The evolving role of haematopoietic cell transplantation in radiation injury: potentials and limitations

Autor: N Dainiak, R C Ricks
Rok vydání: 2005
Předmět:
Zdroj: The British Journal of Radiology. :169-174
ISSN: 1748-880X
0007-1285
DOI: 10.1259/bjr/31003240
Popis: Human stem cell transplantation has been performed for over 50 years. A review of radiation incident registries indicates that, during this time, 31 patients have undergone transplantation with stem cells from the bone marrow, peripheral blood, cord blood or fetal liver. Among these cases, 27 patients have expired and the remaining 4 patients have survived with a rejected allograft. Limitations to success of transplantation have included concomitant injury to non-haematopoietic organs and immunological complications of the transplantation. Selection of cases for stem cell transplantation is based upon clinical signs and symptoms, including: (1) the rate of fall and the absolute level of circulating lymphocytes, granulocytes and platelets; (2) the absence of failure of a non-haematopoietic organ or system; and (3) individual dose assessment, as determined by clinical symptoms (such as time to onset and severity of vomiting), rate of decline in absolute lymphocyte count and the appearance of chromosome aber...
Databáze: OpenAIRE