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1.
Health Phys ; 109(4): 277-83, 2015 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-26313585

RESUMEN

Effects on human health from the complex radiation environment in deep space have not been measured and can only be simulated here on Earth using experimental systems and beams of radiations produced by accelerators, usually one beam at a time. This makes it particularly important to develop instruments that can be used on deep-space missions to measure quantities that are known to be relatable to the biological effectiveness of space radiation. Tissue-equivalent proportional counters (TEPCs) are such instruments. Unfortunately, present TEPCs are too large and power intensive to be used beyond low Earth orbit (LEO). Here, the authors describe a prototype of a compact TEPC designed for deep space applications with the capability to detect both ambient galactic cosmic rays and intense solar particle event radiation. The device employs an approach that permits real-time determination of yD (and thus quality factor) using a single detector. This was accomplished by assigning sequential sampling intervals as detectors "1" and "2" and requiring the intervals to be brief compared to the change in dose rate. Tests with g rays show that the prototype instrument maintains linear response over the wide dose-rate range expected in space with an accuracy of better than 5% for dose rates above 3 mGy h(-1). Measurements of yD for 200 MeV n(-1) carbon ions were better than 10%. Limited tests with fission spectrum neutrons show absorbed dose-rate accuracy better than 15%.


Asunto(s)
Biomimética/instrumentación , Radiación Cósmica , Medio Ambiente Extraterrestre/química , Protección Radiológica/instrumentación , Vuelo Espacial/instrumentación , Recuento Corporal Total/instrumentación , Astronautas , Diseño de Equipo , Análisis de Falla de Equipo , Humanos , Miniaturización , Exposición Profesional , Dosis de Radiación
2.
Radiat Res ; 162(6): 687-92, 2004 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-15548122

RESUMEN

Experiments have been performed to measure the response of a spherical tissue-equivalent proportional counter (TEPC) and a silicon-based LET spectrometer (RRMD-III) to protons with energies ranging from 50-200 MeV. This represents a large portion of the energy distribution for trapped protons encountered by astronauts in low-Earth orbit. The beam energies were obtained using plastic polycarbonate degraders with a monoenergetic beam that was extracted from a proton synchrotron. The LET spectrometer provided excellent agreement with the expected LET distribution emerging from the energy degraders. The TEPC cannot measure the LET distribution directly. However, the frequency mean value of lineal energy, y(-)(f), provided a good approximation to LET. This is in contrast to previous results for high-energy heavy ions where y(-)(f) underestimated LET, whereas the dose-averaged lineal energy, y(-)(D), provided a good approximation to LET.


Asunto(s)
Transferencia Lineal de Energía , Protones , Radiometría , Silicio
3.
Radiat Environ Biophys ; 42(3): 213-7, 2003 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-12920530

RESUMEN

The work reported here was originally motivated by a discussion of Monte Carlo computer codes for electron transport in water given in Report No. 130 by the National Council on Radiation Protection and Measurements (NCRP). It was pointed out (correctly) that a published depth-dose distribution calculated by the Oak Ridge electron transport code, OREC, for 800 keV electrons normally incident on a water slab was apparently in error, possibly due to inadequate treatment of elastic scattering. In this paper we describe the replacement of the original OREC elastic cross sections by current ones from the National Institute of Standards and Technology (NIST). This investigation led also to the critical examination and revision of some other parts of the program, as described here. The revised code, which we have renamed NOREC, represents the first substantial review and modification of the Oak Ridge code in a number of years. We also present some comparisons of results calculated with the old and new versions and discuss their implications with respect to earlier studies. We have also written a version of NOREC in C++ language, which is available to other investigators. This paper provides a record of a response to the NCRP published statement and documentation for the revised code, NOREC.


