Assessment of singlet oxygen dosimetry concepts in photodynamic therapy through computational modeling

Autor: Sofia Liossi, Mersini I. Makropoulou, Georgios Kareliotis
Rok vydání: 2018
Předmět:
Zdroj: Photodiagnosis and Photodynamic Therapy. 21:224-233
ISSN: 1572-1000
DOI: 10.1016/j.pdpdt.2017.12.016
Popis: Background In photodynamic therapy (PDT) oxygen plays a vital role in killing tumor cells. Therefore oxygen dosimetry is being thoroughly studied. Methods Light distribution into tissue is modelled for radiation-induced fibrosarcoma (RIF) and nodular basal cell carcinoma (nBCC), in order to study the influence of blood flow on singlet oxygen concentration effectively leading to cell death ([ 1 O 2 ] rx ) from PDT, within this light distribution. This is achieved through initial oxygen supply rate ( g 0 ) and initial molecular oxygen concentration ([ 3 O 2 ] 0 ) calculations. Monte Carlo simulations and mathematical models are used for spatial and temporal distributions of [ 1 O 2 ] rx . Hypoxia conditions are simulated by minimizing [ 3 O 2 ] 0 and g 0 . Furthermore, an optimization algorithm is developed to calculate minimum initial molecular oxygen concentration needed ([ 3 O 2 ] 0,min ) for constant [ 1 O 2 ] rx , when blood flow changes. Results Our results validate that in initially well-oxygenated scenarios with normal blood flow maximum [ 1 O 2 ] rx values are significantly higher than corresponding values of hypoxic scenarios both for RIF and nBCC models, with maximum oxygen supply rate percentage variations being independent from g 0 . Moreover, [ 1 O 2 ] rx appears to be more affected by an increase of g 0 than of [ 3 O 2 ] 0 values. For low blood flow there is a linear relationship between [ 3 O 2 ] 0,min and g 0 , while for better oxygenated areas high blood flow reduces [ 3 O 2 ] 0,min needed in exponential manner. Conclusions Blood flow appears to be able to compensate for oxygen consumption. The developed optimization protocol on oxygen dosimetry offers a suitable combination of [ 3 O 2 ] 0,min and g 0 to achieve constant [ 1 O 2 ] rx, despite possible blood flow variations.
Databáze: OpenAIRE