Chemotherapy: Drug Diffusion through Solid Tumor William Chen Jesse Fallick Jennifer Hsu Jason Perlmutter Comron Saifi BEE 453: Computer-Aided Engineering Professor Ashim K. Datta Spring 2005 122 Table of Contents [1] Executive Summary…………………………………...3 [2] Introduction……………………………………………3 [3] Results and Discussion………………………………...7 Sensitivity Analysis………………………………...11 [4] Conclusions and Design Recommendations…………14 [5] Appendices…………………………………………...16 Appendix A…………………………………………16 Appendix B…………………………………………19 Appendix C…………………………………………20 Appendix D…………………………………………25 123 [1] Executive summary Diffusion of the anti-cancer drug Verteporfin in solid tumor tissue was modeled using computer-aided design software. This was performed to determine the penetration depth at a minimum effective concentration which was compared to the penetration depth required for complete treatment of tumor tissue. The penetration depth of the drug was found to be 54.9 microns, which is less than the required 72.5 microns. This indicates that the minimum effective concentration was not reached throughout the tumor. Sensitivity analysis was performed to test the stability of our solution and to discover factors that might affect penetration depth. The factors that had the most influence on penetration depth were the diffusivity of the drug and the time allowed for diffusion. Manipulation of these two factors may allow for increased penetration depth, which would result in better treatment of solid tumors. [2] Introduction Verteporfin (Figure 1) is a photosensitive drug used in the treatment of cancer. The drug is delivered to the body through intravenous infusion directly into the blood stream. The drug then diffuses from the capillaries into tumor tissue. Fifteen minutes after infusion is complete, the drug is activated through irradiation at a wavelength of 689 nm at an intensity of 600 mW/cm2 for 83 seconds.4,10 After excitation by photons, Verteporfin produces a highly reactive singlet oxygen. This oxygen reacts within 40 nanoseconds and results in the destruction of membrane bound organelles within the cell. Calcium ions are released from organelles such as the mitochondria and the endoplasmic reticulum which induces cell apoptosis. In the case of the mitochondria the loss of the electro-chemical gradient plays a significant role in inducing apoptosis.5,10 Figure 1. Molecular structure of Verteporfin13 One characteristic of solid tumors is a lack of vascularization. The delivery of the drug to the tumor is hampered by the lack of blood flow to the target tissue. A minimum effective concentration of 0.1375 g/m3 is required in all parts of the tumor for effective treatment.9 Therefore, penetration depth can be defined as the depth from a capillary at which this minimum concentration is achieved. The mean intercapillary distance is 145 microns in 124 solid mass tumors.6 Therefore it is important that the penetration depth of the drug is at least half that distance, from each capillary, in order to treat the entire tumor. Utilizing FIDAP, a computer aided design program, diffusion of Verteporfin into a solid mass tumor from an adjacent capillary was modeled. Computer aided simulation allowed for the use of time and space dependent boundary conditions in order to calculate the concentration of Verteporfin as a function of time and space. Furthermore, factors influencing the rate of drug diffusion were determined through sensitivity analysis in order to maximize drug delivery. Design Objectives: 1. To accurately model the diffusion of Verteporfin through solid tumor tissue 2. To determine the penetration depth of Verteporfin achieved within the solid tumor tissue at Tlight = 15 min. and compare to the penetration depth required for complete treatment of the tumor tissue. 3. To determine factors that influence penetration depth to possibly improve the treatment process. 