Photodynamic therapy for glioblastoma: A preliminary approach for practical application of light propagation models.

Purpose: Photodynamic therapy (PDT) is a promising treatment modality to be added in the management of glioblastoma multiforme (GBM). Light distribution modeling is required for planning and optimizing PDT. Several models have been developed to predict the light propagation inside biological tissues...

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Publicado en:Lasers in Surgery & Medicine Vol. 50; no. 5; pp. 523 - 535
Autores principales: Dupont, Clément, Vignion, Anne‐Sophie, Mordon, Serge, Reyns, Nicolas, Vermandel, Maximilien, Vignion, Anne-Sophie
Formato: Journal Article
Publicado: Wiley-Blackwell Jul2018
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Lasers in Surgery & Medicine
      issn: 01968092
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      dt: Jul2018
      vid: 50
      iid: 5
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/lsm.22739
        NLM28906571
        130245477
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        atl: Photodynamic therapy for glioblastoma: A preliminary approach for practical application of light propagation models.
      aug:
        au:
          Dupont, Clément
          Vignion, Anne‐Sophie
          Mordon, Serge
          Reyns, Nicolas
          Vermandel, Maximilien
          Vignion, Anne-Sophie
        affil: Univ. Lille, Inserm, CHU Lille, U1189‐ONCO‐THAI‐Image Assisted Laser Therapy for Oncology, Lille, F‐59000, France
      sug:
        subj:
          Brain Neoplasms Drug Therapy
          Porphyrins Therapeutic Use
          Photochemotherapy
          Photosensitizing Agents Therapeutic Use
          Glioma Drug Therapy
          Models, Biological
          Computer Simulation
          Sensitivity and Specificity
          Systems Analysis
          Algorithms
      ab: Purpose: Photodynamic therapy (PDT) is a promising treatment modality to be added in the management of glioblastoma multiforme (GBM). Light distribution modeling is required for planning and optimizing PDT. Several models have been developed to predict the light propagation inside biological tissues. In the present study, two analytical methods of light propagation emitted from a cylindrical fiber source were evaluated: a discrete and a continuous method.Methods: The two analytical approaches were compared according to their fluence rate results. Several cylindrical diffuse lengths were evaluated, and the relative deviation in the fluence rates was estimated. Moreover, a sensitivity analysis was conducted to compute the variance of each analytical model.Results: The discrete method provided fluence rate estimations closer to the Monte-Carlo simulations than the continuous method. The sensitivity study results did not reveal significant differences between the variance of the two analytical models.Conclusions: Although the discrete model provides relevant light distribution, the heterogeneity of GBM tissues was not considered. With the improvement in parallel computing that drastically decreased the computing time, replacing the analytical model by a Monte-Carlo GPU-accelerated code appeared relevant to the GBM case. Nonetheless, the analytical modeling may still function in the optimization algorithms, which might be used in the Photodynamic treatment planning system. Lasers Surg. Med. 50:523-534, 2018. © 2017 Wiley Periodicals, Inc.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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