Adaptive TTFields Frequency Control for Tumor Cell Size

Resolve Bottlenecks,
Find Innovative Solutions
Generate Solutions

Solution Overview

Problem

Existing cancer treatments using alternating electric fields, such as TTFields, often employ a single fixed frequency, which may not account for changes in tumor cell size over time, leading to suboptimal treatment efficacy.

Innovation Solution

An adaptive method and apparatus that adjust the frequency of alternating electric fields based on real-time impedance measurements and cell size estimates, using electrical impedance tomography and AC signal generators to optimize treatment frequency throughout the treatment process.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If a single fixed frequency is used for TTFields treatment, then the treatment system is simple and easy to operate, but the treatment efficacy decreases over time as tumor cell size changes

Engineering Contradiction:
Improvesimplicity of treatment frequency managementVSAvoidtreatment efficacy
Core Design Contradiction:
Ease of operationVSReliability

Solution Approach 1:

The patent implements dynamic frequency adjustment by continuously monitoring tumor cell size and modifying the TTFields frequency in real-time to match changing cellular dimensions. This transforms the static fixed-frequency system into a dynamic adaptive system that maintains optimal treatment efficacy throughout the treatment course as tumors evolve.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The patent changes the physical parameter of treatment frequency based on measured tumor cell size. By establishing a relationship between cell size and optimal frequency, the system adjusts the frequency parameter to correspond to the current cellular dimensions, ensuring continued effectiveness as the tumor progresses through treatment.

Inventive Principle:
Principle #35Parameter changes

2Reliability

If the frequency is adjusted continuously based on cell size measurements, then treatment efficacy is maintained, but the device complexity and measurement requirements increase

Engineering Contradiction:
Improvetreatment efficacyVSAvoidcomplexity of frequency adjustment system
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent implements a feedback loop where tumor cell size is continuously measured and this information feeds back to adjust the treatment frequency. The system monitors cellular dimensions and automatically modifies the frequency parameter based on the measured values, creating a closed-loop control system that maintains optimal treatment conditions.

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The system performs self-adjustment by automatically modifying the treatment frequency based on real-time tumor cell size measurements without requiring manual intervention. The automated feedback mechanism enables the treatment system to self-optimize, reducing the need for complex manual calibration and adjustment procedures.

Inventive Principle:
Principle #25Self-service

3Reliability

If impedance measurements are taken frequently to track cell size changes, then the frequency can be optimized in real-time, but the measurement time and treatment interruptions increase

Engineering Contradiction:
Improvefrequency optimization accuracyVSAvoidtreatment time
Core Design Contradiction:
ReliabilityVSLoss of time

Solution Approach 1:

The patent employs periodic impedance measurements at strategically selected time points during treatment rather than continuous monitoring. By measuring cell size at regular intervals and adjusting frequency between measurements, the system maintains optimization accuracy while minimizing treatment interruptions and maximizing therapeutic delivery time.

Inventive Principle:
Principle #19Periodic action

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

This approach enhances cancer treatment efficacy by ensuring the frequency of the alternating electric fields remains clinically optimal for changing tumor cell sizes, potentially improving treatment outcomes by maintaining effective cell destruction.

Implementation Method 1

The basis of the method is the fact that the maximal exerted force on cell components by electric field forces including dielectrophoresis forces is both cell size and frequency dependent

Methodology Applied
Scientific EffectDielectrophoresis:

Implementation Method 2

One way to determine the cell size (step 1120 in FIG. 11) is to first take impedance measurements, and then use those impedance measurements to compute the cell size

Methodology Applied
Scientific EffectElectrical Impedance Tomography: Electrical Impedance Tomography

Implementation Method 3

The most common use is the generation of electric currents in a human or animal body by application of an electric field by means of a pair of conductive electrodes between which a potential difference is maintained

Methodology Applied
Scientific EffectElectrical conduction: Conduction (electrical)

Implementation Method 4

These electric currents are used either to exert their specific effects, i.e., to stimulate excitable tissue, or to generate heat by flowing in the body since it acts as a resistor

Methodology Applied
Scientific EffectJoule heating: Joule Heating

Data Source

PatentUS11701161B2Optimizing treatment using TTFields by changing the frequency during the course of long term tumor treatment
Publication Date: 2023.07.18 NOVOCURE GMBH
  • US11701161B2 patent drawing
  • US11701161B2 patent drawing
  • US11701161B2 patent drawing

AI summary

Tumors can be treated with an alternating electric field. The size of cells in the tumor is determined prior to the start of treatment by, for example, biopsy or by inverse electric impedance tomography. A treatment frequency is chosen based on the determined cell size. The cell size can be determined during the course of treatment and the treatment frequency is adjusted to reflect changes in the cell size. A suitable apparatus for this purpose includes a device for measuring the tumor impedance, an AC signal generator with a controllable output frequency, a processor for estimating the size of tumor cells and setting the frequency of the AC signal generator based thereon, and at least one pair of electrodes operatively connected to the AC signal generator such that an alternating electric field is applied to the tumor.