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Biomedical subjects

J T Lyman

Publications and source records attributed to J T Lyman.

At least 55 records · Page 3Linked to original sources

Helium ion charged particle therapy for choroidal melanoma.

Nine patients with choroidal melanomas were treated with helium ion charged particle irradiation. No patient demonstrated tumor enlargement, and most lesions followed for more than five months have demonstrated tumor shrinkage. The most effective method of choroidal melanoma management is unclear. Heavy charged particle irradiation may be more applicable and have less ocular morbidity associated with it in either radioactive plaques or photocoagulation.

Adult↗

Radiotherapy with heavy charged particles at Lawrence Berkeley Laboratory.

Since July 1975, 157 patients have been irradiated with heavy charged particles at the Lawrence Berkeley Laboratory in a Phase I-II clinical trial to study the usefulness of these particles in the irradiation of human cancers. The particles utilized have included helium, primarily of interest because of improved dose distributions with reduction of dose to adjacent normal tissues, and heavier particles such as carbon, neon and argon ions which have the additional potential of increased biologic effectiveness against the tumor, especially hypoxic tumor cells. Initial results with helium particles have been sufficiently good to warrant a Phase III randomized trial in carcinoma of the pancreas; in other tumor sites, and with other particles, Phase I -- Phase II studies are in progress. Although follow-up is short, control within the irradiated area in this heterogeneous group of patients appears at least as good as with current megavoltage irradiation and complications to date are acceptably low, warranting further studies with heavy charged particles.

Argon↗

Comparison of heavy particle with X-irradiation on the hamster lung.

Important new modalities for cancer therapy are being developed, and one of the most promising is heavy charged particle irradiation. We are currently assessing the effects of 375-MeV/nucleon neon irradiation in the plateau region of ionization compared to 230KVp X-rays on the whole thorax of hamsters. Single dose levels for neon irradiation ranged from 150-1000 rad. Dose levels for X-irradiation ranged from 225-1500 rad. The animals were followed for 1 year after irradiation, and the most useful results emerged, using morphometric methods. One year after irradiation, pulmonary parenchyma and nonparenchyma appear morphometrically unchanged. However, the volume density of pulmonary septums, septal cells, all tissue, connective tissue, and alveolar Type II cells was increased while the volume densities of alveoli, empty alveolar space, and capillary lumens were diminished. Most of these changes were dose dependent not clearly demonstrable until a year after irradiation. The relative biologic effect of neon compared to X-irradiation using this techniques is 1.6-1.8.

Animals↗

A heavy particle comparative study. Part I: depth-dose distributions.

The results of a comparative study of heavy particles of interest in radiotherapy, with peaks spread over a depth of 10 cm, are reported in four parts. The introduction to this study and the depth-dose distributions of the particles, (n, pi-, p, He, C, Ne, and Ar ions) are reported herein. The results indicate that protons give the best localization of dose. The degree of localization of dose with heavy ions is reduced with increasing charge on the ion. For ranges less than 15cm, heavier ions such as neon and argon still have favourable dose localization; however, for ranges in excess of 15 cm, heavy ions such as argon are unfavourable but superior to fast neutrons because penetration can be controlled by modulation of energy or range.

Argon↗

Morphologic and morphometric analysis of the early effects of x-ray and heavy-ion irradiation of hamster lung.

Morphometric methods were to used to compare the early effects of graded single doses of x-rays with accelerated heavy particle (helium or neon) irradiation of hamster lung. Increased values in the volume densities of both capillary lumina and inflammatory cells at 2 weeks postirradiation were observed. Neon-ion irradiation wes statisically different from x-irradiation at all dose levels, while helium-ion irradiation showed significant increases only at higher doses (1000 to 1500 rads). At 1 month post-irradiation, the volume densities of capillary lumina after heavy particle irradiation began to return to control values, while those in x=irradiated lungs continued to be elevated. The volume density of inflammatory cells remained increased for all types of irradiation, and the highest values were obtained in neon-ion irradiated lungs. Accelerated heavy particle irradiation would therefore appear to elicit a more intense early radiation than does x-irradiation but the chronic significance of these findings is not yet known.

Animals↗

Tolerance of the spinal cord of rats to irradiation with cyclotron-accelerated heliumions.

Spinal cords of rats were exposed to either single doses of helium ions ranging from 500 to 3500 rads, or to fractionated doses of helium ions ranging from 1300 to 6530 rads using 10 equal fractions given over 22 days. Both plateau and spread-out Bragg peak regions of ionization were used. For single doses there was no difference betweenplateau or spread-out Bragg peak ionization regions for production of paralysis; thetolerance dose for production of paralysis was about 1900 rads. For the fractionation experiment, there was also no difference between plateau or spread-out Bragg peak ionization regions for production of paralysis; the tolerance dose was between 5220 and 6530rads. Comparison of dose levels producing about 10% partial paralysis indicates that about 500 rads of dose is recovered between fractions. In both single dose and fractionated experiments, latency between onset of paralysis was between 20 to 24 weeks.

Animals↗