Biological Basis of Oncologic Thermotherapy


Book Description

Studies on the effects of hyperthermia have aroused great interest in recent years. On the one hand, it has been demonstrated. that hyperthermia may be a useful treatment modality for tumors, in combination with ionizing radia tion or cytotoxic drugs. On the other hand, it is of great scientific interest to study the effects of increased temperature on biological systems. Although hyperthermia has been used in the treatment of cancer for cen turies, its therapeutic success was doubtful. However, since it has been shown that radiation-induced cell killirtg can be remarkably enhanced by hyperthermia, many investigations have been performed with cells in vitro, tumors in situ, and normal tissues. From these studies it has been concluded that many biological phenomena and their characteristics which are found in tumors may be conducive to the use of hyperthermia in cancer therapy. Many researchers are studying the cell-killing mechanisms of heat and fac tors that modify cell thermosensitivity. A very fascinating biological phenomenon is the general observation that living cells can enhance their thermoresistance within hours of heat treatment. The development of such thermotolerance is apparently a universal process, and its mechanism is of general scientific interest. Metabolic and physiological processes are changed during and after hyperthermic treatment. These changes exert a strong feedback on the thermo sensitivity of cells and tissues, and also in fluence the heating characteristics of tissues, especially in tumors.




Biological Basis of Oncologic Thermotherapy


Book Description

Studies on the effects of hyperthermia have aroused great interest in recent years. On the one hand, it has been demonstrated. that hyperthermia may be a useful treatment modality for tumors, in combination with ionizing radia tion or cytotoxic drugs. On the other hand, it is of great scientific interest to study the effects of increased temperature on biological systems. Although hyperthermia has been used in the treatment of cancer for cen turies, its therapeutic success was doubtful. However, since it has been shown that radiation-induced cell killirtg can be remarkably enhanced by hyperthermia, many investigations have been performed with cells in vitro, tumors in situ, and normal tissues. From these studies it has been concluded that many biological phenomena and their characteristics which are found in tumors may be conducive to the use of hyperthermia in cancer therapy. Many researchers are studying the cell-killing mechanisms of heat and fac tors that modify cell thermosensitivity. A very fascinating biological phenomenon is the general observation that living cells can enhance their thermoresistance within hours of heat treatment. The development of such thermotolerance is apparently a universal process, and its mechanism is of general scientific interest. Metabolic and physiological processes are changed during and after hyperthermic treatment. These changes exert a strong feedback on the thermo sensitivity of cells and tissues, and also in fluence the heating characteristics of tissues, especially in tumors.







Thermotherapy for Neoplasia, Inflammation, and Pain


Book Description

This book provides a comprehensive overview of the multitude of different forms of thermotherapy in connection with aspects of thermal physiology and cell biology. The aim is to elucidate the scientific background of therapeutic actions and to promote effective new applications at the beginning of the 21st century. Significant to these purposes is cooperation between experts in the fields of thermal biology, hyper thermic oncology, rheumatology, and balneology, as represented by the editors. Emphasis has been placed on a balanced choice of contributions, in the hope that this will enable the reader to draw helpful connections between the principles and prac tice of thermotherapy. It is apparent that a wealth of published data exists concerning thermotherapy on the one hand and thermal physiology on the other. However, in the former field empirical aspects of therapeutic usefulness prevail, while in the latter, aspects of basic science are in the foreground. Accordingly, the sources where published data may be found are quite different and as a consequence many findings of potential mutual interest published in medical journals have gone unnoticed by readers of physio logical journals, and vice versa. It is hoped that this book will bridge the gap and encourage researchers' efforts to integrate the available knowledge to attain optimal coordination of clinical and theoretical aspects.




Biological, Physical and Clinical Aspects of Hyperthermia


Book Description

While the establishment of hyperthermia as a routine therapy awaits the results of ongoing controlled clinical trials, the advancement in biological sciences, physics and engineering, clinical physics and dosimetry, as well as clinical implementation continues to make advances. A first attempt to document these advances was made by Dr. Gilbert H. Nussbaum in the Medical Physics Monograph No. 8 of the American Association of Physicists in Medicine, published by the American Institute of Physics in 1982. This monograph is an extension of the above work. The material is divided into six catagories: Hyperthermia Biology, Physics and Engineering, Clinical Physics, Dosimetry and Modeling, Analysis of Clinical Results, and Quality Assurance. There are numerous methods of inducing hyperthermia and there are also equally numerous clinical strategies as expected in an experimental modality. A conscious effort has been made to document the basic information and thus provide an objective learning tool. The material contained herein will be of interest to biologists, physicists, engineers, and physicians who are actively involved in the field of hyperthermia, as well as to those who are anxious to learn about this new field. Some sections provide extremely practical information needed in the routine delivery of treatments and, therefore, will be of benefit to nurses and technologists. We also believe that this material provides insight and guidance for future research.




