client: mike sabo - pulse therapeutics,...

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RESEARCH POSTER PRESENTATION DESIGN © 2012 www.PosterPresentations.com Currently, the process of drug delivery for cancer patients in chemotherapy is very inefficient, and there is minimal control over the drugs once they enter the patient’s bloodstream. Chemotherapeutic drugs are often dispersed throughout the bloodstream rather than targeting tumorous locations exclusively. In addition, highly concentrated drugs can be helpful, but would impose serious damage if not properly controlled. Pulse Therapeutics has developed an innovative technology for drug delivery in stroke patients using drug-conjugated magnetic nanoparticles (NPs). Due to the size of the particles and the strength of the applied magnetic field, this technology is limited to areas of the human body with low fluid flow, such as the brain ventricles. The market needs a more effective chemotherapeutic drug delivery system that can target specific locations of interest within a patient’s body. With this new system, doctors should be allowed to increase effective dosage during the treatment process. A high concentration of chemotherapeutic drugs will allow for a shorter treatment time thus increasing the effectiveness of the process without causing severe repercussions or side-effects. Background & Need Design Overview The device contains these following main components: the support frame with frame base (light green and dark blue), the rotation assembly (light blue), the tilting assembly (yellow), the main motor (red) and motor housing (purple), the magnet (green), and the movement motors (orange). Magnetic Device Design Overview In order to determine the appropriate ultrasound and transducer specifications, it is imperative to understand how Doppler ultrasound utilizes the unique properties of the superparamagnetic NPs to track its movement. Recent studies have shown that Doppler ultrasound imaging can be used to detect the movement of iron oxide NPs if magneto-motive ultrasound imaging is used. In magneto-motive ultrasound imaging, magnetic NPs are ‘subjected to modulating magnetic fields and these modulations are detected as frequency shifts in Doppler ultrasound measurements’ [1] . This technique works best when the NPs exhibit superparamagnetic properties and is made up of iron oxide particles; this is due to the idea that iron oxide NPs have a strong magnetic susceptibility relative to the magnetic susceptibility of tissue, making it a good contrast agent for ultrasound imaging [2] . Since the nanoparticles provided by Pulse Therapeutics, Inc. is (Fe 3 O 4 ), a superparamagnetic iron oxide NP derivative, and since dynamic magnetic field is required for movement control of NPs, the magneto- motive ultrasound imaging technique applied on Doppler ultrasound proves to be an effective method for NP tracking for this design project. Because the NPs will travel in the cerebrospinal fluid, a low flow velocity system, and since the rotating magnet will move the NPs at a considerably faster speed than the speed of the cerebrospinal fluid as tested in vitro, there will be a noticeable color contrast in Doppler image. Imaging Modality Future Directions Further improvements can be applied to the magnetic device design. The need for a precise control method for control of NP movement in 3D range of motion was not completely solved in this project. Such a control method would be essential for use of this device during a clinical procedure. Currently, the magnetic device design is suitable for a proof of concept through an in vitro procedure, but for a clinical trial more extensive modifications must be applied. The next step would be to create a precise control mechanism which can be implemented into the magnetic device design. This would be done through a programmed control algorithm which would be able to move the magnet with respect to the position of the particles during treatment by precisely controlling each motor’s power output. The algorithm would require more extensive analysis of the particle motion, such as location and velocity with respect to time. To achieve this, further analysis of the magnetic device properties must be performed. Eventually, the goal of a programmed control algorithm is to replace manual control of the device. Conclusions By combining each part of this design project, including the magnetic device design, incorporation of imaging technology, and the phantom design, the primary goals for the project have been attained. In summary, this project proposes a way to provide a proof of concept through an in vitro procedure with the rotating magnetic device, in which a phantom replicates NP behavior in brain ventricles and an imaging technology is used to show the ability to track these NPs. Therefore, with further developments, the project has considerable potential in regards to clinical setting applications, and producing a novel and efficient drug delivery system for brain tumors. References [1] John, Renu, and Stephen A. Boppart. Current Medical Chemotherapy 14th ser. 18 (2011): 2103-114. National Institute of Health. Web. 8 Nov. 2013. [2] Oh, Junghwan, Marc D. Feldman, Jeehyun Kim, Chris Condit, Stanislav Emelianov, and Thomas E. Milner. "Detection of Magnetic Nanoparticles in Tissue Using Magneto -motive Ultrasound." Nanotechnology 17 (2006): 4183-190. Pubmed. Web. 5 Nov. 2013. [3] Cole, David, and Antonio Sassano. Ultrasound: Physics and Technology. By Vivien Gibbs. 