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ISSN: 0265-6736 (print), 1464-5157 (electronic)
Int J Hyperthermia, 2015; 31(7): 726736
! 2015 Taylor & Francis. DOI: 10.3109/02656736.2015.1063170
RESEARCH ARTICLE
Department of Electrical and Computer Engineering, Kansas State University, Manhattan, Kansas, USA
Abstract
Keywords
Purpose: Currently available microwave hyperthermia systems for breast cancer treatment do
not conform to the intact breast and provide limited control of heating patterns, thereby
hindering an effective treatment. A compact patch antenna with a flared groundplane that may
be integrated within a wearable hyperthermia system for the treatment of the intact breast
disease is proposed.
Materials and methods: A 3D simulation-based approach was employed to optimise
the antenna design with the objective of maximising the hyperthermia treatment volume
(41 C iso-therm) while maintaining good impedance matching. The optimised antenna design
was fabricated and experimentally evaluated with ex vivo tissue measurements.
Results: The optimised compact antenna yielded a 10 dB bandwidth of 90 MHz centred at
915 MHz, and was capable of creating hyperthermia treatment volumes up to 14.4 cm3
(31 mm 28 mm 32 mm) with an input power of 15 W. Experimentally measured reflection
coefficient and transient temperature profiles were in good agreement with simulated profiles.
Variations of + 50% in blood perfusion yielded variations in the treatment volume up to 11.5%.
When compared to an antenna with a similar patch element employing a conventional
rectangular groundplane, the antenna with flared groundplane afforded 22.3% reduction in
required power levels to reach the same temperature, and yielded 2.4 times larger treatment
volumes.
Conclusion: The proposed patch antenna with a flared groundplane may be integrated within a
wearable applicator for hyperthermia treatment of intact breast targets and has the potential to
improve efficiency, increase patient comfort, and ultimately clinical outcomes.
Introduction
Breast cancer is the most frequent cancer among women and
comprises around 29% of all female cancers [1]. Early
detection and adequate treatment are crucial in the control of
the disease [2] and with an improved and extensive use of
screening techniques, small carcinomas can be detected, and
treated with minimally invasive and non-invasive therapies.
Surgical resection (lumpectomy) is the gold standard for
treatment of many breast tumours; chemotherapy and radiation therapy are also clinically used [3]. Clinical trials have
demonstrated the benefit of adding hyperthermia, moderate
heating in the range of 41 C5T545 C for 30-60 min, as an
adjuvant to radiation and/or chemotherapy of tumours in
several sites, including breast cancer recurrence to the chest
wall [47]. Therapeutic effects of hyperthermia include: some
History
Received 18 March 2015
Revised 22 May 2015
Accepted 13 June 2015
Published online 11 September 2015
DOI: 10.3109/02656736.2015.1063170
727
Figure 1. Two-dimensional view of the proposed antenna with flared groundplane and breast model (A), and 3D zoomed view of the patch
element (B) with the parametrised dimensions.
728
De-ionised water
79.95 [43]
0.20 [43]
1000 [21]
4186 [21]
0.6 [21]
NA
NA
Skin
46.02
0.85
1085
3765
0.397
5929
1620
Fibroglandular tissue
[42]
[42]
[21]
[21]
[21]
[21]
[21]
41.14
0.83
1050
3600
0.5
2700
690
[44]
[44]
[41]
[41]
[41]
[41]
[41]
Fat
5.45
0.051
1069
2279
0.306
2229
350
[42]
[42]
[41]
[41]
[41]
[41]
[41]
@T
r krT Q BT Tbl A0
@t
DOI: 10.3109/02656736.2015.1063170
729
Figure 3. Schematic representation of the breast comprising the treatment volume (41 C iso-therm volume), distance from the skin to the treatment
volume, d41, width of the treatment volume in the plane yz, w41_yz, width of the treatment volume in the plane xz, w41_xz, and length of the treatment
volume l41.
representation of the proposed antenna with flared groundplane and the antenna with rectangular groundplane. The Efield profile generated by each antenna was evaluated to
identify potential hot-spots and assess the electric field
radiated outside the targeted tissue. For thermal models, the
following thermal parameters were employed to characterise
the treatment zone when considering a nominal input power
of 15 W: maximum tissue temperature, distance from the
skin to the treatment volume d41, width of the treatment volume in the plane yz w41_yz, width of the treatment volume
in the plane xz w41_xz, and length of the treatment volume
l41, as shown in Figure 3. Additionally, extents of the
treatment volume were also quantified with input power
adjusted to achieve a maximum tissue temperature of 46 C.
