Strnad V, Kamprad F, Jahns J, Kirschner M, Meyer M, Madaj-Sterba P, Riepl M, Böhme R, Sauer R
Klinik und Poliklinik für Strahlentherapie der Universität Erlangen-Nürnberg.
Strahlenther Onkol. 1996 Nov;172(11):619-25.
Tumor reoxygenation is one of the most important factors determining the tumor control probability after radiotherapy. In experimental studies reoxygenation has been measured preferably after single dose irradiation. Only few data exist about changes in the hypoxic tumor fraction during fractionated radiotherapy.
The changes in the pO2 during fractionated radiotherapy were studied in Yoshida sarcoma transplanted to Wistar rats. Tissue oxygenation was assessed using a polarographic electrode system at the beginning, in the middle and at the end of radiation therapy. Different fractionation schedules were used: 10 x 3 Gy, 6 x 5 Gy and 3 x 10 Gy.
In the statistical analysis significant changes emerged in the mean, median, 10%-percentile and 0 to 2.5 mm Hg and 0 to 5.0 mm Hg values dependent on time. The tumors were significantly more hypoxic at the end of therapy. This trend became more pronounced with decreasing dose per fraction.
The Yoshida sarcoma has no effective reoxygenation during fractionated radiotherapy.
肿瘤再氧合是决定放疗后肿瘤控制概率的最重要因素之一。在实验研究中,再氧合情况最好在单次照射后进行测量。关于分次放疗期间乏氧肿瘤部分的变化,仅有少量数据。
对移植到Wistar大鼠体内的吉田肉瘤在分次放疗期间的pO₂变化进行了研究。在放射治疗开始时、中期和结束时,使用极谱电极系统评估组织氧合情况。采用了不同的分割方案:10×3 Gy、6×5 Gy和3×10 Gy。
在统计分析中,均值、中位数、第10百分位数以及0至2.5 mmHg和0至5.0 mmHg的值随时间出现了显著变化。治疗结束时肿瘤的乏氧程度显著更高。随着每次分割剂量的降低,这种趋势变得更加明显。
吉田肉瘤在分次放疗期间没有有效的再氧合。