3rd ed. Vol. 1. China: Elsevier, 2009. 37-50. Print. [4] Roselli, Robert J., and Kenneth R. Diller . Biotransport: Principles and Applications. 1st ed. New York: Springer Science Business Media, 2011. p. 139. eBook. Project Scope The goal of the design project is to develop an improved mechanism for transporting chemotherapeutic agents with control to tumorous areas, which includes: 1. Designing a device with adequate size specifications that generates an exterior magnetic field and 2. Incorporating a tracking system through imaging technologies that allow visualization of the particles inside the patient’s body; 3. Determining correct parameters when the device is in operation to obtain the most desirable clinical results, and 4. Outlining a control mechanism that can be used to control the movement of the particles in delivering the drugs and recollecting the nanoparticles after treatment. Design Requirements Design Process Magnet Device Design Rectangular vs. Conical vs. Spherical System Imaging Modality Doppler Ultrasound Imaging Phantom 3D Brain Tumor Phantom Client: Mike Sabo - Pulse Therapeutics, Inc. Chris Peng, Blessan Sebastian, Arvin Soepriatna – Group 37 Novel Drug Delivery in Pediatric Medulloblastoma Parameters Specifications Imaging Phantom Size < 3x3 ft Imaging Phantom Weight ≤ 40 lbs Magnet Device Dimensions < 3x3 ft Magnetic Field Strength < 1 T Imaging Depth < 10 cm Standard Operation Time < 4 hrs System Power Inlet Standard 110V Budget $15,000 Parameters Specifications Exposure Safety High, up to 4 hours Resolution High, up to 8 cm deep Compatibility with Dynamic Magnetic Field High Imaging Approach Non-invasive Image Acquisition Duration Real-time Imaging Size Small enough to allow free movement of magnets around the patient’s head Maneuverability High Signal to Noise Ratio (SNR) High Chosen Transducer In order to obtain a high resolution image with good contrast between bone, tissue, and nanoparticle interfaces, the frequency range and the type of array of the probe needs to be considered. A high beam steering angle will allow for control over the angle of insonation without excessive movement of the probe [3] . Parameters Motor for Joint A Motor for Joint B Type of Motor Stepper Motor Stepper Motor Torque 10 Nm 300 Nm Power 5 W 100 W Size < 15 cm in all 3 axis < 15 cm in all 3 axis Step Angle < 2 o < 5 o Weight < 10 lbs < 20 lbs AC/DC DC DC Cost < $500 < $500 Phantom Design Safety Primary hazards categorized with HIGH risk level: Drawing-in nearby magnetic materials during testing. Rotating magnet in close proximity to user or patient. Machine Instability due to improper device positioning. Excessive force/exertion due to careless handling of magnetic device. Device Design Top View with Dimensions (Support Base Hidden for Clarity) Rotation Assembly (blue) with control demonstration. Tilt Assembly (yellow) with control demonstration. Assembly Motor Specifications Specific Parts Parameters Specification Frequency Range 3-5 MHz Type of Array Linear Phased Array Imaging Depth 40-60 mm Resolution 1 mm axial x 1 mm lateral Steering Angle 60-90 degrees Cost <$10,000 The purpose of the phantom apparatus is to model the behavior of magnetic NP movement in cerebrospinal fluid while utilizing imaging technology to show visualization of particle control. Thus, the phantom will satisfy the following functions: 1. Provide a proof of concept for the clinical setting that an external magnetic device can control NP movement in three dimensions. 2. Show that the position of the particles can be tracked using an imaging modality. 3D Brain Phantom Diagram 1. PK566BW-N10 motor with planetary gear 2. Orientalmotorstepper Brushless motor BLV620K 50F-2 3. Control module OPX-2A Since the motor needs to be able to finely control the position and therefore angle of the magnet relative to the person’s head, a stepper motor is desired. A stepper motor is a brushless DC motor that divides a full revolution into a discrete number of steps that are evenly separated; because of this, each signal commands the motor to rotate at a precise step angle, allowing for angular control without a feedback mechanism. Sonosite M-Turbo Ultrasound System Parts No.: P07662-03 Modes: Color, pulse wave, and continuous wave Doppler Power Supply: AC: 100-240 VAC, 50/60 Hz input Note: Pulse Therapeutics, Inc. is in possession of this system so it is available at no cost. M-Turbo P21x Transducer Parts No.: P07698-23 Frequency Range: 1-5 MHz Imaging Depth: 35 cm Steering Angle: 53.5 o Price: $7,000 Since cerebrospinal fluid is a Newtonian fluid, the forces in the fluid are proportional to the rate of change in velocity vector due to viscosity [4] . PBS solution is used to replicate CSF behavior. The material for the exterior head component must be made by a particular material that replicates the absorbency, magnetic susceptibility, and other major properties of human skull and tissue.