To characterise the robustness of the proposed antenna,
50% variation in blood perfusion within the glandular tissue
[3945] were evaluated.
The proposed antenna with flared groundplane was fabricated, employing optimised antenna dimensions identified
from simulations. The patch and groundplane were implemented with 0.127-mm thick copper sheets (McMaster-Carr,
Elmhurst, IL). A 50 X SMA female connector (PE4099,
Pasternack Enterprise, Irvine, CA) was used to feed the
antenna. The broadband reflection coefficient of the fabricated antenna was measured when in proximity to a tissue
phantom of ex vivo chicken breast. Heating experiments in the
tissue phantom were performed with the set-up illustrated in
Figure 4 to measure the transient temperature profiles induced
by the proposed applicator. Chicken breast samples were
heated to 32 C in a temperature controlled bath before
performing the heating experiments and then positioned in a
1.5-mm thick PTFE fixture. Fibre-optic temperature probes
(Neoptix RFX-04-1, Qualitrol, Fairport, NY) guided with a
PTFE template were placed within the tissue sample as shown
in Figure 5. Room temperature water was circulated through
the system at a flow rate of 5 mL/s with a peristaltic pump
(Cole-Parmer, 7554-90, Vernon Hills, IL). Applied input
power was initially set at 20 W during the first 2 min and then
reduced to 8 W for the following 8 min. These power levels
730
Results
The optimal antenna dimensions, offering a balance between
large treatment volume and S11 less than 30 dB (i.e.50.1%
reflected power), were W 3.9 mm, L 13.7 mm,
h1 3.3 mm, Lo 0.25 mm, h2 5 mm, BD 40 mm and
TD 123 mm. Figure 6 illustrates how the dimensions of the
DOI: 10.3109/02656736.2015.1063170
731
Figure 6. Treatment volume (A) and S11 (B) for different cone base diameter (BD) and top diameter (TD).
Discussion
This study was initiated to design and evaluate the feasibility
of a wearable breast hyperthermia system. A lightweight and
wearable system would avoid uncomfortable breast compression and follow patient breathing and motion, allowing patient
postural changes during the treatment, thereby improving
comfort [30], facilitating treatment persistency, and therapeutic adherence [29]. The wearable device may contribute
towards delivering hyperthermia treatments in a repeatable
manner over the course of several radiation and/or chemotherapy fractions. A patch antenna design was considered for
this study because it presents the advantages of being light,
does not require a feed-line matching network, can be
constructed with an ergonomic shape, and can generate
tangential electric fields.
Simulations were employed to optimise the dimensions of
the antenna and assess its robustness. The ground-plane
732
Figure 7. Simulated S11 of the antenna with flared groundplane for different values of (A) W, (B) L, (C) h1, (D) Lo, and (E) h2.
Minimising the leakage E-field is desirable to avoid undesirable interference with other medical devices. Power deposited
in the fibroglandular tissue region, compared to total power
loss (i.e. power deposited in skin, fibroglandular tissue, and
water) was 0.45 for the flared ground-plane antenna, and 0.31
for the rectangular ground-plane antenna. Considering the
DOI: 10.3109/02656736.2015.1063170
733
Figure 9. E-field profile for the flared groundplane antenna plane yz (A) and xz (C) and rectangular ground-plane antenna plane yz (B) and xz (D), with
15 W input power.
734
Conclusion
DOI: 10.3109/02656736.2015.1063170
735
Groundplane type
Flared
Rectangular
Flared
Rectangular
Power
(W)
Maximum
temperature
( C)
Treatment
volume
(cm3)
d41
(mm)
wyz_41
(mm)
wxz_41
(m)
l41
(mm)
15
15
13.9
17.9
47.3
42.9
46.0
46.0
14.4
1.48
10.7
4.37
4.93
5.65
5.06
3.85
30.96
13.48
27.81
20.12
28.21
12.13
26.32
18.36
32.05
12.17
27.4
18.83
References
Figure 12. Simulated and measured S11 with the ex vivo tissue phantom.
Declaration of interest
This work was supported in part by the National Science
Foundation under grant CBET 1337438 and in part by the
736
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