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DOI 10.1007/s40430-016-0553-3
TECHNICAL PAPER
Abstract Photothermal therapy (PTT) with combined use Keywords Photothermal therapy · Heat transfer
of laser radiation and photon absorber nanoparticles is a simulation · Coupled radiation-conduction-blood
promising technique to treat cancer. Treatment planning perfusion · P1-approximation · Discrete ordinate method
and devising appropriate protocols for cancer photo ther-
mal therapy require the computational simulation of cou-
pled physical phenomena, such as radiation, conduction, 1 Introduction
and blood perfusion. The P1-approximation is a numeri-
cal method to solve radiation heat transfer which features Photothermal therapy (PTT) is a procedure in which ther-
the advantage of being computationally fast and, therefore, mal radiation is used to treat diseases. It has become quite
desirable for PTT simulations. However, the method is promising for the treatment of various types of cancer with
known to become inaccurate under certain conditions. In the recent development of nanotechnology. The combined
this study, the P1-approximation and the accurate discrete use of nanoparticles and collimated laser light allows to
ordinate method were applied to solve a set of test prob- selectively heat and induce hyperthermia of cancerous
lems idealized to portray conditions encountered in PTT. cells, while preserving the surrounding healthy tissues, thus
The test problems were one-dimensional, and the radiation making the treatment minimally invasive. Due to this rea-
scattering was assumed as isotropic. Tissues composed by son, there is a growing interest on using PTT to treat can-
layers with different properties were considered, includ- cer, as can be verified in the review by Bayazitoglu [1].
ing cases in which gold nanoparticles were embedded in Near-infrared (NIR) lasers are of common use in medi-
the tissue to increase photon absorption. For the problems cine, and research works involving their application for
considered here, the P1-approximation and discrete ordi- photothermal cancer therapy can be found in the literature
nate method results presented quite good agreement for [2–13]. In the range of the NIR spectrum encompassing
the time-dependent temperature distribution, which is the the wavelengths between 700 and 1100 nm, the extinction
quantity of interest in PTT. coefficient of most biological tissues is low [1]. Therefore,
laser radiation within such a spectral range propagates into
the human body without significant attenuation. On the
other hand, there are nanoparticles that strongly absorb NIR
Technical Editor: Francis HR Franca.
radiation, which can be embedded in tissues to increase
* André Maurente the absorption in specific regions. Most of these particles
amaurente@gmail.com are constituted of noble metals and can be designed for a
1
specific resonance frequency [14]. Also, noble metals pre-
Department of Mechanical Engineering, Federal University
sent low levels of toxicity [2]. More recently, interest in
of Rio Grande do Norte-UFRN, Campus Universitário,
Lagoa Nova, Natal 59072‑970, RN, Brazil the application of carbon-based nanoparticles to PTT has
2 increased, such as carbon nanotubes [15]. Differently of
Department Mechanical Engineering‑POLI/COPPE, Federal
University of Rio de Janeiro-UFRJ, Cx. Postal 68503, Cidade the nanoparticles made of noble metals, the ones composed
Universitária, Rio de Janeiro, RJ 21945‑970, Brazil of carbon-based nanomaterials are not tunable for being
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J Braz. Soc. Mech. Sci. Eng.
