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fully edited. Content may change prior to final publication. Citation information: DOI
10.1109/LAWP.2015.2453432, IEEE Antennas and Wireless Propagation Letters
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Thermo-Dielectric Breast Phantom for


Experimental Studies of Microwave
Hyperthermia
P.T. Nguyen, Student, IEEE, A.M. Abbosh, Senior Member IEEE, and S. Crozier, Member IEEE

 without controlling the thermal properties. Thus, the reported


Abstract—An artificial breast phantom that has realistic phantoms are not optimized for hyperthermia studies.
dielectric and thermal properties is presented. The phantom Several researchers have reported breast phantoms for
aims at enabling the experimental validation of microwave microwave imaging and hyperthermia [1]-[6]. However, all
hyperthermia treatment for breast cancer. To perform credible
those phantoms only emulate the dielectric properties and
breast hyperthermia experiments, the phantom should emulate
both of the dielectric (permittivity and conductivity) and thermal some of them do not even emulate the correct breast anatomy.
properties (specific heat capacity and thermal conductivity) of In the most recent breast phantom [7], the adipose tissue is 3D
different breast tissues with the correct anatomy. The main printed while the gland tissue is represented by liquid-filled
challenge in fabricating such a phantom is in developing suitable voids so that its anthropomorphic interior is similar to the
mixtures of materials to emulate those properties across the actual distribution of breast tissues. However the used tissue-
frequency band of interest in hyperthermia and to fabricate the
mimicking materials were not tested to confirm their thermal
phantom with realistic anatomy. For anatomical accuracy, a
patient-specific MRI model is utilized in a three-dimensional properties as the phantom was aimed at imaging studies, not
printer, which is used to cast molds of the different breast hyperthermia. In microwave hyperthermia of other human
tissues. Those molds are then filled with tissue-mimicking organs, a thigh phantom with dielectric and thermal properties
chemicals, which are formed using low cost and stable materials. was developed [8]. However, the reported phantom has a
Once fabricated, the dielectric properties are measured using a simple structure, which is made from cylindrical shaped fat,
dielectric probe, while the thermal properties are measured
muscle and tumor.
using a differential scanning calorimeter. Our measurements
confirm the suitability of the fabricated breast phantom across In this letter, a methodology for fabricating realistic breast
the band 3-5 GHz, which is the suitable band for microwave phantom that emulates the correct anatomical structure and
hyperthermia. both of the dielectric and thermal properties of a dense breast
is presented. To realize the correct anatomy of the breast, a
Index Terms— Realistic breast phantom; microwave imaging; silicone plastique molds for skin and glands are created using
microwave hyperthermia; 3D printer. Suitable elastic mixtures are chosen for tissue
fabrication. A proper mixing ratio is found after confirming
I. INTRODUCTION
both of the dielectric and thermal properties of different breast
ICROWAVE hyperthermia has drawn researchers’
M interest over the past decades as promising addition to
the treatment options for breast cancer [1]-[3]. Before, moving
tissues. A mixture emulating the fat tissue is then poured into
voids created between the fabricated gland and silicone
plastique skin layer.
to pre-clinical trials, designed hyperthermia systems need to
be tested on breast phantoms. Since the main aim of II. PHANTOM FABRICATION
hyperthermia is to increase the temperature at the tumor to
The procedure for fabricating the required breast phantom
more than 42˚ C, while keeping the temperature of healthy can be divided into two main steps: Firstly, selection of proper
tissues at normal values, the breast phantom in those studies tissue-mimicking materials and secondly, 3D mold creation
needs to have the realistic thermal (specific heat capacity and and breast phantom construction.
thermal conductivity) and dielectric (permittivity and
conductivity) properties of the real tissues across the band of A. Tissue-mimicking (TM) materials:
interest. However, all recently reported studies seem to utilize The developed tissue mimicking (TM) materials are based
breast phantoms that only emulate the dielectric properties on oil-in-gelatin mixture. Different percentages of oil are used
to emulate the dielectric properties of various breast tissues,
Manuscript submitted April 21, 2015, revised June 26, 2015. such as high water content tumor, gland and low water
The authors are with the School of ITEE, University of Queensland, St. content of fat. An important feature of the materials is their
Lucia, Brisbane, QLD 4067, Australia (e-mail: p.nguyen84@uq.edu.au) long-term stability, which is achieved by adding