125 Schematic: The physical representation of a solid mass tumor is a cylindrical capillary surrounded by a cylindrical mass of tumor cells. Therefore, we were able to assume an axi-symmetric geometry. This simplified geometry was used to model a solid mass tumor in order to reduce the computational processing needed to run the simulation. Figure 2 depicts the 3D representation of the capillary surrounded by tumor, with the blue boxed-out section representing the region of focus in our model. Figure 3 illustrates the 2D-axisimmetric geometry, which is split into Region 1 (capillary) and Region 2 (tumor). Figure 2: Figure 3: 126 Mesh: Figure 4 depicts the geometry and mesh created in GAMBIT and modeled after the 2Daxisimmetric geometry shown in Figure 3. The length of region 2 (tumor) was purposely created longer than needed so that the penetration depth of the drug would be reached within the boundaries of the mesh. Note that the nodes are densest at the interface between the capillary region and the tumor region. It is important to accurately monitor concentration in this area, since this is the region where diffusion occurs most rapidly. Figure 4: Flux = 0 Flux =0 Flux = 0 Velocity = 214 -214x2 Concentration = 8.321*t-0.5286 Velocity = 0 (Capillary) (Capillary surface) Flux =0 dV/dx = 0 (Capillary Center) 127 [3] Results and Discussion The simulation was initially run for 15 minutes, as per recommendations in the literature for incubating time after injection of Verteporfin and before light treatment. All properties, boundary conditions, initial conditions, governing equations are stated in Appendix A. Our goal was to observe the general trends in the diffusion of the drug through the tumor and to determine the exact penetration depth, as defined earlier, of the drug into the tumor. Figure 5 shows the species contour plot at 15 minutes with a line indicating the penetration depth that resulted. A straight line could be used to indicate the penetration depth due to the uniform diffusion of the drug as depicted in the contour plot. This line was automatically generated by FIDAP and bolded for visual acuity. Also displayed in the plot is the exact penetration depth in microns. This number was determined by first finding a node at the minimum effective concentration, then finding the distance of this node from the Z-axis. 54.9 microns Figure 5. Species contour plot at T = 15 min. Line represents depth at minimum effective concentration . The contour plot is as expected, with uniform diffusion of the drug from the highest concentration region in the capillary into the lower concentration region in the tumor. The penetration depth, 54.9 microns, is in fact less than the required penetration depth (intercapillary distance / 2) previously determined to be 72.5 microns. Thus, based on our previous assumptions, the drug would not diffuse enough in 15 minutes such that the concentration in all parts of the tumor in the original schematic would reach the minimum effective concentration. 128 Figure 6 shows several plots of concentration versus time for a vertical line of nodes on the left side of the tumor. The location of these nodes is outlined in Figure 7. The plots show an interesting trend in how concentration in the tumor changes with time. In most of the plots, concentration actually reaches a maximum then begins to decrease and level off as time progresses. The maximum that is reached is inversely proportional to the distance of the node from the capillary. This trend is due to the decreasing concentration of drug that is coming into the capillary over time (see Boundary Conditions in Appendix A). At first, the diffusion into each node is high enough relative to the diffusion out of the node to steadily increase the concentration over time. After the concentration maximum is reached, however, the diffusion out is greater than the diffusion in, and the concentration begins to decrease. For most of the nodes shown in Figure 6, it can be predicted that the solution would become steady soon after 15 minutes. Figure 6. Plot of concentration versus time at a vertical line of nodes on the left side of the tumor region. Nodes shown in mesh plot of Figure 7. 