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Continuous low-dose-rate radiation of radionuclide phosphorus-32 for hemangiomas.

Abstract
The study goal was to clarify the therapeutic effect and the absorbed dose of radionuclide phosphorus-32 for skin hemangiomas and the consequent risk of side effects in these patients. Phosphorus-32 is an β emitter and is used for skin hemangioma treatment. In comparison with the few Gy per minute of the linear accelerators, the dose rate of phosphorus-32 for hemangiomas is much <1 Gy/hour; so, the latter is called low-dose-rate radiation. To achieve the therapeutic dose, continuous hours or days of radiation is necessary. For strawberry hemangiomas, the phosphorus-32 applicator was tightly placed on the lesion site for several hours until reaching therapeutic dose. The absorbed dose was estimated by radiochromic films. The absorbed dose of phosphorus-32 irradiation declined exponentially with a depth from 0 to 2.5 mm. Of the 316 patients with strawberry hemangiomas, the lesion disappeared completely within 3 months after one-time treatment in 259 cases (82%). For cavernous hemangiomas, 370KBq phosphorus-32 colloid was injected into the hemangioma each square centimeter, and the absorbed radiation was estimated by theoretical calculation. Forty-two of the 58 patients with cavernous hemangiomas (72%) had lesions that completely disappeared within 3 months after receiving one to six treatments. Thus, the phosphorus-32 for strawberry hemangiomas and the chromium phosphate-32 colloid for cavernous hemangiomas were clearly efficacious.
AuthorsChang-Bei Shi, Bin Yuan, Jian-Rong Lu, Jian-Lin Xu, Wei-Dong Yang, Jing-Lan Deng, Jing Wang
JournalCancer biotherapy & radiopharmaceuticals (Cancer Biother Radiopharm) Vol. 27 Issue 3 Pg. 198-203 (Apr 2012) ISSN: 1557-8852 [Electronic] United States
PMID22364418 (Publication Type: Journal Article)
Chemical References
  • Chromium Compounds
  • Phosphorus Radioisotopes
Topics
  • Adolescent
  • Adult
  • Chromium Compounds (therapeutic use)
  • Dose-Response Relationship, Radiation
  • Female
  • Hemangioma, Cavernous (radiotherapy)
  • Humans
  • Infant
  • Male
  • Phosphorus Radioisotopes (administration & dosage)
  • Prognosis
  • Radiotherapy Dosage
  • Skin Neoplasms (radiotherapy)
  • Young Adult

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