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人类癌症治疗中热疗的前景。第二部分:生物学和物理学数据对热疗在人体应用的影响。

Prospects for hyperthermia in human cancer therapy. Part II: implications of biological and physical data for applications of hyperthermia to man.

作者信息

Connor W G, Gerner E W, Miller R C, Boone M L

出版信息

Radiology. 1977 May;123(2):497-503. doi: 10.1148/123.2.497.

Abstract

Laboratory data from studies of hyperthermia as a potential antitumor agent indicate that: (a) tumor cells may be more sensitive to heat than normal tissue; (b) hyperthermia enhances response to irradiation and can increase the therapeutic ratio; (c) cells are most sensitive to hyperthermia during the S-phase, when they are resistant to ionizing radiations; (d) the oxygen effect is absent for hyperthermic cell killing, and radiation effects are less oxygen-dependent when potentiated by heat treatment; and (e) biological damage changes more rapidly at temperatures above 43 degrees C. Methods of heat production and dosimetry need to be refined further before these findings can be put to practical use in tumor therapy.

摘要

作为一种潜在抗肿瘤剂的热疗研究的实验室数据表明

(a)肿瘤细胞可能比正常组织对热更敏感;(b)热疗可增强对辐射的反应并能提高治疗比率;(c)细胞在S期对热疗最敏感,而此时它们对电离辐射具有抗性;(d)热疗杀死细胞不存在氧效应,并且当通过热处理增强时,辐射效应对氧的依赖性较小;以及(e)在温度高于43摄氏度时,生物损伤变化更快。在这些发现能够实际应用于肿瘤治疗之前,产热方法和剂量测定法需要进一步完善。

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