Towards the Robust and Effective Design of Hyperthermic Devices: Case Study of Abdominal Rhabdomyosarcoma with 3D Perfusion

This work addresses the challenge of deriving a simple but effective multi-physic model useful for the design and simulation of hyperthermia devices for ensuring a high-quality treatment. An existing compact patch antenna working at 434 MHz is re-designed using the proposed methodology. The proposed general approach is used to investigate the specific case of the hyperthermia treatment of abdominal rhabdomyosarcoma. Instead of using patient-specific geometries with discrete vascular tree models, a surface phantom with a continuum 3D blood perfusion model of tumors is used. The geometrical parameters of the antennas are selected to provide a robust design against the variation of the phantom parameters. The effectiveness of the antenna is evaluated simulating the treatment with a recent non-linear multi-physic model, considering the different description of tumor vasculature. A more robust and effective design is obtained, with respect to its previous version. Indeed, the antenna bandwidth is increased with about 7%. The treatment performed using the old version of the antenna lead to unsuccessful results (40 °C after 60 min), whilst the novel robust design could successfully treat the target region. The new version of the patch can withstand a temperature of 42.5 °C for 60 min of treatment. To further enhance the effectiveness of the treatment, the use of a time-modulated power is studied. The proposed model could be extended to different body regions and used to develop an application-oriented design of antennas for hyperthermia treatment.