Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 445
Filtrar
Más filtros

Bases de datos
País/Región como asunto
Tipo del documento
Intervalo de año de publicación
1.
Proc Biol Sci ; 286(1904): 20190898, 2019 06 12.
Artículo en Inglés | MEDLINE | ID: mdl-31185859

RESUMEN

Homophilous behaviour plays a central role in the formation of human friendships. Individuals form social ties with others that show similar phenotypic traits, independently of relatedness. Evidence of such homophily can be found in bottlenose dolphins ( Tursiops aduncus) in Shark Bay, Western Australia, where females that use marine sponges as foraging tools often associate with other females that use sponges. 'Sponging' is a socially learned, time-consuming behaviour, transmitted from mother to calf. Previous research illustrated a strong female bias in adopting this technique. The lower propensity for males to engage in sponging may be due to its incompatibility with adult male-specific behaviours, particularly the formation of multi-level alliances. However, the link between sponging and male behaviour has never been formally tested. Here, we show that male spongers associated significantly more often with other male spongers irrespective of their level of relatedness. Male spongers spent significantly more time foraging, and less time resting and travelling, than did male non-spongers. Interestingly, we found no difference in time spent socializing. Our study provides novel insights into the relationship between tool use and activity budgets of male dolphins, and indicates social homophily in the second-order alliance composition of tool-using bottlenose dolphins.


Asunto(s)
Conducta Animal , Delfín Mular/fisiología , Conducta Social , Comportamiento del Uso de la Herramienta , Animales , Femenino , Masculino , Caracteres Sexuales , Aprendizaje Social
2.
Science ; 247(4945): 951-4, 1990 Feb 23.
Artículo en Inglés | MEDLINE | ID: mdl-17776453

RESUMEN

Double fertilization and the associated formation of endosperm have long been considered unique and defining characters (autapomorphies) of the angiosperms. During normal fertilization in Ephedra nevadensis, a nonflowering seed plant, fusion of a second sperm nucleus with the ventral canal nucleus occurs regularly within the egg cytoplasm. The occurrence of double fertilization in Ephedra assumes added significance in light of its critical phylogenetic position as a basal member of the most closely related extant group of seed plants (Gnetales) to angiosperms. Thus, double fertilization in angiosperms and Ephedra may represent an evolutionary homology.

3.
Science ; 255(5042): 336-9, 1992 Jan 17.
Artículo en Inglés | MEDLINE | ID: mdl-17779584

RESUMEN

The formation of a polyploid endosperm tissue has long been considered a unique and defining feature (autapomorphy) of angiosperms. Contemporaneous with the fertilization of an egg nucleus by a sperm nucleus in Ephedra trifurca (a nonflowering seed plant closely related to angiosperms), a second fertilization event has previously been shown to occur between a second sperm nucleus and the sister nucleus of the egg nucleus. Development of the second fertilization product is now shown to be fundamentally similar to that of endosperm in primitive flowering plants: both are characterized by an initial period of free nuclear proliferation followed by a process of cellularization. In Ephedra, however, the second fertilization product ultimately yields additional embryos. If double fertilization in Ephedra and angiosperms is evolutionarily homologous, it is likely that endosperm evolved from a supernumerary fertilization event that originally produced embryos into one that produced a specialized nonembryo tissue dedicated to the nourishment of the zygotic embryo.

4.
Science ; 236(4806): 1263-8, 1987 Jun 05.
Artículo en Inglés | MEDLINE | ID: mdl-2884727

RESUMEN

The use of molecular biological approaches has defined new mechanisms that store information in the mammalian nervous system. Environmental stimuli alter steady-state levels of messenger RNA species encoding neurotransmitters, thereby altering synaptic, neuronal, and network function over time. External or internal stimuli alter impulse activity, which alters membrane depolarization and selectively changes the expression of specific transmitter genes. These processes occur in diverse peripheral and central neurons, suggesting that information storage is widespread in the neuraxis. The temporal profile of any particular molecular mnemonic process is determined by specific kinetics of turnover and by the geometry of the neuron resulting in axonal transport of molecules to different synaptic arrays at different times. Generally, transmitters, the agents of millisecond-to-millisecond communication, are subject to relatively long-lasting changes in expression, ensuring that ongoing physiological function is translated into information storage.