129 Figure 7. Mesh plot with nodes 123-150 outlined in red. Refers to history plot in Figure 6. 130 In an attempt to increase the penetration depth of the drug as per our design objectives, the simulation was additionally run for 30 minutes and 60 minutes. In the physical problem, this translates to an increase in incubation time after the injection of Verteporfin and before light treatment. The penetration depth for these simulations was obtained and graphed versus incubation time. This graph is depicted below in Figure 8. 70 30 min. 60 min. Penetration Depth (microns) 60 15 min. 50 40 30 20 10 0 0 10 20 30 40 50 60 70 Incubation Time (minutes) Figure 8. Plot of penetration depth vs. duration of simulation From the graph it is clear that with increasing incubation time before light treatment, the penetration depth of the drug is greater. However, it should be noted that at all three times, the penetration depth is still less than the required penetration depth of 72.5 microns. Therefore, even after 60 minutes, which is four times the recommended incubation time of 15 minutes, the drug has still not diffused far enough to reach all parts of the tumor. It should also be noted that the penetration depth begins to steady out by 60 minutes, suggesting that increasing the incubation time from 60 minutes will not necessarily increase the penetration depth far enough to surpass the required 72.5 microns. 131 Sensitivity Analysis In order to determine the effects of error in our property values and to test the stability of our solution, the effects of varying blood velocity, Verteporfin diffusivity through the tumor, and the reaction rate of Verteporfin were tested. It was assumed that the properties that were found in the literature were off by a maximum of 20%. Therefore, values 20% above and below the initial property values were tested. Blood Velocity Sensitivity analysis was performed on blood velocity because the value that was used in our simulation is based on assumptions that simplify real life situations. Blood velocity was set to the average velocity in a capillary that is 9 micrometers in diameter.12 However, in reality, not all capillaries are 9 micrometers thick and blood velocity also varies from person to person. Therefore, in different cases, the variations mentioned above can cause the blood velocity to be slightly different than the initial velocity chosen. From Figure 9, it can be observed that there is a negligible variation between the concentration plots for the varying blood velocities. At t500, the concentrations at both the high and low blood velocities vary from the concentration at the original blood velocity by 1*10-4, which is a 0.11% deviation. Since changing velocity had little effect on the original solution, it can be concluded that the assumptions made about blood flow are safe. 0.05 214 (Original) 256.8 (20% higher) 171.2 (20% lower) 0.045 0.04 Non-dimensional Concentration 0.035 0.03 0.025 0.02 0.015 0.01 0.005 0 0 50 100 150 200 250 300 350 400 450 500 Non-dimensional Time Figure 9. Plots of concentration versus time for our original blood velocity, a velocity that is 20% higher, and a velocity that is 20% lower 132 Reaction Rate of Verteporfin in Tumor The degradation of Verteporfin follows a biexponential function. In the capillary the biexponential degradation can be modeled as a time-dependent boundary condition (See Appendix B). However, it is not possible to model this biexponential elimination in the tumor region using FIDAP. Thus we approximated the degradation reaction as a first order reaction, since biexponential functions degrade almost linearly initially and the duration of our simulation was only 15 minutes. Figure 10 illustrates that there is a negligible difference between the concentration plots for the different reaction rates. At t500, the concentration difference between the upper and lower limits is 4*10-4, which is a 0.44% deviation. Since varying reaction rate has virtually no effect on the solution, any error in its value due to our approximations would still result in the same penetration depth. 