Electromagnetic redesign of the HYPERcollar applicator: toward improved deep local head-and-neck hyperthermia

Paolo Togni, Zef Rijnen, Wouter Numan, René Verhaart, Jurriaan Bakker, Gerard van Rhoon, Maarten Paulides

Research output: Contribution to journalArticleAcademicpeer-review

65 Citations (Scopus)

Abstract

Accumulating evidence shows that hyperthermia improves head-and-neck cancer treatment. Over the last decade, we introduced a radiofrequency applicator, named HYPERcollar, which enables local heating also of deep locations in this region. Based on clinical experience, we redesigned the HYPERcollar for improved comfort, reproducibility and operator handling. In the current study, we analyze the redesign from an electromagnetic point of view. We show that a higher number of antennas and their repositioning allow for a substantially improved treatment quality. Combined with the much better reproducibility of the water bolus, this will substantially minimize the risk of underexposure. All improvements combined enable a reduction of hotspot prominence (hot-spot to target SAR quotient) by 32% at an average of 981 W, which drastically reduces the probability for system power to become a treatment limiting source. Moreover, the power deposited in the target selectively can be increased by more than twofold. Hence, we expect that the HYPERcollar redesign currently under construction allows us to double the clinically applied power to the target while reducing the hot-spots, resulting in higher temperatures and, consequently, better clinical outcome.
Original languageUndefined/Unknown
Pages (from-to)5997-6009
Number of pages13
JournalPhysics in Medicine and Biology
Volume58
Issue number17
DOIs
Publication statusPublished - 2013

Research programs

  • EMC MM-03-32-05

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