METHODS TO IMPROVE HEATING EFFICIENCY OF 27 MHZ DIATHERMY SYSTEM BY USING REFLECTOR CONTROL Siddharth Mangavally B.Tech., J N T University, India, 2007 Raghuram Pulijala B.Tech., J N T University, India, 2007 PROJECT Submitted in partial satisfaction of the requirements for the degrees of MASTER OF SCIENCE in ELECTRICAL AND ELECTRONIC ENGINEERING at CALIFORNIA STATE UNIVERSITY, SACRAMENTO SPRING 2011 METHODS TO IMPROVE HEATING EFFICIENCY OF 27 MHZ DIATHERMY SYSTEM BY USING REFLECTOR CONTROL A Project by Siddharth Mangavally Raghuram Pulijala Approved by: __________________________________, Committee Chair Preetham B Kumar, Ph.D. __________________________________, Second Reader Fethi Belkouche, Ph.D. ____________________________ Date ii Students: Siddharth Mangavally Raghuram Pulijala I certify that these students have met the requirements for format contained in the University format manual, and that this project is suitable for shelving in the Library and credit is to be awarded for the project. __________________________, Graduate Coordinator Preetham B Kumar, Ph.D. Department of Electrical and Electronic Engineering iii ___________________ Date Abstract of METHODS TO IMPROVE HEATING EFFICIENCY OF 27 MHZ DIATHERMY SYSTEM BY USING REFLECTOR CONTROL by Siddharth Mangavally Raghuram Pulijala This project will focus on the methods of improving the heating effects of 27.12 MHz Mettler Diathermy system by using reflector networks, for potential use in Hyperthermia systems for the treatment of cancer. Currently, the Mettler system is tested by heating wet absorber material, which is chosen since its electrical properties are identical to the biological human tissue. However, previous studies using the same system have showed that the applicator needs to be very close to the heating surface, to obtain any significant increase in temperature; additionally, the surface also requires to be heating for at least 60 minutes to increase the temperature by 10-15 degrees. The aim of the current study is to study any possible increase in efficiency, by using different types of reflector networks, which are metallic structures that help to focus the RF energy from the Mettler source. Our goal would be to achieve the temperature of the treatment within the desired time, while maintaining a suitable distance between applicator and treatment surface. , Committee Chair Preetham B Kumar, Ph.D. ______________________ Date iv ACKNOWLEDGMENTS We would like to take this opportunity to convey our sincere regards to Dr. Preetham Kumar, faculty Member, EEE department and Graduate Advisor, for valuable guidance, giving us the opportunity to take on this project and being very helpful throughout this project. His support and encouragement helped the project to start and end at the right time. We thank him again for his constructive feedback throughout the course of our fieldwork. We would also like to acknowledge and thank Professor Fethi Belkouche, Faculty Member, EEE department for being part of the review committee and extending his guidance for better formulation of our project. We also thank him for his review and comments on the project report. Our sincere appreciation goes to all our family members and friends for their love and support during the entire duration of our coursework and this project. v TABLE OF CONTENTS Page Acknowledgments............................................................................................................... v List of Tables .................................................................................................................... ix List of Figures ..................................................................................................................... x Chapter 1. INTRODUCTION ....................................................................................................... 1 2. HISTORY OF MICROWAVE HYPERTHERMIA AND ITS APPLICATIONS ...... 4 2.1. Hyperthermia Therapy ..................................................................................... 4 2.1.1. Mechanisms of Hyperthermia Treatment ................................................6 2.2. Methods in Hyperthermia Treatment ............................................................... 8 2.2.1. Local Hyperthermia .................................................................................9 2.2.2. Regional Hyperthermia ..........................................................................10 2.2.3. Whole-body Hyperthermia ....................................................................11 2.3. Risks in Hyperthermia ....................................................................................11 2.4 Benefits of Hyperthermia .................................................................................12 3. REFLECTOR NETWORKS & EQUIPMENT DESCRIPTION ............................... 14 3.1. Traditional Reflector Systems.........................................................................14 3.2. Reflector Networks Developed for Hyperthermia Applications ....................16 3.2.1. Circular Vane Reflector Structure .........................................................16 3.2.2. Rectangular Array Grid Reflector ..........................................................17 vi 3.3. Mettler Autotherm Equipment Details............................................................19 3.4. Mettler in Heat Therapy ..................................................................................21 3.5. Technical Specifications of Mettler Autotherm Equipment ...........................22 3.6. Precautions While Using Autotherm ..............................................................23 3.7. Infrared Digital Thermometer .........................................................................25 4. EXPERIMENTAL RESULTS OF DIELECTRIC HEATING USING DIATHERMY SYSTEM WITH REFLECTOR ATTACHMENT ................................................ 26 4.1. Experimental Setup for Diathermy Heating Measurements ...........................27 4.2. Measurements with Applicator at a Distance 13.5cms from the Absorber Material without the use of Reflector .............................................................29 4.3. Measurements with Applicator 12.5cms Away and without Reflector ..........31 4.4. Measurements with Applicator 1cm Away and without Reflector .................32 4.5. Measurements with Applicator at a Distance 12.5cms from the Absorber Material with the Use of Circular Vane Reflector..........................................34 4.6. Measurements with Applicator at a Distance 10cms from the Absorber Material with the Use of Circular Vane Reflector .........................................36 4.7. Measurements with Applicator at a Distance 5cms from the Absorber Material with the Use of Circular Vane Reflector .........................................38 4.8. Measurements with Applicator at a Distance 1cm from the Absorber Material with the Use of Circular Vane Reflector ........................................................40 4.9. Measurements with Applicator at a Distance 21.5cms from the Absorber Material with the Use of Rectangular Array Grid Reflector ..........................42 4.10. Comparison of Readings Recorded on the Clay Medium and Absorber Medium ...........................................................................................................44 5. CONCLUSION AND FUTURE SCOPE ......................................................................47 vii Bibliography .....................................................................................................................49 viii LIST OF TABLES Page 1. Table 4.1.Variation of temperature rise with time (Head of the Applicator 13.5cms away from absorber material without reflector) .........................................................30 2. Table 4.2.Variation of temperature rise with time (Head of the Applicator 12.5cms away from absorber material without reflector) .........................................................31 3. Table 4.3.Variation of temperature rise with time (Head of the Applicator 1cm away from absorber material without reflector) ..................................................................33 4. Table 4.4.Variation of temperature rise with time (Head of the Applicator 12.5cms away from absorber material using Circular Vane reflector) .....................................35 5. Table 4.5.Variation of temperature rise with time (Head of the Applicator 10cms away from absorber material using Circular Vane reflector) .....................................37 6. Table 4.6.Variation of temperature rise with time (Head of the Applicator 5cms away from absorber material using Circular Vane reflector) .....................................39 7. Table 4.7.Variation of temperature rise with time (Head of the Applicator 1cm away from absorber material using Circular Vane reflector) ..............................................41 8. Table 4.8.Variation of temperature rise with time (Head of the Applicator 21.5cms away from absorber material using Rectangular Array Grid reflector) .....................43 9. Table 4.9.Comparison between Clay Medium and Absorber Medium (Head of the applicator 1cm away from the absorber material) ......................................................45 ix LIST OF FIGURES Page 1. Figure 2.1a Typical Hyperthermia System ...................................................................4 2. Figure 2.1b Hyperthermia Ranges ................................................................................5 3. Figure 2.1c Radiation Hyperthermia ...........................................................................6 4. Figure 2.1d Denaturation Process ................................................................................7 5. Figure 2.1e Microwave Hyperthermia System .............................................................8 6. Figure 2.2. Local Hyperthermia System .......................................................................9 7. Figure 3.1a Corner Reflector Structure ......................................................................14 8. Figure 3.1b Types of Parabolic Reflectors .................................................................15 9. Figure 3.2a Circular Vane Reflector Structure ...........................................................17 10. Figure 3.2b Equipment for Rectangular Array Grid Reflector ..................................18 11. Figure 3.2c Mettler Autotherm Diathermy with Circular Vane Reflector Structure .19 12. Figure 3.3a Mettler Autotherm Diathermy Unit ........................................................20 13. Figure 3.3b Control Knobs on Mettler Autotherm .....................................................21 14. Figure 3.3c Patient Input Meter for Autotherm ..........................................................21 15. Figure 3.4.Relative Absorption of RF Power Generated by the Autotherm Equipment ...................................................................................................................22 16. Figure 3.5 Infrared Digital Thermometer ...................................................................25 17. Figure 4.1.Experimental Diathermy Setup without Reflector ....................................27 18. Figure 4.1a Experimental Diathermy Setup Using Circular Vane Reflector .............28 x 19. Figure 4.1b Experimental Setup Using Rectangular Array Grid Reflector ...............29 20. Figure 4.2.Graphical Representation of Temperature vs Time (Head of the Applicator 13.5cms away from absorber material without reflector) ........................30 21. Figure 4.3.Graphical Representation of Temperature vs Time (Head of the Applicator 12.5cms away from absorber material without reflector) ........................32 22. Figure 4.4.Graphical Representation of Temperature vs Time (Head of the Applicator 1cm away from absorber material without reflector) ...............................34 23. Figure 4.5.Graphical Representation of Temperature vs Time (Head of the Applicator 12.5cms away from absorber material using Circular Vane reflector) ........................36 24. Figure 4.6.Graphical Representation of Temperature vs Time (Head of the Applicator 10cms away from absorber material using Circular Vane reflector) ...........................38 25. Figure 4.7.Graphical Representation of Temperature vs Time (Head of the Applicator 5cms away from absorber material using Circular Vane reflector) .............................40 25. Figure 4.8.Graphical Representation of Temperature vs Time (Head of the Applicator 1cm away from absorber material using Circular Vane reflector) ..............................42 26. Figure 4.9.Graphical Representation of Temperature vs Time (Head of the Applicator 21.5cms away from absorber material using Rectangular Array Grid reflector) ........44 27. Figure 4.10.Graphical Representation of Temperature vs Time (Recorded for Clay Medium and Absorber Material) .................................................................................46 xi 1 Chapter 1 INTRODUCTION RF and Microwaves play a major role in therapeutic medicine: one major field of use in medicine is for treatment of tumors or also called Hyperthermia therapy. A specific band of frequencies, such as 27 MHz, 900 MHz and 2450MHz fall among RF and microwaves, which are allocated for the treatment of biological tissues. The 27 MHz, also termed as Industrial Scientific and Medical (ISM) band, is being used for Hyperthermia treatment. Currently, Hyperthermia treatment is primarily used as an adjuvant to radiation or chemotherapy for cancer treatment in humans and animals [1]. The addition of hyperthermia to conventional cancer treatment methods has been proven to enhance the effects of radiation or chemotherapy alone. This project is based on an experimental setup, involving the 27 MHz Mettler Autotherm 300 diathermy system. The fundamental idea behind conducting this experiment is to test the heating properties of the system on wet absorber material, which has similar dielectric and conductive properties to human tissue. The additional aim is to achieve accurate and efficient heating different depths and distances with respect to the experimental test object by using enhanced equipment and improved methods to extract maximum output with the provided Hyperthermia equipment. By doing such experiments, we could pave a strong foundation for upcoming research and study of Hyperthermia . 