Asunto(s)
Electrones , Transferencia Lineal de Energía , Modelos Químicos , Método de Montecarlo , Radiometría/métodos , Dispersión de Radiación , Programas Informáticos , Agua/química , Algoritmos , Simulación por Computador , Dosis de Radiación , Soluciones
4.
Radiat Res ; 157(3): 350-60, 2002 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-11839098

RESUMEN

The radiation environment on board the space shuttle and the International Space Station includes high-Z and high-energy (HZE) particles that are part of the galactic cosmic radiation (GCR) spectrum. Iron-56 particles are considered to be one of the most biologically important parts of the GCR spectrum. Tissue-equivalent proportional counters (TEPCs) are used as active dosimeters on manned space flights. These TEPCs are further used to determine the average quality factor for each space mission. A TEPC simulating a 1-microm-diameter sphere of tissue was exposed as part of a particle spectrometer to (56)Fe particles at energies from 200-1000 MeV/nucleon. The response of TEPCs in terms of mean lineal energy, y(F), and dose mean lineal energy, y(D), as well as the energy deposited at different impact parameters through the detector was determined for six different incident energies of (56)Fe particles in this energy range. Calculations determined that charged-particle equilibrium was achieved for each of the six experiments. Energy depositions at different impact parameters were calculated using a radial dose distribution model, and the results were compared to experimental data.


Asunto(s)
Radiación Cósmica , Hierro
5.
Radiat Res ; 156(3): 310-6, 2001 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-11500140

RESUMEN

Determinations of the LET distribution, phi(L), of charged particles within a spacecraft in low-Earth orbit have been made. One method used a cylindrical tissue-equivalent proportional counter (TEPC), with the assumption that for each measured event, lineal energy, y, is equal to LET and thus phi(L) = phi(y). The other was based on the direct measurement of LETs for individual particles using a charged-particle telescope consisting of position-sensitive silicon detectors called RRMD-III. There were differences of up to a factor of 10 between estimates of phi(L) using the two methods on the same mission. This caused estimates of quality factor to vary by a factor of two between the two methods.


Asunto(s)
Radiación Cósmica , Transferencia Lineal de Energía , Silicio/análisis , Vuelo Espacial , Planeta Tierra , Modelos Teóricos
6.
Phys Med ; 17 Suppl 1: 59-66, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11770539

RESUMEN

NASA has established and supports a specialized center for research and training (NSCORT) to specifically address the potential deleterious effects of HZE particles on human health. The NSCORT in radiation health is a joint effort between Lawrence Berkeley National Laboratory (LBNL) and Colorado State University (CSU). The overall scope of research encompasses a broad range of subjects from microdosimetric studies to cellular and tissue responses to initial damage produced by highly energetic protons and heavy charged particles of the type found in galactic cosmic rays (GCR) spectrum. The objectives of the microdosimetry studies are to determine the response of Tissue Equivalent Proportional Counter (TEPC) to cosmic rays using ground based accelerators. This includes evaluation of energy loss due to the escape of high-energy delta rays and increased energy deposition due to the enhanced delta ray production in the wall of the detector. In this report major results are presented for 56Fe at 1000, 740, 600 and 400 MeV/nucleon. An assessment of DNA repair and early development of related chromosomal changes is extremely important to our overall understanding of enhanced biological effectiveness of high LET particle radiation. Results are presented with respect to the fidelity of the rejoining of double strand breaks and the implications of misrejoining. The relationship between molecular and cytogenetic measurements is presented by studying damage processing in highly heterochromatic supernumerary (correction of sypernumerary) X chromosomes and the active X-chromosome. One of the important consequences of cell's inability to handle DNA damage can be evaluated through mutation studies. Part of our goal is the assessment of potential radioprotectors to reduce the mutation yield following HZE exposures, and some promising results are presented on one compound. A second goal is the integration of DNA repair and mutation studies. Results are presented on a direct comparison of initial double strand breaks induction, the time course and fidelity of double strand break rejoining, cell killing and mutation induction in the same human model system. In order to understand the carcinogenic potential of protons and HZE particles, the role of damaged microenvironment in this process must be understood. In this project it has been postulated that radiation affects the microenvironment, which then modifies cell interactions in a manner conducive to neoplastic progression. Both TGF-beta and FGF-2 are important components of microenvironment. A recent result on the assessment of the role of FGF-2 and its cross-talk with TGF-beta as a function of radiation quality is presented. Theoretical modeling has so far played a central role in analyzing and integrating experimental data on repair and mutation studies and predicting new phenomena. The integrated NSCORT program also provides a broad training experience for students and postdoctoral fellows in space radiation health.


