|
|
Effects of Energy Distribution Uniformity on Collagen Secretion Induced by Multipolar Radiofrequency at Constant Power |
Xu Han1, Zhang Hao2, Liu Dingxin2, Xie Kai1, Shao Mingxu1,3 |
1. School of Aerospace Science and Technology Xidian University Xi' an 710071 China; 2. Centre for Plasma Biomedicine Xi' an Jiaotong University Xi' an 710049 China; 3. Xi' an Shijiusui Information Technology Co. Ltd Xi' an 710076 China |
|
|
Abstract Radiofrequency (RF) treatments, where heat selectively acts on skin tissue, are widely used to treat and improve wrinkles, capillary dilation, hyperpigmentation and other skin problems.The penetration depth and distribution uniformity of RF energy can beregulated by adjusting the electrode frequency, phase and polarity of multipolar RF parameters, which can significantly improve the energy efficiency compared withmonopolar RF and bipolar RF. In recent years, parameters such as electrode diameter, frequency or phase of multipolar RF have been extensively studied, but the effect of different electrode polarity arrangements on the therapeutic effect has rarely been reported. The aim of this paper is to investigate the effect of the electrode polarity arrangement modes of multipolar RF on the uniformity of energy distribution and its biological effect on skin application. Firstly, a three-dimensional simulation model isestablished using COMSOL Multiphysics software to investigate the effect of three electrode polarity arrangement modes of multipolar RF on energy distribution and heat distribution in skin tissue at constant power. In mode 1, the polarity of each row of electrodes is the same and the polarity of two adjacent rows is opposite. In mode 2, the positive and negative electrodes are staggered. In mode 3, each row/column has two electrodes of the same polarity, while the top and bottom electrodes have opposite polarities.The simulation model couples several physical field modules,including electric field, solid heat transfer and electromagnetic heat, where the electrical and thermal parameters of the skin tissue are referred to a database of fundamental physics experiments. Secondly, in vitro cultured human-derived skin fibroblast HFF-1 cells are treated in three treatment modes of multipolar RF. Cell proliferation, cell activity, and collagen secretion are quantified in the cell biology experiments. Finally, rat dorsal skin is treated to study the effect of different electrode polarity arrangement modes on collagen secretion and skin pathological safety in animal experiments. The simulation results show that in the case of mode 2, the average values of current density and the uniformity of energy distribution of multipolar RF are better than the other two modes. These results also apply to the mean values of temperature and uniformity of temperature distribution for multipolar RF applied to skin tissue. For the in vitro cell experiments, the number and cell viability of fibroblast HFF-1 cells are effectively increased in all treatment modes of multipolar RF. More importantly, however, the total collagen secretion induced by fibroblast HFF-1 cells is increased by about 10% in mode 2 only, suggesting that RF energy distribution and thermal distribution uniformity may be important parameters for inducing collagen secretion by cells. In animal experiments, the average thickness of the collagen layer of rat skin increase by approximately 0.02, 0.13 and 0.06 mm for the three electrode polarity arrangement modes, respectively. In addition, the pathological safety of rat skin is not affected in any of them. The following conclusions can be drawn from the simulation and experimental results: (1)The mean current density, energy distribution uniformity and heat distribution uniformity of multipolar RF acting on skin tissue are relatively optimal at the staggered arrangement of positive and negative electrodes. (2) Multipolar RF treatment can effectively promote the proliferation of skin fibroblasts HFF-1 cells cultured in vitro and enhance cell viability, and the application effect is positively correlated with the uniformity of RF energy distribution. (3) The amount of collagen secreted by fibroblasts and the thickness of rat skin collagen layer increase significantly with the increasing uniformity of RF energy distribution. The treatment process of multipolar RF does not affect the pathological safety of the rat skin.
