cytoprotective efficacy of amifostine against radiation- induced rectal toxicity objective and subjective grading scales for radiomucositiscytoprotective amifostine对抗辐射的功效,引起直肠毒性radiomucositis客观和主观评分尺度.pdfVIP

cytoprotective efficacy of amifostine against radiation- induced rectal toxicity objective and subjective grading scales for radiomucositiscytoprotective amifostine对抗辐射的功效,引起直肠毒性radiomucositis客观和主观评分尺度.pdf

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cytoprotective efficacy of amifostine against radiation- induced rectal toxicity objective and subjective grading scales for radiomucositiscytoprotective amifostine对抗辐射的功效,引起直肠毒性radiomucositis客观和主观评分尺度

Molecules 2008, 13, 892-903 molecules ISSN 1420-3049 © 2008 by MDPI /molecules Review Cytoprotective Efficacy of Amifostine Against Radiation- Induced Rectal Toxicity: Objective and Subjective Grading Scales for Radiomucositis Vassilis E. Kouloulias 1,* and John R. Kouvaris 2 1 Kapodistrian University, 2nd Radiology Department, Medical School, Attikon University Hospital, Rimini 1, Xaidari, Greece 2 Aretaieion University Hospital, 1st Radiology Department, Radiotherapy Unit, Athens, Greece. * Author to whom correspondence should be addressed; E-mail: vkouloul@cc.ece.ntua.gr; Fax: +302105326418 Received: 1 February 2008; in revised form: 16 April 2008 / Accepted: 16 April 2008 / Published: 18 April 2008 Abstract: Curative radiation therapy of pelvic malignancies, frequently results in dose- limiting toxicities such as serous, mucoid, or more rarely, bloody diarrhea. Several studies have evaluated the cytoprotective effects of amifostine in preventing rectal mucositis associated with radiation treatment. We searched Medline for published comparative studies that evaluated the use of amifostine to reduce radiation-induced toxicity associated with pelvic irradiation. In ten studies there was an evidence-based cytoprotection (P0.05) by amifostine. Although results are variable, current evidence suggests that amifostine may have a radioprotective effect in the rectal mucosa, particularly when administered intrarectally. Significant improvements were seen in both

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