The subject matter herein generally relates to treating patients with electromagnetic radiation and more particularly, treating patients with electromagnetic radiation to cause rapid heating of tissue and to thereby induce cell death.
Heating of tissues can be used as a form of cancer treatment. Such heating, known as hyperthermia therapy, is generally used as a method to treat cancer, either by just its thermal effects or in combination with other agents, e.g. radiation or pharmaceutical cancer treatments. That is, this heating process is used to kill cancer cells and/or damage cancer cells, making such cells more sensitive to collateral modes of treatment. In general, such therapies require precise control of temperature, as increasing the temperature of tissue to 50 Celsius (“C”) can cause coagulation necrosis (i.e., ablation). Typically, such therapies are carried using different forms of energy, including microwaves, radio waves and ultrasound.
In general, the irradiation time for hyperthermia depends on the maximum temperature the target can reach over an extended time, which could be on the order of hours. Although the temperatures used for treatment generally do not exceed 42 C, some treatments near 50 C have been performed. Such higher temperatures are of interest since increasing the temperature allows exposure time to be reduced. For example, a hyperthermia treatment can be performed by increasing the local body temperature to about 50 C. However, such therapies are still reported to require exposure times on the order of 0.1 hours (6 minutes). [See, e.g., Dickson, J. A. and Calderwood, S. K., 1980, “Temperature Range and Selective Sensitivity of Tumors to Hyperthermia: A Critical Review,” Annals New York Academy of Sciences, Vol. 335, pp. 180-205].
In treating tumors or other cancers, it is desirable that the tumor be locally heated such that healthy tissue remains unaffected. Such a treatment can be affected through external approaches, such as that undertaken for treating skin cancer. An external approach to treating skin cancer, for example, utilizes high frequency microwaves with slight tissue penetration depth to induce cell death in melanoma tumors. For treating deeper lying tumors, however, existing methods generally rely on the insertion of heat sources directly into a tumor to induce cell death or to cause ablation. To overcome the drawbacks associated with such an approach, there has been a move in the field to focus electromagnetic radiation in deeper lying tissues to reach the tumor. Care must be taken, however, to limit the diffusion of heat throughout healthy tissue that surrounds the tumor.
Embodiments of the present invention describe systems and methods for treating patients with electromagnetic radiation to cause rapid heating of tissue and to thereby induce cell death. In a first embodiment of the invention, a method of treating a patient is provided. The method includes identifying a target that contains biological tissue and directing electromagnetic radiation at the target, where the electromagnetic radiation causes a temperature increase per unit of time in the biological tissue. In the method, the temperature increase per unit of time causes the change in the cell function in the biological tissue and is within a range of approximately one degree Celsius per second to approximately one degree Celsius per microsecond.
In a second embodiment of the invention, a method for treating a patient is provided. The method includes positioning a target to receive electromagnetic radiation. The method also includes changing a cell function in the target by directing electromagnetic radiation towards the target such that a temperature increase per unit of time associated with the electromagnetic radiation causes heating in the target and the temperature increase per unit of time is within a range of approximately one degree Celsius per second to approximately one degree Celsius per microsecond.
In a third embodiment of the invention, a system for treating a patient is provided. The system includes an antenna that emits electromagnetic radiation and a reflector that receives the electromagnetic radiation from the antenna, where the reflector is configured to direct at least a portion of the electromagnetic radiation from the antenna to a target to change a cell function in biological tissue of the target. In the system, the electromagnetic radiation directed at the target causes a temperature increase per unit of time in the biological tissue and the temperature increase per unit of time causes the change in the cell function in the biological tissue and is within a range of approximately one degree Celsius per second to approximately one degree Celsius per microsecond.
Embodiments of the present application will now be described, by way of example only, with reference to the attached Figures, wherein:
The present invention is described with reference to the attached figures, wherein like reference numerals are used throughout the figures to designate similar or equivalent elements. The figures are not drawn to scale and they are provided merely to illustrate the instant invention. Several aspects of the invention are described below with reference to example applications for illustration. It should be understood that numerous specific details, relationships, and methods are set forth to provide a full understanding of the invention. One having ordinary skill in the relevant art, however, will readily recognize that the invention can be practiced without one or more of the specific details or with other methods. In other instances, well-known structures or operations are not shown in detail to avoid obscuring the invention. The present invention is not limited by the illustrated ordering of acts or events, as some acts may occur in different orders and/or concurrently with other acts or events. Furthermore, not all illustrated acts or events are required to implement a methodology in accordance with the present invention.