Asunto(s)
Aberraciones Cromosómicas , Radiación Cósmica , Daño del ADN , Modelos Genéticos , Mutación , Protones , Animales , Línea Celular , Cricetinae , Reparación del ADN , Relación Dosis-Respuesta en la Radiación , Factor 2 de Crecimiento de Fibroblastos/metabolismo , Humanos , Interfase/efectos de la radiación , Hierro , Transferencia Lineal de Energía , Ratones , Mutagénesis , Aceleradores de Partículas , Efectividad Biológica Relativa , Factor de Crecimiento Transformador beta/metabolismo
7.
Health Phys ; 78(3): 332-4, 2000 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-10688458

RESUMEN

We have developed a method for determining the leakage of 133Xe gas from septum-sealed glass vials that are supplied for medical examinations. Twenty vials each originally containing 370 MBq of 133Xe and 20 vials each originally containing 740 MBq 133Xe were measured daily for 26 d. Retention of 133Xe within the vial was modeled as a first order process with a constant rate coefficient, lambdaT. The value of lambdaT was estimated for each vial using a regression analysis. The leakage rate, lambdaL, was then determined assuming that lambdaT = lambdaL + lambda(r) where lambda(r) represents the physical decay of 133Xe. Monte Carlo simulations were performed using uncertainties in the estimates of each vial to obtain the mean and tails of the distribution for the average leakage rate, lambdaL. The average leakage rate for the complete sample of vials was 0.00007 d(-1) with an upper, one-sided, 95% confidence limit of 0.0011 d(-1). Uncertainties in the published values of lambda(r) for 133Xe made a significant contribution to the uncertainties of the leakage rate for this sample of vials. The methods described can be applied to other situations where leakage of radioactive materials may be of concern.


Asunto(s)
Radiometría/métodos , Radioisótopos de Xenón/análisis , Vidrio , Física Sanitaria , Humanos , Modelos Estadísticos , Método de Montecarlo , Exposición Profesional , Protección Radiológica , Radiometría/estadística & datos numéricos , Radioisótopos de Xenón/efectos adversos
8.
Health Phys ; 76(4): 418-20, 1999 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-10086604

RESUMEN

Measurements were made of 222Rn concentrations outdoors in Ft. Collins, Colorado, using a continuously sampling scintillation flask between January 1993 and December 1995. These data were analyzed for hourly, daily, and seasonal variations. The average 222Rn concentration at 1 m above the ground was 18 +/- 10 Bq m(-3) with a geometric mean of 15 Bq m(-3) and a geometric standard deviation of 1.7. Hourly averaged data indicated a diurnal pattern with the outdoor 222Rn concentration reaching a maximum in the early morning between 4:00 a.m. and 6:00 a.m. and a broad minimum between 1:00 p.m. and 4:00 p.m. in the afternoon. An analysis also indicated that the outdoor 222Rn concentrations were consistently lowest during the spring (March and April) and highest during the late summer (July-September).


