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Displaying publications 21 - 28 of 28 in total

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Colorectal Peritoneal Metastases Treated by Perioperative Systemic Chemotherapy and Cytoreductive Surgery With or Without Mitomycin C-Based HIPEC: A Comparative Study Using the Peritoneal Surface Disease Severity Score (PSDSS)

Baratti D, Kusamura S, Azmi N, Guaglio M, Montenovo M, Deraco M

Ann Surg Oncol, 2020 Jan;27(1):98-106.
PMID: 31691116 DOI: 10.1245/s10434-019-07935-2

BACKGROUND: The Prodige-7 trial has questioned the role of hyperthermic intraperitoneal chemotherapy (HIPEC) in the treatment of peritoneal metastases from colorectal cancer (CRC-PM).
PATIENTS AND METHODS: We compared a prospectively collected group of 48 patients undergoing oxaliplatin/irinotecan-based perioperative systemic chemotherapy (s-CT) with targeted agents, and cytoreductive surgery (CRS) (no-HIPEC group) with 48 controls undergoing the same perioperative s-CT and CRS/HIPEC (HIPEC group). Patients were matched (1:1) according to the Peritoneal Surface Disease Severity Score, completeness of cytoreduction, history of extraperitoneal disease (EPD), and Peritoneal Cancer Index.
RESULTS: The groups were comparable, except for a higher number of patients in the HIPEC group with World Health Organization performance status 0, pN2 stage primary tumor, and treated with preoperative s-CT. Forty-one patients in the no-HIPEC group and 43 patients in the HIPEC group had optimal comprehensive treatment (P = 0.759), defined as complete cytoreduction of PM and margin-negative EPD resection. Median follow-up was 31.6 months in the no-HIPEC group and 39.9 months in the HIPEC group. Median overall survival was 39.3 months in the no-HIPEC group and 34.8 months in the HIPEC group (P = 0.702). In the two groups, severe morbidity occurred in 14 (29.2%) and 13 (27.1%) patients, respectively (P = 1.000), with no operative deaths. On multivariate analysis, left-sided primary and curative treatment independently correlated with better survival while HIPEC did not (hazard ratio 0.73; 95% confidence interval 0.47-1.15; P = 0.178).
CONCLUSIONS: Our results confirmed that, in selected patients, perioperative s-CT and surgical treatment of CRC-PM resulted in unexpectedly high survival rates. Mitomycin C-based HIPEC did not increase morbidity but did not impact prognosis.

Matched MeSH terms: Hyperthermia, Induced/mortality*
Enteric fever problems in a small Malayan town

DIDSBURY B

Med J Malaya, 1953 Dec;8(2):192-201.
PMID: 13164690
Matched MeSH terms: Hyperthermia, Induced*
Fulltext A numerical study to investigate the effects of tumour position on the treatment of bladder cancer in mice using gold nanorods assisted photothermal ablation

Cheong JK, Popov V, Alchera E, Locatelli I, Alfano M, Menichetti L, et al.

Comput Biol Med, 2021 11;138:104881.
PMID: 34583149 DOI: 10.1016/j.compbiomed.2021.104881

Gold nanorods assisted photothermal therapy (GNR-PTT) is a new cancer treatment technique that has shown promising potential for bladder cancer treatment. The position of the bladder cancer at different locations along the bladder wall lining can potentially affect the treatment efficacy since laser is irradiated externally from the skin surface. The present study investigates the efficacy of GNR-PTT in the treatment of bladder cancer in mice for tumours growing at three different locations on the bladder, i.e., Case 1: closest to skin surface, Case 2: at the bottom half of the bladder, and Case 3: at the side of the bladder. Investigations were carried out numerically using an experimentally validated framework for optical-thermal simulations. An in-silico approach was adopted due to the flexibility in placing the tumour at a desired location along the bladder lining. Results indicate that for the treatment parameters considered (laser power 0.3 W, GNR volume fraction 0.01% v/v), only Case 1 can be used for an effective GNR-PTT. No damage to the tumour was observed in Cases 2 and 3. Analysis of the thermo-physiological responses showed that the effectiveness of GNR-PTT in treating bladder cancer depends not only on the depth of the tumour from the skin surface, but also on the type of tissue that the laser must pass through before reaching the tumour. In addition, the results are reliant on GNRs with a diameter of 10 nm and an aspect ratio of 3.8 - tuned to exhibit peak absorption for the chosen laser wavelength. Results from the present study can be used to highlight the potential for using GNR-PTT for treatment of human bladder cancer. It appears that Cases 2 and 3 suggest that GNR-PTT, where the laser passes through the skin to reach the bladder, may be unfeasible in humans. While this study shows the feasibility of using GNRs for photothermal ablation of bladder cancer, it also identifies the current limitations needed to be overcome for an effective clinical application in the bladder cancer patients.

Matched MeSH terms: Hyperthermia, Induced*
Influence of natural convection on gold nanorods-assisted photothermal treatment of bladder cancer in mice

Ooi EH, Popov V, Alfano M, Cheong JKK

Int J Hyperthermia, 2020;37(1):634-650.
PMID: 32538190 DOI: 10.1080/02656736.2020.1771437

Background: The thermally-induced urine flow can generate cooling that may alter the treatment outcome during hyperthermic treatments of bladder cancer. This paper investigates the effects of natural convection inside the bladder and at skin surface during gold nanorods (GNR) - assisted photothermal therapy (PTT) of bladder cancer in mice. Methods: 3D models of mouse bladder at orientations corresponding to the mouse positioned on its back, its side and its abdomen were examined. Numerical simulations were carried out for GNR volume fractions of 0.001, 0.005 and 0.01% and laser power of 0.2 and 0.3 W. Results: The obtained results showed that cooling due to natural convection inside the bladder and above the skin depends on the mouse orientation. For a mouse positioned on its back, on its side or on its abdomen, the maximum temperature achieved inside the tumour at 0.001% GNR volume fraction and 0.2 W laser power was 55.2°C, 50.0°C and 52.2°C, respectively compared to 56.8°C when natural convection was not considered. The average thermal gradients when natural convection was considered were also lower, suggesting a more homogenous temperature distribution. Conclusions: Natural convection inside the bladder can be beneficial but also detrimental to GNR-assisted PTT depending on the level of heating. At low levels of heating due to low GNR volume fraction and/or laser power, flow inside the bladder may dissipate heat from the targeted tissue; making the treatment ineffective. At high levels of heating due to high GNR volume fraction and/or laser power, cooling may prevent excessive thermal damage to surrounding tissues.

