Bath and Shower Effect in Spinal Cord: The Effect of Time Interval

Purpose To evaluate the time dependency of the sensitizing effect of a large low-dose field on a small high-dose field in the rat cervical spinal cord. Methods and materials Irradiation experiments with a relatively low dose to a large volume (bath, 2 cm, 4 Gy) were combined with high doses to a sma...

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Veröffentlicht in:International journal of radiation oncology, biology, physics biology, physics, 2009-02, Vol.73 (2), p.514-522
Hauptverfasser: Philippens, Marielle E.P., M.D., Ph.D, Pop, Lucas A.M., M.D., Ph.D, Visser, Andries G., Ph.D, Peeters, Wenny J.M., B.Sc, van der Kogel, Albert J., Ph.D
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container_issue 2
container_start_page 514
container_title International journal of radiation oncology, biology, physics
container_volume 73
creator Philippens, Marielle E.P., M.D., Ph.D
Pop, Lucas A.M., M.D., Ph.D
Visser, Andries G., Ph.D
Peeters, Wenny J.M., B.Sc
van der Kogel, Albert J., Ph.D
description Purpose To evaluate the time dependency of the sensitizing effect of a large low-dose field on a small high-dose field in the rat cervical spinal cord. Methods and materials Irradiation experiments with a relatively low dose to a large volume (bath, 2 cm, 4 Gy) were combined with high doses to a small volume (shower, 4.7 mm, 26–43 Gy) at intervals of 8 minutes and 3, 12, and 24 hours. Both a functional score defined as motor impairment and a histologic score characterized as white matter necrosis were used as end points. Results Application of the 4-Gy bath dose resulted in a significant decrease in 50% isoeffective dose (ED50 ) from 48.7 Gy (small field) to 40.8 Gy. If the interval was extended, the ED50 increased to 44.4 (3 hours) and 44.8 Gy (12 hours), whereas a 24-hour interval resulted in a significant increase to 51.9 Gy. If the histologic end point was considered, the ED50 for all dose–response curves decreased slightly with 0.2 to 2.6 Gy without significantly changing the kinetics. Conclusions The bath effect as applied in the bath-and-shower experiment lasted for at least 12 hours and disappeared in the 24-hour interval. This time scale clearly deviates from the repair kinetics in spinal cord derived from low-dose-rate and fractionated irradiations.
doi_str_mv 10.1016/j.ijrobp.2008.09.028
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Methods and materials Irradiation experiments with a relatively low dose to a large volume (bath, 2 cm, 4 Gy) were combined with high doses to a small volume (shower, 4.7 mm, 26–43 Gy) at intervals of 8 minutes and 3, 12, and 24 hours. Both a functional score defined as motor impairment and a histologic score characterized as white matter necrosis were used as end points. Results Application of the 4-Gy bath dose resulted in a significant decrease in 50% isoeffective dose (ED50 ) from 48.7 Gy (small field) to 40.8 Gy. If the interval was extended, the ED50 increased to 44.4 (3 hours) and 44.8 Gy (12 hours), whereas a 24-hour interval resulted in a significant increase to 51.9 Gy. If the histologic end point was considered, the ED50 for all dose–response curves decreased slightly with 0.2 to 2.6 Gy without significantly changing the kinetics. Conclusions The bath effect as applied in the bath-and-shower experiment lasted for at least 12 hours and disappeared in the 24-hour interval. This time scale clearly deviates from the repair kinetics in spinal cord derived from low-dose-rate and fractionated irradiations.</description><identifier>ISSN: 0360-3016</identifier><identifier>EISSN: 1879-355X</identifier><identifier>DOI: 10.1016/j.ijrobp.2008.09.028</identifier><identifier>PMID: 19046823</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Algorithms ; Animals ; BIOLOGICAL REPAIR ; DOSE RATES ; Dose-Response Relationship, Radiation ; Dose–volume effects ; FRACTIONATED IRRADIATION ; Hematology, Oncology and Palliative Medicine ; Lethal Dose 50 ; Male ; Motor Activity - physiology ; Motor Activity - radiation effects ; Myelin Sheath - pathology ; Myelin Sheath - radiation effects ; NECROSIS ; Nonuniform dose distribution ; Paralysis - etiology ; RADIATION DOSE DISTRIBUTIONS ; RADIATION DOSES ; Radiation Injuries, Experimental - pathology ; Radiation Injuries, Experimental - physiopathology ; Radiation Tolerance - physiology ; Radiology ; RADIOLOGY AND NUCLEAR MEDICINE ; RATS ; Rats, Wistar ; Repair ; SPINAL CORD ; Spinal Cord - pathology ; Spinal Cord - radiation effects ; Spinal Cord Injuries ; Time Factors ; White matter necrosis</subject><ispartof>International journal of radiation oncology, biology, physics, 2009-02, Vol.73 (2), p.514-522</ispartof><rights>Elsevier Inc.