The utility of thermal dose as a predictor of tumor and normal tissue responses to combined radiation and hyperthermia

A total of 236 dogs and cats with a variety of cancers were randomized to receive radiation (XRT) or heat plus XRT. In those tumors which were heated, thermal gradients developed which varied in temperature minima and maxima. The influence of the thermal gradient characteristics on tumor and normal...

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Bibliographic Details
Published in:Cancer research (Chicago, Ill.) Ill.), 1984-10, Vol.44 (10 Suppl), p.4772s-4780s
Main Authors: Dewhirst, M W, Sim, D A
Format: Article
Language:English
Subjects:
Animals
Body Temperature
Cat Diseases - radiotherapy
Cat Diseases - therapy
Cats
Clinical Trials as Topic
Combined Modality Therapy
Dog Diseases - radiotherapy
Dog Diseases - therapy
Dogs
Hyperthermia, Induced - methods
Neoplasms - radiotherapy
Neoplasms - therapy
Neoplasms - veterinary
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Summary:A total of 236 dogs and cats with a variety of cancers were randomized to receive radiation (XRT) or heat plus XRT. In those tumors which were heated, thermal gradients developed which varied in temperature minima and maxima. The influence of the thermal gradient characteristics on tumor and normal tissue responses was examined by correlation of response with the magnitude of gradient minima and maxima. Using multivariate analysis, the influence of other factors such as tumor histology, volume, site, heat treatment method, and number of heat fractions on tumor response was examined. Of all factors examined, tumor volume and non-site-specific average minimum equivalent min at 43 degrees emerged as consistent predictors of both complete response rate (p less than 0.001) and duration response (p less than 0.05). No significant enhancement of moist desquamation or late fibrosis was seen for heat + XRT versus XRT alone. The incidence of direct thermal injury to skin was positively correlated with maximum intratumoral equivalent min at 43 degrees. These results indicate that a therapeutic gain is achievable with heat + XRT, but successful application of the therapy is dependent on achieving high tumor thermal gradient minima and low maxima.
ISSN:0008-5472