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经导管动脉栓塞术联合纳米级磁性颗粒(ferucarbotran)与栓塞材料后进行选择性诱导热疗:兔可行性研究

Selective induction hyperthermia following transcatheter arterial embolization with a mixture of nano-sized magnetic particles (ferucarbotran) and embolic materials: feasibility study in rabbits.

作者信息

Takamatsu Shigeyuki, Matsui Osamu, Gabata Toshifumi, Kobayashi Satoshi, Okuda Miho, Ougi Takahiro, Ikehata Yoshio, Nagano Isamu, Nagae Hideo

机构信息

Department of Radiology, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa 920-8641, Japan.

出版信息

Radiat Med. 2008 May;26(4):179-87. doi: 10.1007/s11604-007-0212-9. Epub 2008 May 29.

Abstract

PURPOSE

To evaluate the possibility of selective hyperthermia following transcatheter arterial embolization (TAE) with ferucarbotran using a newly developed inductive heating (IH) device.

MATERIALS AND METHODS

Twelve Japanese white rabbits were separated into four groups: those treated with TAE using a mixture of ferucarbotran and lipiodol (F-L group); those treated with ferucarbotran and gelatin sponge powder; those treated with saline and lipiodol; and a control group. These four groups received IH. Nine rabbits with renal VX2 carcinoma were separated into three groups: IH after TAE (IH-TAE tumor), TAE without IH (TAE tumor), and no treatment (control tumor). The temperature of the tumor was kept at 45 degrees C for 20 min. The therapeutic effect was pathologically evaluated by TUNEL staining.

RESULTS

In the heating rates of the kidney, the F-L group showed significantly greater values than the group in which iron was not used. In the IH-TAE tumor group, tumors could be selectively heated. In TUNEL staining, the IH-TAE tumor and TAE tumor groups showed significantly greater values of apoptosis rate than in the control tumor group.

CONCLUSION

IH following TAE with a mixture of ferucarbotran and lipiodol was capable of inducing selective hyperthermia with our device. However, further investigation is needed to confirm its safety and effectiveness in the treatment of malignant neoplasms in humans.

摘要

目的

使用新开发的感应加热(IH)装置评估经动脉栓塞化疗(TAE)联合羧基麦芽糖铁后进行选择性热疗的可能性。

材料与方法

将12只日本白兔分为四组:一组采用羧基麦芽糖铁与碘油的混合物进行TAE治疗(F-L组);一组采用羧基麦芽糖铁与明胶海绵粉治疗;一组采用生理盐水与碘油治疗;另一组为对照组。这四组均接受感应加热。将9只患有肾VX2癌的兔子分为三组:TAE后进行感应加热(IH-TAE肿瘤组)、未进行感应加热的TAE组(TAE肿瘤组)和未治疗组(对照肿瘤组)。将肿瘤温度保持在45℃ 20分钟。通过TUNEL染色对治疗效果进行病理评估。

结果

在肾脏的加热速率方面,F-L组的值显著高于未使用铁剂的组。在IH-TAE肿瘤组中,肿瘤能够被选择性加热。在TUNEL染色中,IH-TAE肿瘤组和TAE肿瘤组的凋亡率值显著高于对照肿瘤组。

结论

使用羧基麦芽糖铁与碘油的混合物进行TAE后进行感应加热,能够通过我们的装置诱导选择性热疗。然而,需要进一步研究以确认其在人类恶性肿瘤治疗中的安全性和有效性。

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