Several definitions that apply throughout this document will now be presented. The word “patient” is defined as any living organism that is capable of receiving treatment for an ailment or some other medical or cosmetic condition. A “target” is defined as tissue towards which electromagnetic radiation may be intentionally directed to cause some change in the tissue. “Biological tissue” means any living tissue. The term “electromagnetic radiation” means radiation consisting of electromagnetic waves. A “cell function” is defined as a biological activity, process, behavior or result that a cell is capable of performing, exhibiting or undergoing. The term “cell death” is defined as the biological death of a cell.
An “antenna” is defined as a structure that is capable of at least emitting electromagnetic radiation. A “reflector” is defined as a structure that receives electromagnetic radiation from an antenna and reflects the electromagnetic radiation substantially towards a target. The term “focal point” means a point at which radiation converges or from which radiation diverges. A “lens” is defined as a medium that is configured to alter the convergence or divergence of electromagnetic radiation. The term “coupling medium” is defined as a medium, other than atmospheric air, that engages a surface and through which electromagnetic radiation may pass.
As noted earlier, the process of heating tissue to temperatures that will induce cell death has been used as a form of cancer treatment. However, as also has been noted, such treatments generally require extended exposure of the tissue to electromagnetic radiation, which can take minutes or even hours. Generally, the result of such treatments is generation of heat at the target and dissipation of heat from the target to the surrounding normal tissues. Accordingly, throughout the treatment, the heat accumulation at the target also has to overcome heat losses to surrounding normal tissues so the target can maintain the therapeutic temperature. Unfortunately, such heat losses to the surrounding normal tissues within the extended treatment time increase the heat loading to the patient. Therefore, it is desirable to reduce the exposure time in order to reduce such heating effects in the normal tissues, yet still maintain therapeutic effectiveness at the target for patient treatments.
In view of these issues and the limitations of conventional hyperthermic therapies, the various embodiments of the invention provide a system and method for treating target tissues in a patient using a hyperthermic treatment that minimizes the impact on surrounding tissues. In the various embodiments of the invention, such treatments are achieved through exposure of a target biological tissue to high power electromagnetic energy, such as microwave energy, but with a duration of approximately one (1) second or less. Through such treatments, a rapid temperature rise per unit of time (up to 1 degree/microsecond) can be achieved to reduce exposure times. Further, while the resulting maximum temperature may be above or below the typical therapeutic temperature for hyperthermia (e.g., 42 C), the present inventors have discovered that it is the temperature rise per unit of time at the target that causes significant the change of cell function (e.g., cell death).
In the various embodiments of the invention, methods are provided for that can include the steps of identifying a target that contains biological tissue and directing electromagnetic radiation at the target to change a cell function in the biological tissue. The electromagnetic radiation can cause a temperature increase per unit of time in the biological tissue. In addition, the temperature increase per unit of time can be within a range of approximately one degree Celsius per second to approximately one degree Celsius per microsecond and can cause the change in the cell function, including cell death, in the biological tissue. This process can induce cell death in the target but can limit the patient's thermal exposure and total energy deposition in the patient's body, particularly in comparison to prior art techniques.
In the configuration illustrated in
The antenna 105 can be in the form of any structure that is capable of emitting one or more pulses of a desired type of electromagnetic radiation. For example,
Referring now to
Method 400 begins at step 402 and continues to step 404. At step 404, a target that contains biological tissue can be identified. Such identification can be performed using any type of method, including surgical and imaging methods. Afterwards, at step 406, the target can be positioned to receive electromagnetic radiation. For example, a patient may be afflicted with a condition in which the patient's body contains unwanted biological tissue. The biological tissue may contain, for example, cancerous tissue or adipose tissue. Referring to
Thereafter, at step 408, at least one pulse of electromagnetic radiation can be directed at the target to change a cell function in the biological tissue of the target. For example, as described above with respect to
The pulses of electromagnetic radiation directed to the target can cause a temperature increase per unit of time in the biological tissue of the target 115. This temperature increase per unit of time causes heating in the target 115, and the temperature increase per unit of time can be in a range from approximately one degree Celsius per second to approximately one degree Celsius per microsecond. This range represents values that are much higher than those used for conventional treatments, in which heat treatments rely on sustaining an effective temperature, and it has been shown that a temperature increase per unit of time in this range causes a change in cell function of the tissue in the target 115. For example, the present inventors have found that cell death in the target 115 can been induced in response to this range, which can be useful in the treatment of cancerous tumors. In addition, for an increase in the temperature increase per unit of time associated with the electromagnetic radiation, there is a corresponding increase in the cell death rate of the target 115. In the various embodiments of the invention, the temperature increase per unit of time can be adjusted by varying the power density (power per unit area) of the electromagnetic radiation at the position of the biological tissue. Such an adjustment is illustrated in
In
However, biological effects can also be adjusted via the type (i.e., frequency) of electromagnetic radiation. For example, as shown in
Therefore, in view of
Although various exposure times or pulse durations, temperature rise rates, and total temperature amounts are specified above, the various embodiments of the invention are not limited to any specific combination of these values. Rather, in the various embodiments of the invention any combination of pulse duration, temperature rise rate and total temperature rise can be used to accommodate the type of treatment. For example, it is possible to increase temperatures by as much as 100 degrees for short exposure times.