Asunto(s)
Memoria/fisiología , Fenómenos Fisiológicos del Sistema Nervioso , Neurotransmisores/fisiología , Médula Suprarrenal/metabolismo , Animales , Encéfalo/fisiología , Sistema Nervioso/anatomía & histología , Sistema Nervioso/metabolismo , Neuronas/fisiología , Neurotransmisores/metabolismo , Sistema Nervioso Simpático/metabolismo , Sistema Nervioso Simpático/fisiología , Transcripción Genética
5.
Neuron ; 11(6): 1101-11, 1993 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-7903858

RESUMEN

Although proliferation is fundamental to the generation of neuronal populations, little is known about the function of trophic mechanisms during neurogenesis. We now describe a novel role for neurotrophin-3 (NT-3): the neurotrophin stimulates proliferation of sympathetic neuroblasts through trophic mechanisms. NT-3 promotes survival of the dividing precursors, but does not directly stimulate mitosis. NT-3 trophic effects differ markedly from those of the sympathetic mitogen, insulin. Furthermore, whereas NT-3 exhibits trophic activity for dividing neuroblasts, nerve growth factor characteristically promotes survival of postnatal sympathetic neurons. The stage-specific activity of NT-3 and nerve growth factor in culture parallels the sequence of trkC and trkA receptor gene expression detected in vivo. Thus, neurotrophins apparently serve as trophic factors during ontogeny, acting sequentially during establishment of individual populations.


Asunto(s)
Supervivencia Celular/efectos de los fármacos , Ganglios Simpáticos/citología , Factores de Crecimiento Nervioso/farmacología , Neuronas/citología , Animales , División Celular/efectos de los fármacos , Línea Celular , Células Cultivadas , ADN/biosíntesis , Embrión de Mamíferos , Ganglios Simpáticos/efectos de los fármacos , Ganglios Simpáticos/embriología , Inmunohistoquímica , Insulina/farmacología , Cinética , Factores de Crecimiento Nervioso/biosíntesis , Neuronas/efectos de los fármacos , Neuronas/fisiología , Neurotrofina 3 , Ratas , Proteínas Recombinantes/biosíntesis , Proteínas Recombinantes/farmacología , Timidina/metabolismo , Transfección , Tritio , Tirosina 3-Monooxigenasa/análisis , Tirosina 3-Monooxigenasa/biosíntesis
6.
Plant Cell ; 7(12): 1975-1988, 1995 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-12242365

RESUMEN

Gnetum gnemon, a nonflowering seed plant and member of the Gnetales, expresses a rudimentary pattern of double fertilization that results in the formation of two zygotes per pollen tube. The process of double fertilization in G. gnemon was examined with light and fluorescence microscopy, and the DNA content of various nuclei involved in sexual reproduction was quantified with 4[prime],6-diamidino-2-phenylindole microspectrofluorometry.Male and female gamete nuclei pass through the synthesis phase of the cell cycle and increase their DNA content from 1C to 2C before fertilization. Each of the two zygotes found in association with a pollen tube is diploid and contains the 4C quantity of DNA at inception. Based on these results as well as previous studies of nuclear DNA content in plant sperm, eggs, and zygotes, three fundamental and distinct patterns of gamete karyogamy among seed plants can be circumscribed: (1) G1 karyogamy, in which male and female gametes contain the 1C quantity of DNA throughout karyogamy and the zygote undergoes DNA replication; (2) S-phase karyogamy, in which gamete nuclei initiate fusion at 1C but pass through the S phase of the cell cycle before completely fusing; and (3) G2 karyogamy, in which male and female gamete nuclei pass through the S phase of the cell cycle before the onset of fertilization. Our results show definitively a pattern of G2 karyogamy in G. gnemon.