Physical Aspects of Hyperthermia


Book Description

Over the past several years, interest and activity regarding the use of heat to treat human malignancies has grown very rapidly. Laboratory studies with cells and animals have established the potential of hyperthermia, used alone, or in combination with radiation or drugs, for improvement of the therapeutic ratio in cancer therapy. A growing body of clinical data suggests that hyperthermia, employed as an adjuvant and perhaps, as a primary therapeutic modality, can often effect rapid and substantial tumor regression while causing only relatively modest changes in adjacent normal tissues. Given the clinical observations to date and the rationale provided by biological and physiological laboratory investigations, the current, prodigious growth of clinical utilization of hyperthermia in surgical, medical and especially radiation oncology is not difficult to comprehend. However, the development of clinical hyperthermia as a safe, effective and quantitative cancer modality will depend critically on the extent to which the physics and physiology of local, regional and whole body heating of human tissue are understood and properly incorporated into the planning and administration of thermotherapy. Whatever its promise, ultimately, the value of hyperthermia as a clinical tool will be governed, and perhaps limited by the physical aspects of power deposition, heat transfer and thermometry in vivo. This book discusses this important topic in depth.




Hyperthermia In Cancer Treatment: A Primer


Book Description

Following an introductory overview, Hyperthermia In Cancer Treatment: A Primer comprehensively describes the biological reasons for associating hyperthermia with radiation and chemotherapy and the biological and clinical effects of hyperthermia on cancerous and normal tissues. The volume’s 20 chapters are arranged in three principal parts: physical and methodological studies, biologic principles, and clinical studies.




Thermoradiotherapy and Thermochemotherapy


Book Description

Hyperthermia has been found to be of great benefit in combination with radiation therapy or chemotherapy in the management of patients with difficult and com plicated tumor problems. It has been demonstrated to increase the efficacy, of ionising radiation when used locally but also has been of help in combination with systemic chemotherapy where hyperthermia is carried out to the total body. Problems remain with regard to maximizing the effects of hyperthermia as in fluenced by blood flow, heat loss, etc. The present volume defines the current knowledge relative to hyperthermia with radiation therapy and/or chemotherapy, giving a comprehensive overview of its use in cancer management. Philadelphia/Hamburg, June 1995 L.W. BRADY H.-P. HEILMANN Preface In an attempt to overcome tumor resistance, hypoxia, or unfavorable tumor condi tions, oncological research has come to focus on gene therapy, immunotherapy, new cytotoxic agents, and increasingly sophisticated radiotherapy. Radiation research has been directed towards heavy particle therapy and modification of the radiation response by either protecting or sensitizing agents. Improved dose localization using rotational or conformal strategies has also been implemented. Recently, changes in radiation fractionation schedules have shown promise of better results. Hyperthermia in cancer therapy can be viewed similarly as another means to increase the sensitivity of tumors to radio- and chemotherapy.




Transpupillary Thermotherapy


Book Description




Oncothermia: Principles and Practices


Book Description

Oncothermia is the next generation medical innovation that delivers selective, controlled and deep energy for cancer treatment. The basic principles for oncothermia stem from oncological hyperthermia, the oldest approach to treating cancer. Nevertheless, hyperthermia has been wrought with significant controversy, mostly stemming from shortcomings of controlled energy delivery. Oncothermia has been able to overcome these insufficiencies and prove to be a controlled, safe and efficacious treatment option. This book is the first attempt to elucidate the theory and practice of oncothermia, based on rigorous mathematical and biophysical analysis, not centered on the temperature increase. It is supported by numerous in-vitro and in-vivo findings and twenty years of clinical experience. This book will help scientists, researchers and medical practitioners in understanding the scientific and conceptual underpinnings of oncothermia and will add another valuable tool in the fight against cancer. Professor Andras Szasz is the inventor of oncothermia and the Head of St Istvan University's Biotechnics Department in Hungary. He has published over 300 papers and lectured at various universities around the world. Dr. Oliver Szasz is the managing director of Oncotherm, the global manufacturer and distributor of medical devices for cancer treatment used in Europe & Asia since the late 1980s. Dr. Nora Szasz is currently a management consultant in healthcare for McKinsey & Co.