2 The Mettler Autotherm 300 is used in our experiments to generate microwaves at 27MHz.This equipment is very much portable, inexpensive compared to that of its contemporaries. Due to its inexpensive and flexible nature, many medical centers can afford this equipment for Hyperthermia therapy. Here the material under test is absorber material, which portrays similar properties of biological tissue. The temperature changes in the material, due to incident radiation, are monitored with Infrared thermometer compared to that of plastic Head of the Applicator digital thermometer (used in previous experiments). Infrared thermometers have many advantages compared to plastic head of the applicator thermometers [2]. They are usually termed as non-contact thermometers, since a laser is used to measure the emissivity (here heat in temperature) from a distance, by which the human intervention or direct contact of test object is evaded, hence improving the efficiency of the reading taken with a very minimal prone of errors . In order to improve heating efficiency, reflector networks were designed and tested along with the Mettler system. Two kinds of reflector systems were tested: a rectangular grid array reflector, and a circular vane reflector, or also called as a nonagon reflector. These reflector networks were constructed and used in this experiment for concentrated heat radiation on the absorber material. Temperatures were noted down with absorber material kept at specific distances and with specific time intervals to understand different variations from the heat source throughout the experiment. This project report is organized as follows: This first chapter hence deals with introduction to the work done in this project .Chapter II gives a background on 3 Hyperthermia therapy in the treatment of cancer. Chapter III deals with the design and structure of reflector networks that were developed in this work. Chapter IV details the experimental results on heating with the Mettler system, with and without reflector networks. Finally, Chapter V gives conclusions on this work, followed by references. 4 Chapter 2 HISTORY OF MICROWAVE HYPERTHERMIA AND ITS APPLICATIONS 2.1 Hyperthermia Therapy: In Hyperthermia treatment, temperature of the tumor to be treated in animal or human body is increased to 42 degrees C or 108 degrees Fahrenheit. This increased temperature is sustained for about 30 min, so that the tissue under treatment is made more susceptible for the following radiation or chemotherapy process. A typical hyperthermia system is shown in figure 2.1a below. Skin health can be affected if the heat concentration is deviated from the target tumor location, it can lead to side effects such a burnt skin. These side effects can be reduced by regulating the temperature and maintaining it not to rise above a threshold level. Figure 2.1b shows different ranges of hyperthermia [1,2].One feature which assists the success of this type of therapy is confining heat to affected area. By killing cancer cells and damaging proteins and structures within cells, hyperthermia not only shrinks tumors but also makes them susceptive and responsive for the radiation or chemotherapy, which follows [2]. Figure 2.1a Typical Hyperthermia System [1] 5 Hyperthermia is capable of making cancer cells sensitive or even kills them where the process of radiation cannot. Both the therapies if given and given within an hour range. Hyperthermia temperature levels and a typical equipment schematic are shown in figures 2.1b and 2.1c respectively. Apart from giving effective treatment, Hyperthermia enhances the effect of few anti cancer drugs. Hyperthermia is studied and proved effective when used along with other thermal therapies such as chemotherapy, immunotherapy and biological therapies [4]. Figure 2.1b Hyperthermia Ranges [1] The above figure 2.1b shows different ranges of hyperthermia temperature calibrated in both Fahrenheit and Centigrade. Figure 2.1c below depicts a typical equipment used for administering hyperthermia. Essentially, it consists of an applicator around the patient 6 bed, along with a temperature monitoring system. The latter system is essential to maintain the right temperature of 42 degrees C on the tumor area. Figure 2.1c Radiation Hyperthermia [3] 2.1.1 Mechanisms of Hyperthermia Treatment: A tumor is a solid lesion formed by an abnormal growth of cells (termed neoplastic) which looks like a swelling [4]. Hyperthermia might kill or weaken tumor cells by high thermal radiation which will cause denaturation (a process in which proteins lose their tertiary structure and secondary structure by application of some external stress or compound, such as a strong acid or base, a concentrated inorganic salt, an organic solvent, or heat). Figure 2.1d shows the denaturation process. The blood in the area of the body exposed to this kind of radiation is warmed, by which perfusion in tumors is doubled, whereas the perfusion in normal tissue is increased to ten times or even more. This process enhances the work of medication at these effected tumor sites. Since the 7 area is warm, oxygen flow is also increased which may make radiation to kill cell protein structures and to prevent rejuvenating the damaged cell structures happened during radiation session [7]. Figure 2.1d Denaturation Process [1] Biological tumors have high-water content, when microwave energy is used for treatment of such tumors; results will be outstanding since microwave energy is very effective in heating cancerous tissues. When such high water percentage tissues are exposed to high power microwaves, they heat very rapidly.Microwaves can be pin pointed to a particular location by specially designed antennas located adjacent to patient’s body. A clinical adaptive microwave hyperthermia system for treating cancer deep in the body is show in figure 2.1e below [8]. 8 Figure 2.1e Microwave Hyperthermia System [3] Microwaves antennas are used for tumor treatment, which in turn depend upon the location and size of the tumor in the body, these antennas work in such a way that body tissues with high-water content that are irradiated with significant amounts of microwave energy are heated. The microwave energy (oscillating about a billion times a second) when flows through the tissue, water molecules are vibrated and frictional forces are created between the water molecules in the tissue .This results in the heating of the tissue. Microwave energy can be concentrated and can be made possible to selectively heat tumors and protect healthy tissues. In the same way, synchronized radiating antennas produce concentrated microwaves [8]. 2.2 Methods in Hyperthermia Treatment: Many methods of hyperthermia are currently under study: local, regional, and Whole-body hyperthermia. 9 2.2.1. Local Hyperthermia: Heat is applied to a small area, such as a tumor, usually using an applicator such as the Mettler diathermy system that is being studied in this project. The cells affected with cancer are heated to a maximum temperature of 108° F by using heating elements such as microwave, antennas, heating rods, ultra sound. A typical Local hyperthermia system is shown in figure 2.2.1 below. Figure 2.2. Local Hyperthermia System [1] Depending on the tumor location, there are several approaches to local hyperthermia such as external, intra-luminal and interstitial [9]. a. External Approach: Used to treat tumors that are in or just below the skin. External applicators are positioned around or near the appropriate region, and energy is focused on the tumor to raise its temperature. b. Intra-luminal or Endocavitary: Used to treat tumors within or near body cavities, such as the esophagus or rectum. Head of the Applicators are placed inside the cavity and inserted into the tumor to deliver energy and heat the area directly. 