Matched MeSH terms: Hyperthermia, Induced*
Fulltext Double Pulse Resistance Spot Welding of Dual Phase Steel: Parametric Study on Microstructure, Failure Mode and Low Dynamic Tensile Shear Properties

Soomro IA, Pedapati SR, Awang M

Materials (Basel), 2021 Feb 08;14(4).
PMID: 33567606 DOI: 10.3390/ma14040802

Resistance spot welding (RSW) of dual phase (DP) steels is a challenging task due to formation of brittle martensitic structure in the fusion zone (FZ), resulting in a low energy capacity of the joint during high-rate loading. In the present study, in situ postweld heat treatment (PWHT) was carried out by employing a double pulse welding scheme with the aim of improving the mechanical performance of DP590 steel resistance spot weld joint. Taguchi method was used to optimize in situ PWHT parameters to obtain maximum peak load and failure energy. Experiments were designed based on orthogonal array (OA) L16. Mechanical performance was evaluated in terms of peak load and failure energy after performing low dynamic tensile shear (TS) test. Microstructural characterization was carried out using a scanning electron microscope (SEM). The results show that improvements of 17 and 86% in peak load and failure energy, respectively, were achieved in double-pulse welding (DPW) at optimum conditions compared to traditional single-pulse welding (SPW). The improvement in mechanical performance resulted from (i) enlargement of the FZ and (ii) improved weld toughness due to tempering of martensite in the FZ and subcritical heat affected zone (SCHAZ). These factors are influenced by heat input, which in turn depends upon in situ PWHT parameters.

Matched MeSH terms: Hyperthermia, Induced
Fulltext Numerical analysis of thermal conductive hybrid nanofluid flow over the surface of a wavy spinning disk

Ahmadian A, Bilal M, Khan MA, Asjad MI

Sci Rep, 2020 Nov 02;10(1):18776.
PMID: 33139760 DOI: 10.1038/s41598-020-75905-w

A three dimensional (3D) numerical solution of unsteady, Ag-MgO hybrid nanoliquid flow with heat and mass transmission caused by upward/downward moving of wavy spinning disk has been scrutinized. The magnetic field has been also considered. The hybrid nanoliquid has been synthesized in the presence of Ag-MgO nanoparticles. The purpose of the study is to improve the rate of thermal energy transmission for several industrial purposes. The wavy rotating surface increases the heat transmission rate up to 15%, comparatively to the flat surface. The subsequent arrangement of modeled equations is diminished into dimensionless differential equation. The obtained system of equations is further analytically expounded via Homotopy analysis method HAM and the numerical Parametric continuation method (PCM) method has been used for the comparison of the outcomes. The results are graphically presented and discussed. It has been presumed that the geometry of spinning disk positively affects the velocity and thermal energy transmission. The addition of hybrid nanoparticles (silver and magnesium-oxide) significantly improved thermal property of carrier fluid. It uses is more efficacious to overcome low energy transmission. Such as, it provides improvement in thermal performance of carrier fluid, which play important role in power generation, hyperthermia, micro fabrication, air conditioning and metallurgical field.

Matched MeSH terms: Hyperthermia, Induced
Low-melting-point polymeric nanoshells for thermal-triggered drug release under hyperthermia condition

Dabbagh A, Mahmoodian R, Abdullah BJ, Abdullah H, Hamdi M, Abu Kasim NH

Int J Hyperthermia, 2015;31(8):920-9.
PMID: 26670340 DOI: 10.3109/02656736.2015.1094147

The aim of this paper was to synthesise core-shell nanostructures comprised of mesoporous silica core and a low melting-point polyethylene glycol (PEG) nanoshell with a sharp gel-liquid phase transition for rapid drug release at hyperthermia temperature range.

Matched MeSH terms: Hyperthermia, Induced*
Tissue-mimicking gel phantoms for thermal therapy studies

Dabbagh A, Abdullah BJ, Ramasindarum C, Abu Kasim NH

Ultrason Imaging, 2014 Oct;36(4):291-316.
PMID: 24626566 DOI: 10.1177/0161734614526372

Tissue-mimicking phantoms that are currently available for routine biomedical applications may not be suitable for high-temperature experiments or calibration of thermal modalities. Therefore, design and fabrication of customized thermal phantoms with tailored properties are necessary for thermal therapy studies. A multitude of thermal phantoms have been developed in liquid, solid, and gel forms to simulate biological tissues in thermal therapy experiments. This article is an attempt to outline the various materials and techniques used to prepare thermal phantoms in the gel state. The relevant thermal, electrical, acoustic, and optical properties of these phantoms are presented in detail and the benefits and shortcomings of each type are discussed. This review could assist the researchers in the selection of appropriate phantom recipes for their in vitro study of thermal modalities and highlight the limitations of current phantom recipes that remain to be addressed in further studies.

Matched MeSH terms: Hyperthermia, Induced/methods*