|
Received: 08 January 2023
|
|
|
|
|
[1] Alexis A F, Obioha J O.Ethnicity and aging skin[J]. Journal of Drugs in Dermatology: JDD, 2017, 16(6): s77-s80. [2] 杨帆, 余晓, 刘黎, 等. 基于太赫兹时域光谱技术的皮肤水分含量评估[J]. 电工技术学报, 2021, 36(4): 777-786. Yang Fan, Yu Xiao, Liu Li, et al.Water content evaluation of skin tissue based on terahertz time domain spectroscopy[J]. Transactions of China Electrotechnical Society, 2021, 36(4): 777-786. [3] Kammeyer A, Luiten R M.Oxidation events and skin aging[J]. Ageing Research Reviews, 2015, 21: 16-29. [4] 苑曦宸, 张彬, 孟智悦, 等. 磁场促进生物体内氧气利用的机制及其医学应用[J]. 电工技术学报, 2021, 36(4): 676-684. Yuan Xichen, Zhang Bin, Meng Zhiyue, et al.Mechanism of magnetic field promoting oxygen utilization in organism and its medical application[J]. Transactions of China Electrotechnical Society, 2021, 36(4): 676-684. [5] Pritzker R N, Hamilton H K, Dover J S.Comparison of different technologies for noninvasive skin tightening[J]. Journal of Cosmetic Dermatology, 2014, 13(4): 315-323. [6] Augustyniak A, Rotsztejn H.Nonablative radiofrequency treatment for the skin in the eye area - clinical and cutometrical analysis[J]. Journal of Cosmetic Dermatology, 2016, 15(4): 427-433. [7] 臧连儒, 周宇, 康佳, 等. 电极间距与电极直径对恒功率下双极射频熔脂效果影响的研究[J]. 中国生物医学工程学报, 2020, 39(5): 566-576. Zang Lianru, Zhou Yu, Kang Jia, et al.Study on the effect of electrode spacing and electrode diameter on bipolar radiofrequency fat melting at constant power[J]. Chinese Journal of Biomedical Engineering 2020, 39(5): 566-576. [8] 张帅, 许家悦, 李梦迪, 等. 基于皮层神经元模型的经颅磁声电刺激神经网络放电活动仿真分析[J]. 电工技术学报, 2021, 36(18): 3851-3859. Zhang Shuai, Xu Jiayue, Li Mengdi, et al.Simulation of the discharge activity of neural network under transcranial magneto-acousto-electrical stimulation based on cortical neuron model[J]. Transactions of China Electrotechnical Society, 2021, 36(18): 3851-3859. [9] Belenky I, Margulis A, Elman M, et al.Exploring channeling optimized radiofrequency energy: a review of radiofrequency history and applications in esthetic fields[J]. Advances in Therapy, 2012, 29(3): 249-266. [10] 刘丽红, 杨蓉娅. 射频技术原理及在皮肤美容科的应用进展[J]. 中国激光医学杂志, 2008, 17(4): 292-295. Liu Lihong, Yang Rongya. radiofrequency technology in cosmetic dermatology: its advancement[J]. Chinese Journal of Laser Medicine & Surgery, 2008, 17(4): 292-295. [11] 吴秋菊, 周展超, 林彤, 等. 射频技术治疗面颈部皮肤皱纹和松弛的临床疗效观察[J]. 中华皮肤科杂志, 2008, 41(5): 318-320. Wu Qiuju, Zhou Zhanchao, Lin Tong, et al.Clinical efficacy of radiofrequency for skin wrinkles and laxity on the face and neck[J]. Chinese Journal of Dermatology, 2008, 41(5): 318-320. [12] Wilczyński S, Stolecka-Warzecha A, Deda A, et al.In vivo dynamic thermal imaging of skin radiofrequency treatment[J]. Journal of Cosmetic Dermatology, 2019, 18(5): 1307-1316. [13] Gold M, Andriessen A, Bader A, et al.Review and clinical experience exploring evidence, clinical efficacy, and safety regarding nonsurgical treatment of feminine rejuvenation[J]. Journal of Cosmetic Dermatology, 2018, 17(3): 289-297. [14] Meyer P F, de Oliveira P, Silva F K B A, et al. Radiofrequency treatment induces fibroblast growth factor 2 expression and subsequently promotes neocollagenesis and neoangiogenesis in the skin tissue[J]. Lasers in Medical Science, 2017, 32(8): 1727-1736. [15] Kaplan H, Gat A.Clinical and histopathological results following TriPollar™ radiofrequency skin treatments[J]. Journal of Cosmetic and Laser Therapy, 2009, 11(2): 78-84. [16] 郭丽芳, 林彤, 黄玉清, 等. 点阵双极射频技术治疗面颈部皱纹的疗效与安全性评价[J]. 