0.05 8.772*10^(-5) 7.31*10^(-5) 0.045 5.848*10^(-5) 0.04 Non-dimensional concentration 0.035 0.03 0.025 0.02 0.015 0.01 0.005 0 0 50 100 150 200 250 300 350 400 450 500 -0.005 Non-dimensional time Figure 10. Plots of concentration versus time for our original reaction rate of Verteporfin in the tumor, a reaction rate that is 20% higher, and a reaction rate that is 20% lower. Diffusion of Verteporfin through Tumor Unlike blood velocity and Verteporfin reaction rate, Figure 11 shows a significant difference in the concentration plots for the different diffusivities of Verteporfin through the tumor. From Figure 12, it is clear that penetration depth increases with diffusivity through the tumor. The penetration depth increases by 5.841 micrometers (10.64% of original penetration depth) after changing the original diffusivity to one that is 20% higher, and it decreases by 5.184 micrometers (9.44% of original penetration depth) after changing the original diffusivity to one that is 20% lower. These significant variations in penetration depth demonstrate the process’s extreme sensitivity to the diffusivity of 133 Verteporfin through the tumor. While varying blood velocity and Verteporfin reaction rate by 20% hardly affected the original diffusion process, the same change in the diffusivity of Verteporfin through the tumor resulted in considerable changes in penetration depth. 0.06 0.088 (Original) 0.0704 (20% lower) 0.1056 (20% higher) NonDimensional Concentraion 0.05 0.04 0.03 0.02 0.01 0.00 0.00 100.00 200.00 300.00 400.00 500.00 Non-dimensional Time Figure 11. Plots of concentration versus time for our original diffusivity of verteporfin in the tumor, one 20% higher, and one 20% lower. 70 1.06E-08 60 8.80E-09 50 Penetration Depth (micrometers) 7.04E-09 40 30 20 10 0 6.00E-09 6.50E-09 7.00E-09 7.50E-09 8.00E-09 8.50E-09 9.00E-09 9.50E-09 1.00E-08 1.05E-08 1.10E-08 Diffusivity (cm^2/s) Figure 12. Penetration depth achieved at our original diffusivity of verteporfin in the tumor, one 20% higher, and one 20% lower. 134 [4] Conclusions and Design Recommendations Design Recommendations: As indicated by sensitivity analysis, change in the penetration depth of Verteporfin with a concentration above 0.1375 g/m3 was influenced primarily by the diffusion coefficient of the drug in the tumor. Two possible methods are sited for increased diffusivity in order to obtain a penetration depth of 72.5 microns which is needed to saturate the tumor. A third recommendation is given with respect to the clinical aspects of drug administration. The first method would involve modification of the drug. Therefore the mechanism by which the drug functions, which is discussed in the introduction, becomes of central importance in the recommendation of possible methods to increase the drug’s diffusion coefficient. kT , it is only possible to 6r increase diffusivity in a constant medium by decreasing the effective radius of the drug. One possible solution is the modification of the drug’s planar structure to utilize a three dimensional geometry in order to decrease radius while maintaining the original number of porphryn rings which would consequently increase density. Since the effective radius also includes a certain amount of solvation, modification of functional groups to decrease solvation would also increase diffusivity. If drug specificity for tumor cells could be increased, higher dosages could be given without unwanted side effects. Recently addition of polyethylene glycol to photosensitizer/polymer conjugates was found to increase tumor toxicity by 9-fold and reduce toxicity to normal cells by 4-fold.5 Since the Stokes-Einstein relation is expressed as D A second possible method would involve modification of the solid tumor material which the drug diffuses through. Although direct alteration of the tumor mass is not possible, combinational therapies involving simultaneous treatment with other drugs could induce the expansion of pore openings in tumor cells which would increase the diffusivity of the chemotherapy agent. Pharmokinetic