Hyperthermia, has become widely
used in many clinics, whole body hyperthermia is found
outside the United States, yet local hyperthermia is
seen in many hospitals lately in the United States.
Local hyperthermia is good for targeting tumors,
shrinking them directly; however whole-body hyperthermia
better for cancer that has metastasized, heating the
whole body, thus targeting the whole body as a cancer
site.
What exactly is hyperthermia?
Hyperthermia therapy is a type of
treatment in which body tissue is exposed to high
temperatures (up to 106ºF), to damage and kill cancer
cells, or to make cancer cells more sensitive to the
effects of radiation and certain anticancer drugs. Local
hyperthermia treatment (heat applied to a very small
area, such as a tumor) is a well-established cancer
treatment method with a simple basic principle: If a
rise in temperature to 106ºF can be obtained for one
hour within a cancer tumor, the cancer cells will be
destroyed. Primary malignant tumors have a bad blood
circulation, which make them more sensitive to changes
in temperature.
History of hyperthermia
Hyperthermia is not new. Although
in the United States the FDA currently treats
hyperthermia as a new, experimental approach to treating
cancer, and only allows such treatment to be combined
with either low dose radiation and/or chemotherapy.
Elsewhere in the world, hyperthermia is recognized as a
useful treatment in fighting and killing tumors and
cancer cells.
Hyperthermia in Greek means to
'over-heat'. The Greeks used hyperthermia frequently.
"Give me the power to produce fever and I heal every
illness", said Parmenides, Greek physician, 540-480 B.C
Certainly, the use of hyperthermia and its effects have
been well demonstrated and should it not have given
results, its use abandoned.
Types of Hyperthermia
Local Hyperthermia
In local hyperthermia treatment,
heat is applied to a small area, such as a tumor, using
various techniques that deliver energy to heat the
tumor. Different types of energy may be used to apply
heat, including microwave, radiofrequency, and
ultrasound. In local/regional hyperthermia
treatment, various approaches may be used to heat large
areas of tissue, such as a body cavity, organ, or limb.
Both are almost always used in combination with
chemotherapy and more often radiation therapy; such
treatment without the use of chemo or radiation is seen
outside the United States.
Whole Body Blood Hyperthermia or
Extracorporeal Whole-Body Hyperthermia
Extracorporeal WBH is achieved by
re-infusion of extracorporeally heated blood. A circuit
of blood is created outside the body by accessing an
artery, usually the femoral artery, and creating an
extracorporeal loop. The circulating blood is passed
through a heating device, usually a water bath or hot
air, and the heated blood is then re-injected into a
major vein. The desired body temperature is adjusted and
controlled by changing the volume flow of the warmed
re-infused blood.
Another approach, called
hyperthermia perfusion, a warmed solution containing
anticancer drugs is used to bathe, or is passed through
the blood vessels of, the tissue or organ containing the
tumor. Some of your blood is removed, heated, and then
pumped (perfused) into the region that is to be heated
internally
Whole Body Hyperthermia
Whole body hyperthermia treatment (WBH), achieved with
either radiant heat or extracorporeal technologies,
elevates the temperature of the entire body to at least
41°c. In radiant WBH, heat is externally applied
to the whole body using hot water blankets, hot wax,
inductive coils, or thermal chambers. The patient is
sedated throughout the WBH procedure, which lasts
approximately four hours. The patient reaches target
temperature within approximately 1.3 hours, is
maintained at 41.8°c for one hour, and experiences a
one-hour cooling phase. During treatment, the
esophageal, rectal, skin and ambient air temperatures
are monitored at 10-minute intervals. Small probes may
be inserted into the tumor under a local anesthetic to
monitor the temperature of the affected tissue and
surrounding tissue. Heart rate, respiratory rate, and
cardiac rhythm are continuously monitored
View Hyperthermia Treatments
Whole Body Hyperthermia
Local or Surface Hyperthermia
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