Nanoparticle based cancer treatment: Can delivered dose and biological dose be reliably modeled and quantified?

P. Jack Hoopes, Alicia A. Petryk, Andrew J. Giustini, Robert V. Stigliano, Robert N. D'Angelo, Jennifer A. Tate, Shiraz M. Cassim, Allan Foreman, John C. Bischof, John A. Pearce, Thomas Ryan

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Essential developments in the reliable and effective use of heat in medicine include: 1) the ability to model energy deposition and the resulting thermal distribution and tissue damage (Arrhenius models) over time in 3D, 2) the development of non-invasive thermometry and imaging for tissue damage monitoring, and 3) the development of clinically relevant algorithms for accurate prediction of the biological effect resulting from a delivered thermal dose in mammalian cells, tissues, and organs. The accuracy and usefulness of this information varies with the type of thermal treatment, sensitivity and accuracy of tissue assessment, and volume, shape, and heterogeneity of the tumor target and normal tissue. That said, without the development of an algorithm that has allowed the comparison and prediction of the effects of hyperthermia in a wide variety of tumor and normal tissues and settings (cumulative equivalent minutes/ CEM), hyperthermia would never have achieved clinical relevance. A new hyperthermia technology, magnetic nanoparticle-based hyperthermia (mNPH), has distinct advantages over the previous techniques: the ability to target the heat to individual cancer cells (with a nontoxic nanoparticle), and to excite the nanoparticles noninvasively with a noninjurious magnetic field, thus sparing associated normal cells and greatly improving the therapeutic ratio. As such, this modality has great potential as a primary and adjuvant cancer therapy. Although the targeted and safe nature of the noninvasive external activation (hysteretic heating) are a tremendous asset, the large number of therapy based variables and the lack of an accurate and useful method for predicting, assessing and quantifying mNP dose and treatment effect is a major obstacle to moving the technology into routine clinical practice. Among other parameters, mNPH will require the accurate determination of specific nanoparticle heating capability, the total nanoparticle content and biodistribution in the target cells/tissue, and an effective and matching alternating magnetic field (AMF) for optimal and safe excitation of the nanoparticles. Our initial studies have shown that appropriately delivered and targeted nanoparticles are capable of achieving effective tumor cytotoxicity at measured thermal doses significantly less than the understood thermal dose values necessary to achieve equivalent treatment effects using conventional heat delivery techniques. Therefore conventional CEM based thermal dose - tissues effect relationships will not hold for mNPH. The goal of this effort is to provide a platform for determining the biological and physical parameters that will be necessary for accurately planning and performing safe and effective mNPH, creating a new, viable primary or adjuvant cancer therapy.

Original languageEnglish (US)
Title of host publicationEnergy-Based Treatment of Tissue and Assessment VI
DOIs
StatePublished - 2011
EventEnergy-Based Treatment of Tissue and Assessment VI - San Francisco, CA, United States
Duration: Jan 23 2011Jan 24 2011

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume7901
ISSN (Print)1605-7422

Conference

ConferenceEnergy-Based Treatment of Tissue and Assessment VI
CountryUnited States
CitySan Francisco, CA
Period1/23/111/24/11

Keywords

  • CEM
  • Dosimetry
  • Hyperthermia
  • Iron oxide
  • Nanoparticle
  • Thermal dose
  • Thermal therapy
  • Tissue assessment
  • Treatment plan

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