10 c. Interstitial: Used to treat tumors deep within the body, such as brain tumors. This technique allows the tumor to be heated to higher temperatures than external techniques. Under anesthesia, Head of the Applicators or needles are inserted into the tumor. Imaging techniques, such as ultrasound, may be used to make sure the Head of the Applicator is properly positioned within the tumor. The heat source is then inserted into the Head of the Applicator. Radiofrequency ablation (RFA) is a type of interstitial hyperthermia that to heat and kill cancer cells. 2.2.2. Regional Hyperthermia: Heat is applied to a larger part of the body, such as an entire organ or limb. Usually, the goal is to weaken cancer cells so that they are more likely to be killed by radiation and chemotherapeutic medications. This may use the same techniques as local hyperthermia treatment, or it may rely on blood perfusion in which the patient's blood is removed from the body, heated up, and returned to blood vessels that lead directly through the desired body part. Various approaches used to heat large areas of tissue, such as a body cavity, organ, or limb are deep tissue, regional perfusion and continuous hyperthermic peritoneal perfusion (CHPP) [10]. a. Deep Tissue Approach: It may be used to treat cancers within the body, such as cervical or bladder cancer. External applicators are positioned around the body cavity or organ to be treated, and microwave or radiofrequency energy is focused on the area to raise its temperature. 11 b. Regional Perfusion Technique: It can be used to treat cancers in the arms and legs, such as melanoma, or cancer in some organs, such as the liver or lung. In this procedure, some of the patient’s blood is removed, heated, and then pumped back into the limb or organ. Anticancer drugs are commonly given during this treatment [11]. c. Continuous Hyperthermic Peritoneal Perfusion (CHPP) Technique: It is used to treat cancers within the peritoneal cavity (the space within the abdomen that contains the intestines, stomach, and liver), including primary peritoneal mesothelioma (a cancer of the lining of the abdominal cavity) and stomach cancer. During surgery, heated anticancer drugs flow from a warming device through the peritoneal cavity. The peritoneal cavity temperature reaches 106–108°F [11]. 2.2.3. Whole-body Hyperthermia: Heat is applied to the entire body to temperatures of about 107–108°F. It is typically used to treat metastatic cancer (cancer that spreads in many parts of the body).Techniques include infrared hyperthermia domes which include the whole body apart from the head, putting the patient in a very hot room, or wrapping the patient in hot, wet blankets [9]. 2.3. Risks in Hyperthermia: Hyperthermia side effects for the external methods include pain, unpleasant sensations and burns in a small percentage of patients. In the case of the internal pyrogens(a substance inducing fever), which are sometimes bacterial toxins, the situation is more 12 complicated, as bacterial toxins can induce serious, even fatal reactions in humans, depending on dosage [2]. Ultrasound hyperthermia in areas where the tumor is over a bone will cause bone pain. Whole body hyperthermia is a more radical form of heat treatment, and has not been approved in the FDA yet, since it has increased potential for side effects due to large-volume heating. Extracorporeal systemic hyperthermia is another mode, where the blood is routed from the body as in dialysis, for example, and is heated before returning to the body [2]. It has two advantages, higher possible temperatures and heating that is more homogeneous. The figure 2.3 above shows different temperature conditions. The side effects, however, have been considerable frequent persistent peripheral neuropathies, abnormal (and sometimes lethal) blood coagulation, some damage to liver and kidneys, and brain hemorrhaging and seizures. Hyperthermia should be administered to patients who are awake and can report any problems as they experience them. Analgesics can be administered if a patient has difficulty lying still for the duration of the session. Patient’s vital signs must be monitored frequently during the session. Cardiovascular disease and sometimes pace makers (depending on the heat delivery method) are a contraindication for the treatment [10]. 2.4. Benefits of Hyperthermia: Hyperthermia, when used alone, leads to impressive results, eradicating 10-15% of tumors. These results usually do not last, and the tumors grow again. Hyperthermia raises the body temperature above normal to a maximum of 108 ° F as this reduces the foreign organism presence and the impurities in the body. When compared to the body tissues, 13 the invading foreign organisms cannot survive in the high temperatures. This is a certain benefit as the temperature can be increased above certain level which kill the unwanted organisms, bacteria and virus, and thereby killing the cancer cells [8]. Hyperthermia and radiation combined together in the treatment has been reported to yield higher and durable responses than radiation alone. In deep-seated tumors, the effect of this combined treatment is under research for deep-seated tumors. Though it is difficult to increase human tumor temperature, recent clinical trials has shown that radiation with hyperthermia is far more successful in controlling many human tumors radiation alone. Hyperthermia may also provide additional advantage in drug delivery. Several studies have shown that the delivery of monoclonal antibodies is enhanced by using hyperthermia, particularly to the tumors with resultant improvement in anti tumor effects. The spread of carried chemo drugs into the tissues of liposome is increased considerably with higher temperature when compared to that under normal temperature. Much of the information and research has emerged from hyperthermia studies in several other treatments that may become valuable in the future [9]. 14 Chapter 3 REFLECTOR NETWORKS & EQUIPMENT DESCRIPTION Reflectors are devices that guide or focus electromagnetic waves. Reflectors used in Hyperthermia systems to improve efficiency in heating biological tissues are similar; however, size is a critical factor, which changes based on operating frequency, and structure of the original diathermy system. 3.1 Traditional Reflector Systems: The most common type of reflector types are corner reflectors, parabolic reflectors and flat reflectors. [8]. Figure 3.1a shows a typical corner reflector that is used in communication systems, to focus the radiation in a particular preferred direction. Figure 3.1a Corner Reflector Structure [8] 15 A corner reflector is a retro reflector consisting of three mutually perpendicular; which reflects waves back directly towards the source. Unlike a simple mirror, they work for a relatively wide-angle field of view. Corner reflectors are easy to construct from a metal sheet such as aluminum but care must be taken that the surfaces join exactly at 90 degrees and must be robust enough. There are two types of reflectors: Dihedral and Trihedral reflectors. The dihedral has two surfaces that are orthogonal planes and trihedral has three surfaces respectively [11]. Figure 3.1b shows typical examples of parabolic reflectors. Figure 3.1b Types of Parabolic Reflectors [7] 16 A parabolic reflector is a reflective device used to collect or project energy such as light, sound or radio waves. It is in the shape of a circular paraboloid that is the surface generated by parabola moving around the axis. The parabolic reflector transforms the incident plane wave into a spherical wave converging towards the propagating as a collimated beam along the axis. In this project, we have made use of two types of reflectors namely circular vane reflector and rectangular array grid reflectors [12]. The plane reflector is the simplest form of reflector antenna. When a plane reflector is placed in front of the feed, energy is radiated in desired direction. To increase the directivity of the antenna, a large flat sheet can be kept as a plane reflector in front of a half dipole. The main advantage of the plane reflector is that for a dipole, backward radiations are reduced and the gain in forward direction increases. To increase directivity, we can use array of two half-wave dipoles in front of plane reflectors. 