中华皮肤科杂志, 2014, 47(10): 695-698. Guo Lifang, Lin Tong, Huang Yuqing, et al.Assessment of efficacy and safety of a bipolar fractionated radiofrequency device for the treatment of wrinkles of the face and neck[J]. Chinese Journal of Dermatology, 2014, 47(10): 695-698. [17] Friedmann D P.A review of the aesthetic treatment of abdominal subcutaneous adipose tissue[J]. Dermatologic Surgery, 2015, 41(1): 18-34. [18] Franco W, Kothare A, Ronan S J, et al.Hyperthermic injury to adipocyte cells by selective heating of subcutaneous fat with a novel radiofrequency device: feasibility studies[J]. Lasers in Surgery and Medicine, 2010, 42(5): 361-370. [19] Bonjorno A R, Gomes T B, Pereira M C, et al.Radiofrequency therapy in esthetic dermatology: a review of clinical evidences[J]. Journal of Cosmetic Dermatology, 2020, 19(2): 278-281. [20] 米彦, 陈嘉诚, 许宁, 等. 基于辅助充电支路的模块化多电平变换器结构高频纳秒脉冲发生器[J]. 电工技术学报, 2021, 36(2): 435-444. Mi Yan, Chen Jiacheng, Xu Ning, et al.High frequency nanosecond pulse generator based on modular multilevel converter structure with auxiliary charging branch[J]. Transactions of China Electrotechnical Society, 2021, 36(2): 435-444. [21] 马静, 米超, 夏冰阳, 等. 基于负序功率正反馈的孤岛检测新方法[J]. 电工技术学报, 2013, 28(4): 191-195. Ma Jing, Mi Chao, Xia Bingyang, et al.A novel islanding detection method based on negative-sequence power positive feedback[J]. Transactions of China Electrotechnical Society, 2013, 28(4): 191-195. [22] 米彦, 彭文成, 芮少琴, 等. 高频纳秒脉冲串作用下皮肤肿瘤热效应的多参数有限元仿真与实验[J]. 电工技术学报, 2017, 32(22): 264-274. Mi Yan, Peng Wencheng, Rui Shaoqin, et al.Thermal effects in skin tumor exposed to high-frequency nanosecond pulse bursts: multi-parametric finite element simulation and experiment[J]. Transactions of China Electrotechnical Society, 2017, 32(22): 264-274. [23] 胡亚楠, 包家立, 朱金俊, 等. 纳秒电脉冲对肝脏组织不可逆电穿孔消融区分布的时域有限差分法仿真[J]. 电工技术学报, 2021, 36(18): 3841-3850. Hu Yanan, Bao Jiali, Zhu Jinjun, et al.The finite difference time domain simulation of the distribution of irreversible electroporation ablation area in liver tissue by nanosecond electrical pulse[J]. Transactions of China Electrotechnical Society, 2021, 36(18): 3841-3850. [24] Jiménez-Lozano J, Vacas-Jacques P, Anderson R R, et al.Selective and localized radiofrequency heating of skin and fat by controlling surface distributions of the applied voltage: analytical study[J]. Physics in Medicine and Biology, 2012, 57(22): 7555-7578. [25] González-Suárez A, Gutierrez-Herrera E, Berjano E, et al.Thermal and elastic response of subcutaneous tissue with different fibrous septa architectures to RF heating: numerical study[J]. Lasers in Surgery and Medicine, 2015, 47(2): 183-195. [26] Harth Y, Lischinsky D.A novel method for real-time skin impedance measurement during radiofrequency skin tightening treatments[J]. Journal of Cosmetic Dermatology, 2011, 10(1): 24-29. [27] Tay Y K, Kwok C.A novel radiofrequency device for the treatment of rhytides and lax skin: a pilot study[J]. Journal of Cosmetic and Laser Therapy, 2009, 11(1): 25-28. [28] Kist D, Burns A J, Sanner R, et al.Ultrastructural evaluation of multiple pass low energy versus single pass high energy radio-frequency treatment[J]. Lasers in Surgery and Medicine, 2006, 38(2): 150-154. [29] Zelickson B D, Kist D, Bernstein E, et al.Histological and ultrastructural evaluation of the effects of a radiofrequency-based nonablative dermal remodeling device[J]. Archives of Dermatology, 2004, 140(2). [30] Emilia del Pino M, Rosado R H, Azuela A, et al. Effect of controlled volumetric tissue heating with radiofrequency on cellulite and the subcutaneous tissue of the buttocks and thighs[J]. Journal of Drugs in Dermatology: JDD, 2006, 5(8): 714-722. [31] Goldberg D J.Laser and lights[M]. Philadelphia: Elsevier Saunders, 2005. |
|
|
|