PubMed · 8416648
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R L Eisenberg. 1993. Cathode rays and controversy.. https://doi.org/10.2214/ajr.160.1.8416648
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EPR/ENDOR spectroscopy was used to characterise the free radicals generated in a series of PLGA raw polymers and microspheres (with lactide:glycolide compositions of (75:25), (65:35) and (50:50)) after exposure to gamma (gamma-) and electron beam (beta-) irradiation at room temperature. Both sets of irradiated samples produced analogous EPR spectra, indicating that the type and distribution of free radicals generated by gamma-irradiation are similar to those generated by beta-irradiation. The radicals were identified by EPR simulations as the chain scission species -(CHO-(approximately 27% abundance),-C(CH(3))O- ( approximately 23% abundance) and the terminal-C(CH(3))-OR fragment (approximately 50% abundance), and these assignments were supported by the ENDOR analysis. The latter two radical species were demonstrated to originate from the lactide component of the PLGA polymer. Overall systematically higher radical concentrations were found as the lactide content of the PLGA raw polymer and microspheres increases (ie., 75:25 > 65:35 > 50:50) for both gamma- and beta-irradiation. However, while the relative concentrations of free radicals was similar in the raw polymer samples after exposure to gamma- or beta-irradiation, a substantial difference was found for the microsphere samples; an approximate doubling of the radical content was found in the gamma-irradiated PLGA microspheres compared to the identical beta-irradiated microspheres.
UNLABELLED: A non-comparative case observation study estimated the feasibility of brachytherapy for retinoblastoma with a newly designed ruthenium-106 plaque (label: CXS) with an 8-mm diameter of the irradiation zone. METHODS: The new CXS plaque was used between 2001 and 2003 for brachytherapy of 13 retinoblastomas. Indications were recurrences after preceding local treatment or endophytic retinoblastoma with an impending vitreous tumour cell seeding. The prescribed radiation dose at the apex was 88 Gy (NIST-calibrated dosimetry). RESULTS: The mean age at brachytherapy was 1.2 years (standard deviation, SD: 1.1 years), and the mean follow-up was 1.7 years (SD: 0.6 years). The treated tumours had a mean diameter of 2.3 mm (SD: 0.7 mm) and a mean height of 1.5 mm (SD: 0.6 mm) with a mean distance to the optic disc of 9.9 mm (SD: 2.2 mm). The mean duration of irradiation was 29.3 h (SD: 9.9 h) with a mean dose at the sclera of 213 Gy (SD: 80 Gy). Surgery was uneventful in all cases. Complete regression developed after 3.1 months (SD: 2.8 months) in all cases without a recurrence or a progression of the vitreous tumour cell seeding. The eyes developed no further side-effects besides a temporary circumscribed intra-ocular haemorrhage that emerged from the regressive tumour remnants. CONCLUSION: Brachytherapy with the CXS plaque seems to be a safe and reliable treatment option for small-sized retinoblastoma when laser or cryocoagulation failed to control the tumour growth or for small retinoblastoma with an incipient local tumour cell seeding on the tumour surface.
90Sr+90Y applicators are commonly utilized in brachytherapy, including ophthalmic procedures. The recommended instruments for the calibration of these applicators are extrapolation chambers, which are ionization chambers that allow the variation of their sensitive volume. Using the extrapolation method, the absorbed dose rate at the applicator surface can be determined. The aim of the present work was to develop a mini-extrapolation chamber for the calibration of 90Sr+90Y beta ray applicators. The developed mini-chamber has a 3.0 cm outer diameter and is 11.3 cm in length. An aluminized polyester foil is used as the entrance window while the collecting electrode is made of graphited polymethylmethacrylate. This mini-chamber was tested in 90Sr+90Y radiation beams from a beta particle check source and with a plane ophthalmic applicator, showing adequate results.