highly absorbant in a specific wavelength; instead, they treatments, is still considerably expensive in terms of com-
have a high extinction coefficient along a large range of the putational time, especially because of the radiation solu-
visible and NIR spectra. tion. Thus, using a computationally cheap method as the
The application of PTT for cancer therapy has attracted P1-approximation is highly desirable, and because of that,
the attention of researchers from different areas. In vivo the method has been applied in researches aimed at gain-
experiments are of primary importance, since they allow to ing knowledge about PTT simulations, including cases in
assay the feasibility of treating cancers with different PTT which simple one-dimensional problems are approached,
strategies, which can vary mostly due to differences in the examples are [7, 8, 10, and 23]. Nonetheless, the P1-approx-
laser configuration, type of nanoparticles, and methods to imation can be inaccurate in some cases. As demonstrated
deliver the particles, as can be verified from the reviews in by Mengüç and Viskanta [24], under conditions for which
references [1, 16, 17]. the P1-approximation becomes inaccurate, the discrete ordi-
Another field of interest concerns the nanoparticles nates method can still provide accurate results. The present
themselves, since the success of the therapy depends on study compares the P1-approximation with the more accu-
their optical properties. Examples of works in this area rate discrete ordinate method with eighth order of angular
include those by Tuersun and Han [14], An et al. [18], and discretization (S8). The approached problems simulate cases
Lui et al. [19]. The first shows the relation of the backscat- of skin and breast cancer. In both cases, the geometry is
tering and absorption properties of nanoshells with the approximated as one-dimensional, and the medium scatters
dimensions of the silica core radii and gold shells, the sec- radiation isotropically. Tissues with and without nanoparti-
ond presents a numerical investigation about the radiative cles embedded in are considered. Results are presented for
properties of silver nanorod dimers assemblies, while the the temperature field obtained by solving the coupled radia-
last one is concerned with a model to calculate resonance tion, conduction, and blood perfusion, as well as for the
properties of nanoshells with metal cores. divergence of the radiative heat flux, to evaluate the meth-
Although the photothermal therapy strategies must be ods for pure radiation solutions.
ultimately validated for medical applications by in vivo
experiments, numerical methods are a powerful tool, which
can be used to simulate the heat transfer processes occurring 2 Fundamental equations and modeling
during a PTT procedure. Numerical simulations can par-
tially replace experimental investigation, with the advantage In the problems examined here, a tissue is irradiated by col-
that some parameters can easily be modified in a computer limated laser light. While the temperature of the tissue rises
code, allowing simulating an enormous variety of nanopar- due to radiative energy absorption, heat is removed by con-
ticles, tissues, and lasers with minor increase of costs, time, duction and blood perfusion. The quantity of major inter-
and manual labor. Therefore, the development of reliable est for PTT is the time and spatially dependent tissue tem-
numerical models for simulating PTT procedures can be perature, T, since the success of the treatment depends on
considerably useful, and some models were proposed. The the magnitudes of temperature in the tissues and the time
majority of the models solve the Pennes energy equation that they are subjected to high temperatures. To obtain the
[20] coupled to the radiative transfer equation [21, 22]. In temperature distribution, the following form of the energy
such models, the most complex task is the solution of the equation needs to be solved:
radiative heat transfer problem. Tjahjono and Bayazitoglu
∂T
[7], and Vera and Bayazitoglu [8] considered an one-dimen-
ρcp = ∇ · k∇T + ∇ · qr + ρb vb cb Tb − T (1)
sional problem with isotropic radiation scattering. For the ∂t
radiative transfer solution, they employed the spherical har- where ρ and cp are, respectively, the tissue density and spe-
monics with the first-order approximation (P1-approxima- cific heat, t is time, k is the thermal conductivity of the tissue,
tion). This method is computationally fast, which is highly and the last term accounts for the removal of heat from the tis-
desirable for applications to simulate the complex processes sue due to blood perfusion, as proposed by Pennes [20]. With
of heat transfer in PTT, specially with irregular three-dimen- the exception of T, all quantities appearing in this last term are
sional geometries such as those which can occur in real relative to blood, as indicated by the subscript b, being ρb, cb,
tumors. However, the method can be inaccurate in certain Tb ,and vb ,respectively, the density, specific heat, blood tem-
cases. For example, the P1-approximation becomes less perature, and blood perfusion rate. The laser radiation absorp-
accurate in multidimensional geometries with thin media tion is accounted for the divergence of the radiative heat flux,
associated to strongly anisotropic radiation scattering [22]. in the second term of the right-hand side of Eq. (1).
