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小鼠直肠在分次X射线和中子照射后的早期和晚期损伤

Early and late injuries in mouse rectum after fractionated X-ray and neutron irradiation.

作者信息

Gasinska A, Dubray B, Hill S A, Denekamp J, Thames H D, Fowler J F

机构信息

CRC Gray Laboratory, Mount Vernon Hospital, Northwood, Middlesex, UK.

出版信息

Radiother Oncol. 1993 Mar;26(3):244-53. doi: 10.1016/0167-8140(93)90266-b.

Abstract

PURPOSE

to assess mouse rectum tolerance to fractionated X-ray and neutron irradiation.

MATERIALS AND METHODS

doses per fraction ranged between 0.25 and 35 Gy for X-rays, 0.05 and 12 Gy for neutrons. Neutron top-up doses were added when the fractionated irradiation was given in fractions less than 2 Gy of X-rays or 0.35 Gy of neutrons in order to bring the damage into the detectable range. The early endpoints were the nadir of weight loss occurring within the first 2-3 weeks following irradiation and lethality by 2 months. The late endpoints were the peak of weight reached at maturity of the mice, the proportion of short feces in the daily fecal output at 10 months and lethality by 12 months. The linear-quadratic (LQ) model was fitted to the data (direct "one-step" analysis) and the estimated parameters were used to calculate relative biological effectiveness (RBE) values.

RESULTS

alpha/beta ratio estimates were for X-rays: 19.9 Gy [95% confidence limits: 15.2, 27.0] for weight nadir. 13.4 Gy [9.3, 19.5] for early lethality, 6.4 Gy [3.6, 11.0] for peak weight, and 6.9 Gy [4.2, 10.8] for late lethality, for neutrons 19.9 Gy [9.5, 61.0] for peak weight. The fecal-deformity data were poorly fitted by the LQ model. The RBE was slightly higher for acute endpoints than for the late ones when X-ray fraction sizes were equal to or larger than 10 Gy. However, the change in RBE with decreasing X-ray dose per fraction was much steeper for the late endpoints, so that it became equal to or even higher than for acute reactions at doses per fraction of 5 Gy or less.

CONCLUSION

Our results were consistent with those obtained from previously published studies using the same experimental system but larger doses per fraction.

摘要

目的

评估小鼠直肠对分次X射线和中子照射的耐受性。

材料与方法

X射线每次分割剂量范围为0.25至35 Gy,中子为0.05至12 Gy。当分次照射的每次分割剂量小于2 Gy的X射线或0.35 Gy的中子时,添加中子补充剂量,以使损伤进入可检测范围。早期终点是照射后前2 - 3周内体重减轻的最低点以及2个月时的致死率。晚期终点是小鼠成熟时达到的体重峰值、10个月时每日粪便输出中短粪便的比例以及12个月时的致死率。将线性二次(LQ)模型拟合到数据(直接“一步”分析),并使用估计参数计算相对生物效能(RBE)值。

结果

X射线的α/β比值估计值为:体重最低点时为19.9 Gy [95%置信区间:15.2, 27.0];早期致死率时为13.4 Gy [9.3, 19.5];体重峰值时为6.4 Gy [3.6, 11.0];晚期致死率时为6.9 Gy [4.2, 10.8]。中子的体重峰值时为19.9 Gy [9.5, 61.0]。LQ模型对粪便畸形数据的拟合效果较差。当X射线分割剂量等于或大于10 Gy时,急性终点的RBE略高于晚期终点。然而,对于晚期终点,RBE随每次分割X射线剂量的降低变化更为陡峭,以至于在每次分割剂量为5 Gy或更低时,它变得等于或甚至高于急性反应的RBE。

结论

我们的结果与使用相同实验系统但每次分割剂量更大的先前发表研究结果一致。

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