Asunto(s)
Contaminación Radiactiva del Aire/análisis , Monitoreo del Ambiente , Radón/análisis , Ritmo Circadiano , Colorado , Estaciones del Año , Tiempo
9.
Radiat Res ; 150(4): 436-41, 1998 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-9768858

RESUMEN

This study was designed to investigate the influence of the volume irradiated on the probability of ureteral complications and to provide data for volume modeling. One hundred thirty-four purpose-bred beagle dogs received single intraoperative doses of 6 MeV electrons ranging from 12 to 54 Gy to three lengths of ureter: 2, 4 or 8 cm. The response was evaluated by excretory urography. The ED50 was 21.9 Gy (95% CI 13.3-30 Gy) for 8 cm 3 years after treatment. The estimated ED50's were greater than 43 Gy for 4 cm and 85 Gy for 2 cm. Reducing the length of ureter irradiated from 8 cm to 4 cm increased the ED50 for ureteral dilation by at least a factor of 2, while reduction from 8 cm to 2 cm increased the ED50 by at least a factor of 4. The ED50 for renal injury secondary to stenosis was 30.5 Gy (95% CI 17.2-232 Gy) when an 8-cm field was irradiated. There was a significant effect of volume irradiated on the frequency of ureteral stenosis. Reducing the length of ureter included in the treatment field should allow delivery of higher doses to tumors without increased complications.


Asunto(s)
Traumatismos Experimentales por Radiación , Uréter/efectos de la radiación , Animales , Perros , Modelos Teóricos , Dosis de Radiación , Radioterapia/efectos adversos
10.
Radiat Res ; 149(4): 387-95, 1998 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-9525504

RESUMEN

Tissue-equivalent proportional counters (TEPCs) have been used to measure energy deposition in simulated volumes of tissue ranging in diameter from 0.1 to 10 microm. There has been some concern that the wall used to define the volume of interest could influence energy deposition within the sensitive volume because it has a density significantly greater than that of the cavity gas. These effects become important for high-velocity heavy ions. Measurements of energy deposition were made for 1 GeV/nucleon iron particles in a TEPC simulating a 1-microm-diameter sphere of tissue. The TEPC was nested within a particle spectrometer that provided identification and flight path of individual particles. Energy deposition was studied as a function of pathlength through the TEPC. Approximately 30% of the energy transfer along trajectories through the center of the detector escapes the sensitive volume. The response of the TEPC, for trajectories through the detector, is always larger than calculations for energy loss in a homogeneous medium. This enhancement is greatest for trajectories near the cavity/wall interface. An integration of the response indicates that charged-particle equilibrium is essentially achieved for a wall thickness of 2.54 mm. However, estimates of the linear energy transfer for the incident particles are influenced by these wall effects.


Asunto(s)
Radiometría/instrumentación , Gases , Radioisótopos de Hierro , Transferencia Lineal de Energía , Radioquímica , Silicio , Sincrotrones
11.
Acta Astronaut ; 42(1-8): 389-94, 1998.
Artículo en Inglés | MEDLINE | ID: mdl-11541622

RESUMEN

This paper surveys some recent accelerator-based measurements of the nuclear fragmentation of high energy nuclei in shielding and tissue-equivalent materials. These data are needed to make accurate predictions of the radiation field produced at depth in spacecraft and planetary habitat shielding materials and in the human body by heavy charged particles in the galactic cosmic radiation. Projectile-target combinations include 1 GeV/nucleon 56Fe incident on aluminum and graphite and 600 MeV/nucleon 56Fe and 290 MeV/nucleon 12C on polyethylene. We present examples of the dependence of fragmentation on material type and thickness, of a comparison between data and a fragmentation model, and of multiple fragments produced along the beam axis.


Asunto(s)
Radiación Cósmica , Iones Pesados , Protección Radiológica/estadística & datos numéricos , Nave Espacial/instrumentación , Sincrotrones , Modelos Teóricos , Protección Radiológica/instrumentación
12.
Phys Rev C Nucl Phys ; 56(1): 388-97, 1997 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-11541215

RESUMEN

We have obtained charge-changing cross sections and partial cross sections for fragmentation of 1.05 GeV/nucleon Fe projectiles incident on H, C, Al, Cu, and Pb nuclei. The energy region covered by this experiment is critical for an understanding of galactic cosmic ray propagation and space radiation biophysics. Surviving primary beam particles and fragments with charges from 12 to 25 produced within a forward cone of half-angle 61 mrad were detected using a silicon detector telescope to identify their charge and the cross sections were calculated after correction of the measured yields for finite target thickness effects. The cross sections are compared to model calculations and to previous measurements. Cross sections for the production of fragments with even-numbered nuclear charges are seen to be enhanced in almost all cases.


