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利用自调节铁磁热籽对宠物动物肿瘤进行热疗

Hyperthermia of pet animal tumours with self-regulating ferromagnetic thermoseeds.

作者信息

Brezovich I A, Lilly M B, Meredith R F, Weppelmann B, Henderson R A, Brawner W, Salter M M

机构信息

Department of Radiation Oncology, University of Alabama, Birmingham 35233.

出版信息

Int J Hyperthermia. 1990 Jan-Feb;6(1):117-30. doi: 10.3109/02656739009140809.

Abstract

Investigations with thermally self-regulating ferromagnetic implants (thermoseeds) were done on healthy rats and pet animals with spontaneous and transmissible venereal tumours (TVT). The thermoseeds were produced from a nickel-copper alloy and electroplated with a gold-silver layer. Manufacturing conditions were varied to produce thermoseeds with various operating temperatures, the critical temperature above which heating power production sharply declines. To test for toxicity, thermoseeds were implanted into the liver of rats and left in place for up to 14 months. While atomic absorption spectroscopy showed increased nickel and copper levels in tissues near the implants, no clinical evidence of ill-effects was noted. For hyperthermia treatment, thermoseeds were implanted into tumours of pet animals, and these were placed into an induction coil which produced an 89 kHz frequency, 4000 A/m amplitude field. The highest recorded tumour temperature correlated with the nominal operating point of the thermoseeds, demonstrating their ability to regulate the temperature. Of the 15 evaluable animals with spontaneous tumours treated, 12 received concomitant 60Co radiation (two of them only after tumour recurrence following an initial treatment course of hyperthermia alone). Five of those treated with both modalities experienced complete response, five responded partially and two had no change. The treatment course of hyperthermia alone resulted in one animal achieving a complete response, and in three partial responders. Animals bearing TVT had a complete local response with hyperthermia alone. Massive tissue necrosis and seed migration caused the major treatment-related toxicity. Our findings suggest that self-regulating thermoseeds offer the possibility of predictable heat delivery to defined tissue volumes, and may be useful in the treatment of human tumours which are amenable to implantation. Until migration can be controlled, clinical trials should be limited to removable implants.

摘要

对健康大鼠以及患有自发性和传染性性病肿瘤(TVT)的宠物进行了热自调节铁磁植入物(热籽)的研究。热籽由镍铜合金制成,并电镀有金银层。改变制造条件以生产具有不同工作温度的热籽,即高于该临界温度热功率产生会急剧下降。为测试毒性,将热籽植入大鼠肝脏并留置长达14个月。虽然原子吸收光谱显示植入物附近组织中的镍和铜水平升高,但未观察到不良影响的临床证据。对于热疗,将热籽植入宠物的肿瘤中,并将其置于产生89kHz频率、4000A/m振幅场的感应线圈中。记录到的最高肿瘤温度与热籽的标称工作点相关,证明了它们调节温度的能力。在接受治疗的15只患有自发性肿瘤的可评估动物中,12只同时接受了60Co辐射(其中两只仅在单独进行热疗初始疗程后肿瘤复发后接受辐射)。接受两种治疗方式的动物中有5只完全缓解,5只部分缓解,2只无变化。仅热疗疗程使1只动物完全缓解,3只部分缓解。患有TVT的动物仅热疗就有完全的局部反应。大量组织坏死和籽迁移导致了主要的治疗相关毒性。我们的研究结果表明,自调节热籽提供了将可预测的热量传递到特定组织体积的可能性,并且可能对适合植入的人类肿瘤治疗有用。在能够控制迁移之前,临床试验应限于可移除的植入物。

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