1615 - 1623_Haemmerich_54.ppt 2713KB Jun 23 2011 01:06:44 PM
HIFU mediated drug delivery:
Vascular shutdown facilitates drug
depot effect
Gasselhuber A.1, Appanaboyina S. 1,
Dreher M.R.2, Wood B.J.2, Haemmerich D.1
Dept. Pediatrics, Medical Univ. of South Carolina
2
Center for Interventional Oncology, National Cancer Institute
1
Disclosures
none
2
Low-Temperature Sensitive
Liposomes (LTSL)
Drug release (Doxorubicin)
at hyperthermic temperatures
Doxorubicin Release from LTSL
(from Gasselhuber et al.,
Int J Hyperthermia 2010)
3
HIFU-mediated targeted
drug delivery
From Staruch et al., Int J Hyperthermia 2011
4
Study Goal
Computer Simulation of HIFU+LTSL drug delivery
•
•
Heat transfer model
Drug Delivery Model
Two heating scenarios:
7 min hyperthermia (42 ºC)
7 min hyperthermia + brief ablation pulse
(to shut down blood flow)
Computer Model:
HIFU + LTSL
Tissue
Temperature
LTSL Release
Perfusion
Heat-Transfer Model
Intravascular
Space
Tissue
Pharmacokinetic Model
6
Mathematical Drug
Delivery Model
Drug delivery from LTSL in tumor
(see also Gasselhuber et al., Int J Hyperthermia 2010)
7
Hyperthermia vs.
HT+Ablation
Hyperthermia
HT+Ablation
Temperature
Perfusion
8
Hyperthermia
HT+Ablation
9
Drug Concentrations: HT
+ Ablation
HIFU
HIFU+Ablation
10
Summary
Elimination of blood flow by brief high-temperature
heating pulse considerably increases tissue drug
uptake
Depot Effect
Other blood flow reducing methods
(embolization) would have similar effect
Questions?
ABLATION. MUSC.EDU
Funding: NIH R01CA118990,
R21 CA135519
Charleston, SC
12
Vascular shutdown facilitates drug
depot effect
Gasselhuber A.1, Appanaboyina S. 1,
Dreher M.R.2, Wood B.J.2, Haemmerich D.1
Dept. Pediatrics, Medical Univ. of South Carolina
2
Center for Interventional Oncology, National Cancer Institute
1
Disclosures
none
2
Low-Temperature Sensitive
Liposomes (LTSL)
Drug release (Doxorubicin)
at hyperthermic temperatures
Doxorubicin Release from LTSL
(from Gasselhuber et al.,
Int J Hyperthermia 2010)
3
HIFU-mediated targeted
drug delivery
From Staruch et al., Int J Hyperthermia 2011
4
Study Goal
Computer Simulation of HIFU+LTSL drug delivery
•
•
Heat transfer model
Drug Delivery Model
Two heating scenarios:
7 min hyperthermia (42 ºC)
7 min hyperthermia + brief ablation pulse
(to shut down blood flow)
Computer Model:
HIFU + LTSL
Tissue
Temperature
LTSL Release
Perfusion
Heat-Transfer Model
Intravascular
Space
Tissue
Pharmacokinetic Model
6
Mathematical Drug
Delivery Model
Drug delivery from LTSL in tumor
(see also Gasselhuber et al., Int J Hyperthermia 2010)
7
Hyperthermia vs.
HT+Ablation
Hyperthermia
HT+Ablation
Temperature
Perfusion
8
Hyperthermia
HT+Ablation
9
Drug Concentrations: HT
+ Ablation
HIFU
HIFU+Ablation
10
Summary
Elimination of blood flow by brief high-temperature
heating pulse considerably increases tissue drug
uptake
Depot Effect
Other blood flow reducing methods
(embolization) would have similar effect
Questions?
ABLATION. MUSC.EDU
Funding: NIH R01CA118990,
R21 CA135519
Charleston, SC
12