7.
Curr Opin Plant Biol ; 4(1): 14-20, 2001 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-11163162

RESUMEN

Recent phylogenetic analyses of basal angiosperms have identified those lineages central to the study of the origin and early diversification of flowering plants. As we begin to understand the early evolution of endosperm developmental patterns in flowering plants, it is apparent that we know little about the other basic embryological features of basal angiosperms, such as the nature of the female gametophyte and even whether a process of double fertilization occurs.


Asunto(s)
Magnoliopsida/embriología , Evolución Biológica , Fertilización , Magnoliopsida/genética , Magnoliopsida/fisiología
8.
J Am Coll Cardiol ; 16(1): 24-9, 1990 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-2358596

RESUMEN

Ethical standards are a set of affirmative responsibilities to which the investigator must subscribe; behavior that is incompatible with these responsibilities should be presumed unethical, whether or not it is explicitly proscribed. This Task Force sought to present these standards as principles or guidelines. In undertaking research an investigator must accept that publicly funded or supported research is intended to yield public benefit; personal gain should be only incidental to and not at the expense of the public benefit. The responsibilities of the investigator are summarized as follows: Design of Research To develop a research design that effectively and efficiently addresses the scientific question while minimizing the likelihood of incorrect or misleading results. To protect the rights and welfare of human subjects, assure the humane use of laboratory animals and protect the safety of laboratory workers and the environment. Conduct of Research To ensure that accepted laboratory and research practices are followed and that all data are accurately collected and properly recorded; the investigator must participate in the review of original data. To carry out research in accordance with that approved by the institutional review board and ensure that fully informed consent is obtained, that the welfare of human subjects is protected and that animal welfare and laboratory safety procedures are carried out. To provide effective ongoing supervision of research trainees and technicians. In multidisciplinary collaborative research, to have at least an overview familiarity with the work outside his or her areas of expertise. In fixed protocol, multicenter collaborative research the investigator must be satisfied with the adequacy of the collaborative activities.(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Investigación Biomédica , Ética Profesional , Investigación/normas , Responsabilidad Social , Difusión de la Información , Mentores , Proyectos de Investigación
9.
Vet Comp Oncol ; 13(4): 409-23, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-24007303

RESUMEN

Stereotactic radiosurgery (SRS) is a procedure that delivers a single large radiation dose to a well-defined target. Here, we describe a frameless SRS technique suitable for intracranial targets in canines. Medical records of dogs diagnosed with a primary intracranial tumour by imaging or histopathology that underwent SRS were retrospectively reviewed. Frameless SRS was used successfully to treat tumours in 51 dogs with a variety of head sizes and shapes. Tumours diagnosed included 38 meningiomas, 4 pituitary tumours, 4 trigeminal nerve tumours, 3 gliomas, 1 histiocytic sarcoma and 1 choroid plexus tumour. Median survival time was 399 days for all tumours and for dogs with meningiomas; cause-specific survival was 493 days for both cohorts. Acute grade III central nervous system toxicity (altered mentation) occurred in two dogs. Frameless SRS resulted in survival times comparable to conventional radiation therapy, but with fewer acute adverse effects and only a single anaesthetic episode required for therapy.


Asunto(s)
Neoplasias Encefálicas/veterinaria , Enfermedades de los Perros/cirugía , Radiocirugia/veterinaria , Animales , Neoplasias Encefálicas/mortalidad , Neoplasias Encefálicas/cirugía , Neoplasias de los Nervios Craneales/mortalidad , Neoplasias de los Nervios Craneales/cirugía , Neoplasias de los Nervios Craneales/veterinaria , Enfermedades de los Perros/mortalidad , Perros , Femenino , Masculino , Meningioma/mortalidad , Meningioma/cirugía , Meningioma/veterinaria , Neoplasias Hipofisarias/mortalidad , Neoplasias Hipofisarias/cirugía , Neoplasias Hipofisarias/veterinaria , Radiocirugia/métodos , Estudios Retrospectivos , Análisis de Supervivencia , Enfermedades del Nervio Trigémino/mortalidad , Enfermedades del Nervio Trigémino/cirugía , Enfermedades del Nervio Trigémino/veterinaria
10.
Evolution ; 55(2): 217-31, 2001 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-11308081

