EXPERIENCE OF EXPERIMENTAL RESEARCH ON RADIATION ONCOLOGY AT R.E. KAVETSKY INSTITUTE OF EXPERIMENTAL PATHOLOGY, ONCOLOGY AND RADIOBIOLOGY, NAS OF UKRAINE

E Domina
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Abstract

This article briefly summarizes our long-term experience of research in the field of experimental and clinical radiation oncology unified by the key word "radiosensitivity". Consistently presented and interpreted here are the main results on biodosimetry of irradiation depending on doses and quality of ionizing radiation and determination of individual radiosensitivity of cancer patients. We justified the use of radiomitigators to reduce the frequency and severity of post-radiation complications in cancer patients, and for radiation protection of the general population. The radioprotective effect of the antioxidant inosine in the somatic cells of cancer patients in the range of low radiation doses was demonstrated. We established that in persons who are hypersensitive to irradiation, the reparative potential is reduced by about 60% compared to ones with normal indices of individual radiosensitivity. Cytogenetic predictors of radiosensitivity of healthy cells adjacent to the irradiated tumor have been determined. Unfortunately, they have not yet become a point of application for individual planning of irradiation courses and assessment of severity of post-radiation complications. The intensive development of selective radioprotectors that would selectively protect healthy tissues in the course of radiation therapy, reducing their radiosensitivity by activating reparation processes, is considered a priority direction of modern radiation oncology.

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乌克兰国家科学院 R.E. Kavetsky 实验病理学、肿瘤学和放射生物学研究所的放射肿瘤学实验研究经验
本文简要总结了我们在实验和临床放射肿瘤学领域的长期研究经验,关键词是 "放射敏感性"。本文一致介绍和解释了根据电离辐射的剂量和质量进行照射生物模拟的主要成果,以及确定癌症患者个体放射敏感性的主要成果。我们证明了使用辐射诱导剂来降低癌症患者放射后并发症的频率和严重程度以及对普通人群进行辐射防护的合理性。在低辐射剂量范围内,抗氧化剂肌苷对癌症患者体细胞的辐射防护作用已得到证实。我们证实,与个体辐射敏感性指数正常的人相比,对辐照过敏的人的修复潜力会降低约 60%。邻近受辐照肿瘤的健康细胞放射敏感性的细胞遗传学预测指标已经确定。遗憾的是,这些指标尚未应用于个体放射治疗疗程的规划和放射治疗后并发症严重程度的评估。大力发展选择性放射保护剂,在放射治疗过程中选择性地保护健康组织,通过激活修复过程降低其放射敏感性,被认为是现代放射肿瘤学的优先方向。
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