3.2. Reflector Networks Developed for Hyperthermia Applications: In the current work, two types of reflector networks were designed and tested, with the main aim of improving the efficiency of the diathermy unit, and essentially focusing the RF power coming out of the unit. These reflector networks are described below: 3.2.1. Circular Vane Reflector Structure: The photograph of the circular vane reflector is show below in Figure 3.2a. The reflector consists of nine metallic sections connected to the common baseboard in a circular formation. The radius of the reflector vane base is 30cm, and the outer radius of the vane circle is 150cm. 17 Fig 3.2a Circular Vane Reflector Structure The Circular Vane Reflector is also named as a Nonagon (9) reflector structure. To stop the heat dissipation, to improve heating efficiency with respect to time and to acquire the desired temperature in confined time, this reflector structure helps us to reflect the heat from the Autotherm and concentrate this dissipated heat back to the absorber material so that temperature increase would be faster in the absorber material [11]. 3.2.2 Rectangular Array Grid Reflector: The second reflector network developed in our lab is the Rectangular Array Grid Reflector, which is shown below in Figure 3.2b. 18 Fig 3.2b Equipment for Rectangular Array Grid Reflector The dimensions of the rectangular array reflector are 160x40cm. It consists of 10 linear vanes separated at a distance of 4cm. The experimental setup for Diathermy with reflector network is shown below in Figure 3.2c. The figure clearly shows that the Reflector points towards the head of the absorber medium. Several experiments were carried out with the head of the reflector being varied from an inch to several centimeters to calculate the temperature rise in regular intervals of time [10]. 19 Fig 3.2c Mettler Autotherm Diathermy with Circular Vane Reflector Structure The next chapter deals with experimental results where several reading were taken with two types of reflecto: Rectangular Array Reflector and the Circular Vane Reflectors. The distance between the absorber test medium and the diathermy the applicator has been varied from an 1 cm to several cm for attaining the maximum temperature within small time; graphical representations have been depicted to show the variation of temperature with time [11]. 3.3. Mettler Autotherm Equipment Details: In this project, all the measurements of the experiment were conducted with the Mettler Autotherm equipment shown in the Figure 3.3a. The Autotherm is a equipment which possesses unique induction field circuitry which produces a short wave frequency 20 of 27.12 MHz This wave can penetrate into muscle tissue with negligible heating in the fatty layer or bone [10]. Figure 3.3a. Mettler Autotherm Diathermy Unit The Autotherm 300 is a continuous shortwave diathermy unit, which is designed to be economical and lightweight. It is capable of automatic tuning which ensures proper frequency response of the equipment. It is portable with a roller coaster base and is flexible. The arm is made adjustable, so that it can reach different parts of the body and can heat accordingly. This equipment is mainly used where deep heat is required such as the low back, shoulder, neck and hip [7]. This equipment is economical and is easy to operate since it only has two controls, a timer knob and an intensity control knob as shown in figure 3.3b respectively 21 Figure 3.3b Control Knobs on Mettler Autotherm The Autotherm has a timer, which is designed to the variation of 0 to 30 minutes. The timer helps to know the timing of treatment. The power meter, as shown in Figure 3.3c, displays the energy levels absorbed by body surface. It also monitors the current from the power supply and displays the energy absorbed. Figure 3.3c Patient Input Meter for Autotherm 3.4. Mettler in Heat Therapy: Mettler Autotherm is used when deep heat therapy has to be done for any part of the body. It operates with short wave diathermy and is a safe for subcutaneous body 22 tissues. The electro-magnetic field is generated between the equipment and the body. The heat penetrates deep into muscle tissue, eases the tensions, and brings relief. This therapy is mainly used for back pain, chronic arthritis, bursitis and other musculo-skeletal conditions [10]. The heat therapy modality is shown below in figure 3.4. Figure 3.4. Relative Absorption of RF Power Generated by the Autotherm Equipment [3] 3.5. Technical Specifications of Mettler Autotherm Equipment: Input: 100–240 VAC, 50-60Hz Frequency: 27.12 MHz (Wavelength λ= 11.06 meters) RF output: Continuous mode 100 W Average Power, Pulsed mode 200 W Peak Power Continuous mode: 100-Watts Average Power Pulsed Mode: 200-Watts Peak Power Pulse frequency: 10 Hz, 20 Hz, 50 Hz, 100 Hz, 400 Hz Pulse duration: 65 μs, 100 μs, 200 μs, 300 μs and 400 μs 23 Treatment time: 1–30 minutes [10] Weight: Unit: 30 pounds Dimensions: 40 in (H) x 18 in (W) x 18 in (D), (100 cm (H) x 46 cm (W) x 46cm (D)) 3.6. Precautions While Using Autotherm: The use of Autotherm for shortwave and microwave diathermy treatment, tissues are heated by use of electromagnetic energy. This induces or radiates from the head of diathermy unit. This is absorbed in the electrically conductive tissues of the human body and is converted to heat [11]. In most of the shortwave diathermy units, a radio-frequency field exists around the cables in the equipment and carries electrical energy from the source generator to the equipment head. Microwave diathermy units have well-shielded leads within the equipment between the generator and head of the applicator. The generator and applicator head are integrated, and there is normally very little radiation from other source except that of the applicator [12]. There is very little or no heating of the air surrounding the cables since it absorbs little energy from the radio-frequency fields. Table 4.1 shows the variation pattern of electric and magnetic fields in the diathermy unit as a function of distance within the treatment volume. Heating occurs only when conductive or partially conductive material is located within the electric or magnetic field produced by the cables or applicator. The Canadian Bureau of Medical Devices mentions in its data that certain plastics and synthetics such as nylon, polyvinyl chloride, and polyethylene terephthalate and some fabric blends which are usually 24 regarded as good