RESUMEN

Recently, two areas of plant phylogeny have developed in ways that could not have been anticipated, even a few years ago. Among extant seed plants, new phylogenetic hypotheses suggest that Gnetales, a group of nonflowering seed plants widely hypothesized to be the closest extant relatives of angiosperms, may be less closely related to angiosperms than was believed. In addition, recent phylogenetic analyses of angiosperms have, for the first time, clearly identified the earliest lineages of flowering plants: Amborella, Nymphaeales, and a clade that includes Illiciales/ Trimeniaceae/Austrobaileyaceae. Together, the new seed plant and angiosperm phylogenetic hypotheses have major implications for interpretation of homology and character evolution associated with the origin and early history of flowering plants. As an example of the complex and often unpredictable interplay of phylogenetic and comparative biology, we analyze the evolution of double fertilization, a process that forms a diploid embryo and a triploid endosperm, the embryo-nourishing tissue unique to flowering plants. We demonstrate how the new phylogenetic hypotheses for seed plants and angiosperms can significantly alter previous interpretations of evolutionary homology and firmly entrenched assumptions about what is synapomorphic of flowering plants. In the case of endosperm, a solution to the century-old question of its potential homology with an embryo or a female gametophyte (the haploid egg-producing generation within the life cycle of a seed plant) remains complex and elusive. Too little is known of the comparative reproductive biology of extant nonflowering seed plants (Gnetales, conifers, cycads, and Ginkgo) to analyze definitively the potential homology of endosperm with antecedent structures. Remarkably, the new angiosperm phylogenies reveal that a second fertilization event to yield a biparental endosperm, long assumed to be an important synapomorphy of flowering plants, cannot be conclusively resolved as ancestral for flowering plants. Although substantive progress has been made in the analysis of phylogenetic relationships of seed plants and angiosperms, these efforts have not been matched by comparable levels of activity in comparative biology. The consequence of inadequate comparative biological information in an age of phylogenetic biology is a severe limitation on the potential to reconstruct key evolutionary historical events.


Asunto(s)
Magnoliopsida , Filogenia , Magnoliopsida/clasificación , Reproducción/fisiología
11.
Neurology ; 49(5): 1278-83, 1997 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-9371908

RESUMEN

We compared the duration of the EMG cortical stimulation silent period (CSSP) elicited in abductor pollicis brevis using transcranial magnetic stimulation (TMS) before and after stereotactic unilateral globus pallidus internus pallidotomy (PAL) in 12 patients with Parkinson's disease. We used TMS stimulus intensities of 200, 150, 120, and 100% of motor evoked potential (MEP) threshold before and after (86 +/- 25 days) PAL. PAL increased CSSP duration at stimulus intensities of 200% of MEP threshold in the hand contralateral to the stereotactic lesion. In a subset of five patients able to remain at rest during pre-PAL testing sessions, PAL decreased the resting MEP/M-wave area ratio in the hand contralateral to the lesion at a stimulus intensity of 120% of MEP threshold. PAL did not significantly modify the effects of TMS in the hand ipsilateral to the globus pallidus lesion. The results suggest that PAL improves the function of cortical motor inhibitory circuits in Parkinson's disease.


Asunto(s)
Globo Pálido/cirugía , Magnetismo , Enfermedad de Parkinson/fisiopatología , Enfermedad de Parkinson/cirugía , Anciano , Anciano de 80 o más Años , Estimulación Eléctrica , Potenciales Evocados Motores , Femenino , Humanos , Masculino , Persona de Mediana Edad , Corteza Motora/fisiopatología , Desempeño Psicomotor , Factores de Tiempo
12.
Neurology ; 56(2): 159-65, 2001 Jan 23.
Artículo en Inglés | MEDLINE | ID: mdl-11160949

