Radiation therapy and ferromagnetic hyperthermia in the treatment of murine transgenic retinoblastoma.
| Autor: | Murray TG; Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Fla, USA., O'Brien JM, Steeves RA, Smith BJ, Albert DM, Cicciarelli N, Markoe AM, Tompkins DT, Windle JJ |
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| Jazyk: | angličtina |
| Zdroj: | Archives of ophthalmology (Chicago, Ill. : 1960) [Arch Ophthalmol] 1996 Nov; Vol. 114 (11), pp. 1376-81. |
| DOI: | 10.1001/archopht.1996.01100140576008 |
| Abstrakt: | Background: Combined modality therapy for childhood retinoblastoma holds the potential of decreasing treatment-related morbidity while maintaining excellent tumor control rates. Objective: To evaluate the efficacy of external beam radiation therapy (EBRT), ferromagnetic hyperthermia (FMH), and the combination of both modalities in the control of ocular tumors in a transgenic murine model of retinoblastoma. Methods: One hundred sixty-six mouse eyes from 4-week-old animals transgenically positive for simian virus 40 large T antigen were treated with a total dose of 10, 15, 20, 30, 40, 45, or 50 Gy of EBRT in 5-Gy fractions twice daily, with 48 degrees C or 54 degrees C FMH for 20 minutes, or with combined EBRT at 10 or 30 Gy and 48 degrees C or 54 degrees C FMH for 20 minutes. Serial histologic sections, obtained 8 weeks after treatment, were examined for the presence of tumor. Results: The tumor control dose for 50% of eyes (TCD50) treated with EBRT occurred at 27.6 Gy. Ferromagnetic hyperthermia at 48 degrees C cured 30% (6/20) of eyes, while 54 degrees C FMH resulted in a 100% (20/20) cure rate. Combined treatment with 48 degrees C FMH and EBRT exhibited a TCD50 at 3.3 Gy. The thermal enhancement ratio was 8.4. Ferromagnetic hyperthermia at 54 degrees C exhibited tumor cure in all animals, but 25% of eyes were lost owing to secondary treatment complications. Conclusions: This represents the first documentation of tumor control via EBRT, ocular FMH, and a combination of these treatment modalities in this murine transgenic retinoblastoma model. The extent of treatment synergy in this model suggests that combined treatment application may allow a reduction in total ocular and periocular radiation dose while maintaining excellent local tumor control. |
| Databáze: | MEDLINE |
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