In the various embodiments of the invention, the electromagnetic radiation has a frequency within a range of approximately one hundred megahertz (MHz) to approximately one hundred gigahertz (GHz). Since the depth of penetration decreases with increasing frequency. The frequency of the electromagnetic radiation can therefore be adjusted to accommodate certain conditions, if desired. For example, the frequency of the electromagnetic radiation can be determined based on the depth of penetration necessary to reach the target 115. Such a condition may be the case when a target 115 is embedded under the skin of a patient. The frequency of the electromagnetic radiation, however, is not necessarily limited to this particular range, as other suitable values may be applicable.
Further, a range of power densities can be used in the various embodiments of the invention. For example, power densities can be in the range of 100 W/kg (corresponding to conventional dosages for hyperthermia) to 100 MW/Kg (corresponding to a 10 C/ns temperature rise rate).
Referring back to method 400, electromagnetic radiation is described as being directed to a target at step 408 by reflecting the radiation to a target 115 using reflector 110. In particular, by arranging the target 115 to coincide with the second focal point 130. However, in some cases, if there are imperfections in the radiation pattern of the antenna 105, the reflector 105, and or alignment of target 115 with second focal point 130, the electromagnetic radiation may not correctly reach the target. Therefore, in some embodiments of the invention, additional components can be included with system 100 to improve directing of radiation to target 115.
For example, in some embodiments of the invention, a lens or other focusing feature can be used to correct such alignment issues. Further, such a lens or focusing feature can also be used generally to improve resolution and provide higher intensity at the second focal point 130. This is illustrated in
In some embodiments of the invention, alternatively or in addition to lenses, a coupling medium can be used to direct electromagnetic energy to a point on a target. For example,
Applicants present certain theoretical aspects above that are believed to be accurate that appear to explain observations made regarding embodiments of the invention. However, embodiments of the invention may be practiced without the theoretical aspects presented. Moreover, the theoretical aspects are presented with the understanding that Applicants do not seek to be bound by the theory presented.
While various embodiments of the present invention have been described above, it should be understood that they have been presented by way of example only, and not limitation. Numerous changes to the disclosed embodiments can be made in accordance with the disclosure herein without departing from the spirit or scope of the invention. Thus, the breadth and scope of the present invention should not be limited by any of the above described embodiments. Rather, the scope of the invention should be defined in accordance with the following claims and their equivalents.
Although the invention has been illustrated and described with respect to one or more implementations, equivalent alterations and modifications will occur to others skilled in the art upon the reading and understanding of this specification and the annexed drawings. In addition, while a particular feature of the invention may have been disclosed with respect to only one of several implementations, such feature may be combined with one or more other features of the other implementations as may be desired and advantageous for any given or particular application.
The terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. As used herein, the singular forms “a”, “an” and “the” are intended to include the plural forms as well, unless the context clearly indicates otherwise. Furthermore, to the extent that the terms “including”, “includes”, “having”, “has”, “with”, or variants thereof are used in either the detailed description and/or the claims, such terms are intended to be inclusive in a manner similar to the term “comprising.” Unless otherwise defined, all terms (including technical and scientific terms) used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. It will be further understood that terms, such as those defined in commonly used dictionaries, should be interpreted as having a meaning that is consistent with their meaning in the context of the relevant art and will not be interpreted in an idealized or overly formal sense unless expressly so defined herein.
This application claims the benefit of Provisional Application Ser. No. 61/220,148 entitled “VERY HIGH POWER, ULTRA-FAST RISE TIME MICROWAVE PULSES FOR TREATING A TARGET REGION”, filed Jun. 24, 2009, which is herein incorporated by reference in its entirety.
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/US2010/032979 | 4/29/2010 | WO | 00 | 12/15/2011 |
Number | Date | Country | |
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61220148 | Jun 2009 | US |