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剂量分割对大鼠胃辐射损伤的影响。

The effect of dose fractionation on radiation injury in the rat stomach.

作者信息

Breiter N, Sassy T, Trott K R

机构信息

Institute of Radiobiology, GSF, Neuherberg, Germany.

出版信息

Radiother Oncol. 1993 Jun;27(3):223-8. doi: 10.1016/0167-8140(93)90078-m.

DOI:10.1016/0167-8140(93)90078-m
PMID:8210459
Abstract

Localized 300 kV X-irradiation of the rat stomach with single and fractionated (two and five fractions given daily and in 4 weeks) doses was performed. In the second and third week after irradiation acute radiation gastritis developed which resulted in a dose-dependent drop in body weight. The alpha/beta value for a 10% drop in body weight was calculated to be 9.6 Gy (95% confidence interval 2.1-25.9 Gy). Between 4 and 40 weeks after irradiation subchronic radiation damage was observed which presented itself as atonic dilatation of the stomach. For this effect, the alpha/beta value is 4.8 Gy (graphical estimation) and 5.3 Gy (95% confidence interval 0.4-13.1 Gy; direct Poisson model). In the five-fraction (5F) experiment a significant increase in tolerance amounting to 0.8 Gy/day for the acute effect and 0.4 Gy/day for the subchronic effect was observed when intervals were increased from 1 day to 1 week. In a separate experiment animals were pre-irradiated with subtoxic and toxic radiation doses. One hundred days later acute tolerance to a second irradiation was completely restored. However, no recovery of subchronic damage was observed.

摘要

对大鼠胃部进行局部300 kV X射线照射,采用单次和分次(每天给予两次和五次,共4周)剂量。照射后第二周和第三周出现急性放射性胃炎,导致体重呈剂量依赖性下降。计算得出体重下降10%时的α/β值为9.6 Gy(95%置信区间2.1 - 25.9 Gy)。照射后4至40周观察到亚慢性放射性损伤,表现为胃弛缓性扩张。对于这种效应,α/β值为4.8 Gy(图形估计)和5.3 Gy(95%置信区间0.4 - 13.1 Gy;直接泊松模型)。在五分次(5F)实验中,当间隔从1天增加到1周时,观察到急性效应的耐受量显著增加,达到0.8 Gy/天,亚慢性效应的耐受量增加到0.4 Gy/天。在另一个实验中,动物预先接受亚毒性和毒性辐射剂量照射。100天后,对第二次照射的急性耐受性完全恢复。然而,未观察到亚慢性损伤的恢复。

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