Impact of stereotactic interstitial radiation on brain capillary physiology

Acta Neurochir Suppl (Wien). 1993:58:85-8. doi: 10.1007/978-3-7091-9297-9_19.

Abstract

rCBF, capillary permeability and vascular volume have been measured during the time course of interstitial stereotactic radiosurgery in normal and tumour-bearing dog brain. For rCBF measurement the stable Xenon-CT-technique with a modified Kety-Schmidt equation has been used, and for measurement of blood-to-brain transport of meglumine iothalamate the two-compartment CT-method as developed by Groothuis, which also reflects vascular volume. Anaplastic gliomas had been induced by intracerebral injection of avian sarcoma virus. Radiation sources have been 192-iridium and 198-gold. Both of the isotopes caused spherical blood-brain-barrier lesions with a more than 10-fold blood-to-brain transport increase. These effects occurred earlier and more pronounced with 192-iridium, but much longer lasting with 198-gold. Interstitial radiosurgery of the tumours led to a further increase of capillary permeability. Blood flow was significantly lowered not only within radionecrosis but also in the adjacent brain areas.

MeSH terms

  • Anaplasia / surgery
  • Animals
  • Blood-Brain Barrier / radiation effects
  • Brachytherapy
  • Brain / blood supply*
  • Brain / radiation effects
  • Brain / surgery*
  • Capillary Permeability / physiology*
  • Capillary Permeability / radiation effects*
  • Cerebrovascular Circulation / radiation effects
  • Dogs
  • Female
  • Glioma / surgery
  • Male
  • Radiosurgery*
  • Regional Blood Flow / radiation effects
  • Tomography, X-Ray Computed