000078702:Radiofrequency Therapy; D061089:Radiotherapy, Image-Guided / Q000295:instrumentation*; D062125:Thermometry