RESUMEN

OBJECTIVE: To learn how PD influences verbal description of emotional events. BACKGROUND: Individuals with PD exhibit emotional processing deficits. Emotional experience likely involves several dimensions (e.g., valence, arousal, motor activation) subserved by a distributed modular network involving cortical, limbic, basal ganglia, diencephalic, and mesencephalic regions. Although the neurodegeneration in PD likely affects components in this network, little is known about how PD influences emotional processing. Because PD is associated with activation deficits, one could predict that the discourse of emotional experiences involving high activation would be reduced in patients with PD compared to control subjects. Alternatively, because patients with PD exhibit paradoxical sensitivity to externally evoked motor activation (kinesia paradoxica), it is possible that emotional stimuli may facilitate verbal emotional expression more so in patients with PD than in control subjects. METHODS: The authors measured verbal descriptions of personal emotional experiences in subjects with PD and normal controls. RESULTS: Compared with control subjects, individuals with PD showed a relative increase in the number of words spoken and in discourse duration when talking about emotional experiences that are usually associated with high levels of arousal and motor activation. Although the authors did not measure arousal or activation, prior research has shown that, when asked to recall an emotional experience, people will often re-experience the emotion previously experienced during that episode. CONCLUSIONS: Recalling emotional episodes induces verbal kinesia paradoxica in patients with PD. Although recall of these emotional episodes may have been associated with increased arousal and activation, the mechanism underlying emotional verbal kinesia paradoxica is unclear.


Asunto(s)
Emociones/fisiología , Enfermedad de Parkinson/psicología , Habla/fisiología , Anciano , Femenino , Humanos , Masculino , Enfermedad de Parkinson/fisiopatología , Escalas de Valoración Psiquiátrica
13.
Neuropsychologia ; 38(6): 757-67, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-10689051

RESUMEN

Visual-spatial deficits are often associated with Parkinson's Disease (PD). Recent theories suggest that frontal-basal ganglionic dysfunction affects cognition in PD. Although this hypothesis does not entirely explain spatial deficits in PD, the inappropriate utilization of cues associated with executive dysfunction may induce spatial deficits. Alternatively, the vestibular system is also involved in spatial cognition, and vestibular dysfunction may affect visual-spatial ability in PD. To test these hypotheses, we administered the Water Jar Test, while perturbing vestibulo-proprioceptive input. Non-demented PD patients were significantly less accurate than controls in judging horizontal, and appeared to inappropriately utilize cues. No group effect was found for head tilt. These findings suggest the visual-spatial difficulties seen in PD are related to executive dysfunction that is associated with a disruption of the frontal-basal ganglionic and frontal-parietal systems.


Asunto(s)
Trastornos del Conocimiento/diagnóstico , Trastornos del Conocimiento/etiología , Enfermedad de Parkinson/complicaciones , Enfermedad de Parkinson/fisiopatología , Propiocepción/fisiología , Percepción Espacial/fisiología , Vestíbulo del Laberinto/fisiopatología , Ganglios Basales/fisiopatología , Señales (Psicología) , Femenino , Lóbulo Frontal/fisiopatología , Humanos , Masculino , Persona de Mediana Edad , Pruebas Neuropsicológicas , Lóbulo Parietal/fisiopatología
14.
Int J Radiat Oncol Biol Phys ; 20(4): 891-5, 1991 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-2004968

RESUMEN

Stereotactic angiography has long been the imaging database for the radiosurgical treatment of arteriovenous malformations (AVM). The following analysis reveals systematic shortcomings in the methodology, resulting in errors in determining target shape, errors in determining target size, and errors in the identification of the true AVM "nidus."


Asunto(s)
Angiografía Cerebral/métodos , Malformaciones Arteriovenosas Intracraneales/radioterapia , Encéfalo/anatomía & histología , Humanos , Malformaciones Arteriovenosas Intracraneales/diagnóstico , Malformaciones Arteriovenosas Intracraneales/cirugía , Imagen por Resonancia Magnética/métodos , Modelos Anatómicos , Técnicas Estereotáxicas
15.
Int J Radiat Oncol Biol Phys ; 28(4): 803-10, 1994 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-8138432

