Measurements of effective thermal conductivity during hyperthermia: a comparison of experimental and clinical results

Temperature and effective thermal conductivity (including the convective effects due to tissue blood flow) profiles have been mapped both within a perfused phantom model containing a differentially perfused pseudo-tumour and in patients undergoing microwave (915 MHz) hyperthermia. These measurements demonstrate the influence of differential thermal characteristics of tumour vs. normal tissue on the temperature distributions obtained during hyperthermia. Effective thermal conductivity was measured using a self-heated thermistor probe, and temperature profiles were measured by means of conventional thermocouples and fibre-optic temperature probes. Measurements of effective thermal conductivity obtained in patients prior to microwave hyperthermia, and temperature profiles obtained once steady-state treatment conditions had been attained, show a strong relation between the effective thermal conductivity profile and the ability to obtain therapeutic temperatures without excessive heating of intervening tissues. These observations were confirmed in phantom experiments, demonstrating that this perfused phantom is a more realistic physical model than the conventional unperfused gels usually employed as physical models for hyperthermia experiments. These results demonstrate that tissue thermal clearance is an important determinant of treatment temperature fields, independent of and in addition to the SAR distribution of the particular applicator. Effective thermal conductivity measurements of the different tissues constituting the volume to be heated could be an important index in the planning and optimization of treatment strategies.