Contact flexible microstrip applicator (CFMA) is a new light-weight microstrip applicator type for superficial and deep local hyperthermia. Typical specimens are developed for operation at frequencies of 434, 70, 40, and 27 MHz. The main common features of CFMA, namely, their flexibility and light weight, as well as their aperture dimensions slightly depend on the operating frequency. Two antenna types are used in CFMAs: inductive antennas with a radiating plane electrical dipole at microwaves, and coplanar capacitive antennas, providing depression of the normal component of the electrical field in the very high-frequency (VHF) and high-frequency (HF) range. The flexibility of the applicators enables one to conform them with curved surfaces. In a bent state of the applicators there arises a focusing effect of energy deposition in deeper located tissues due to linear polarization of the irradiated electromagnetic (EM) field, inherent in CFMA. All CFMA are integrated with silicon water boluses which serve as a matching element, so as a skin cooling agent. Due to this and to the predominance of the tangential electrical component in the radiated EM field, no fat overheating effects are noticed, as a rule. The aperture of the developed applicators overlap the range 160-630 cm2 providing effective heating field sizes (EFSs) 64-400 cm2, respectively. The most bulky CFMAs with an aperture of (21 x 29) cm2 operating at the frequency of 434 MHz weigh 0.8 kg and 2.5 kg at 27 MHz. Phenomenological analysis of the radiating systems, as well as experimental evaluation of the applicators are presented. CFMAs operating at frequencies of 434 and 40 MHz are used in clinical practice. CFMA at 70 and 27 MHz are subjected to laboratory clinical investigations.

Spurious electromagnetic oscillations in the water layer of applicator water boluses are investigated. Two oscillation types--volume oscillations (VO) and surface standing wave oscillations (SWO)--are considered. Conditions leading to their excitation in water boluses, commonly used in clinical practice for local hyperthermia, are examined. It was found that the thickness d of the water layer is the main critical parameter which determines the possibility of spurious oscillation modes excitation. Analytical equations are derived, allowing calculations of critical d(c) and resonance d(r) values for a given water bolus, and determine the approximate structure of electrical field strength distribution at its radiating plane, taking account of spurious oscillations. Calculated d(c) and d(r) values are in satisfactory quantitative agreement with experimental data, whereas experimentally observed complicated SAR distribution perturbations correlate qualitatively with the calculations in terms of volume and/or surface standing wave oscillations excited within the water bolus.

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A homogeneity coefficient (HC) is suggested allowing quantitative evaluation of SAR distribution homogeneity over the heated area. Its efficacy in appreciation of SAR patterns quality is demonstrated on idealized and real SAR distributions. The HC parameter of a series of applicators widely used in clinics are calculated. HC could be assumed as a useful parameter additional to the qualified effective field size (EFS) in characterizing the applicator's properties.

The electrical performance of the CFMA-12 operating at 433 MHz is assessed under laboratory conditions using a RF network analyser. From measurements of the scattering parameters of the CFMA-12 on both a multi-layered muscle- and fat/muscle-equivalent phantom, the optimal water bolus thickness, at which the transfer of the energy to the phantom configuration is maximal, is determined to be approximately 1 cm. The SAR distribution of the CFMA-12 in a multi-layered muscle-equivalent phantom is characterized using Schottky diode sheets and a TVS-600 IR camera. From the SAR measurements using the Schottky diode sheets it is shown that the contribution of the E(x) component to the SAR (SAR(x)) is maximal 7% of the contribution of the E(y)component to the SAR (SAR(y)) at different layers in both phantom configurations. The complete SAR distribution (SAR(tot)) at different depths is measured using the power pulse technique. From these measurements, it can be seen that SAR(y)at a depth of 0 cm in the muscle-equivalent phantom represents up to 80% of SAR(tot). At 1 and 2 cm depth, SAR(y) is up to 95% of SAR(tot). Therefore, in homogeneous muscle-equivalent phantoms, E(y) is the largest E-field component and measurement of SAR(y) distribution is sufficient to characterize SAR-steering performance of the CFMA-12. SAR steering measurements at 1 cm depth in the muscle-equivalent phantom show that the SAR maximum varies by 40% (1 SD) around the average value of 38.8 W kg(-1) (range 10-65 W kg(-1)) between single antenna elements. The effective fieldsize (E(50)) varies by 14% (1 SD) around the average value of 19.1 cm(2).