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  • RESEARCH POSTER PRESENTATION DESIGN © 2012

    www.PosterPresentations.com

    Currently, the process of drug delivery for cancer patients in

    chemotherapy is very inefficient, and there is minimal control over the

    drugs once they enter the patient’s bloodstream. Chemotherapeutic drugs

    are often dispersed throughout the bloodstream rather than targeting

    tumorous locations exclusively. In addition, highly concentrated drugs can

    be helpful, but would impose serious damage if not properly controlled.

    Pulse Therapeutics has developed an innovative technology for drug

    delivery in stroke patients using drug-conjugated magnetic nanoparticles

    (NPs). Due to the size of the particles and the strength of the applied

    magnetic field, this technology is limited to areas of the human body with

    low fluid flow, such as the brain ventricles.

    The market needs a more effective chemotherapeutic drug delivery

    system that can target specific locations of interest within a patient’s body.

    With this new system, doctors should be allowed to increase effective

    dosage during the treatment process. A high concentration of

    chemotherapeutic drugs will allow for a shorter treatment time thus

    increasing the effectiveness of the process without causing severe

    repercussions or side-effects.

    Background & Need

    Design Overview

    The device contains these following main components: the support

    frame with frame base (light green and dark blue), the rotation assembly

    (light blue), the tilting assembly (yellow), the main motor (red) and motor

    housing (purple), the magnet (green), and the movement motors (orange).

    Magnetic Device DesignOverview

    In order to determine the appropriate ultrasound and transducer

    specifications, it is imperative to understand how Doppler ultrasound

    utilizes the unique properties of the superparamagnetic NPs to track its

    movement. Recent studies have shown that Doppler ultrasound imaging

    can be used to detect the movement of iron oxide NPs if magneto-motive

    ultrasound imaging is used. In magneto-motive ultrasound imaging,

    magnetic NPs are ‘subjected to modulating magnetic fields and these

    modulations are detected as frequency shifts in Doppler ultrasound

    measurements’ [1]. This technique works best when the NPs exhibit

    superparamagnetic properties and is made up of iron oxide particles; this is

    due to the idea that iron oxide NPs have a strong magnetic susceptibility

    relative to the magnetic susceptibility of tissue, making it a good contrast

    agent for ultrasound imaging [2].

    Since the nanoparticles provided by Pulse Therapeutics, Inc. is

    (Fe3O4), a superparamagnetic iron oxide NP derivative, and since dynamic

    magnetic field is required for movement control of NPs, the magneto-

    motive ultrasound imaging technique applied on Doppler ultrasound

    proves to be an effective method for NP tracking for this design project.

    Because the NPs will travel in the cerebrospinal fluid, a low flow velocity

    system, and since the rotating magnet will move the NPs at a considerably

    faster speed than the speed of the cerebrospinal fluid as tested in vitro,

    there will be a noticeable color contrast in Doppler image.

    Imaging Modality

    Future Directions

    Further improvements can be applied to the magnetic device design.

    The need for a precise control method for control of NP movement in 3D

    range of motion was not completely solved in this project. Such a control

    method would be essential for use of this device during a clinical

    procedure. Currently, the magnetic device design is suitable for a proof of

    concept through an in vitro procedure, but for a clinical trial more

    extensive modifications must be applied.

    The next step would be to create a precise control mechanism which

    can be implemented into the magnetic device design. This would be done

    through a programmed control algorithm which would be able to move the

    magnet with respect to the position of the particles during treatment by

    precisely controlling each motor’s power output. The algorithm would

    require more extensive analysis of the particle motion, such as location and

    velocity with respect to time. To achieve this, further analysis of the

    magnetic device properties must be performed. Eventually, the goal of a

    programmed control algorithm is to replace manual control of the device.

    Conclusions

    By combining each part of this design project, including the magnetic

    device design, incorporation of imaging technology, and the phantom

    design, the primary goals for the project have been attained. In summary,

    this project proposes a way to provide a proof of concept through an in

    vitro procedure with the rotating magnetic device, in which a phantom

    replicates NP behavior in brain ventricles and an imaging technology is

    used to show the ability to track these NPs. Therefore, with further

    developments, the project has considerable potential in regards to clinical

    setting applications, and producing a novel and efficient drug delivery

    system for brain tumors.