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This article has been accepted for publication in a future issue of this journal, but has not been fully edited. Content may change prior to final publication. Citation information: DOI
10.1109/LAWP.2015.2453432, IEEE Antennas and Wireless Propagation Letters
> REPLACE THIS LINE WITH YOUR PAPER IDENTIFICATION NUMBER (DOUBLE-CLICK HERE TO EDIT) < 2

formaldehyde to the mixture to provide the required cross- differential scanning calorimeter (DSC, Mettler Toledo
linking process. Furthermore, the formaldehyde raises the Alternating). To calculate the specific heat capacity of a
melting point of aqueous gelatin solution and therefore sample, a reference sample with known specific heat capacity,
enables maintaining the physical shape of gelatin-based Duraform with 𝐶𝑝 = 1.64 (𝐽/𝑘𝑔℃) and an empty pan are
phantom at temperatures in the upper hyperthermia range used. The specific heat capacity is measured during the
(60℃). The process of creating the required TM materials dynamic time of the heating process and it is determined using
includes the following main steps. Firstly, based on the 𝐻 𝑚𝑟
dielectric properties of water, oil, salt and gelatin, mixtures of 𝐶𝑝 = . . 𝐶𝑝𝑟 (1)
ℎ 𝑚𝑠
different ratios of those materials are used to achieve the
required tissues’ dielectric properties; secondly, the mixtures’ 𝐶𝑝 : specific heat capacity of sample (𝐽/𝑘𝑔℃), 𝑚𝑟 : weight of
dielectric and thermal properties are measured; thirdly, the reference sample (kg), 𝑚𝑠 : weight of sample (kg), H:
mixture ratios, especially for the gelatin, are tuned to control difference between sample and empty pan (W/kg), h:
the thermal properties and thus meet both of the tissue’s difference between reference and empty pan (W/kg).
dielectric and thermal properties. The method of this measurement is isothermal- dynamic-
The developed TMs are designed to not only simulate the isothermal. The sample temperature is increased across the
dielectric properties, but also the thermal properties of breast temperature range 15℃ − 60℃, which includes all the
tissues. Consequently, an aqueous gelatin solution was temperature values that might be used in microwave
produced by mixing gelatin (Chem-supply Pty Ltd, SA) in hyperthermia. The specific heat capacity of each phantom
distilled water, which was then combined with vegetable oil material is determined by averaging the calculated 𝐶𝑝 curve.
and surfactant (Earth Choice dish washing concentration) that A sample of the obtained curve for calculating 𝐶𝑝 for glands is
acts as an emulsifier to allow a homogeneous mixture to be shown in Fig. 1.
made. Since the conductivity of the material is mainly The other important thermal property, the thermal
dependent on the salt (NaCl) concentration, extra salt is added conductivity K (𝑤/𝑚℃), is obtained from the transient
to the gelatin solution to simulate TMs which require high temperature measurements [8]. The thermal conductivity is
conductivity. The relative permittivity, on the other hand, determined by fitting the transient temperatures at different
decreases when the oil percentage in the oil-gelatin dispersion positions along the axis of a cylindrical shaped sample to a
increases. Therefore, by tuning the concentration of the salt one-dimensional heat transfer equation where thermal
and oil in the aqueous gelatin solution, both the conductivity conductivity is treated as unknown variable and optimized to
and relative permittivity can be adjusted. best fit the measurements.
Since water has a larger specific heat capacity than The third important property, the density (𝑘𝑔/𝑚3 ), is
vegetable oil, 4.18 J/g.K and 1.67 J/g.K respectively, it is used calculated by dividing the mass by the volume of sample.
as source to achieve the required specific heat capacity. Therefore to determine the density of samples, the mass of
Hence, by changing the percentages of oil in aqueous mixture, samples are weighted by mg scale and the volume is measured
high water content tissues with higher specific heat capacity from the volume of sample in the cylinder container.
and low water content tissues with low specific heat capacity The final mixtures that enable fabricating the breast tissues
can be simulated. Generally, to obtain the required properties, with the correct dielectric and thermal properties are given in
several samples of aqueous gelatin solution with different Table I. The measured dielectric (relative permittivity and
concentration of gelatin, water, oil and/or salt are tested. The conductivity) across the ban 3-5 GHz and thermal properties
procedure of making samples is similar to the one reported in of the fabricated tissues are shown in Fig. 2 and Table II,
[8]. Moreover, the challenging issue in constructing phantom respectively. A comparison between the measured and real
is in avoiding air bubbles trapped into samples with high values [9], [10] are also given in Fig. 2 and Table II. It is
percentages of oil (more than 50% of sample volume). To shown that the developed phantom materials are in good
overcome this issue, small amount of oil is slowly added into agreement with the reported data of human breast tissues over
the mixture while gently stirring it and keeping it warm. The the band of interest.
process is repeated until all of the oil is dissolved into the 0.8
mixture. The samples are then poured into cylindrical Duraform
0.6 Empty pan
containers and rested for at least 24 hours before Gland material
Heat Flow (W/kg)