Asunto(s)
Radiación Cósmica , Partículas Elementales , Hierro , Física Nuclear , Aluminio , Carbono , Cobre , Hidrógeno , Iones , Plomo , Modelos Teóricos , Polietilenos , Monitoreo de Radiación , Sincrotrones
13.
Int J Radiat Oncol Biol Phys ; 34(1): 125-31, 1996 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-12118540

RESUMEN

PURPOSE: Late radiation injury to peripheral nerve may be the limiting factor in the clinical application of intraoperative radiation therapy (IORT). The combination of IORT with intraoperative hyperthermia (IOHT) raises specific concerns regarding the effects on certain normal tissues such as peripheral nerve, which might be included in the treatment field. The objective of this study was to compare the effect of IORT alone to the effect of IORT combined with IOHT on peripheral nerve in normal beagle dogs. METHODS AND MATERIALS: Young adult beagle dogs were randomized into five groups of three to five dogs each to receive IORT doses of 16, 20, 24, 28, or 32 Gy to 5 cm of surgically exposed right sciatic nerve using 6 MeV electrons and six groups of four to five dogs each received IORT doses of 0, 12,16, 20, 24, or 28 Gy simultaneously with 44 degrees C of IOHT for 60 min. IOHT was performed using a water circulating hyperthermia device with a multichannel thermometry system on the surgically exposed sciatic nerve. Neurologic and electrophysiologic examinations were done before and monthly after treatment for 24 months. Electrophysiologic studies included electromyographic (EMG) examinations of motor function, as well as motor nerve conduction velocities studies. RESULTS: Two years after treatment, the effective dose for 50% complication (ED50) for limb paresis in dogs exposed to IORT only was 22 Gy. The ED50 for paresis in dogs exposed to IORT combined with IOHT was 15 Gy. The thermal enhancement ratio (TER) was 1.5. Electrophysiologic studies showed more prominent changes such as EMG abnormalities, decrease in conduction velocity and amplitude of the action potential, and complete conduction block in dogs that received the combination of IORT and IOHT. The latency to development of peripheral neuropathies was shorter for dogs exposed to the combined treatment. CONCLUSION: The probability of developing peripheral neuropathies in a large animal model was higher for IORT combined with IOHT, than for IORT alone. The dose required to produce the same level of late radiation injury to the sciatic nerve was reduced by a factor of 1.5 (TER) if IORT was combined with 44 degrees C of IOHT for 60 min.


Asunto(s)
Hipertermia Inducida/efectos adversos , Paresia/etiología , Enfermedades del Sistema Nervioso Periférico/etiología , Sistema Nervioso Periférico/efectos de la radiación , Radioterapia/efectos adversos , Animales , Terapia Combinada/efectos adversos , Perros , Relación Dosis-Respuesta en la Radiación , Electrofisiología , Femenino , Hipertermia Inducida/métodos , Cuidados Intraoperatorios , Masculino , Conducción Nerviosa/efectos de la radiación , Examen Neurológico , Distribución Aleatoria , Nervio Ciático/efectos de la radiación , Factores de Tiempo
14.
Health Phys ; 69(6): 892-6, 1995 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-7493804

RESUMEN

It is often necessary to make a decision whether or not a sample contains radioactivity in excess of background. The most common procedure is a deterministic approach that compares the result from each sample against a critical level, Lc. Originally Lc was derived from the case where each sample is paired with a blank or control that is known not to contain excess radioactivity. However, most analytic laboratories do not process a blank with each and every sample. Another approach computes Lc using a collection of measurements to form a "well defined" background. This paper presents a method for determining a decision level, L delta, that includes the uncertainties in both the mean and variance of background and how these combine to form uncertainties in estimating the tails of the background distribution. The values of L delta are greater than Lc for a given Type I error. It can be applied whenever the true distribution of background is either normal or log normal. The process is not restricted to counting statistics and is valid for identifying excess contamination of any type providing that unknown samples are processed identically to background samples.


