RESUMEN
Electrochemotherapy is a cancer treatment in which local pulsed electric fields are delivered through electrodes. The effectiveness of the treatment depends on exposing the tumor to a threshold electric field. Electrode geometry plays an important role in the resulting electric field distribution, especially in hard-to-reach areas and deep-seated tumors. We designed and developed a novel tetrapolar single-needle electrode for proper treatment in bone cavities. In silico and in vitro experiments were performed to evaluate the electric field and electric current produced by the electrode. In addition, tomography images of a real case of nasal cavity tumor were segmented into a 3D simulation to evaluate the electrode performance in a bone cavity. The proposed electrode was validated and its operating range was set up to 650 V. In the nasal cavity tumor, we found that the electrode can produce a circular electric field of 3 mm with an electric current of 14.1 A at 500 V, which is compatible with electrochemotherapy standards and commercial equipment.
Asunto(s)
Electroquimioterapia , Neoplasias , Humanos , Simulación por Computador , Agujas , ElectrodosRESUMEN
Biological tissue exhibits a strong dielectric dispersion from DC to GHz. Implementing biological dispersion in the time domain with commercial finite element method software could help improve engineering analysis of electrical transient phenomena. This article describes the steps required to implement time-domain biological dispersion with commercial finite element method software. The study begins with the presentation of a genetic algorithm to fit the experimental dispersion curve of Solanum tuberosum (potato tuber) to multipoles of first-order Debye dispersion. The results show that it is possible to represent the biological dispersion of S. tuberosum from 40 Hz to 10 MHz in a 4-pole Debye dispersion. Then, a set of auxiliary differential equations is used to transform the multipole Debye dispersion from the frequency domain to the time domain. The equations are implemented in the commercial software COMSOL Multiphysics. A comparison between the frequency and time domain simulations was used to validate the method. An analysis of the electric current with square-wave pulsed voltage was performed. We found that the computer implementation proposed in this work can describe the biological dispersion and predict the electric current.
Asunto(s)
Modelos Biológicos , Programas Informáticos , Análisis de Elementos Finitos , ElectricidadRESUMEN
Electrochemotherapy (ECT) and Irreversible electroporation (IRE) are cancer treatments based on electric field distribution in tissues. Solanum tuberosum (potato tissue) phantom is known to mimic changes in the electrical conductivity that occur in animal tissues during electroporation (EP). Electric field distribution is assessed through enzymatic staining. However, the 24-h wait for this assessment could slow agile response scenarios. We developed and validated the Musa acuminata (cavendish banana) conductivity model, which quickly evaluates EP by tissue staining. We investigated the frequency response of the tissue using impedance spectroscopy analysis, conductivity changes, and enzymatic staining. We optimized three usual EP models: adapted Gompertz, smoothed Heaviside, and the sigmoid or logistic function. We found dielectric parameters in banana tissue similar to those in potato (electrical conductivity of 0.035 S/m and relative permittivity of 4.1×104). The coefficients of determination R2 were 99.94% (Gompertz), 99.85% (Heaviside), and 99.58% (sigmoid). The sigmoid and Heaviside functions described the calibration and validation electric currents with 95% confidence. We observed the electroporated areas in bananas 3h30m after EP. Staining was significant after 450 V/cm. The conductivity model of Musa acuminata suits treatment planning, hardware development, and training scenarios. Banana phantom supports the 3Rs practice and is a reliable alternative for potato in EP studies.
Asunto(s)
Electroquimioterapia , Musa , Animales , Terapia de Electroporación , Electroporación , Conductividad EléctricaRESUMEN
Electrochemotherapy is a selective electrical-based cancer treatment. A thriving treatment depends on the local electric field generated by pairs of electrodes. Electrode damage as deflection can directly affect this treatment pillar, the distribution of the electric field. Mechanical deformations such as tip misshaping and needle deflection are reported with needle electrode reusing in veterinary electrochemotherapy. We performed in vitro and in silico experiments to evaluate potential problems with ESOPE type II electrode deflection and potential treatment pitfalls. We also investigated the extent to which the electric currents of the electroporation model can describe deflection failure by comparing in vitro with the in silico model of potato tuber (Solanum tuberosum). The in silico model was also performed with the tumor electroporation model, which is more conductive than the vegetal model. We do not recommend using deflected electrodes. We have found that a deflection of ± 2 mm is unsafe for treatment. Inward deflection can cause dangerous electrical current levels when treating a tumor and cannot be described with the in silico vegetal model. Outward deflection can cause blind spots in the electric field.