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临床得出的热疗联合低剂量放疗的剂量效应关系。

Clinically derived dose effect relationship for hyperthermia given in combination with low dose radiotherapy.

作者信息

van der Zee J, van Rhoon G C, Wike-Hooley J L, Reinhold H S

出版信息

Br J Radiol. 1985 Mar;58(687):243-50. doi: 10.1259/0007-1285-58-687-243.

DOI:10.1259/0007-1285-58-687-243
PMID:4063665
Abstract

A group of 36 patients, treated on 44 fields with fractionated treatments of local high-frequency induced hyperthermia and radiotherapy to the low total dose of 14-25 Gy, was retrospectively evaluated for differences between responders (i.e., complete and partial responders) and non-responders. A response rate of 86% was achieved, comprising 14% (6/44) complete and 73% (32/44) partial response. There was an indication that the probability of complete response is greater in smaller tumours. The tumour temperatures achieved were higher in the responders than in the non-responders. Logistic analysis was performed on the mean temperature achieved. This temperature parameter yielded a significant positive dose-effect relationship with regard to therapeutic effect, from which a 50% effective dose of 38.8 degrees C was calculated. The data indicate that to obtain the maximum therapeutic effect, i.e., greater than 95% response rate, tumour temperatures above 42.5 degrees C need to be achieved.

摘要

一组36例患者接受了44个野的局部高频感应热疗与低总剂量14 - 25 Gy的放疗分割治疗,对反应者(即完全缓解和部分缓解者)与无反应者之间的差异进行了回顾性评估。实现了86%的缓解率,包括14%(6/44)的完全缓解和73%(32/44)的部分缓解。有迹象表明,较小肿瘤的完全缓解概率更高。反应者达到的肿瘤温度高于无反应者。对达到的平均温度进行了逻辑分析。该温度参数在治疗效果方面产生了显著的正剂量效应关系,据此计算出50%有效剂量为38.8摄氏度。数据表明,为了获得最大治疗效果,即缓解率大于95%,需要使肿瘤温度达到42.5摄氏度以上。

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Clinically derived dose effect relationship for hyperthermia given in combination with low dose radiotherapy.临床得出的热疗联合低剂量放疗的剂量效应关系。
Br J Radiol. 1985 Mar;58(687):243-50. doi: 10.1259/0007-1285-58-687-243.
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Retrospective analysis of the response of tumours in patients treated with a combination of radiotherapy and hyperthermia.对接受放疗与热疗联合治疗的患者肿瘤反应的回顾性分析。
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Combined interstitial irradiation and localized current field hyperthermia: results and conclusions from clinical studies.间质照射与局部电流场热疗联合应用:临床研究结果与结论
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Strahlenther Onkol. 2013 Jan;189(1):74-80. doi: 10.1007/s00066-012-0241-x. Epub 2012 Nov 18.
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Procedure for creating a three-dimensional (3D) model for superficial hyperthermia treatment planning.
制作浅层热疗治疗计划三维(3D)模型的程序。
Strahlenther Onkol. 2011 Dec;187(12):835-41. doi: 10.1007/s00066-011-2272-0. Epub 2011 Nov 25.
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Hyperthermia improves local tumour control in locally advanced breast cancer.热疗可改善局部晚期乳腺癌的局部肿瘤控制。
Klin Wochenschr. 1988 Oct 17;66(20):1034-8. doi: 10.1007/BF01733451.