Froese G, Das R M, Dunscombe P B
Department of Medical Physics, Manitoba Cancer Treatment and Research Foundation, Winnipeg, Canada.
Radiat Res. 1991 Feb;125(2):173-80.
Twelve millimeters of the thoracolumbar spinal cord of mice has been treated with a radiofrequency heating system which has been shown previously to produce localized and controllable elevation of temperature. The severity of neurological damage was assessed by measuring the reduction in the reflex leg extension of the hind legs of the mice from video-recorded images and by scoring the performance of the mice by a negative geotaxis test. The response to treatment was rapid with maximum paralysis occurring within a few days after treatment. Only minor symptoms were observed in those animals which had not developed paralysis within 2 weeks. A 40% reduction in the reflex leg extension was chosen as an end point, and the percentage of mice having reached the end point for different thermal doses was determined in groups of nine mice. The ED50 for heating for 1 h was 43.1 degrees C and for heating at 45 degrees C was 10.8 min. An increase in temperature by 1 degree C required a decrease in time by a factor of 2.25 to produce the same effect. Thermotolerance was observed 24 h after preheating at 45 degrees C for 1.9 min with a thermotolerance ratio of 1.7. The rapid response and high sensitivity of the spinal cord will have to be taken into consideration in the clinical application of hyperthermia.
已使用射频加热系统对小鼠胸腰段脊髓的12毫米进行了处理,该系统先前已被证明可产生局部且可控的温度升高。通过测量视频记录图像中小鼠后腿反射性腿部伸展的减少情况,并通过负趋地性试验对小鼠的表现进行评分,来评估神经损伤的严重程度。治疗反应迅速,治疗后几天内出现最大程度的麻痹。在2周内未出现麻痹的动物中仅观察到轻微症状。选择反射性腿部伸展减少40%作为终点,并在每组9只小鼠中确定达到不同热剂量终点的小鼠百分比。加热1小时的半数有效剂量(ED50)为43.1摄氏度,在45摄氏度加热的ED50为10.8分钟。温度每升高1摄氏度,时间需减少2.25倍才能产生相同效果。在45摄氏度预热1.9分钟后24小时观察到热耐受性,热耐受比为1.7。在热疗的临床应用中必须考虑脊髓的快速反应和高敏感性。