RESUMEN

PURPOSE: Stereotactic radiosurgery (SRS) is currently being investigated for treatment of acoustic schwannomas in patients who are not good surgical candidates. The vast majority of the available data is based on gamma knife-treated patients. We present the largest series of patients treated with linear accelerator-based SRS. METHODS AND MATERIALS: Thirty-two patients with acoustic schwannomas were treated with SRS between July 1988 and February 1993; follow-up ranged from 4-59 months. Age ranged from 34-88 years (mean, 62 years). The primary presenting symptom was hearing loss in 30 patients and dementia in two patients. Indications for SRS were age > 65 years (17 patients); recurrence after surgery (13 patients); and medical infirmity (two patients). Dose to the periphery of the lesion ranged from 10-22.5 Gy (mean, 15.5 Gy) specified at the 68-90% isodose line (mean, 80%). Collimator size ranged from 12-35 mm (mean, 23 mm), indicating that the sizes of the tumors were significantly larger than those reported in most gamma knife series. RESULTS: Follow-up magnetic resonance imaging (MRI) and/or computed tomography (CT) scans revealed the following at 1 year: tumor regression, 12 patients (63%); and no change, seven patients (37%). At 2 years, 11 tumors (73%) were smaller and four tumors (27%) were unchanged. At 3 years, seven patients (78%) had experienced tumor regression and two (22%) had no change. No patient experienced tumor progression after SRS. Seven patients (22%) suffered one or more treatment complications: new onset of 5th and/or 7th cranial nerve deficit (six patients), ataxia (two patients), and/or hydrocephalus necessitating VP shunt (two patients). CONCLUSION: Linear accelerator-based SRS provides excellent short-term local control and a relatively low incidence of complications for acoustic schwannomas. Our data compare favorably with results obtained with gamma knife-based SRS. Additional follow-up will be necessary to evaluate the long-term results of treatment.


Asunto(s)
Neoplasias Encefálicas/cirugía , Neuroma Acústico/cirugía , Radiocirugia , Adulto , Anciano , Anciano de 80 o más Años , Estudios de Seguimiento , Humanos , Imagen por Resonancia Magnética , Persona de Mediana Edad , Radiocirugia/efectos adversos
16.
Int J Radiat Oncol Biol Phys ; 32(1): 205-10, 1995 Apr 30.
Artículo en Inglés | MEDLINE | ID: mdl-7721617

RESUMEN

PURPOSE: Stereotactic radiosurgery has been reported as a promising boost technique for the treatment of selected patients with high-grade glioma. The first 11 patients given this treatment at the University of Florida are reported. METHODS AND MATERIALS: Six patients with glioblastoma multiforme and five with anaplastic astrocytoma were carefully selected for treatment with linac radiosurgery. All patients had a Karnofsky performance status > or = 90%. Median age of patients was 42.1 years. External-beam radiotherapy delivered a median dose of 60 Gy. Stereotactic radiosurgery was delivered to the enhancing tumor volume without margin. Median treatment volume was 14 cm3 (equivalent sphere diameter, 3 cm). The maximum volume of any tumor treated was 22.5 cm3 (equivalent sphere diameter, 3.5 cm). Median stereotactic radiosurgery boost dose was 12.5 Gy, and median prescription sphere was the 80% isodose shell. RESULTS: Despite rigorous selection and aggressive stereotactic boost irradiation, this patient cohort had a median actuarial survival of 17 months. All patients have had progression of intracranial disease within 1 year of radiosurgery, and only 3 of 11 remain alive with a median follow-up of 13 months. CONCLUSION: These results differ significantly from others reported. Comparative analysis suggests tumor volume may be an important prognostic factor in patients treated with stereotactic radiosurgery. Future studies need to define appropriate patient cohorts for the boost technique.


