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'Relationship between thermal dose and cell death for "rapid" ablative and "slow" hyperthermic heating'
Petros X E Mouratidis1, Ian Rivens1, John Civale1
1a Joint Department of Physics, Division of Radiotherapy and Imaging , The Institute of Cancer Research: Royal Marsden Hospital , Sutton , UK.
Summary
A new temperature-adjusted method for thermal isoeffective dose (TID) accurately predicts cell survival after rapid thermal ablation. This improved dosimetry enhances the understanding of thermal exposure effects on cancer cells.
Area of Science:
- Oncology
- Biophysics
- Cell Biology
Background:
- Thermal isoeffective dose (TID) is crucial for predicting biological effects of thermal therapies.
- Classical TID methods are not well-validated for rapid thermal ablation (>55°C).
- Accurate dosimetry is needed for both hyperthermic and ablative thermal exposures.
Purpose of the Study:
- To compare classical TID quantification with a temperature-adjusted method for predicting cell survival.
- To validate a novel dosimetry approach for rapid thermal ablation.
- To improve the prediction of biological effects from varying thermal exposure strategies.
Main Methods:
- In vitro cell survival assays (MTT) were performed on colon cancer cell lines (HCT116, HT29).
- Cells were exposed to hyperthermic (>2 min, <50°C) and rapid ablative (<10 sec, >55°C) thermal treatments.
- Thermal isoeffective dose was calculated using a constant (RCEM>43°C=0.5) and a temperature-dependent Arrhenius model (RCEM(T)).
Main Results:
- Rapid exposures at 340-550 CEM43 (RCEM>43°C=0.5) resulted in 12±6% viability, while slow exposures led to undetectable viability.
- Arrhenius analysis yielded RCEM=0.42*e0.0041*T, which better predicted cell survival than the constant RCEM>43°C=0.5.
- Cell viability was undetectable above 305±10 CEM43 using the revised temperature-adjusted TID.
Conclusions:
- A temperature-adjusted TID, informed by Arrhenius kinetics, provides a consistent, heating-strategy-independent predictor of cell viability.
- This revised dosimetry approach improves the accuracy of predicting biological effects from ablative thermal exposures.
- The findings support the use of temperature-adjusted TID for more precise thermal therapy planning.