Pfersdorff J, Sack H
Strahlenther Onkol. 1986 Nov;162(11):723-8.
The comparison of two fractionation schemes, i.e. the usual irradiation once a day with 2 Gy (SDF) and the fractionation with 3 times 1.6 Gy per day (MDF) at intervals of at least four hours shows the stronger action of higher fractionation on the destruction of tumor cells and the inhibition of their proliferation cinetics. So the number of pycnotic cells is considerably increased in case of multiple daily irradiation, and the mitosis rate as well as the labelling index show a more significant decrease. In case of one irradiation per day, the number of pycnotic cells increases during radiotherapy, too, but the mitosis rate and the labelling index only decrease until the fifth or sixth treatment day, remaining then unchanged or increasing slightly. This suggests a recurring multiplication of tumor cells already during radiotherapy. The higher efficacy of multiple daily fractionation in rapidly proliferating tumors is proved by the measurements of changing tumor volumes in the living animal during irradiation as well as by the observation of the survival time after irradiation.
两种分割方案的比较,即通常每天一次照射2Gy(SDF)和每天分3次每次1.6Gy照射(MDF)且间隔至少4小时,结果显示更高分割次数对肿瘤细胞破坏和其增殖动力学抑制的作用更强。因此,在每日多次照射情况下,固缩细胞数量显著增加,有丝分裂率以及标记指数显示出更显著的下降。在每天照射一次的情况下,放疗期间固缩细胞数量也会增加,但有丝分裂率和标记指数仅在第五或第六个治疗日之前下降,之后保持不变或略有增加。这表明在放疗期间肿瘤细胞就已经出现反复增殖。通过在照射期间测量活体动物肿瘤体积的变化以及观察照射后的存活时间,证明了每日多次分割在快速增殖肿瘤中的更高疗效。