data of Verteporfin concentration in the human body was only present for patients with choroidal neovascularization and healthy individuals. Concentration as a function of time in the plasma of healthy individuals was only available for 6 mg/m2 BSA during and a ten minute intravenous infusion period. Further studies are needed to determine the mathematical relationship between infusion period, dosage, and concentration of the drug in the plasma as a function of time. If this relationship can be modeled, different combinations could be tested with our computational model to determine dosage requirements for obtaining a penetration depth of 72.5 microns. 135 Discussion on Realistic Constraints: Health and Safety Although the suggestions given within ‘design recommendation’ will help increase the penetration depth of the drug into the tumor, some of these may not be feasible due to potential side-effects. It is suggested that significant modifications to the chemical structure of Verteporfin, to the dosage, or the addition of other drugs be re-evaluated beginning with stage I preclinical testing to ensure safety. Manufacturing Due to bond angle strain and steric hindrances it may not be possible to transform the drug from a planar into a three dimensional geometry in order to increase diffusivity. Large scale production of Verteporfin with any chemical modifications may encounter difficulty during synthesis and purification processes. Economy Currently in the United States the average drug costs $900 million and takes 15 years to develop.2 This is a significant barrier to the creation of new drugs. For this reason alterations to the clinical administration of Verteporfin should be analyzed first. By noting the effect of various dosages and infusion period on the concentration in the plasma an optimal treatment maybe determined which reaches the necessary penetration depth within the tumor. This plan would be the most cost effective as it would require minimal FDA approval compared to the other suggestions and would cost the least since it does not require further research and development expenses. 136 [5] Appendices Appendix A – Mathematical Statement of Problem Governing Equations Capillary Region Momentum Equation: 1 vr p v rvr gr vr r t r r r r r Species Equation: 1 c A 2 c A c A c A RA vr D AB r 2 t r r r r z Tumor Region Species Equation: 1 c A 2 c A c A c A RA vr D AB r 2 t r r r r z Initial Conditions Cblood0 = 0 Ctumor0 = 0 Boundary Conditions Velocity: Capillary Inlet: u 214 214 x 2 v 0 Capillary Center: x Capillary Wall: v 0 137 Species: Capillary Inlet: C 8.321t 0.5286 (see Appendix B) c 0 Capillary Center: x c 0 Left Tumor, Right Tumor, Top Tumor: x Input Parameters: Variable Blood Blood Viscosity3 Blood Velocity8 Value (dimensional) 1060 kg/m3 2.7 x 10-3 Pa*s 4.7x10-4 m/s Value* (non-dimensional) 1 2.5729x105 2.14x102 Diffusivitytumor11 8.8 x 10-13 m2/s 8.8x10-2 Diffusivityblood7 Reaction Rate constant (tumor)4 Duration of Simulation (tfinal) Time Step (dt) 10-11 m2/s 3.61x10-5 s-1 9.0x102 s 1s 1 7.31x10-5 4.445x102 0.5 s Density1 Methods of Non-dimensionalization: Characteristic Properties: Characteristic Length12 = 4.5 *10 6 m (radius of capillary) 10 11 ms u 2.2 * 10 6 6 L 4.5 * 10 m 2 Dcap m s Calculations: Blood density* Blood density 1 Blood density Blood viscosity * Blood velocity* Blood viscosity 2.5729x105 Blood density u L Blood velocity 2.14 10 2 u Diffusivit y Tumor * Diffusivit y Tumor 8.8 x10 2 Diffusivit y Blood 138 Diffusivit y Blood* Diffusivit y Blood 1 Diffusivit y Blood Reaction rate constant L2 Reaction rate constant* (tumor) = 7.31x10 -5 Diffusivit y Reaction rate constant*(blood) = Reaction rate constant L2 7.31x10 -5 Diffusivit y Duration of simulation (tfinal)* = Concentration* = C i C C Ci Blood t final Dblood 2 L Blood = 4.445x102 139 Appendix B – Explanation of Capillary Inlet Concentration Time Curve The kinetics of Verteporfin can be modeled as biexponential elimination, which takes the form: C t A t B t Unfortunately, it is nearly impossible to model this type of elimination in FIDAP. A set of (time, concentration) points was obtained from a paper written on the kinetics of Verteporfin (see sources), and Microsoft Excel was used to non-dimensionalize and fit a series of curves to the data. The curve with the highest value of R2 was chosen. The data and best fit curve are shown in Figure 13. 