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Updated: Sep 28, 2025

Extended Time-lapse Intravital Imaging of Real-time Multicellular Dynamics in the Tumor Microenvironment
Published on: June 12, 2016
Protocol for live-cell imaging during Tumor Treating Fields treatment with Inovitro Live
Paul L G Slangen1, Yaara Porat2, Marjolijn Mertz3
1Department of Radiation Oncology, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands.
This study introduces a method for live-cell imaging during Tumor Treating Fields (TTFields) cancer therapy. The new protocol addresses heat dissipation, enabling detailed molecular analysis of TTFields effects.
Area of Science:
- Oncology
- Biophysics
- Cell Biology
Background:
- Tumor Treating Fields (TTFields) represent an FDA-approved anticancer modality utilizing alternating electric fields.
- Understanding the precise molecular mechanisms underlying TTFields efficacy is crucial for advancing cancer therapy.
- Current live-cell imaging techniques face challenges when integrated with TTFields due to heat generation.
Purpose of the Study:
- To establish a robust protocol for live-cell imaging (LCI) of cells undergoing TTFields treatment.
- To develop a system that effectively manages heat produced during TTFields application.
- To facilitate in-depth investigation of TTFields' molecular mechanisms and combination therapies.
Main Methods:
- A novel experimental setup was designed for live-cell imaging compatible with the Inovitro LiveTM system.
- The protocol incorporates a heat dissipation mechanism to counteract thermal effects from TTFields.
- The system is designed for integration with standard LCI-compatible microscopy setups.
Main Results:
- The described protocol successfully enables live-cell imaging during TTFields application.
- The system effectively mitigates heat production, ensuring cell viability and imaging quality.
- The methodology is adaptable to various LCI microscopy configurations.
Conclusions:
- This protocol provides a valuable tool for real-time observation of cellular responses to TTFields.
- It paves the way for detailed molecular-level studies of TTFields' mechanism of action.
- The approach supports the development and testing of novel TTFields-based combination cancer treatments.
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