Qiu Haixia, Kim Michele M, Penjweini Rozhin, Zhu Timothy C
Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA 19104; Department of Laser Medicine, Chinese PLA General Hospital, Beijing, 100853.
Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA 19104; Department of Physics and Astronomy, University of Pennsylvania, Philadelphia, PA 19104.
Proc SPIE Int Soc Opt Eng. 2016 Feb 13;9694. doi: 10.1117/12.2211169. Epub 2016 Mar 1.
It is well known in photodynamic therapy (PDT) that there is a large variability between PDT light dose and therapeutic outcomes. An explicit dosimetry model using apparent reacted concentration ([]) has been developed as a PDT dosimetric quantity to improve the accuracy of the predicted ability of therapeutic efficacy. In this study, this explicit macroscopic singlet oxygen model was adopted to establish the correlation between calculated reacted [] and the tumor growth using Photofrin-mediated PDT in a mouse tumor model. Mice with radiation-induced fibrosarcoma (RIF) tumors were injected with Photofrin at a dose of 5 mg/kg. PDT was performed 24h later with different fluence rates (50, 75 and 150 mW/cm) and different fluences (50 and 135 J/cm) using a collimated light applicator coupled to a 630nm laser. The tumor volume was monitored daily after PDT and correlated with the total light fluence and []. Photophysical parameters as well as the singlet oxygen threshold dose for this sensitizer and the RIF tumor model were determined previously. The result showed that tumor growth rate varied greatly with light fluence for different fluence rates while [] had a good correlation with the PDT-induced tumor growth rate. This preliminary study indicated that [] could serve as a better dosimetric predictor for predicting PDT outcome than PDT light dose.
在光动力疗法(PDT)中,众所周知,PDT光剂量与治疗效果之间存在很大差异。已开发出一种使用表观反应浓度([])的显式剂量测定模型作为PDT剂量测定量,以提高治疗效果预测能力的准确性。在本研究中,采用这种显式宏观单线态氧模型,在小鼠肿瘤模型中,利用Photofrin介导的PDT建立计算得到的反应[]与肿瘤生长之间的相关性。将患有辐射诱导性纤维肉瘤(RIF)肿瘤的小鼠以5mg/kg的剂量注射Photofrin。24小时后,使用与630nm激光耦合的准直光照射器,以不同的光通量率(50、75和150mW/cm)和不同的光通量(50和135J/cm)进行PDT。PDT后每天监测肿瘤体积,并将其与总光通量和[]相关联。先前已确定了该敏化剂和RIF肿瘤模型的光物理参数以及单线态氧阈值剂量。结果表明,对于不同的光通量率,肿瘤生长速率随光通量变化很大,而[]与PDT诱导的肿瘤生长速率具有良好的相关性。这项初步研究表明,与PDT光剂量相比,[]可以作为预测PDT结果的更好的剂量测定预测指标。