2008
DOI: 10.1016/j.surg.2008.03.036
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Noninvasive radiofrequency ablation of cancer targeted by gold nanoparticles

Abstract: Introduction-Current radiofrequency ablation (RFA) techniques require invasive needle placement and are limited by accuracy of targeting. The purpose of this study was to test a novel non-invasive radiowave machine that uses RF energy to thermally destroy tissue. Gold nanoparticles were designed and produced to facilitate tissue heating by the radiowaves.

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Cited by 180 publications
(174 citation statements)
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“…• endoscopic delivery, whereby gold nanoparticles can be delivered with the assistance of a microendoscope via a needle and protective sheath; near infrared light exposure is successfully performed using a microfiber probe integrated with a laser system in the esophageal lumen; and endoscopic delivery may conceivably provide the opportunity to ablate esophageal cancer in patients who are not candidates for surgery • two techniques which are each innocuous until combined, with near infrared light exposure not affecting normal esophageal tissue unless it was loaded with CS-GGS nanoparticles, suggesting that gold nanoparticles coupled with near infrared light exposure could enable thermalbased ablation targeted specifically at cancerous tissue, which is consistent with other reports 14 • an ability to target cancer cells selectively, as indicated in vitro by the high affinity of malignant OE-19 cells for CS-GGS nanoparticles, whereas the two benign cell lines, ie, BAR-T and HET-1A cells, showed less affinity; the differential uptake of CS-GGS between cancerous and benign tissue could enable targeted destruction of only cancerous tissue. There are questions that remain to be answered, as well as technical obstacles to be overcome in future studies.…”
supporting
confidence: 87%
“…• endoscopic delivery, whereby gold nanoparticles can be delivered with the assistance of a microendoscope via a needle and protective sheath; near infrared light exposure is successfully performed using a microfiber probe integrated with a laser system in the esophageal lumen; and endoscopic delivery may conceivably provide the opportunity to ablate esophageal cancer in patients who are not candidates for surgery • two techniques which are each innocuous until combined, with near infrared light exposure not affecting normal esophageal tissue unless it was loaded with CS-GGS nanoparticles, suggesting that gold nanoparticles coupled with near infrared light exposure could enable thermalbased ablation targeted specifically at cancerous tissue, which is consistent with other reports 14 • an ability to target cancer cells selectively, as indicated in vitro by the high affinity of malignant OE-19 cells for CS-GGS nanoparticles, whereas the two benign cell lines, ie, BAR-T and HET-1A cells, showed less affinity; the differential uptake of CS-GGS between cancerous and benign tissue could enable targeted destruction of only cancerous tissue. There are questions that remain to be answered, as well as technical obstacles to be overcome in future studies.…”
supporting
confidence: 87%
“…The minimum temperature for therapeutic benefit was above 42˚C. Above 46˚C the time for cell killing becomes quite short and the different sensitivity of malignant and benign cells disappears; above 50˚C all cells are killed very quickly (15). In the capacitive heating technique, the current spread can also cause excessive surface heating by the output of high power, so it is impossible for a therapeutic temperature of 46-50˚C to be used.…”
Section: Discussionmentioning
confidence: 99%
“…3 Alternately, because of the relatively low penetration depth of radiation at infrared (IR) and visible frequencies, radio frequency (RF) energy has been suggested for biomedical applications because it penetrates easily in the human body, thus reaching important internal organs. A series of papers [4][5][6][7][8][9][10][11][12] has considered RF heating of gold nanoparticles, showing significant heating. However, a recent experiment 13 contradicts this, and finds that gold nanoparticles at RF do not heat.…”
Section: Introductionmentioning
confidence: 99%