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Tumor Discovery                                                         Glioblastoma treating fields system



            Modified Eagle medium (Procell Life Science and    anesthetized using isoflurane and secured in a stereotaxic
            Technology Co., Ltd.), penicillin-streptomycin (Procell   frame. The C6-LUC cells, harvested during their exponential
            Life Science and Technology Co., Ltd.), fetal bovine serum   growth phase, were prepared at a concentration  of 5 ×
            (ExCell Bio). The reagents used in the rat experiments   10  cells in 5 µL PBS. The cells were injected into the right
                                                                 5
            comprised C6-LUC glioma cells (Cyagen Biosciences),   striatum at coordinates 1 mm posterior to bregma, 3 mm
            isoflurane  (RWD  Life  Science Co.,  Ltd.), D-Luciferin   lateral to the midline, and 4.5  mm deep from the skull
            Potassium Salt (Rhone Reagents), and Sprague-Dawley   surface. After injection, the skull was sealed with bone wax,
            (SD) rats sourced from Hangzhou Qizhen Experimental   and the incision was sutured and disinfected. The rats were
            Animal  Technology Co.,  Ltd.  All  rats  were  male,  aged   then returned to the SPF environment for recovery.
            between 6 and 8 weeks. Ceramic electrodes were acquired
            from the Flexible Bioelectronics Division, Institute of   2.4. TTF treatment
            Flexible Electronics Technology of THU.            Three  days  post-injection,  TTF  treatment  was
              The instruments used for the electrode test comprised   administered. Electrode patches were affixed to the shaved
            Bruker  D8  Discover X-ray diffractometer  (XRD),  Zeiss   scalp of anesthetized rats, positioned orthogonally to
            Sigma 300 scanning electron microscope, and Agilent   create intersecting electric fields. The TTF system was
            4294A precision impedance analyzer. The instruments   activated for >20 h daily, with continuous treatment until
            used  for the  rat experiments  comprised stereotaxic   day 20. The electric field parameters were set to 2 V/cm
            apparatus (Blue Star B/S, Anhui Zhenghua Biological   at 200 kHz, matching the in vitro settings. Every 4 days,
            Instrument Co., Ltd.), multimode small animal  in vivo   the electrodes were removed, the skin was disinfected, and
            imaging system (AniView 600, Guangzhou Boluoteng   fresh electrodes were attached.
            Biotechnology Co., Ltd.), small animal anesthesia machine   Rats  were  monitored  daily  for  general  health,  and
            (Model H1670401-200L, RWD Life Science Co., Ltd.),   the skin reactions at the electrode sites were recorded.
            small animal magnetic resonance imaging (MRI) system   Bioluminescent imaging was conducted on days 10, 12,
            (7.0T MRI, Bruker Biospin GmbH PharmaScan7016), and   14, 16, and 18 using an in vivo imaging system following
            constant-temperature drying oven  (Model DHP-9082,   intraperitoneal injection of D-luciferin. MRI scans were
            Ningguo Shaying Scientific Instrument Co., Ltd.).
                                                               performed on day 19 using a T2-TurboRARE sequence
            2.2. Cell experiments                              to confirm tumor size. On day 19, blood samples were
                                                               collected for complete blood count and biochemical
            Four round glass slides were placed in the TTF cell   analysis.
            experimental device. Three milliliters of cell suspension
            (density 2 × 10  cells/mL) was applied evenly on a slide, and   3. Results
                       5
            incubated at 37°C. The TTF-treated group was subjected
            to the alternating electric field with specific parameters   A block  diagram is a  graphical representation of a
            (field strength and frequency). Control cells received   system’s architecture, showing key components and their
            no electric field stimulation but were otherwise cultured   interactions. It provides a high-level overview of the
            under identical conditions. The slides were taken out at   system’s functionality, which is crucial for understanding
            specified times, and the cells were digested and counted.   how different subsystems work together. In this study,
            Cell morphology and proliferation rates were recorded at   the overall design block  diagram of the TTF system is
            each time point, and changes in cell density were analyzed   shown in Figure 1A, including a Signal Generator, Signal
            to assess the effect of TTF on cell growth.        Amplifier, and Control Module. The Signal Generator
                                                               produces a 200  kHz sine wave, amplified by the Signal
            2.3. Rat tumor model                               Amplifier, and modulated through a Microcontroller Unit-
            Rats were acclimatized in a specific pathogen-free (SPF)-  controlled Control Module to adjust signal intensity and
            grade environment at a controlled temperature of 20 – 26°C   frequency for each of the 36 output channels. This modular
            and humidity of 40 – 70%, with a 12-h light-dark cycle.   design allows independent control over each electrode’s
            The rats were provided sterilized corn cob bedding, along   output, enabling precise application of electric fields. In
            with free access to food and water for 7 days. Following   the cell culture experiments, four electrodes are arranged
            acclimation, the rats were divided into two groups: the   orthogonally, providing alternating electric fields every
            control group and the TTF treatment group, with three   second, as depicted in the inset of Figure 1A.
            rats in each group.                                  A printed circuit board (PCB) is the backbone of
              The glioblastoma model 36,37  was established by   modern electronic systems, providing mechanical
            stereotaxic  injection of C6-LUC cells. The rats were   support and electrical connections for components. It


            Volume 4 Issue 2 (2025)                         57                                doi: 10.36922/td.7171
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