Asunto(s)
Técnicas de Apoyo para la Decisión , Monitoreo de Radiación/métodos , Radioisótopos/análisis , Proyectos de Investigación , Bioensayo , Monitoreo del Ambiente , Sensibilidad y Especificidad
15.
Health Phys ; 68(6): 817-22, 1995 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-7759260

RESUMEN

Measurements of the effective diffusion coefficient, De, of 222Rn in concrete are important for accurate determination of transport mechanisms and computer modeling of radon entry into structures. A method for in-situ determination of De as well as the emanation fraction, F, is described. It is based on continuous measurement of the radon flux from an intact slab and the concentrations on both sides. A non-linear regression algorithm was used to fit these data to the steady state solution to Fick's law. The regression output includes estimates of both De and F. The method has the advantage over typical laboratory procedures since it measures an undisturbed surface area of concrete where the samples exhibit moisture, temperature, and loading conditions that are experienced in a real structure. Effective diffusion coefficients ranged from 1.1 x 10(-8) to 4.4 x 10(-8) m2 s-1 for measurements of concrete floor slabs in two structures. The measured emanation fraction of radon in concrete in one structure was 0.2 +/- 0.02. A sensitivity analysis indicated that the values of De and F estimated by the regression procedure are strongly dependent on the thickness of the slab. The porosity of the concrete had little affect on the regression results.


Asunto(s)
Contaminantes Radiactivos del Aire/análisis , Materiales de Construcción , Radón/análisis , Contaminación del Aire Interior/prevención & control , Fenómenos Biofísicos , Biofisica , Difusión , Vivienda , Modelos Teóricos
16.
Health Phys ; 68(3): 394-6, 1995 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-7860311

RESUMEN

A flask coated with ZnS(Ag) scintillator is one of the most accurate detectors available for measuring 222Rn. To maintain this accuracy, the counting system consisting of a photomultiplier tube and associated electronics must be checked on a regular basis. A combination of an alpha source and a ZnS(Ag) scintillator is commonly used for these purposes. This paper compares the pulse height distributions of 4 alpha sources with the pulse height distribution from a 100 cm3 scintillation flask containing 222Rn. The source that most closely reproduced the distribution from an actual 222Rn sample in a 100 cm3 scintillation flask consisted of a sealed flask, of the same type, which contains a small piece of uranium-ore.


Asunto(s)
Partículas alfa , Radón/análisis , Conteo por Cintilación/métodos , Electrónica , Conteo por Cintilación/instrumentación , Sensibilidad y Especificidad , Plata , Sulfuros , Compuestos de Zinc
17.
Health Phys ; 67(1): 53-9, 1994 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-8200802

RESUMEN

This paper describes the entry rate of 222Rn into a basement structure surrounded by a sandy clay loam soil. The highest indoor radon concentrations occurred when the rate of entry was lowest. Data from in-situ measurements were used to identify the entry pathways and also the origins of the radon during periods when the entry rate was low. Results indicated that 25% of the radon entered through the floor-wall joint and 75% through the floor and walls. About 30% of the radon originated in the concrete. Diffusion was the primary transport mechanism. However, radon entry through the floor-wall joint was a combination of diffusion and a convective flow between the subslab region and the interior of the structure.


Asunto(s)
Contaminantes Radiactivos del Aire/análisis , Contaminación del Aire Interior/análisis , Vivienda , Radón/análisis , Suelo , Materiales de Construcción , Pisos y Cubiertas de Piso , Humanos
18.
Radiat Res ; 137(3): 346-51, 1994 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-8146278

RESUMEN

A method is described that uses a Monte Carlo approach for computing the distribution of random chord lengths in objects traversed by rays originating uniformly in space (mu-randomness). The resulting distributions converge identically to the analytical solutions for a sphere and satisfy the Cauchy relationship for mean chord lengths in circular cylinders. The method can easily be applied to geometrical shapes that are not convex such as the region between nested cylinders to simulate the sensitive volume of a detector. Comparisons with other computational methods are presented.


