Experimental Procedures for Sensitive and Reproducible In Situ原位敏感和重现性的实验程序.pptxVIP

Experimental Procedures for Sensitive and Reproducible In Situ原位敏感和重现性的实验程序.pptx

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Direct and Repeated Clinical Measurement of pO2 for Enhancing Cancer Therapy 2014 Norris Cotton Cancer Center Comprehensive Thoracic Oncology Program (CTOP) Retreat Benjamin B. Williams, Ph.D. The Geisel School of Medicine at Dartmouth, Departments of Medicine (Radiation Oncology) and Radiology May 22, 2014 Clinical EPR at Dartmouth Clinical problem Parameter to be measured Status of measurements in human subjects Rationale for using in vivo EPR Cancer pO2 in tumors Numerous measurements performed in patients with superficial tumors. FDA IDE submitted for application of implantable oxygen sensors for application at increased depth and with increased sensitivity NCI PPG proposal in review Established collaborations with external academic institutions The response of tumors to cytotoxic therapy, especially ionizing radiation, is critically dependent on pO2. Anti-tumor therapies are given repeatedly and often change pO2. Knowledge of the changes in individual patients would significantly optimize the timing of the therapy Potential exposure to clinically significant doses of radiation Radiation-induced EPR signals in teeth (magnitude is proportional to dose) Underway in unirradiated volunteers and patients receiving significant doses to teeth from radiation therapy. Measurements at remote locations possible using transportable device. Established collaborations with external academic institutions Exposures may occur from terrorism, war, or accident. In vivo EPR is the only physical method capable of making measurements ‘after-the-fact Peripheral vascular disease Oxygen at sites of likely pathologies Measurements underway in normal volunteers. The pO2 in the tissues is the most significant pathophysiological variable; no other method available to make such direct measurements. Radiation Induced Fibrosis pO2 in irradiated tumor beds and peripheral normal tissue Recruitment and measurements underway Radiation-induced hypoxia may play a critical role in the signaling

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