Early changes in tumor metabolism after treatment: The effects of stereotactic radiotherapy
Four patients with intracranial neoplasms, two with malignant gliomas and two with brain metastases, were treated with stereotactic radiotherapy. Patients received between 15 and 27.5 Gray of photon irradiation to the central tumor target point; the 80% isodose line covered the periphery of the tumo...
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Published in | International journal of radiation oncology, biology, physics Vol. 20; no. 5; pp. 1053 - 1060 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
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New York, NY
Elsevier Inc
01.05.1991
Elsevier |
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Abstract | Four patients with intracranial neoplasms, two with malignant gliomas and two with brain metastases, were treated with stereotactic radiotherapy. Patients received between 15 and 27.5 Gray of photon irradiation to the central tumor target point; the 80% isodose line covered the periphery of the tumor as determined by contrast enhanced computed tomography. Patients underwent a sequence of three Positron Emission Tomographic scans using [
18F]-fluorodeoxyglucose (PET-FDG)—a baseline scan the day before treatment, and follow-up scans 1 and 7 days after treatment. Ratios between the maximal tumor regional cerebral metabolic rate for glucose (rCMRGlu) (T
∗) and the contralateral remote white matter rCMRGlu (RW), that is, the glucose uptake ratio (T
∗/RW), were calculated. The percent change in ratios relative to each patient's baseline scan were calculated. Ratios increased 25% to 42% 1 day post-radiotherapy, then decreased to between 10% above and 12% below the baseline value 7 days postradiotherapy. The T
∗/RW increased acutely after stereotactic radiotherapy in a fashion similar to that previously described following chemotherapy with a complex multi-drug regimen. A common metabolic pathway may underlie the increase in T
∗/RW after these different treatments. |
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AbstractList | Four patients with intracranial neoplasms, two with malignant gliomas and two with brain metastases, were treated with stereotactic radiotherapy. Patients received between 15 and 27.5 Gray of photon irradiation to the central tumor target point; the 80% isodose line covered the periphery of the tumor as determined by contrast enhanced computed tomography. Patients underwent a sequence of three Positron Emission Tomographic scans using [18F]-fluorodeoxyglucose (PET-FDG)--a baseline scan the day before treatment, and follow-up scans 1 and 7 days after treatment. Ratios between the maximal tumor regional cerebral metabolic rate for glucose (rCMRGlu) (T*) and the contralateral remote white matter rCMRGlu (RW), that is, the glucose uptake ratio (T*/RW), were calculated. The percent change in ratios relative to each patient's baseline scan were calculated. Ratios increased 25% to 42% 1 day post-radiotherapy, then decreased to between 10% above and 12% below the baseline value 7 days post-radiotherapy. The T*/RW increased acutely after stereotactic radiotherapy in a fashion similar to that previously described following chemotherapy with a complex multi-drug regimen. A common metabolic pathway may underlie the increase in T*/RW after these different treatments. Four patients with intracranial neoplasms, two with malignant gliomas and two with brain metastases, were treated with stereotactic radiotherapy. Patients received between 15 and 27.5 Gray of photon irradiation to the central tumor target point; the 80% isodose line covered the periphery of the tumor as determined by contrast enhanced computed tomography. Patients underwent a sequence of three Positron Emission Tomographic scans using [ 18F]-fluorodeoxyglucose (PET-FDG)—a baseline scan the day before treatment, and follow-up scans 1 and 7 days after treatment. Ratios between the maximal tumor regional cerebral metabolic rate for glucose (rCMRGlu) (T ∗) and the contralateral remote white matter rCMRGlu (RW), that is, the glucose uptake ratio (T ∗/RW), were calculated. The percent change in ratios relative to each patient's baseline scan were calculated. Ratios increased 25% to 42% 1 day post-radiotherapy, then decreased to between 10% above and 12% below the baseline value 7 days postradiotherapy. The T ∗/RW increased acutely after stereotactic radiotherapy in a fashion similar to that previously described following chemotherapy with a complex multi-drug regimen. A common metabolic pathway may underlie the increase in T ∗/RW after these different treatments. |
Author | Levine, Ross L. Schrader, Debra A. Allan, Ozer Hanson, Joan M. Mehta, Minesh P. Kinsella, Timothy J. Nickles, Robert J. Rozental, Jack M. Mendoza, Manuel Levin, Allan B. |
Author_xml | – sequence: 1 givenname: Jack M. surname: Rozental fullname: Rozental, Jack M. organization: Neurology and Research Services, Wm. S. Middleton Memorial Veterans Hospital, Madison, WI 53705 USA – sequence: 2 givenname: Ross L. surname: Levine fullname: Levine, Ross L. organization: Neurology and Research Services, Wm. S. Middleton Memorial Veterans Hospital, Madison, WI 53705 USA – sequence: 3 givenname: Minesh P. surname: Mehta fullname: Mehta, Minesh P. organization: Department of Human Oncology, University of Wisconsin Medical School, Madison, WI 53706, USA – sequence: 4 givenname: Timothy J. surname: Kinsella fullname: Kinsella, Timothy J. organization: Department of Human Oncology, University of Wisconsin Medical School, Madison, WI 53706, USA – sequence: 5 givenname: Allan B. surname: Levin fullname: Levin, Allan B. organization: Department of Neurological Surgery, University of Wisconsin Medical School, Madison, WI 53706, USA – sequence: 6 givenname: Ozer surname: Allan fullname: Allan, Ozer organization: Neurology and Research Services, Wm. S. Middleton Memorial Veterans Hospital, Madison, WI 53705 USA – sequence: 7 givenname: Manuel surname: Mendoza fullname: Mendoza, Manuel organization: Neurology and Research Services, Wm. S. Middleton Memorial Veterans Hospital, Madison, WI 53705 USA – sequence: 8 givenname: Joan M. surname: Hanson fullname: Hanson, Joan M. organization: Neurology and Research Services, Wm. S. Middleton Memorial Veterans Hospital, Madison, WI 53705 USA – sequence: 9 givenname: Debra A. surname: Schrader fullname: Schrader, Debra A. organization: Neurology and Research Services, Wm. S. Middleton Memorial Veterans Hospital, Madison, WI 53705 USA – sequence: 10 givenname: Robert J. surname: Nickles fullname: Nickles, Robert J. organization: Department of Radiology, University of Wisconsin Medical School, Madison, WI 53706, USA |
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Keywords | Brain tumor Glioma metabolism Stereotactic radiotherapy PET Stereotaxia Tumor Glioma Radiotherapy Brain (invertebrata) |
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Snippet | Four patients with intracranial neoplasms, two with malignant gliomas and two with brain metastases, were treated with stereotactic radiotherapy. Patients... |
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SubjectTerms | Biological and medical sciences Brain Neoplasms - metabolism Brain Neoplasms - radiotherapy Brain Neoplasms - secondary Brain tumor Carcinoma, Renal Cell - metabolism Carcinoma, Renal Cell - radiotherapy Carcinoma, Renal Cell - secondary Deoxyglucose - analogs & derivatives Fluorine Radioisotopes Fluorodeoxyglucose F18 Glioma - diagnostic imaging Glioma - metabolism Glioma - radiotherapy Glucose - metabolism Humans Kidney Neoplasms - diagnostic imaging Kidney Neoplasms - metabolism Kidney Neoplasms - radiotherapy Medical sciences Melanoma - metabolism Melanoma - radiotherapy Melanoma - secondary PET Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Stereotactic radiotherapy Stereotaxic Techniques Tomography, Emission-Computed |
Title | Early changes in tumor metabolism after treatment: The effects of stereotactic radiotherapy |
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