insulators, can also be heated certain temperatures by shortwave and microwave diathermy units [7]. However, two other synthetics widely used in medical practice for several applications, silicone and polytetrafluoroethylene usually called Teflon are relatively very less affected by electromagnetic fields [9]. The amplitude of heating depends on a number of factors, including the output setting of the generator and the degree to which the electromagnetic energy waves are concentrated in a small area of the body. A very high-density field exists because of three reasons: When a cable is located near a grounded or conductive object, when the cables are positioned at a very less distance. There are some recommendations which will minimize the risk involved in equipment damage and injury and can also reduce the risk of fire associate with equipment [8].When generator is activated leaning on the equipment or holding the cables may cause unwanted heating or radiation to the body. If done so the cable might break and expose the user to high voltages or radiation. Cables should be spaced apart for each other. We should not keep anything in between these cables to avoid the damage of cables. We should keep all line cords away; there should be no contact between diathermy unit cables. The operating diathermy unit should be kept away from coil line cords. The cables should be kept at least several inches away from any objects or material. There should be no contact between cables and metal or grounded objects. There may be some synthetic or plastic objects which may be nonconductive but may be heated by the diathermy unit [9]. 25 3.7 Infrared Digital Thermometer: Figure 3.5. Infrared Digital Thermometer [5] In the first phase of this project, the thermometer with metal Head of the Applicator was used. In this phase of the project, we have used the Fluke 62 Mini digital thermometer with plastic Head of the Applicator as shown in above figure 3.8. It is perfect introduction to infrared (IR) thermometers for the professional [6]. The Fluke 62 Mini Infrared Thermometer offers quick and reliable surface temperature readings infrared thermometer is a non-contact diagnostic tool for quick basic temperature checks in applications where a technician is close to the target object. Simple to use, the Fluke 62 Mini enables technicians to discover temperature discrepancies before they become problems. In this experiment the intervention of the thermometer in the path of the medium might affect the values of temperature while calibration, by using this Infrared thermometer we measure temperature from a safe distance and can make sure about the readings taken [11]. 26 Chapter 4 EXPERIMENTAL RESULTS ON DIELECTRIC HEATING USING DIATHERMY SYSTEM WITH REFLECTOR ATTACHMENT We have discussed about the Mettler diathermy system and associated reflector networks in the earlier chapter. In this chapter, we outline the experiments that were carried on the diathermy system, with and without reflectors, with the aim of studying the heating properties for potential hyperthermia application. In the first phase of experiments, [1] absorber materials of two different types were used, one with more water content and one with less water content in it. The absorber material content resembles the human skin in many properties such as plasticity, absorbency and cohesion. As with the part of absorbency, oxygen, nitrogen and carbon dioxide can diffuse into the epidermis in small amount constituting to high content of water in the skin [2]. Similar is the case with the absorber material that it contains 40% of natural water that fills up all the minute pores between all the mineral grains [5]. The plasticity of the absorber material and the human skin depends on the proportion of water content in them, which makes them exhibit similar properties. In the set of experiments done in the first phase, a contact digital thermometer was used, and there were significant fluctuations in the thermometer display. These fluctuations occurred because the long metal probe of the thermometer experienced considerable interference with the RF radiation emanating from the Autotherm unit. We tried to cover the part of the metal probe of the thermometer with absorber material; 27 however, that did not help to stop the fluctuations with the thermometer. Hence, it was decided to use thermometer, which does not have a probe, that can act as an antenna to the thermometer. We researched and got a infrared non-contact thermometer without a metallic probe, which could not potentially interfere with the radiation from diathermy unit. 4.1. Experimental Setup for Diathermy Heating Measurements: Figure 4.1 shows a typical setup for diathermy measurement. This setup does not include reflector networks, it comprises mainly of the diathermy unit, or more specifically, the applicator head, focusing on the absorber material that will be heated to the appropriate temperature. The aim is to raise the temperature on the absorber material to the hyperthermia temperature of ~ 42 degrees C or 107 degree F. The heating is not instantaneous, and takes 30-60 minutes to heat the absorber to at least 10 degrees above the normal room temperature. Figure 4.1. Experimental Diathermy Setup without Reflector 28 All the readings were taken with utmost accuracy taking in consideration the time and the distance of the applicator’s head from the absorber material. All the readings were taking with high intensity on the Autotherm unit [7]. Figure 4.1a shows a typical setup for diathermy measurement, with the circular vane reflector. It comprises of the diathermy unit, the circular reflector unit. , focusing on the absorber material that will be heated to the appropriate temperature. The aim is to raise the temperature on the absorber material in a shorter time, as compared to the case without reflector networks. Figure 4.1a Experimental Diathermy Setup Using Circular Vane Reflector Figure 4.1b shows a typical setup for diathermy measurement, with the rectangular array grid network. It comprises of the diathermy unit, the rectangular reflector unit. , focusing on the absorber material that will be heated to the appropriate 29 temperature. The aim is to raise the temperature on the absorber material in a shorter time, as compared to the case without reflector networks. Figure 4.1b Experimental Setup Using the Rectangular Array Grid Reflector 4.2. Measurements with Applicator at a Distance 13.5cms from the Absorber Material without the Use of Reflector: This set of readings was taken with head of the applicator placed at distance of 13.5 cm away from the absorber material. All the readings were taken with interval of 10 minutes for 1 hour. The table 4.1 below shows that the readings were recorded without the reflector and placing the head of the applicator at a distance of 13.5cm. 30 CASE 1 Distance – Reflector – 13.5cms No Time(Minutes) Temperature(F) 0 71 10 71.5 20 68 30 68.5 40 68.5 50 68.5 60 69 Table 4.1. Variation of Temperature rise with time (Head of the Applicator 13.5cms away from absorber material without reflector) Without Reflector and distance 13.5cms 72 71.5 Temperature(oF) 71 70.5 70 69.5 Temperature 69 68.5 68 67.5 0 10 20 30 40 50 60 70 Time(Min) Figure 4.2. Graphical Representation of Temperature vs Time (Head of the Applicator on 13.5cms away from absorber material without reflector) The above Figure 4.2. shows the graphical representation of temperature rise as a 31 function of time.As we can see from the graph that the change in temperature was only seen in the first 10 minutes of the experiment. After 30 minutes of heating the absorbing medium, there was a difference of only 2° F for the next 60 minutes. 