In spite of the fast growing of computers’ processing The problems considered here are one-dimensional. In
power, simulating coupled radiation, conduction, and blood this case, Eq. (1) can be reduced and written for the x direc-
perfusion, which can occur in real three-dimensional PTT tion as
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Fig. 1 Representation of the
skin cancer [10]
This case was based on that presented by Dombrovsky cancer tumor, papillary dermis, reticular dermis, and fat, as
et al. [10]. The geometry consists of an one-dimensional represented by Fig. 1. The slab is irradiated from the left
slab with five different layers, corresponding to epidermis, by collimated laser radiation with wavelength of 0.6328
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J Braz. Soc. Mech. Sci. Eng.
μm. The emissive power of the laser is 20 kW/m2, and is nanoparticles, and fv is the volume fraction of the nanopar-
imposed on the tissue periodically, according to the func- ticles relative to the embedded tissue.
tion shown in Fig. 2. It is assumed that all radiative energy Dombrovsky et al. [10] considered that the radia-
incident on the slab penetrates the tissue, that is, the reflec- tion source is a helium-–neon laser with wavelength of
tivity of the external surface of the slab, appearing in Eqs. 0.6328 μm, and that the nanoparticles are silica-core gold
(6) and (7), is Re = 0. Internally, the reflectivity of the sur- nanoshells with radius r = 20 nm (which give the maxi-
face boundaries are R = 1, at the left, and R = 0.49, at the mum absorption at the refered wavelength). The radius of
right. The conduction boundary conditions for Eq. (2) are the silica core was considered equal to 0.725r. For such
prescribed temperature of 37 °C, on the left surface, and nanoparticles, and assuming a refractive index n = 1.45 rel-
convective heat transfer, on the right, for simulating heat ative to the ambient human tissues, Dombrovsky et al. [10]
transfer to inward body tissues. For the inner boundary, applied the Mie theory to estimate the following values for
the convective heat transfer coefficient is h = 50 W/(m2K) the efficiency factors: Qa = 7.828 and Qs = 1.144. Assum-
[10], while the initial temperature and the temperature of ing a volume fraction of the nanoparticles fv = 10−5, Eqs.
the surrounding medium exchanging heat with the surface (9) and (10) provide κ = 3115.6 m−1 and σsc = 2789 m−1,
on the right are both equal to 37 °C. The properties of the for the epidermis, and κ = 2985.5 m−1 and σsc = 1029
tissue layers without nanoparticles are shown in Table 1. m−1, for the tumor. In layers without nanoparticles, fv = 0,
Figure 3a presents the temperatures as a function of the and thus, the absorption and scattering coefficients reduce
depth in the tissue at four different instants of the periodic to κ = κt and σsc = σsc,t.
heating process: 10, 25, 35, and 50 s. The temperatures As can be seen in Fig. 3a, b, the peak temperature was
were computed with the P1-approximation and discrete moved to the tumor region (0.3 mm < x < 0.4 mm) when
ordinate method with eighth order of angular discretiza- nanoparticles were used. Similarly to the case without nan-
tion (S8). The results obtained with the two methods agreed oparticles, the P1-approximation and S8 results presented
well, the temperature presented similar profile, the maxi- good agreement, with a difference lower than 1 % for the
mum difference was about 0.3 °C for 35 s of heating, and peak temperature.
