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Chinese Journal of Radiation Oncology  2018, Vol. 27 Issue (5): 478-482    DOI: 10.3760/cma.j.issn.1004-4221.2018.05.009
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Short-term efficacy of iodine-125 radioactive seed implantation therapy for hypoxic tumors
Zheng Bao, Shi Jingbin, Song Chenghui, Lei Hongwei, Zhao Yan, Li Hongye, Ye Fuxiu1, Ma Yuhong, Zou Lijuan, Zhang Haichen
Department of Radiation Oncology,Second Hospital of Dalian Medical University,Dalian 116023,China (Zheng B,Shi JB,Lei HW,Ma YH,Ye FX,Zhao Y,Zou LJ,Zhang HC);
Graduate Schoolof Dalian Medical University,Dalian 116044,China (Zheng B);
Maternal and Child Health Hospitalof Shahekou District,Dalian 116021,China (Song CH)
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Abstract  Objective To study the short-term efficacy of computed tomography (CT)-guided iodine-125(125I) radioactive seed implantation in the treatment of hypoxic tumors. Methods Twenty-two patients treated with 125I radioactive seed implantation in our department from 2014 to 2016 were divided into hypovascular tumor group (hypoxic group,n=12) and hypervascular tumor group (non-hypoxic group,n=10) based on the hemodynamics of solid tumor evaluated by color Doppler ultrasound. The enhanced CT images were loaded to the three-dimensional particle implantation planning system for preoperative planning. After 125I radioactive seed implantation,the D90 for target volume was verified to be 106-128 cGy. Treatment outcomes were evaluated according to the World Health Organization criteria at 1-3 months after surgery. Results In all the patients, the overall response rate was 82% at 3 months after surgery. There were no significant differences in response (complete response+ partial response) rates at 1, 2, or 3 months after surgery between the hypoxic group and the non-hypoxic group (P=0.840, 0.696, 0.840). Conclusions In the treatment of solid malignant tumor, 125I radioactive seed implantation can overcome the resistance of hypoxic tumor to radiotherapy in vitro and achieve satisfactory short-term efficacy.
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Key wordsIodine-125 radioactive seed      Hypoxic tumor      Short-term efficacy     
Received: 23 May 2017     
Fund:Scientific Research Foundation of Dalian (2015E12SF150)
Corresponding Authors: Zhang Haichen,Email:zhc585@sohu.com   
Cite this article:   
. Short-term efficacy of iodine-125 radioactive seed implantation therapy for hypoxic tumors[J]. Chinese Journal of Radiation Oncology, 2018, 27(5): 478-482.
. Short-term efficacy of iodine-125 radioactive seed implantation therapy for hypoxic tumors[J]. Chinese Journal of Radiation Oncology, 2018, 27(5): 478-482.
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http://journal12.magtechjournal.com/Jweb_fszlx/EN/10.3760/cma.j.issn.1004-4221.2018.05.009     OR     http://journal12.magtechjournal.com/Jweb_fszlx/EN/Y2018/V27/I5/478
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