4.3. Measurement with Applicator 12.5cms Away and without Reflector: These set of readings were taken with the absorber material that was just an inch away from the diathermy head. This step was taken, as there was no much increase in the temperature after 30 minutes of heating, these readings were taken by keeping the head of the applicator on the surface. These readings were taken with an interval of 15 minutes for 60 minutes. Table 4.3 shows the readings taken with the distance of 12.5cms and without reflector. CASE 2 Distance – Reflector - 12.5cms No Time(Minutes) Temperature(F) 0 72.5 10 71 20 70.5 30 70.5 40 71.5 50 71.5 60 71.5 Table 4.2. Variation of Temperature rise with time (Head of the Applicator 12.5cms away from absorber material without reflector) 32 The above table 4.2. depicts that the readings were recorded without the reflector and placing the head of the applicator at a distance of 12.5cms. Without Reflector and distance 12.5cms 73 Temperature(oF) 72.5 72 71.5 Temperature 71 70.5 70 0 10 20 30 40 50 60 70 Time(Min) Figure 4.3. Graphical Representation of Temperature vs Time (Head of the Applicator on 12.5cms away from absorber material without reflector) From the above graph, we can see that there was only considerable change throughout the process until 40 minutes then there was no temperature increase. 4.4. Measurements with Applicator 1cm Away and without Reflector: We even tried taking readings without using the Reflector so that we can have the both the incident and reflected wave which in turn results in temperature rise in less time. In this set of readings, we have placed the applicator 1 cm away from the absorber material. 33 CASE 3 Distance – 1 Reflector - cm No Time(Minutes) Temperature(F) 0 76 10 78.5 20 81.5 30 84 40 85.5 50 86 60 87.5 Table 4.3. Variation of Temperature rise with time (Head of the Applicator 1cm away from absorber material without reflector) The above table 4.3. shows that the readings were recorded without the reflector placing the head of the applicator at a distance of 1cm. 34 Without Reflector and distance 1cm 90 Temperature(oF) 88 86 84 82 80 Temperature 78 76 74 0 10 20 30 40 50 60 70 Time(Min) Figure 4.4. Graphical Representation of Temperature vs Time (Head of the Applicator on 1cm away from absorber material without reflector) From the above graph representation, we can see that there is a gradual increase in temperature along with time. We can observe that temperature gradually increases from 10 minutes up to 60 minutes. There is an increase of nearly 10° F within one hour but beyond that the temperature remained constant and there was not much of considerable change in the temperature rise of the absorber material [11]. 4.5. Measurements with Applicator at a Distance 12.5cms from the Absorber Material with the Use of Circular Vane Reflector: These set of readings are taken with Head of the applicator placed at a distance of 12.5 cm away from the absorber material and with the Reflector. 35 CASE 4 Distance – Reflector -Yes 12.5 cm Time(Minutes) Temperature(F) 0 81 10 76 20 73.5 30 72.5 40 72 50 72 60 72.5 Table 4.4. Variation of Temperature rise with time (Head of the Applicator 12.5cms away from absorber material using Circular Vane reflector) The above table 4.4. shows that the readings were recorded with the reflector and placing the head of the applicator at a distance of 12.5cms. 36 Temperature(oF) With Reflector and distance 12.5cms 82 81 80 79 78 77 76 75 74 73 72 71 Temperature 0 10 20 30 40 50 60 70 Time(Min) Figure 4.5. Graphical Representation of Temperature vs Time (Head of the Applicator on 12.5cms away from absorber material using Circular Vane reflector) The above graph clearly depicts that Temperature gradually decreases as time time increases with Nanogon Reflector.We observe that Temperature falls down from 81°F to 72° F within 40 minutes.But temperature remains constant for the next 2 intervals and again starts rising. From the previous readings we draw to a conclusion that temperature gradually decreases as the distance between the head of the applicator and absorber material increases [4]. 4.6. Measurements with Applicator at a Distance 10cms from the Absorber Material with the Use of Circular Vane Reflector: The next set of readings is taken by placing the head of the applicator at a distance of 10 cm away from the absorber material in the presence of reflector. 37 CASE 5 Distance – 10 Reflector -Yes cm Time(Minutes) Temperature(F) 0 70.5 10 71 20 71.5 30 72.5 40 73 50 74 60 71.5 Table 4.5. Variation of Temperature rise with time (Head of the Applicator 10cms away from absorber material using Circular Vane reflector) The above table 4.5. shows that the readings were recorded with the reflector and placing the head of the applicator at a distance of 10cms. 38 With Reflector and distance 10cms 74.5 74 Temperature(oF) 73.5 73 72.5 72 Temperature 71.5 71 70.5 70 0 10 20 30 40 50 60 70 Time(Min) Figure 4.6. Graphical Representation of Temperature vs Time (Head of the Applicator on 10cms away from absorber material using Circular Vane reflector) The above table and graph suggest that temperature slowly rises from 70.5°F to 74°F remains constant for nearly 30 min and slowly starts decreasing after 20 min to 71.5°F. This supports our previous assumption that as distance between the head of the applicator and absorber medium decreases the Temperature rises with respect to time [7]. 4.7. Measurements with Applicator at a Distance 5cms from the Absorber material with the Use of Circular Vane Reflector: These measurements are taken with head of the applicator 5 cm away from the absorber material. 39 CASE 6 Distance – 5cm Reflector -Yes Time(Minutes) Temperature(F) 0 67 10 69.5 20 71 30 71.5 40 73.5 50 74.5 60 75 Table 4.6. Variation of Temperature rise with time (Head of the Applicator 5cms away from absorber material using Circular Vane reflector) The above table 4.6. shows that the readings were recorded with the reflector and placing the head of the applicator at a distance of 5cms. 40 Temperature(oF) With Reflector and distance 5 cms 76 75 74 73 72 71 70 69 68 67 66 Temperature 0 10 20 30 40 50 60 70 Time(Min) Figure 4.7. Graphical Representation of Temperature vs Time (Head of the Applicator on 5cms away from absorber material using Circular Vane reflector) The above table and graph suggest that temperature slowly rises from 67.5°F to 75°F.The temperature rises constantly for each interval of time and hence this proves the assumption that as distance between the head of the applicator and absorber medium decreases the temperature rises with respect to time. 4.8. Measurements with Applicator at a Distance 1cm from the Absorber Material with the Use of Circular Vane Reflector: The final set of readings that have been recorded with head of applicator placed at a distance of 1cm above the absorber material. The below table and readings describe the temperature with respect to time and suggests the maximum temperature rise as the distance decreases. 