Tissue tolerance of normal and surgically manipulated canine liver to intraoperative radiation therapy (IORT)

Purpose : The purpose of the study is to obtain dose guidelines for the delivery of intraoperative radiotherapy to the liver of patients with colorectal liver metastases. Following partial resection of the liver, a single high dose of 10, 20, 25, and 30 Gy intraoperative radiotherapy was applied to...

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Veröffentlicht in:International journal of radiation oncology, biology, physics biology, physics, 1993-12, Vol.27 (5), p.1141-1146
Hauptverfasser: Cromheecke, Michel, Vermeij, Johannes, Joris K. Grond, A., Konings, Antonius W.T., Oldhoff, Jan, Hoekstra, Harald J.
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container_end_page 1146
container_issue 5
container_start_page 1141
container_title International journal of radiation oncology, biology, physics
container_volume 27
creator Cromheecke, Michel
Vermeij, Johannes
Joris K. Grond, A.
Konings, Antonius W.T.
Oldhoff, Jan
Hoekstra, Harald J.
description Purpose : The purpose of the study is to obtain dose guidelines for the delivery of intraoperative radiotherapy to the liver of patients with colorectal liver metastases. Following partial resection of the liver, a single high dose of 10, 20, 25, and 30 Gy intraoperative radiotherapy was applied to both the resection plane as well as a nonsurgically manipulated part of the liver of 25 beagles. The temporal sequence of histological and ultrastructural changes of these irradiated parts of the liver tissue was investigated. Methods and Materials : The feasibility of delivering single large dose of intraoperative electron beam radiotherapy to the normal and partially hepatectomized liver was experimentally investigated in a canine study. Results : There were no postoperative complications, no morbidity or mortality with a minimal follow-up of 1 year. Autopsy performed 3 months following irradiation showed only mild histopathological changes. One year following intraoperative radiotherapy more distinct histopathological changes consisting of capsular thickening, diffuse parenchymal fibrosis and subcapsular hepatocellular atrophy were found. The liver function remained intact. Conclusion : This study demonstrated that intraoperative radiotherapy to part of the liver in the canine model can be safely applied and doses up to 30 Gy are well tolerated.
doi_str_mv 10.1016/0360-3016(93)90535-4
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Grond, A.</creatorcontrib><creatorcontrib>Konings, Antonius W.T.</creatorcontrib><creatorcontrib>Oldhoff, Jan</creatorcontrib><creatorcontrib>Hoekstra, Harald J.</creatorcontrib><title>Tissue tolerance of normal and surgically manipulated canine liver to intraoperative radiation therapy (IORT)</title><title>International journal of radiation oncology, biology, physics</title><addtitle>Int J Radiat Oncol Biol Phys</addtitle><description>Purpose : The purpose of the study is to obtain dose guidelines for the delivery of intraoperative radiotherapy to the liver of patients with colorectal liver metastases. Following partial resection of the liver, a single high dose of 10, 20, 25, and 30 Gy intraoperative radiotherapy was applied to both the resection plane as well as a nonsurgically manipulated part of the liver of 25 beagles. The temporal sequence of histological and ultrastructural changes of these irradiated parts of the liver tissue was investigated. 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Grond, A.</au><au>Konings, Antonius W.T.</au><au>Oldhoff, Jan</au><au>Hoekstra, Harald J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tissue tolerance of normal and surgically manipulated canine liver to intraoperative radiation therapy (IORT)</atitle><jtitle>International journal of radiation oncology, biology, physics</jtitle><addtitle>Int J Radiat Oncol Biol Phys</addtitle><date>1993-12-01</date><risdate>1993</risdate><volume>27</volume><issue>5</issue><spage>1141</spage><epage>1146</epage><pages>1141-1146</pages><issn>0360-3016</issn><eissn>1879-355X</eissn><coden>IOBPD3</coden><abstract>Purpose : The purpose of the study is to obtain dose guidelines for the delivery of intraoperative radiotherapy to the liver of patients with colorectal liver metastases. Following partial resection of the liver, a single high dose of 10, 20, 25, and 30 Gy intraoperative radiotherapy was applied to both the resection plane as well as a nonsurgically manipulated part of the liver of 25 beagles. The temporal sequence of histological and ultrastructural changes of these irradiated parts of the liver tissue was investigated. Methods and Materials : The feasibility of delivering single large dose of intraoperative electron beam radiotherapy to the normal and partially hepatectomized liver was experimentally investigated in a canine study. Results : There were no postoperative complications, no morbidity or mortality with a minimal follow-up of 1 year. Autopsy performed 3 months following irradiation showed only mild histopathological changes. One year following intraoperative radiotherapy more distinct histopathological changes consisting of capsular thickening, diffuse parenchymal fibrosis and subcapsular hepatocellular atrophy were found. The liver function remained intact. Conclusion : This study demonstrated that intraoperative radiotherapy to part of the liver in the canine model can be safely applied and doses up to 30 Gy are well tolerated.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>8262839</pmid><doi>10.1016/0360-3016(93)90535-4</doi><tpages>6</tpages></addata></record>
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ispartof International journal of radiation oncology, biology, physics, 1993-12, Vol.27 (5), p.1141-1146
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subjects 560152 - Radiation Effects on Animals- Animals
Animals
Atrophy
Bile Ducts - pathology
Bile Ducts - radiation effects
Biological and medical sciences
BIOLOGICAL EFFECTS
BIOLOGICAL MODELS
BIOLOGICAL RADIATION EFFECTS
BODY
Cell Division
Colorectal Neoplasms - radiotherapy
DIGESTIVE SYSTEM
Disease Models, Animal
Diseases of the digestive system
Dogs
GLANDS
Humans
Inflammation
Intraoperative Period
Intraoperative radiotherapy
LIVER
Liver - pathology
Liver - radiation effects
Liver - ultrastructure
Liver Cirrhosis, Experimental - etiology
Liver Cirrhosis, Experimental - pathology
Liver Neoplasms - radiotherapy
Liver Neoplasms - secondary
Liver Neoplasms - surgery
Medical sciences
MEDICINE
Microscopy, Electron
Microscopy, Electron, Scanning
NUCLEAR MEDICINE
ORGANS
RADIATION EFFECTS
RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT
RADIOLOGY
RADIOTHERAPY
Radiotherapy - methods
Radiotherapy Dosage
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
SIDE EFFECTS
SURGERY
THERAPY
Time Factors
Tissue tolerance
title Tissue tolerance of normal and surgically manipulated canine liver to intraoperative radiation therapy (IORT)
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