Asunto(s)
Método de Montecarlo , Física/métodos , Radiación , Distribución Aleatoria , Dispersión de Radiación
19.
Radiother Oncol ; 30(2): 133-9, 1994 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-8184110

RESUMEN

Peripheral nerve appears to be a dose-limiting normal tissue in the clinical application of intraoperative radiation therapy (IORT). To assess IORT injury to peripheral nerve, three groups of five beagle dogs received doses of 12, 20 or 28 Gy to the surgically exposed and isolated right sciatic nerve in the mid-femoral region using 6 MeV electrons. The left sciatic nerve of each dog served as its own control. As a surgical control five dogs received surgical exposure of the nerve only. Monthly neurologic exams, electromyogram and nerve conduction studies were performed following treatment for 12 months. After that dogs were euthanatized and histologic studies of nerves were done to define the degree of axon and myelin loss as well as presence of fibrosis and vascular lesions for different doses of IORT. Results showed that the threshold dose most likely related to expression of severe radiation damage to the nerve in this model is between 20 and 25 Gy. Radiation injury to peripheral nerve appears to be the result of direct radiation effects on Schwann cells and nerve vasculature and secondary effects resulting from damage to regional muscle and vasculature. A theoretical mechanism of radiation injury to peripheral nerve is proposed.


Asunto(s)
Nervios Periféricos/efectos de la radiación , Traumatismos Experimentales por Radiación/etiología , Radioterapia/efectos adversos , Animales , Perros , Electromiografía , Femenino , Periodo Intraoperatorio , Masculino , Modelos Neurológicos , Conducción Nerviosa , Nervio Ciático/patología , Nervio Ciático/fisiopatología , Nervio Ciático/efectos de la radiación
20.
Int J Hyperthermia ; 10(1): 41-9, 1994.
Artículo en Inglés | MEDLINE | ID: mdl-8144987

RESUMEN

The tolerance of peripheral nerves to heat may limit the heat dose which can be applied to tumours. This may be particularly important in intraoperative hyperthermia (IOHT) for pelvic and retroperitoneal tumours. Furthermore the effects of hyperthermia alone must be known before its effects can be assessed in combination with irradiation. In this study injury to sciatic nerves was evaluated in 30 beagle dogs for 1 year following IOHT. IOHT was performed using a water circulating hyperthermia device with multichannel thermometry system. Neurological and electrophysiological examinations were done before, during and after IOHT treatment. Electrophysiological examinations showed a significant decrease in sciatic nerve conduction velocity and potential amplitude immediately after 60 min of heating for all temperatures. The greatest decrease in conduction velocity was observed for a temperature of 45 degrees C. Full recovery of nerve conduction velocity was observed 3 weeks following hyperthermia for all dogs except for those exposed to 45 degrees C. Neurological findings correlated with electrophysiological results. All five dogs which had nerve exposed to 45 degrees C for 60 min had severe neurological changes, with recovery taking place between 3 and 11 months after treatment. Based on these results it appears that temperatures to the peripheral nerve exceeding 44 degrees C for 1 h are likely to cause significant, but not necessarily permanent, nerve injury.


Asunto(s)
Hipertermia Inducida/efectos adversos , Traumatismos de los Nervios Periféricos , Potenciales de Acción/fisiología , Animales , Perros , Electrofisiología , Femenino , Hipertermia Inducida/instrumentación , Hipertermia Inducida/métodos , Periodo Intraoperatorio , Masculino , Conducción Nerviosa/fisiología , Nervios Periféricos/fisiopatología , Enfermedades del Sistema Nervioso Periférico/etiología , Enfermedades del Sistema Nervioso Periférico/fisiopatología , Nervio Ciático/lesiones , Nervio Ciático/fisiopatología
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