41 CASE 7 Distance – 1cm Reflector -Yes Time(Minutes) Temperature(F) 0 72.5 10 77.5 20 82 30 85.5 40 88 50 90 60 91 Table 4.7.Variation of Temperature rise with time (Head of the Applicator 1cm away from absorber material using Circular Vane reflector) The above table 4.7. shows that the readings were recorded with the reflector and placing the head of the applicator at a distance of 1cm. 42 Figure 4.8. Graphical Representation of Temperature vs Time (Head of the Applicator on 1cm away from absorber material using Circular Vane reflector) The above table and graph suggest that temperature constantly rises from 72.5°F to 91°F for each interval of time and hence this proves the assumption that as distance between the head of the applicator and absorber medium decreases, the temperature rises with respect to time. 4.9. Measurements with Applicator at a Distance 21.5cms from the Absorber Material with the Use of Rectangular Array Grid Reflector: The set of readings have been recorded with the head of the applicator at a distance of 21.5 cm away from the absorber material using Rectangular Array Grid Reflector as show in Fig 4.2. The values recorded are represented in the table and the graphical representation has been depicted. 43 CASE 8 Distance – Reflector -Yes 21.5cm Time(Minutes) Temperature(F) 0 81 10 76 20 73.5 30 72.5 40 72.0 50 72.0 60 72.5 Table 4.8. Variation of Temperature rise with time (Head of the Applicator 21.5cms away from absorber material using Rectangular Array Grid reflector) The above table 4.8. shows that the readings were recorded with the reflector and by placing the head of the applicator at a distance of 21.5cms. 44 With reflector and distance 21.5cms 80 Temperature(oF) 78 76 74 72 70 Temperature 68 66 64 0 10 20 30 40 50 60 Time(Min) Figure 4.9. Graphical Representation of Temperature vs Time (Head of the Applicator at a distance of 21.5 cm away from Absorber material using Rectangular Array Grid reflector) The above graph suggest that temperature slowly falls from 81°F to 72.5°F.The temperature falls down constantly for each interval of time and hence this proves the assumption that as distance between the head of the applicator and absorber medium increases the temperature decreases with respect to time. 4.10. Comparison of readings recorded on the Clay Medium and Absorber Medium: In this section, we have attempted to give a brief summary of the readings recorded by the earlier reports where clay medium, and its comparison with absorber material measurements. It is observed that the absorber material measurements show enhanced heating, as compared with clay medium. Hence, the absorber material was used in all later measurements, since it represented a better match. 45 CASE 8 Distance – On Clay On Absorber 1cm Medium Material Time(Minutes) Temperature(F) Temperature(F) 0 69 72 10 69.5 77.5 20 71.2 82 30 72 85.5 40 72.5 88 50 72.5 90 60 73 91 Table 4.9. Comparison between Clay Medium and Absorber Medium (Head of the applicator 1cm away from the absorber material). The above table 4.9. represents readings recorded for clay medium and for the wet absorber material by placing the head of the reflector at a distance of 1cm. 46 Figure 4.10. Graphical Representation of Temperature vs Time (Recorded for Clay Medium and Absorber Material) From the above table 4.9 and Graphical representation figure 4.10. it could be clearly understood that there was a huge improvement in the temperature rise after the construction of Rectangular reflector and Circular reflector where more effective heating could be done with minimum microwave interference and leading to better results. 47 Chapter 5 CONCLUSION AND FUTURE SCOPE The focus of this project is to study the heating effects of the 27 MHz Mettler diathermy unit on sample absorber material, with potential for application in clinical hyperthermia treatment of cancer. However, the significant change in the heating mechanism is the addition of reflector networks to improve the heating efficiency of the overall system. The efficiency is measured by reducing the heating time to attain the required temperature, and by increasing the distance between applicator and heating surface. An additional enhancement in temperature measurement was to include an Infrared contact-free thermometer to record measurements, as compared to the contact probe thermometer that was used previously. The new temperature protocol was successful in eliminating the earlier interference between the diathermy radiation and the measuring probe of the contact thermometer. The major success of this project came from the following changes: Firstly, replacing clay medium with absorber material as the testing material showed increased RF energy absorption, and increased the ability to get meaningful results. Secondly, the measurements recorded with the replacement infrared thermometer helped us in giving accurate non-fluctuating temperature measurements. Thirdly, construction of reflectors like rectangular array grid reflector and circular vane reflectors helped in increase of temperature within very less time, which would be very beneficial in hyperthermia applications. Though we were not able to replicate exactly how the human body responds 48 to the heat we have made a considerable achievement in understanding the way heat can be effectively transmitted through the auto therm equipment. Despite taking at most care in recording the measurement using the Infra Red thermometer with the hand, there were minor fluctuating errors, which can be avoided using a fixed stand. At present, we were able to achieve temperatures up to a maximum of 100 degrees F. Future efforts will aim on getting higher temperature goals, to near the hyperthermia temperature of 42 degrees C or 108 degrees F. 49 BIBLIOGRAPHY 1. Abdul Muqeet , Atif Ahmed “Thermometric calibration of the heating effects by 27.12 Mhz Mettler diathermy system for use in hyperthermia system for treatment of cancer” M.S. Thesis, California State University, Fall 2009. 2. “National Cancer Institute” retrieved from http://www.cancer.gov/clinical_trials/ on February 10 2011. 3. National Cancer Institute (NCI) Resources, ‘Hyperthermia in Cancer Treatment: Questions and Answers’, 2004. 4. Wust P et al., ‘Hyperthermia in combined treatment of cancer’, The Lancet Oncology, 2002; 3: 487–497 5. “Hyperthermia” retrieved from website http://www.cancer.org/docroot/ETO/content/ETO_1_2x_Hyperthermia.asp February 5 2011. on 6. Hildebrandt B, Wust P, Ahlers O, et al., ‘The cellular and molecular basis of hyperthermia’, Critical Reviews in Oncology/Hematology, 2002; 43:33–56. 7. “Heating Devices” retrieved from website http://www.aetna.com/cpb/medical/data/500_599/0540.html on February 15 2011. 8. High - Frequency Electrical Equipment in Hospitals; 1970, NFPA No. 76CM, Part III, Section 31, National Fire Protection Association, Boston, Massachusetts 9. “Microwave Diathermy(notes)” retrieved from website http://www.scribd.com/doc/6130660/Microwave-Diathermy on February 11 2011. 10. Gian Franco Baronzio, E Dieter Hager .,’Hyperthermia in cancer treatment a primer’, Georgetown, Tex. : Landes Bioscience, 2006: 79-83 50 11. Typical RF fields close to Diathermy devices retrieved from website http://www.hcsc.gc.ca/ewh-semt/pubs/radiation/83ehd-dhm98/fields-rf-champs-eng.php February 21 2011. 12. “Accurate Simulation of Heating Properties Mettler 27Mhz Daithermy System using Finite Element Methods” retrieved from http://www.mettlerelectronics.com/Brochures/300brochure.pdf on Feb 2 2011.