0.4
measurements.
The dielectric properties of the developed samples are 0.2
measured over the band 3-5 GHz, which includes the a
0
b h
frequencies suitable for breast microwave hyperthermia, by
-0.2
using the dielectric probe HP85070 at room temperature. The c H
results are then compared with the properties of human -0.4

tissues. Additionally, the stability of the developed TM is also -0.6


tested by measuring samples after 1 weeks and 5 weeks.
-0.8
The thermal properties (specific heat capacity, thermal 0 100 200 300 400 500 600 700 800 900
Time (s)
conductivity and density) of the developed TMs are also
Fig. 1 Heat flow curves of Duraform, empty pan and gland material for
tested to verify their realistic values. To that end, the specific thermal properties estimation.
heat capacity 𝐶𝑝 (𝐽/𝑘𝑔℃) of each TM is measured using a

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This article has been accepted for publication in a future issue of this journal, but has not been fully edited. Content may change prior to final publication. Citation information: DOI
10.1109/LAWP.2015.2453432, IEEE Antennas and Wireless Propagation Letters
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TABLE I: COMPOSITIONS OF TISSUE-MIMICKING PHANTOM create a mold for the skin layer which is then fabricated by its
MATERIALS. equivalent material. The general steps of the phantom
development are explained in Fig. 3.
Ingredients Gelatin Water Oil Salt The utilized 3D voxel breast model in the fabrication is
Tissues (gr) (gr) (gr) (gr)
derived from 0.5 mm resolution MRI data following the
Gland 50 150 37.5 0 process explained in [11]. Since within the breast, the gland
Fat 17 40 140 0
tissues are surrounded by fat layers, the fat tissue is
Skin 42.86 150 43 0
tumor 50 150 26.475 5 constructed by pouring the fat mimicking material into a mold
formed by the gland and skin models. For that reason, gland
and skin models are crafted. To that end, the gland tissues are
60 united to create a stereo lithography (STL) file of the gland
layer. To maintain the resolution constraint of 3D breast data,
50
Relative Permittivity

the STL file is built in MATLAB by transforming each voxel


40 into a cubic structure. The structural file of combining tissues
is sent to 3D printer to build gland tissue model. The printed
30
tissue model is then used to generate casting mold by using
20 silicone plastique.
To mimic the skin layer, two modified skin models: inner
10
skin, which has 1.5 mm smaller volume and outer skin, which
0 is 1.5 mm larger than the actual skin tissue are printed. These
3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5
Frequency (Hz) 9
x 10
inner and outer skin layers are then used to build 1.5 mm thick
(a) skin from casting mold material. The outer skin layer is
6
horizontally and vertically halved for the ease of molding
5 process. Furthermore, several interlocking points are added in
Conductivity (S/m)

