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放射损伤早期快速诊断指标的研究是癌症患者放疗期间最重要的。

Study of Indicators for Early and Rapid Diagnosis of Radiation Injury Is the Most Important in Patients With Cancer During Radiotherapy.

作者信息

Liu Gang, Niu Li-Mei, Wang Li-Qin, Li Ye, Wu Xiao-Qin, Liu Yin-Yin, Zhang Rong

机构信息

Gansu Provincial Center for Disease Control and Prevention, Lanzhou, Gansu, China.

出版信息

Dose Response. 2020 Mar 30;18(1):1559325820913360. doi: 10.1177/1559325820913360. eCollection 2020 Jan-Mar.

DOI:10.1177/1559325820913360
PMID:32284697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7119230/
Abstract

OBJECTIVE

To establish a complete technical solution for the radiation biological dose estimation, to enable prediction of individuals' response to radiotherapy (RT), and to control treatment dose for reduced irradiation injury and promote repair; and to evaluate the risk of radiation-induced late effects for patients undergoing external photon beam RT and provide the reliable dose-response relationships.

METHODS

Select 49 tumor patients using Co and linear accelerator for radiation therapy; initial radiation dose was 250 cGy. Chromosome aberration and blood count were analyzed before radiation therapy and 2 hours after the first day of RT.

RESULTS

Two hours after the first day of RT, peripheral blood cell count of lymphocytes of patients with cancer was significantly decreased ( < .01). The frequency of chromosome aberration was higher ( < .01).

CONCLUSION

High-dose radiation of the radiation therapy makes significant injuries to peripheral blood lymphocytes.

摘要

目的

建立完整的辐射生物剂量估算技术方案,以预测个体对放射治疗(RT)的反应,控制治疗剂量以减少辐射损伤并促进修复;评估接受外照射光子束放疗患者发生辐射诱发晚期效应的风险,并提供可靠的剂量反应关系。

方法

选择49例使用钴和直线加速器进行放射治疗的肿瘤患者;初始放射剂量为250厘戈瑞。在放疗前及放疗第一天后2小时分析染色体畸变和血细胞计数。

结果

放疗第一天后2小时,癌症患者淋巴细胞外周血细胞计数显著下降(P<0.01)。染色体畸变频率更高(P<0.01)。

结论

放射治疗的高剂量辐射对外周血淋巴细胞造成显著损伤。

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本文引用的文献

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Stereotactic body radiotherapy of central lung malignancies using a simultaneous integrated protection approach : A prospective observational study.立体定向体部放疗治疗中央型肺部恶性肿瘤采用同步整合保护方法:一项前瞻性观察研究。
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Overview on association of different types of leukemias with radiation exposure.不同类型白血病与辐射暴露关联概述。
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Single-nucleotide polymorphisms of LIG1 associated with risk of lung cancer.LIG1的单核苷酸多态性与肺癌风险相关。
Tumour Biol. 2014 Sep;35(9):9229-32. doi: 10.1007/s13277-014-2199-z. Epub 2014 Jun 16.
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Lymphocytopenia and neutrophil-lymphocyte count ratio predict bacteremia better than conventional infection markers in an emergency care unit.在急诊病房中,淋巴细胞减少症和中性粒细胞-淋巴细胞计数比值比传统感染标志物更能预测菌血症。
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The fate of chromosomal aberrations in 137Cs-exposed individuals in the Goiânia radiation accident.戈亚尼亚辐射事故中受¹³⁷铯照射个体的染色体畸变情况
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