the relative difference was not higher than 0.75 %. Further- The results for the temperature shown in Fig. 3a, b were
more, an interesting observation which can be made by obtained with the presence of conduction and blood perfu-
inspecting Fig. 3a is that the peak of temperature occurs sion, since both are relevant in PTT. A comparison of the
about 1.5 mm deep in the tissue, away from the tumor. In S8 and P1-approximation predictions in a pure radiation
this case, the laser heating is more likely to kill healthy problem is presented in Fig. 4a, b. The divergence of the
cells than the cells in the tumor region. Thus, to reach tem- radiative heat flux is shown: (a) in the tissue without nan-
peratures sufficiently high to kill cancerous cells, healthy oparticles, and (b) in the tissue embedded with nanopar-
tissues would be overheated to temperatures even higher, ticles. In the case without nanoparticles (see Fig. 4a), the
which would be harmful for the patient. S8 predicted higher radiation absorption than that obtained
The absorption of heat in the tumor region can be with the P1-approximation in all layers, which is consistent
increased using nanoparticles. Figure 3b shows the tem- with the higher temperatures predicted using the S8 method
perature distribution when the first and second layers, (see Fig. 3a). The main differences in the divergence of the
representing the epidermis and the tumor are embedded radiative heat flux occurred in the first two tissues; the dif-
with nanoparticles, which are gold nanoshells. The opti- ferences were about 10% near the boundary and higher in
cal properties of the tissue layers with the nanoshells were the region of the tumor. However, the absorption coefficient
obtained in accordance with the procedure presented by is relatively small in the locations where the higher errors
Dombrovsky et al. [10], using the following equations in the divergence of the radiative flux do occur, and thus
to compute, respectively, the absorption and scattering have small influence on the temperature.
coefficients: In the case of the tissue embedded with nanoparticles,
the divergence of the radiative heat flux, shown in Fig. 4b,
Qa
κ = κt + 0.75fv (9) is considerably higher than that for the case without nano-
r particles, since the particles increase radiation absorption.
The results obtained with the S8 and P1-approximation
Qs
σsc = σsc,t + 0.75fv (10) presented good agreement: the maximum differences
r occurred in the first two tissue layers and were about 5 %.
where Qa and Qs are the dimensionless efficiency factor and Differently than for the tissue without nanoparticles, the
transport efficiency factor of scattering for single particles, divergence of the radiative heat flux obtained with the
κt and σsc,t are the absorption and scattering coefficients S8 was lower than that obtained with the P1-approxima-
of the tissue without nanoparticles, r is the radius of the tion in the region where the peak temperature occurs.
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3.2 Breast cancer Results were obtained for the tissue without nanoparti-
cles and when the 2/3 final part of the layer corresponding
For this case, the geometry once again was one-dimen- to the tumor was embedded with gold nanoshells with the
sional, and the scattering was assumed as isotropic. How- goal of bringing the peak temperature to the tumor region.
ever, the tissue properties, dimensions and laser power were The nanoparticles are shells with the same features as for
selected to simulate the heat transfer processes occurring in the skin cancer case. The properties of the tissue embed-
a photothermal treatment of breast cancer. The geometry is ded with these particles were again determined accord-
represented in Fig. 6, while the layers properties are given in ing to the procedure presented by Dombrovsky et al. [10],
Table 2. The specific heat, density, and thermal conductiv- using Eqs. (9) and (10). However, at this time the volume
ity were obtained from He et al. [26], the metabolic heat of fraction of the nanoshells relative to the embedded tissue
the tumor was estimated based on the analysis presented by was fv = 2·10−7, which resulted in the following values of
Dombrovsky et al. [10], the metabolic heat generated by the absorption and scattering coefficients: κ = 67.11 m−1 and
gland was taken from Vo-Dinh [27], and the optical proper- σsc = 1508.58 m−1.
ties of the tumor and breast gland were obtained from Fatini Figure 7a, b present the temperature distributions at dif-
[28]. The laser irradiates the left surface and is periodically ferent times, obtained for the tumor without and loaded
applied according to the function shown in Fig. 2, as in the with nanoparticles, respectively. These figures show that,
previous case. However, the laser emissive power is now 28 with the addition of nanoparticles, the peak temperature
kW/m2. The boundary conditions are exactly the same as increases from approximately 41 °C to almost 44.5 °C,
that of the case involving the skin cancer. while shifts 2 mm to right, getting closer to the center of
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