0.7000 0.6000 Concentration 0.5000 y = 8.321x -0.5286 R2 = 0.9843 0.4000 0.3000 0.2000 0.1000 0.0000 0.0000 200.0000 400.0000 600.0000 800.0000 1000.0000 1200.0000 Tim e Figure 13. Concentration vs. Time data fitted with a power curve The equation of best fit curve is displayed in the graph above. Once again, this equation cannot be modeled in FIDAP. Therefore, this equation was used to define 10 points in the time range 0-900 seconds (the duration of the simulation). The 1st point was defined as (t = 0, c = 1), which was required for proper non-dimensionalization even though this point does not lie on the curve depicted above. The other 9 points were defined using the equation shown in Figure 13. These 10 points were used in PRESTO to define the timecurve species boundary condition at the capillary inlet. 140 Appendix C- Convergence and Input File Input File: TITLE / / *** FIPREP Commands *** / FIPREP PROB (AXI-, ISOT, LAMI, TRAN, NONL, FIXE, NEWT, INCO, SPEC = 1.0) PRES (MIXE = 0.100000000000E-08, DISC) EXEC (NEWJ) SOLU (S.S. = 50, VELC = 0.100000000000E-02, RESC = 0.100000000000E-01, SCHA = 0.000000000000E+00, ACCF = 0.000000000000E+00) TIME (BACK, FIXE, TSTA = 0.000000000000E+00, TEND = 500.0, DT = 0.5, NSTE = 1000) OPTI (SIDE) DATA (CONT) PRIN (NONE) POST (RESU) TMFU (SET = 1, NPOI = 10) 0.0000000000E+00, 0.1000000000E+01, 0.1000000000E+03, 0.7294000000E+00, 0.1500000000E+03, 0.5887000000E+00, 0.2000000000E+03, 0.5057000000E+00, 0.2500000000E+03, 0.4494000000E+00, 0.3000000000E+03, 0.4081000000E+00, 0.3500000000E+03, 0.3762000000E+00, 0.4000000000E+03, 0.3505000000E+00, 0.4500000000E+03, 0.3294000000E+00, 0.5000000000E+03, 0.3115000000E+00 SCAL (VALU = 1.0) ENTI (NAME = "Tumor", SOLI, PROP = "mat2", SPEC = 1.0, MDIF = "C1_Tumor", MREA = "C1_Tumor") ENTI (NAME = "Capillary", FLUI, PROP = "mat1", SPEC = 1.0, MDIF = "C1_Capillary", MREA = "C1_Capillary") ENTI (NAME = "Axis", PLOT) ENTI (NAME = "In Capillary", PLOT) ENTI (NAME = "Out Capillary", PLOT) ENTI (NAME = "Interface", PLOT) ENTI (NAME = "Right Tumor", PLOT) ENTI (NAME = "Left Tumor", PLOT) ENTI (NAME = "Top Tumor", PLOT) DENS (SET = "mat1", CONS = 1.0) VISC (SET = "mat1", CONS = 257290.0) DIFF (SET = "C1_Tumor", CONS = 0.880000000000E-01) DIFF (SET = "C1_Capillary", CONS = 1.0) REAC (SET = "C1_Tumor", TERM = 1, KINE) -0.7310000000E-04, 0.0000000000E+00, 0.0000000000E+00, 0.1000000000E+01, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 141 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00 REAC (SET = "C1_Capillary", TERM = 1, KINE) 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.1000000000E+01, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00, 0.0000000000E+00 BCNO (UZC, POLY = 1, ENTI = "In Capillary") 0.2140000000E+03, -0.2140000000E+03, 0.0000000000E+00, 0.2000000000E+01, 0.0000000000E+00 BCNO (URC, CONS = 0.000000000000E+00, ENTI = "In Capillary") BCNO (SPEC = 1.0, CURV = 1, CONS = 1.0, FACT = 1.0, ENTI = "In Capillary") BCFL (SPEC = 1.0, CONS = 0.000000000000E+00, ENTI = "Axis") BCFL (SPEC = 1.0, CONS = 0.000000000000E+00, ENTI = "Right Tumor") BCFL (SPEC = 1.0, CONS = 0.000000000000E+00, ENTI = "Left Tumor") BCFL (SPEC = 1.0, CONS = 0.000000000000E+00, ENTI = "Top Tumor") ICNO (SPEC = 1.0, CONS = 0.000000000000E+00, ENTI = "Tumor") ICNO (SPEC = 1.0, CONS = 0.000000000000E+00, ENTI = "Capillary") EXTR (ON, AFTE = 5, EVER = 5, ORDE = 3, NOKE, NOFR) END / *** of FIPREP Commands CREATE(FIPREP,DELE) CREATE(FISOLV) PARAMETER(LIST) Problem Statement Keywords: PROB (AXI-, ISOT, LAMI, TRAN, NONL, FIXE, NEWT, INCO, SPEC = 1.0) Descriptor Geometry Type Value AXISYMMETRIC Temperature Dependence ISOTHERMAL Flow Type Simulation Type Convective Term Surface Type Fluid Type LAMINAR TRANSIENT NONLINEAR FIXED