4
each half of the outer skin layer to connect these halves and to
keep them in position. In the final step, a warm mixture is
3
used to build breast tissues with a proper shapes by using
6
2 casting molds of 3D printed breast tissues. The whole
development procedure is shown in Fig. 4 where the different
1 5
fabrication steps are exhibited. Moreover, the fabricated
Conductivity (S/m)

6 0
3 3.2 3.4 3.6 3.8
44 4.2 Gland 4.6
4.4 (developed)
4.8 5 phantom is vertically subdivided so that the 0.5𝑐𝑚3 tumor is
Frequency (Hz) Tumor (developed)x 109 inserted in each half of the phantom to form 1𝑐𝑚3 tumor
5 (b) Skin (developed)
which is depicted in Fig. 5. The utilized MRI model in the
Conductivity (S/m)

3 Fat (developed)
Gland (developed) Gland (actual) fabrication process is also shown in Fig. 5 to verify it’s
4
Tumor (developed)
2
Tumor (actual) similarly with the fabricated phantom.
Skin (developed) Skin (actual)
3 Fat (developed) Fat (actual)
Gland (actual) 1
Fig. 2 Relative permittivity
Tumor (actual) (a) and conductivity (b) of developed tissues.
2
TABLE II: Skin (actual) PROPERTIES OF DEVELOPED AND REAL
THERMAL 0
Fat (actual)
BREAST TISSUES . 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5
1
Specific heat Thermal
Frequency (Hz) 9
x 10
Density conductivity
Tissue capacity
𝜌(𝑘𝑔/𝑚3 )
0
3 types
3.2 3.4 3.6 3.8
𝐶𝑝 (𝑗/𝑔℃)
4 4.2 𝐾4.4
(𝑤/𝑚℃) 4.6 4.8 5
data meas. Frequency
data (Hz)
meas. data meas.
x 10
9

Gland 1050 1037 3.6 3.9 0.5 0.51


Fat 1069 1090 2.28 1.9 0.30 0.23
Skin 1085 1035 3.77 3.92 0.4 0.52
Tumor 1050 1031 3.6 3.75 0.5 0.55

B. Breast tissue fabrication and phantom formation:


To build a phantom with correct anatomy, the following
fabrication procedure is followed: Firstly, molds for the gland
and skin models are fabricated by importing their MRI
numerical models into a three-dimensional printer. Secondly,
the fabricated gland material is poured into the gland casting
mold to create the gland tissue. Next, the fat tissue is
constructed by placing its material into a void formed between
the fabricated gland tissues and casting mold of the skin.
Subsequently, the constructed gland and fat tissues in Fig. 3 Breast phantom development using 3D printed casting molds.
conjunction with the 3D printed breast cover are used to

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(a) (b) (c) (d)

(h) (g) (f) (e)

Fig. 4. Steps of phantom fabrication (clockwise): (a) 3D dense breast model; (b), (c) 3D printed gland tissues and modified skin tissues of the breast; (d)
casting molds of skin and gland tissue; (e) fabricated gland tissue; (f) breast phantom after filling up fat tissues; (g) breast phantom after skin fabrication; (h)
the final developed breast phantom.

to manufacture. A similar procedure can be applied to build


-4
different density breast phantoms. The anatomically realistic,
-2 heterogeneous phantom can be used to give credible
experimental validation of breast hyperthermia methods.
(cm)

2
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4
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