</rights><rights>2009 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-3262d962c1545aea5e3042da8d15162afcd286cf257edd370dc02901b6024aaf3</citedby><cites>FETCH-LOGICAL-c474t-3262d962c1545aea5e3042da8d15162afcd286cf257edd370dc02901b6024aaf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0360301608034925$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19046823$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/21172596$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Philippens, Marielle E.P., M.D., Ph.D</creatorcontrib><creatorcontrib>Pop, Lucas A.M., M.D., Ph.D</creatorcontrib><creatorcontrib>Visser, Andries G., Ph.D</creatorcontrib><creatorcontrib>Peeters, Wenny J.M., B.Sc</creatorcontrib><creatorcontrib>van der Kogel, Albert J., Ph.D</creatorcontrib><title>Bath and Shower Effect in Spinal Cord: The Effect of Time Interval</title><title>International journal of radiation oncology, biology, physics</title><addtitle>Int J Radiat Oncol Biol Phys</addtitle><description>Purpose To evaluate the time dependency of the sensitizing effect of a large low-dose field on a small high-dose field in the rat cervical spinal cord. Methods and materials Irradiation experiments with a relatively low dose to a large volume (bath, 2 cm, 4 Gy) were combined with high doses to a small volume (shower, 4.7 mm, 26–43 Gy) at intervals of 8 minutes and 3, 12, and 24 hours. Both a functional score defined as motor impairment and a histologic score characterized as white matter necrosis were used as end points. Results Application of the 4-Gy bath dose resulted in a significant decrease in 50% isoeffective dose (ED50 ) from 48.7 Gy (small field) to 40.8 Gy. If the interval was extended, the ED50 increased to 44.4 (3 hours) and 44.8 Gy (12 hours), whereas a 24-hour interval resulted in a significant increase to 51.9 Gy. If the histologic end point was considered, the ED50 for all dose–response curves decreased slightly with 0.2 to 2.6 Gy without significantly changing the kinetics. Conclusions The bath effect as applied in the bath-and-shower experiment lasted for at least 12 hours and disappeared in the 24-hour interval. 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Methods and materials Irradiation experiments with a relatively low dose to a large volume (bath, 2 cm, 4 Gy) were combined with high doses to a small volume (shower, 4.7 mm, 26–43 Gy) at intervals of 8 minutes and 3, 12, and 24 hours. Both a functional score defined as motor impairment and a histologic score characterized as white matter necrosis were used as end points. Results Application of the 4-Gy bath dose resulted in a significant decrease in 50% isoeffective dose (ED50 ) from 48.7 Gy (small field) to 40.8 Gy. If the interval was extended, the ED50 increased to 44.4 (3 hours) and 44.8 Gy (12 hours), whereas a 24-hour interval resulted in a significant increase to 51.9 Gy. If the histologic end point was considered, the ED50 for all dose–response curves decreased slightly with 0.2 to 2.6 Gy without significantly changing the kinetics. Conclusions The bath effect as applied in the bath-and-shower experiment lasted for at least 12 hours and disappeared in the 24-hour interval. This time scale clearly deviates from the repair kinetics in spinal cord derived from low-dose-rate and fractionated irradiations.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>19046823</pmid><doi>10.1016/j.ijrobp.2008.09.028</doi><tpages>9</tpages></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Algorithms
Animals
BIOLOGICAL REPAIR
DOSE RATES
Dose-Response Relationship, Radiation
Dose–volume effects
FRACTIONATED IRRADIATION
Hematology, Oncology and Palliative Medicine
Lethal Dose 50
Male
Motor Activity - physiology
Motor Activity - radiation effects
Myelin Sheath - pathology
Myelin Sheath - radiation effects
NECROSIS
Nonuniform dose distribution
Paralysis - etiology
RADIATION DOSE DISTRIBUTIONS
RADIATION DOSES
Radiation Injuries, Experimental - pathology
Radiation Injuries, Experimental - physiopathology
Radiation Tolerance - physiology
Radiology
RADIOLOGY AND NUCLEAR MEDICINE
RATS
Rats, Wistar
Repair
SPINAL CORD
Spinal Cord - pathology
Spinal Cord - radiation effects
Spinal Cord Injuries
Time Factors
White matter necrosis
title Bath and Shower Effect in Spinal Cord: The Effect of Time Interval
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