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关于使用8兆赫兹射频电容式加热设备(Thermotron RF-8)联合放疗进行癌症热疗的多机构研究。

Multi-institutional studies on hyperthermia using an 8-MHz radiofrequency capacitive heating device (Thermotron RF-8) in combination with radiation for cancer therapy.

作者信息

Abe M, Hiraoka M, Takahashi M, Egawa S, Matsuda C, Onoyama Y, Morita K, Kakehi M, Sugahara T

出版信息

Cancer. 1986 Oct 15;58(8):1589-95. doi: 10.1002/1097-0142(19861015)58:8<1589::aid-cncr2820580802>3.0.co;2-b.

Abstract

A joint clinical trial of hyperthermia using a newly developed 8-MHz radiofrequency (RF) capacitive heating device (Thermotron RF-8; developed in cooperation with Yamamoto Vinyter Co. of Osaka) was performed under collaboration of seven institutions. Radiation with 4 Gy twice a week for a total of 40 Gy or 2 Gy five times a week for a total of 50 Gy was delivered. After irradiation, hyperthermia at 42.5 degrees C +/- 0.5 degree C for 40 to 60 minutes was given twice a week for a total of 10 times. Tumors examined in this trial were located in various depths in the body, and included those which were considered refractory to conventional treatments or radioresistant such as malignant melanoma and soft tissue tumors. Of the 63 tumors treated, 52.4% showed complete regression (CR); 19.0% more than 80% regression (PRa); 20.6%, 80% to 50% regression (PRb); and 8.0% no regression (NR). Our joint clinical trial demonstrated that hyperthermia with the use of the Thermotron RF-8 is safe and effective in the treatment of radioresistant tumors located in superficial, subsurface, and in some cases deep regions, if the surface cooling is properly managed by the temperature-controlled saline pad and electrodes of appropriate size are paired.

摘要

一项联合临床试验使用新开发的8兆赫射频(RF)电容式加热装置(Thermotron RF - 8;与大阪的山本维尼特尔公司合作开发)在七个机构的协作下进行。放疗方案为每周两次,每次4戈瑞,总计40戈瑞;或每周五次,每次2戈瑞,总计50戈瑞。放疗后,在42.5摄氏度±0.5摄氏度下进行热疗40至60分钟,每周两次,共10次。此次试验中检查的肿瘤位于身体的不同深度,包括那些被认为对传统治疗耐药或具有放射抗性的肿瘤,如恶性黑色素瘤和软组织肿瘤。在接受治疗的63个肿瘤中,52.4%显示完全缓解(CR);19.0%缓解超过80%(PRa);20.6%缓解率为80%至50%(PRb);8.0%无缓解(NR)。我们的联合临床试验表明,如果通过温度控制的盐水垫妥善管理表面冷却并配对适当尺寸的电极,使用Thermotron RF - 8进行热疗对于治疗位于浅表、皮下以及某些情况下深部区域的放射抗性肿瘤是安全有效的。

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