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Three-Dimensional Simulation of Carmustine Delivery to a Patient-Specific Brain Tumor

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dc.contributor.author Arifin, Davis Yohanes
dc.contributor.author Wang, Chi-Hwa
dc.contributor.author Smith, Kenneth A.
dc.date.accessioned 2007-02-06T01:05:51Z
dc.date.available 2007-02-06T01:05:51Z
dc.date.issued 2007-01
dc.identifier.uri http://hdl.handle.net/1721.1/35878
dc.description.abstract This study presents the recent development of three-dimensional patient-specific simulation of carmustine delivery to brain tumor that highlights several crucial factors affecting the delivery. The simulation utilizes the full-brain three-dimensional geometry constructed from magnetic resonance images (MRI) of a brain tumor patient. Prior to the simulation with tumor, the baseline simulation is initially done to obtain the interstitial fluid homeostasis in the normal brain so that the real picture of brain fluid dynamics in human brain is obtained. The simulation is conducted by coupling equations of continuity, motion, and carmustine species conservation, which, in turn, are solved simultaneously to calculate pressure, flow, and drug concentration fields, respectively. Carmustine is delivered by using the commercially available Gliadel wafers following the surgical removal of the tumor. The possible effects of vasogenic edema (due to surgery trauma) to brain fluid dynamics is also included. Here, the compiled results highlight that the drug release profile is, if not more than, as important as the dosage and the possible increase of convection due to edema. This study also reveals that a new strategy, namely convection enhanced delivery (CED) is able to increase drug penetration by enhancing interstitial fluid convection; but, over-enhanced convection may cause toxicity complications to surrounding healthy tissue during later stages of treatment. en
dc.description.provenance Submitted by Matthew Mahoney (mahoney1@mit.edu) on 2007-02-01T17:55:49Z No. of bitstreams: 1 CPE013.pdf: 11046 bytes, checksum: ba041b03dec3cf5a7aff5639d30ed6b9 (MD5) en
dc.description.provenance Approved for entry into archive by Robert Wolfe(rwolfe@mit.edu) on 2007-02-06T01:05:51Z (GMT) No. of bitstreams: 1 CPE013.pdf: 11046 bytes, checksum: ba041b03dec3cf5a7aff5639d30ed6b9 (MD5) en
dc.description.provenance Made available in DSpace on 2007-02-06T01:05:51Z (GMT). No. of bitstreams: 1 CPE013.pdf: 11046 bytes, checksum: ba041b03dec3cf5a7aff5639d30ed6b9 (MD5) Previous issue date: 2007-01 en
dc.description.sponsorship Singapore-MIT Alliance (SMA) en
dc.language.iso en en
dc.relation.ispartofseries Chemical and Pharmaceutical Engineering (CPE) en
dc.subject Carmustine en
dc.subject BCNU en
dc.subject Gliadel Wafer en
dc.subject Polymeric Delivery en
dc.subject Convection Enhanced Delivery en
dc.subject Brain Tumor en
dc.subject Simulation en
dc.subject Computational Fluid Dynamics en
dc.title Three-Dimensional Simulation of Carmustine Delivery to a Patient-Specific Brain Tumor en
dc.type Article en

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