NEWTONIAN Flow Regime Species Dependence INCOMPRESSIBLE SPECIES=1 Explanation System is symmetric about an axis Constant temperature system Laminar flow Solution is time dependent Bulk flow present Surface is fixed Fluid can be considered Newtonian Fluids are incompressible Species present 142 Solution Statement Keywords: SOLU (S.S. = 50, VELC = 0.100000000000E-02, RESC = 0.100000000000E-01, SCHA = 0.000000000000E+00, ACCF = 0.000000000000E+00) Descriptor Solution Method Velocity Convergence Value Successive Substitution = 50 .1e-02 Residual Convergence .1e-1 Solution Change 0 Relaxation Factor ACCF = 0 Explanation Maximum number of iterations Velocity convergence tolerance Residual vector convergence tolerance Default percentage change in solution magnitude For acceleration of convergence Time Integration Keywords: TIME (BACK, FIXE, TSTA = 0.000000000000E+00, TEND = 500.0, DT = 0.5, NSTE = 1000) Descriptor Time Integration Value BACKWARD Time Step Algorithm Start Time End Time FIXED 0 500 Time Step Number of Time Steps 0.5 1000 Explanation FIDAP uses implicit method (t + ∆t) Time step is constant Our problem starts at t = 0s Our problem ends at t = 500s Time increment is 0.5s There are 1000 fixed time steps 143 Mesh and Time Step Convergence Initially, a mesh with 550 nodes and a time step of 0.5 non-dimensional time was used. A denser mesh and smaller time step were tested to determine if our mesh and time step were not potential sources of error. 14 0.1 0.5 Penetration Depth (micrometers) 12 10 8 6 4 2 0 0 0.1 0.2 0.3 0.4 0.5 0.6 Tim e Step Figure 14. Displays the penetration depth achieved at our original time step of 0.5 non-dimensional time and a smaller one of 0.1 non-dimensional time. Figure 14 shows that penetration depth remains constant when our time step is reduced from 0.5 to 0.1 non-dimensional time. Therefore, it can be concluded that our solution has converged at a time step of 0.5. Furthermore, computing power is saved by using our original time step of 0.5. Penetration Depth (micrometers) 144 14 550 1230 12 10 8 6 4 2 0 0 200 400 600 800 1000 1200 1400 Number of Nodes in Mesh Figure 15. Displays the penetration depth achieved with our original mesh containing 550 nodes and a denser mesh containing 1230 nodes. Figure 15 shows that penetration depth remains constant when the number of nodes in our original mesh is increased significantly. Therefore, it can be concluded that our solution has converged with a 550 node mesh. This original mesh took a much shorter time to run that the mesh of 1230 nodes. Thus, computing power can be saved without affecting the solution by running our simulation on our original mesh. 145 Appendix D – References 1. Cutnell, John & Johnson, Kenneth. Physics, Fourth Edition. Wiley, 1998: 308. 2. “Drugs ex machina" The Economist. Sep 20th 2001 3. G. D. O. Lowe, A. J. Lee, A. Rumley, J. F. Price & F. G. R. Fowkes. Blood viscosity and risk of cardiovascular events: the Edinburgh Artery Study. British Journal of Haematology Volume 96 Issue 1 Page 168 - January 1997 4. Jean-Marie Houle, PhD, and Andrew Strong, PhD. Clinical Pharmacokinetics of Verteporfin. Journal of Clinical Pharmacology, 2002;42:547-557. 5. Johnson, Jill. 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Human Reproduction, Vol. 18, No. 8, 1707-1711, August 2003 10. Ursula Schmidt-Erfurth and Tayyaba Hasan. Mechanisms of Action of Photodynamic Therapy with Verteporfin for the Treatment of Age-Related Macular Degeneration. Survey of Ophthalmology, Volume 45, Issue 3, November-December 2000, Pages 195-214. 11. Xiaodong Zhou, Brian W. Pogue, Bin Chen, and Tayyaba Hasanb. Analysis of Effective Molecular Diffusion Rates for Verteporfin in Subcutaneous Versus Orthotopic Dunning Prostate Tumors. Photochemistry and Photobiology: Vol. 79, No. 4, pp. 323– 331. 12. Pozrikidis, C. Axisymmetric motion of a file of red blood cells through capillaries. Phys. Fluids 17, 031503 (2005) (14 pages) 146 13. Data Sheet VISUDYNE®. Information for Health Professionals. http://www.medsafe.govt.nz/Profs/Datasheet/v/Visudyneinf.htm