Effects of interstitial heating on the RIF-1 tumor using an Nd:YAG laser with multiple fibers.
OBJECTIVE
Hyperthermia was induced in tumor-bearing C3H mice using a Nd:YAG laser emitting near-infrared radiation at 1,064 nm. The efficacy of multiple implanted fiberoptics in the control of the RIF-1 tumor was investigated.


METHODS
RIF-1 tumors in the right hind leg were heated interstitially at 42, 44, or 46 degrees C for 30 or 60 minutes. Two, three, or four 400-microns quartz fibers terminating in a 1.0-cm cylindrical diffusor were inserted into each tumor, as were five microthermocouples to monitor temperature during treatment. Laser Doppler Flow (LDF) was also recorded pre- and post-treatment to determine changes in red blood cell flux in overlying skin (42, 44, or 46 degrees C) and the center of the tumor (46 degrees C).


RESULTS
These experiments indicated that interstitial heating at 42, 44, and 46 degrees C resulted in tumor growth delay, although long-term control of tumors was not achieved. Treatment using four fibers resulted in the greatest tumor growth delay at 42 and 44 degrees C, increasing tumor doubling time by 50% or greater compared to control tumors; tumor growth delay following 46 degrees C treatments was seven times greater than that in control tumors. Significant changes (decreases) in LDF (P < .05) were seen in four treatment groups, using two fibers at 42 degrees C for 30 minutes, four fibers at 44 and 46 degrees C for 60 minutes on the overlying skin, and 46 degrees C for 60 minutes in the center of the tumor.


CONCLUSIONS
Initial data indicate that interstitial heating with multiple fibers increases tumor growth delay compared to previous single fiber treatments, with tumor growth delay increasing with increasing treatment temperature; however, long-term tumor control was not achieved under the conditions investigated. Follow-up studies will explore the use of higher temperatures and/or longer treatment times in order to optimize tumor response.
Department of Radiation Oncology, School of Medicine, Temple University, Philadelphia, Pennsylvania 19140, USA.
K M
KM
Tobin
S M
SM
Waldow
D000818:Animals; D005354:Fibrosarcoma / Q000473:pathology / Q000532:radiotherapy*; D006979:Hyperthermia, Induced; D007259:Infrared Rays / Q000627:therapeutic use; D053685:Laser Therapy; D017078:Laser-Doppler Flowmetry; D008297:Male; D051379:Mice; D008809:Mice, Inbred C3H; D009336:Necrosis; D013696:Temperature; D013997:Time Factors