Hyperbaric oxygen and radiotherapy

Hyperbaric oxygen (HBO) therapy is the inhalation of 100% oxygen at a pressure of at least 1.5 atmospheres absolute (150 kPa). It uses oxygen as a drug by dissolving it in the plasma and delivering it to the tissues independent of hemoglobin. For a variety of organ systems, HBO is known to promote n...

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Veröffentlicht in:Strahlentherapie und Onkologie 2005-02, Vol.181 (2), p.113-123
Hauptverfasser: Mayer, Ramona, Hamilton-Farrell, Martin R, van der Kleij, Adrian J, Schmutz, Jörg, Granström, Gösta, Sicko, Zdzislaw, Melamed, Yehuda, Carl, Ulrich M, Hartmann, K Axel, Jansen, Erik C, Ditri, Luciano, Sminia, Peter
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container_issue 2
container_start_page 113
container_title Strahlentherapie und Onkologie
container_volume 181
creator Mayer, Ramona
Hamilton-Farrell, Martin R
van der Kleij, Adrian J
Schmutz, Jörg
Granström, Gösta
Sicko, Zdzislaw
Melamed, Yehuda
Carl, Ulrich M
Hartmann, K Axel
Jansen, Erik C
Ditri, Luciano
Sminia, Peter
description Hyperbaric oxygen (HBO) therapy is the inhalation of 100% oxygen at a pressure of at least 1.5 atmospheres absolute (150 kPa). It uses oxygen as a drug by dissolving it in the plasma and delivering it to the tissues independent of hemoglobin. For a variety of organ systems, HBO is known to promote new vessel growth into areas with reduced oxygen tension due to poor vascularity, and therewith promotes wound healing and recovery of radiation-injured tissue. Furthermore, tumors may be sensitized to irradiation by raising intratumoral oxygen tensions. A network of hyperbaric facilities exists in Europe, and a number of clinical studies are ongoing. The intergovernmental framework COST B14 action "Hyperbaric Oxygen Therapy" started in 1999. The main goal of the Working Group Oncology is preparation and actual implementation of prospective study protocols in the field of HBO and radiation oncology in Europe. In this paper a short overview on HBO is given and the following randomized clinical studies are presented: a) reirradiation of recurrent squamous cell carcinoma of the head and neck after HBO sensitization; b) role of HBO in enhancing radiosensitivity on glioblastoma multiforme; c) osseointegration in irradiated patients; adjunctive HBO to prevent implant failures; d) the role of HBO in the treatment of late irradiation sequelae in the pelvic region. The two radiosensitization protocols (a, b) allow a time interval between HBO and subsequent irradiation of 10-20 min. Recruitment of centers and patients is being strongly encouraged, detailed information is given on www.oxynet.org.
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subjects Cancer
Combined Modality Therapy - methods
Humans
Hyperbaric Oxygenation - methods
Neoplasms - therapy
Oxygen therapy
Radiation therapy
Radiotherapy - methods
Randomized Controlled Trials as Topic
Treatment Outcome
Wound healing
title Hyperbaric oxygen and radiotherapy
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