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乏氧显像和乏氧干预在32P间质内放疗中作用的实验研究

Experimental study on roles of 99mTc-HL91 imaging and carbogen breathing in 32P-colloid interstitial treatment of malignant tumor

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【作者】 占宏伟叶小娟包承侃孙达何刚强张宏

【Author】 ZHAN Hongwei YE Xiaojuan BAO Chengkan SUN Da HE Gangqiang ZHANG Hong (Department of Nuclear Medicine, Second Affiliated Hospital of Zhejiang University College of Medicine, Hangzhou 310009)

【机构】 浙江大学医学院附属第二医院核医学科浙江大学医学院附属第二医院核医学科 杭州310009杭州310009

【摘要】 核素内放疗已越来越多应用于临床,预测、增敏其疗效具有实际应用价值。本研究对荷S180瘤小鼠在32P肿瘤间质内注射治疗前行Tc-HL91乏氧显像,并用Carbogen吸入进行乏氧干预,结果显示Tc-HL9199m99m肿瘤滞留量在Carbogen吸入后明显减少,同时P肿瘤间质内注射治疗后Carbogen吸入组小鼠肿瘤大小明显32小于空气吸入组;但是,99mTc-HL91肿瘤滞留量多少与P肿瘤间质内注射治疗后肿瘤大小间无明显相关性。32说明Tc-HL91乏氧显像可以反映乏氧干预效果,但不能预测P肿瘤间质内注射治疗疗效,而Carbogen吸99m32入可以提高P肿瘤间质内注射治疗疗效。32

【Abstract】 Inner radiotherapy using radionuclide has been used more and more in clinic, and it is important to predict and enhance its therapeutic effect. In this study, 99mTc-HL91 imaging was performed in mice bearing S180 tumor before P-colloid interstitial treatment and some of mice inhaled carbogen gas as a method to solve hypoxia of tumor 32 tissue. Although 99m Tc-HL91 retention in tumor was decrease significantly after carbogen breathing, and tumor mass was less in the carbogen-breathing mice than in the air-breathing mice, 99m Tc-HL91 retention was not related to tumor mass after P-colloid interstitial treatment, which implied that carbogen breathing could improve therapeutic effect of 32 32P-colloid interstitial treatment, and 99m Tc-HL91 imaging was useful to detect effect of hypoxia intervention but was unable to predict therapeutic effect of P-colloid interstitial treatment. 32

  • 【分类号】R730.55
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