Asunto(s)
Neoplasias Encefálicas/cirugía , Glioblastoma/cirugía , Radiocirugia , Adolescente , Adulto , Anciano , Neoplasias Encefálicas/mortalidad , Femenino , Estudios de Seguimiento , Glioblastoma/mortalidad , Humanos , Estado de Ejecución de Karnofsky , Masculino , Persona de Mediana Edad , Análisis de Supervivencia
17.
Int J Radiat Oncol Biol Phys ; 32(4): 1161-6, 1995 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-7607938

RESUMEN

PURPOSE: To define treatment selection criteria for patients with intracranial metastases treated with stereotactic radiosurgery. METHODS AND MATERIALS: Between August 1989 and July 1993, 25 patients with intracranial metastases (28 lesions) were treated with stereotactic radiosurgery at the University of Florida. Thirteen patients were treated for progressive intracranial disease after external-beam radiotherapy, and 12 were treated with radiosurgery as an adjunct to initial treatment. Minimum eligibility criteria included histologic verification of primary disease, Karnofsky performance status 50% or greater, three or fewer intracranial metastases, radiographically distinct lesion(s) 4 cm or less in diameter, and reasonably well-controlled primary disease. Univariate and multivariate analyses tested the prognostic significance of Karnofsky performance status, lesion volume, number of lesions, treatment dose (both external beam and stereotactic), histology, site of primary disease, and time interval (less than or greater than 1 year) from primary diagnosis to development of intracranial metastasis or from treatment of intracranial disease to recurrence. RESULTS: Local control was achieved in 84% of 28 lesions treated. The only significant prognostic indicator among the tested variables was the interval to development or recurrence of intracranial metastasis. CONCLUSION: Although stereotactic radiosurgery improves local control rates and is likely to offer improved palliation for a select cohort of patients, the selection criteria for such patients remain poorly defined. Our data suggest that an interval of greater than 1 year from primary disease diagnosis to development of intracranial metastasis, or from treatment of intracranial metastasis to its recurrence, defines a patient cohort that is more likely to benefit from this treatment technique.


Asunto(s)
Neoplasias Encefálicas/secundario , Neoplasias Encefálicas/cirugía , Radiocirugia/métodos , Adenocarcinoma/secundario , Adenocarcinoma/cirugía , Neoplasias Encefálicas/diagnóstico por imagen , Neoplasias Encefálicas/mortalidad , Carcinoma de Células Escamosas/secundario , Carcinoma de Células Escamosas/cirugía , Femenino , Humanos , Estado de Ejecución de Karnofsky , Masculino , Melanoma/secundario , Melanoma/cirugía , Persona de Mediana Edad , Radiografía , Tasa de Supervivencia , Factores de Tiempo , Resultado del Tratamiento
18.
Int J Radiat Oncol Biol Phys ; 43(2): 321-7, 1999 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-10030256

RESUMEN

PURPOSE: To review outcomes for patients treated with linac radiosurgery for benign meningiomas. METHODS AND MATERIALS: Between January 1989 and July 1997, 70 patients with 76 meningiomas were treated with LINAC-based radiosurgery. In 38 patients, radiosurgery was the initial treatment. In 32 patients, radiosurgery followed surgery or conventional radiotherapy. The average treatment volume was 10.0 cm3 (range, 0.6 to 28.6 cm3). The mean peripheral dose was 12.7 Gy (range, 10 to 20 Gy). The mean clinical follow-up period was 23 months. No patient was lost to follow-up. RESULTS: No lesions enlarged during the follow-up period; of 48 lesions in patients who had follow-up for at least one year and hence had follow-up imaging, 27 tumors remained unchanged and 21 tumors were reduced in size. Two patients experienced transient radiation-induced neurological deficits. One was treated with surgical excision of the tumor; the other responded to prolonged steroid therapy. Both patients, treated early in our experience, received doses higher than we would currently recommend. CONCLUSIONS: Early results suggest that stereotactic radiosurgery is an effective treatment for meningiomas. Long-term follow-up will be necessary to fully evaluate its efficacy.


