BLOOD-FLOW AND METABOLIC MICROENVIRONMENT OF BRAIN-TUMORS

被引:29
作者
VAUPEL, P
机构
[1] Department of Physiology and Pathophysiology, Pathophysiology Division, University of Mainz, Mainz, D-55099
关键词
METABOLIC MICROENVIRONMENT; BLOOD FLOW; OXYGENATION; PH; ENERGY STATUS;
D O I
10.1007/BF01052931
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Summarizing these in vivo data in the context of brain tumor therapy, the following aspects are of particular importance: Low and heterogeneous tumor blood flow may - in addition to the limiting effects of the blood-brain barrier - result in compromised delivery of drugs from blood to the tissue. Low tumor pO2 reduces sensitivity to standard radiation and 'O2-dependent' anticancer drugs. Treatment efficacy may be further altered by changes of tumor pH. Particularly acidosis can decrease radiation sensitivity and modulate the cytotoxicity of anticancer drugs. In the following presentations, these aspects will be discussed regarding in vivo data obtained with positron emission tomography. © 1994 Kluwer Academic Publishers.
引用
收藏
页码:261 / 267
页数:7
相关论文
共 64 条
[1]  
ARNOLD DL, 1987, CAN J NEUROL SCI, V14, P570
[2]   INVIVO MEASUREMENT OF REGIONAL BRAIN AND TUMOR PH USING [C-14] DIMETHYLOXAZOLIDINEDIONE AND QUANTITATIVE AUTORADIOGRAPHY .2. CHARACTERIZATION OF THE EXTRACELLULAR FLUID COMPARTMENT USING PH-SENSITIVE MICROELECTRODES AND [C-14] SUCROSE [J].
ARNOLD, JB ;
KRAIG, RP ;
ROTTENBERG, DA .
JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM, 1986, 6 (04) :435-440
[3]   INVIVO MEASUREMENT OF REGIONAL BRAIN AND TUMOR PH USING [C-14]DIMETHYLOXAZOLIDINEDIONE AND QUANTITATIVE AUTORADIOGRAPHY [J].
ARNOLD, JB ;
JUNCK, L ;
ROTTENBERG, DA .
JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM, 1985, 5 (03) :369-375
[4]   POSITRON EMISSION TOMOGRAPHY IN THE STUDY OF HUMAN-TUMORS [J].
BEANEY, RP .
SEMINARS IN NUCLEAR MEDICINE, 1984, 14 (04) :324-341
[5]   BLOOD-FLOW AND OXYGEN UTILIZATION IN THE CONTRALATERAL CEREBRAL-CORTEX OF PATIENTS WITH UNTREATED INTRACRANIAL TUMORS AS STUDIED BY POSITRON EMISSION TOMOGRAPHY, WITH OBSERVATIONS ON THE EFFECT OF DECOMPRESSIVE SURGERY [J].
BEANEY, RP ;
BROOKS, DJ ;
LEENDERS, KL ;
THOMAS, DGT ;
JONES, T ;
HALNAN, KE .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1985, 48 (04) :310-319
[6]  
BLASBERG R, 1985, CANCER RES, V45, P1692
[7]  
BLASBERG R, 1984, J PHARMACOL EXP THER, V231, P724
[8]  
BLASBERG RG, 1981, CANCER TREAT REP, V65, P3
[9]  
CADOUXHUDSON T, 1988, 7TH P ANN M SOC MAGN, V2, P614
[10]   A TOPOGRAPHIC QUANTITATIVE METHOD FOR MEASURING BRAIN-TISSUE PH UNDER PHYSIOLOGICAL AND PATHOPHYSIOLOGICAL CONDITIONS [J].
CSIBA, L ;
PASCHEN, W ;
HOSSMANN, KA .
BRAIN RESEARCH, 1983, 289 (1-2) :334-337