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放射治療與腫瘤學

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篇名 組織插植式微波天線陣列熱療系統之假體研究
卷期 4:2
並列篇名 The Phantom Study of Interstitial Microwave Antenna Array Hyperthermia System
作者 熊佩韋許文林蘇振隆紀瑞峻施榕平
頁次 147-153
關鍵字 微波天線陣列溫度分佈假體穩態水流流速Microwave antenna arrayTemperature distributionPhantomSteady stateFlow rateTSCI
出刊日期 199706

中文摘要

     目的:在探討使用組織插植式微波熱療系統於假體內溫度分佈之狀況,以評估該系統之發展。材料與方法:本研究乃採用一種新設計的微波天線套管式同軸狹縫天線來做為實驗中的加熱源,並利用六根天線所組成的天線陣列,以期能於陣列所涵蓋之範圍內作區域性加熱。假體的實驗分兩部分完成,第一部份在不考慮血液循環對於溫度階佈所產生的影響下,利用組織插植式微波熱治療系統先針對人體均質假體進行加熱。為了能夠測得假體中不同深度的溫度分佈情形,因此於加熱一段時間且假體之溫度分佈到達穩態後,即開始以每次5 mm 的距離調整溫度計插入之深度,以量測多個深度平面的溫度分佈結果。 第二部份,則利用相同的熱治療系統並配合自行設計的模擬血液循環系統,對肌肉假體進行加熱試驗,與第一部份不同的是另加一水管貫穿肌肉假體的中心位置,藉水溫 36 ℃的循環液流過以模擬血液流動狀態, 並分別以五種不同水流速度 (25、50、75、100 和 125 ml/min) 來討論其溫度分佈狀態。結果:第一部份的實驗結果顯示此一天線陣列加熱時在天線方向上所產生的溫度分佈情形,其最高溫度是出現於接近天線前端之狹縫區域,同時在天線頂端處亦能達到有效的治療溫度 43 ℃。第二部份研究則顯示在有水流的狀態下,其溫度上升之斜率明顯低於無水流的狀態,因而證實血流對於假體在加熱時其能量的吸收確實有所影響,而且隨著水流流速的增大, 其影響亦呈現逐漸增加的趨勢, 但是當水流流速到達一定程度時 (100ml/min), 水流對於能量之影響將呈現一穩定狀態,此時假體能量流失率不再隨著水流流速的增加而增加。結論:在本系統溫度監控軟體的自動控制下,對於目前考慮血流的假體實驗設計而言,利用此一熱療系統來進行加熱,將可使整個天線陣列所圍成的區域其溫度分佈維持於 43-45 ℃, 而此一實驗結果將有助於未來動物實驗的推展。 [ 放射治療與腫瘤學1997;4: 147-153]

英文摘要

     Purpose: To test the performance of interstitial microwave antennaarray hyperthermia system using a phantom model with or without flow effect.Material and Method: The heating device was a custom-made interstitial microwaveantenna array hyperthermia system. Six 2450-MHz antennas which were implanted onthe corners of a hexagon with intercather spacing of 15mm were used in thissystem. A phantom with flow was designed, namely, one silicone tube insertedinto a homogenous muscle phantom. The temperature data from four fibroopticthermometers were fed to the personal computer which coould record and analyzethe data, also could control the output power of microwave source. To test thesystem performance, we devided the study into two stages. In the first stage,the thermal distribution in a phantom without flow was conducted. In the secondstage, the experiments in a phantom with different flow rates (25, 50, 75, 100and 125 ml/min) were designed. The flow rates of water through silicone tubeswere controled by a microtube pump. Results: Using the automatic temperature andpower control in this intersitial microwave antenna array hyperthermia system,the temperature distribution in phantom can be maintained uniformly in the rangeof 43-45 ℃ The first-stage study showed that there was a tendency that thetemperature was concentrated around the antennas. For the flow effect on thermaldistribution, the results demonstrated that the faster flow rate would take moreenergy away in the transient period. However, the rate of energy loss casued byflowing water became constant when the flow rate was faster than 100ml/min.Conclusion: An interstitial microwave antenna array hyperthermia system fordeep-seated heating was developed. The superior ability of this system inmaintaining uniform temperature distribution around the heating area was alsoclearly demonstrated.[Therapeut Radiol Oncol 1997; 4: 147-153]

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