    References[1] John, Renu, and Stephen A. Boppart. Current Medical Chemotherapy 14th ser. 18 (2011): 2103-114. National

    Institute of Health. Web. 8 Nov. 2013.

    [2] Oh, Junghwan, Marc D. Feldman, Jeehyun Kim, Chris Condit, Stanislav Emelianov, and Thomas E. Milner.

    "Detection of Magnetic Nanoparticles in Tissue Using Magneto -motive Ultrasound." Nanotechnology 17 (2006):

    4183-190. Pubmed. Web. 5 Nov. 2013.

    [3] Cole, David, and Antonio Sassano. Ultrasound: Physics and Technology. By Vivien Gibbs. 3rd ed. Vol. 1. China:

    Elsevier, 2009. 37-50. Print.

    [4] Roselli, Robert J., and Kenneth R. Diller . Biotransport: Principles and Applications. 1st ed.

    New York: Springer Science Business Media, 2011. p. 139. eBook.

    Project Scope

    The goal of the design project is to develop an improved mechanism for

    transporting chemotherapeutic agents with control to tumorous areas,

    which includes:

    1. Designing a device with adequate size specifications that generates

    an exterior magnetic field and

    2. Incorporating a tracking system through imaging technologies that

    allow visualization of the particles inside the patient’s body;

    3. Determining correct parameters when the device is in operation to

    obtain the most desirable clinical results, and

    4. Outlining a control mechanism that can be used to control the

    movement of the particles in delivering the drugs and recollecting the

    nanoparticles after treatment.

    Design Requirements

    Design Process

    Magnet Device Design

    – Rectangular vs. Conical vs. Spherical System

    Imaging Modality

    – Doppler Ultrasound

    Imaging Phantom

    – 3D Brain Tumor Phantom

    Client: Mike Sabo - Pulse Therapeutics, Inc.

    Chris Peng, Blessan Sebastian, Arvin Soepriatna – Group 37

    Novel Drug Delivery in Pediatric Medulloblastoma

    Parameters Specifications

    Imaging Phantom Size < 3x3 ft

    Imaging Phantom Weight ≤ 40 lbs

    Magnet Device Dimensions < 3x3 ft

    Magnetic Field Strength < 1 T

    Imaging Depth < 10 cm

    Standard Operation Time < 4 hrs

    System Power Inlet Standard 110V

    Budget $15,000

    Parameters Specifications

    Exposure Safety High, up to 4 hours

    Resolution High, up to 8 cm deep

    Compatibility with Dynamic Magnetic Field

    High

    Imaging Approach Non-invasive

    Image Acquisition Duration Real-time Imaging

    Size Small enough to allow free movement of magnets around the

    patient’s head

    Maneuverability High

    Signal to Noise Ratio (SNR) High

    Chosen Transducer

    In order to obtain a high resolution image with good contrast

    between bone, tissue, and nanoparticle interfaces, the frequency range and

    the type of array of the probe needs to be considered. A high beam steering

    angle will allow for control over the angle of insonation without excessive

    movement of the probe[3].

    Parameters Motor for Joint A Motor for Joint B

    Type of Motor Stepper Motor Stepper Motor

    Torque 10 N∙m 300 N∙m

    Power 5 W 100 W

    Size < 15 cm in all 3 axis < 15 cm in all 3 axis

    Step Angle < 2o < 5o

    Weight < 10 lbs < 20 lbs

    AC/DC DC DC

    Cost < $500 < $500

    Phantom Design

    SafetyPrimary hazards categorized with HIGH risk level:

    – Drawing-in nearby magnetic materials during testing.

    – Rotating magnet in close proximity to user or patient.

    – Machine Instability due to improper device positioning.

    – Excessive force/exertion due to careless handling of magnetic

    device.

    Device Design Top View with Dimensions (Support Base Hidden for Clarity)

    Rotation Assembly (blue) with control demonstration. Tilt Assembly (yellow) with control demonstration.

    Assembly Motor Specifications

    Specific Parts

    Parameters Specification

    Frequency Range 3-5 MHz

    Type of Array Linear Phased Array

    Imaging Depth 40-60 mm

    Resolution 1 mm axial x 1 mm lateral

    Steering Angle 60-90 degrees

    Cost