Asunto(s)
Neoplasias Meníngeas/cirugía , Meningioma/cirugía , Radiocirugia , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Estudios de Seguimiento , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Radiocirugia/efectos adversos , Dosificación Radioterapéutica , Resultado del Tratamiento
19.
Int J Radiat Oncol Biol Phys ; 34(3): 591-7, 1996 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-8621283

RESUMEN

PURPOSE: To test an established model of stereotactic radiosurgery-induced radiation injury with pretreatments of either methylprednisolone or the lazaroid U74389G. METHODS AND MATERIALS: Nine cats received stereotactic radiosurgery with a linear accelerator using and animal radiosurgery device. Each received a dose of 125.0 Gy prescribed to the 84% isodose shell to the anterior limb of the right internal capsule. One animal received no pretreatment, two received citrate vehicle, three received 30 mg/kg of methylprednisolone, and three received 5 mg/kg of U74389G. After irradiation, the animals had frequent neurologic examinations, and neurologic deficits developed in all of them. Six months after the radiation treatment, the animals were anesthetized, and had gadolinium-enhanced magnetic resonance (MR) scans, followed by Evans blue dye perfusion, euthanasia, and brain fixation. RESULTS: Magnetic resonance scans revealed a decrease in the size of the lesions from a mean volume of 0.45 +/- 0.06 cm(3) in the control, vehicle-treated, and methylpredniosolone-treated animals to 0.22 +/- 0.14 cm(3) in the U74389G-treated group. The scans also suggested the absence of necrosis and ventricular dilatation in the lazaroid-treated group. Gross pathology revealed that lesions produced in the untreated, vehicle-treated, and methylprednisolone-treated cats were similar and were characterized by a peripheral zone of Evans blue dye staining with a central zone of a mature coagulative necrosis and focal hemorrhage. However, in the U74389G-treated animals, the lesions were found to have an area of Evans blue dye staining, but lacked discrete areas of necrosis and hemorrhage. CONCLUSION: These results suggest that the lazaroid U74389G protects the normal brain from radiation injury produced by stereotactic radiosurgery.


Asunto(s)
Encefalopatías/prevención & control , Encéfalo/efectos de los fármacos , Encéfalo/efectos de la radiación , Pregnatrienos/uso terapéutico , Traumatismos Experimentales por Radiación/prevención & control , Protectores contra Radiación/uso terapéutico , Radiocirugia/métodos , Animales , Encéfalo/anatomía & histología , Encefalopatías/etiología , Gatos , Imagen por Resonancia Magnética , Metilprednisolona/uso terapéutico , Radiocirugia/efectos adversos
20.
Int J Radiat Oncol Biol Phys ; 41(1): 183-97, 1998 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-9588933

RESUMEN

PURPOSE: Linear accelerator radiosurgery uses multiple arcs delivered through circular collimators to produce a nominally spherical dose distribution. Production of dose distributions that conform to irregular lesions or conformally avoid critical neural structures requires a detailed understanding of the available treatment planning parameters. METHODS AND MATERIALS: Treatment planning parameters that may be manipulated within a single isocenter to provide conformal avoidance and dose conformation to ellipsoidal lesions include differential arc weighting and gantry start/stop angles. More irregular lesions require the use of multiple isocenters. Iterative manipulation of treatment planning variables can be difficult and computationally expensive, especially if the effects of these manipulations are not well defined. Effects of treatment parameter manipulation are explained and illustrated. This is followed by description of the University of Florida Stereotactic Radiosurgery Treatment Planning Algorithm. This algorithm organizes the manipulations into a practical approach for radiosurgery treatment planning. RESULTS: Iterative treatment planning parameters may be efficiently manipulated to achieve optimal treatment plans by following the University of Florida Treatment Planning Algorithm. The ability to produce conformal stereotactic treatment plans using the algorithm is demonstrated for a variety of clinical presentations. CONCLUSION: The standard dose distribution produced in linear accelerator radiosurgery is spherical, but manipulation of available treatment planning parameters may result in optimal dose conformation. The University of Florida Treatment Planning Algorithm organizes available treatment parameters to efficiently produce conformal radiosurgery treatment plans.


Asunto(s)
Algoritmos , Radiocirugia/métodos , Planificación de la Radioterapia Asistida por Computador/métodos , Neoplasias Encefálicas/secundario , Neoplasias Encefálicas/cirugía , Síndrome de Cushing/cirugía , Humanos , Malformaciones Arteriovenosas Intracraneales/cirugía , Neuroma Acústico/cirugía , Dosificación Radioterapéutica
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA