Boron biodistribution study in colorectal liver metastases patients in Argentina

Appl Radiat Isot. 2009 Jul;67(7-8 Suppl):S76-9. doi: 10.1016/j.apradiso.2009.03.021. Epub 2009 Mar 26.

Abstract

Ex-situ BNCT for multifocal unresectable liver metastases employing whole or partial autograft techniques requires knowledge of boron concentrations in healthy liver and metastases following perfusion and immersion in Wisconsin solution (W), the procedure employed for organ preservation during ex-situ irradiation. Measurements of boron concentration in blood, liver and metastases following an intravenous infusion of BPA-F in five colorectal liver metastases patients scheduled for surgery were performed. Tissue samples were evaluated for boron content pre and post perfusion and immersion in W. Complementary histological studies were performed. The data showed a dose-dependent BPA uptake in liver, a boron concentration ratio liver/blood close to 1 and a wide spread in the metastases/liver concentration ratios in the range 0.8-3.6, partially attributable to histological variations between samples. Based on the boron concentrations and dose considerations (liver < or =15 Gy-Eq and tumor> or =40 Gy-Eq) at the RA-3 thermal neutron facility (mean flux of about (6+/-1) x 10(9) n cm(-2)s(-1)), ex-situ treatment of liver metastases at RA-3 would be feasible.

Publication types

  • Clinical Trial

MeSH terms

  • Adenocarcinoma / metabolism*
  • Adenocarcinoma / radiotherapy
  • Adenocarcinoma / secondary*
  • Adenocarcinoma / surgery
  • Aged
  • Argentina
  • Boron / blood
  • Boron / pharmacokinetics*
  • Boron Compounds / administration & dosage
  • Boron Compounds / pharmacokinetics
  • Boron Compounds / therapeutic use
  • Boron Neutron Capture Therapy
  • Colorectal Neoplasms / metabolism*
  • Female
  • Humans
  • In Vitro Techniques
  • Infusions, Intravenous
  • Isotopes / blood
  • Isotopes / pharmacokinetics
  • Liver / metabolism
  • Liver Neoplasms / metabolism*
  • Liver Neoplasms / radiotherapy
  • Liver Neoplasms / secondary*
  • Liver Neoplasms / surgery
  • Liver Transplantation
  • Male
  • Middle Aged
  • Phenylalanine / administration & dosage
  • Phenylalanine / analogs & derivatives
  • Phenylalanine / pharmacokinetics
  • Phenylalanine / therapeutic use
  • Radiation-Sensitizing Agents / administration & dosage
  • Radiation-Sensitizing Agents / pharmacokinetics
  • Radiation-Sensitizing Agents / therapeutic use
  • Tissue Distribution
  • Transplantation, Autologous

Substances

  • Boron Compounds
  • Isotopes
  • Radiation-Sensitizing Agents
  • Phenylalanine
  • Boron
  • 4-boronophenylalanine