Investigating the effects of a temperature dependent photodynamic dose: A numerical study.

Photodiagnosis Photodyn Ther

Institute of Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada; Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada; Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada; Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Published: February 2024

AI Article Synopsis

  • Photodynamic therapy (PDT) and photothermal therapy (PTT) are promising cancer treatments, but generating sufficient treatment volume for deep tumors remains a challenge.
  • A finite-element model was created to simulate the combined effects of PDT and PTT, comparing a basic additive dose model with a temperature-dependent model for better dosimetry.
  • Results indicated that the temperature-dependent model could significantly increase the treatment damage radius, suggesting that optimizing the combination of PDT and PTT could improve overall treatment outcomes.

Article Abstract

Significance: Photodynamic therapy (PDT) and photothermal therapy (PTT) show promise as cancer treatments, but challenges in generating large ablative volumes for deep-seated tumours persist. Using simulations, this study investigates combined PDT and PTT to increase treatment volumes, including the impact of a temperature-dependent PDT dose on the treatment volume radius.

Approach: A finite-element model, using the open-source SfePy package, was developed to simulate combined interstitial photothermal and photodynamic treatments. Results compared an additive dose model to a temperature-dependent dose model with enhanced PDT dosimetry and examined typical clinical scenarios for possible synergistic effects.

Results: Findings revealed that the temperature-dependent dose model could significantly expand the damage radius compared to the additive model, depending on the tissue and drug properties.

Conclusions: Characterizing synergistic effects of PDT and PTT could enhance treatment planning. Future work is ongoing to implement additional variables, such as photosensitizer photobleaching, and spatial and temporally varying oxygenation.

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Source
http://dx.doi.org/10.1016/j.pdpdt.2023.103949DOI Listing

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