| CPC A61N 1/36002 (2017.08) [A61N 1/0534 (2013.01); A61N 1/36171 (2013.01); A61N 1/37211 (2013.01); A61N 1/40 (2013.01); B33Y 80/00 (2014.12)] | 21 Claims |

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1. A signal generator comprising a processor, wherein the processor is configured to:
produce an output at a lead based upon a first set of electrical parameters corresponding to a first cell proliferation process, the lead configured to be implanted such that the generated electric field is applied by the lead from a location directly within a tumor, the first set of electrical parameters comprising one or more of an amplitude, a pulse width, a frequency, a waveform, a pulse shape, a pulse pattern, or a burst;
receive tumor image data;
detect a reduced effectiveness of the first set of electrical parameters, the reduced effectiveness corresponding to no detected change in a Volume of Tissue Activation (VTA) over time; and
in response to detecting a reduced effectiveness of the first set of electrical parameters, produce an output at the lead based upon a second set of electrical parameters corresponding to a second cell proliferation process.
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