INTRODUCTION: The aim of the present study was to evaluate the effect of fraction dose irradiation on kidney damage due to scattered radiation.
METHODS: Rats were randomized into 6 groups. Group 1: Control group, a sham irradiation (n=5); Group 2: Hypofractionated total abdominal irradiation (TAI), total of 12 Gy (2 fractions in 2 days) (n=4); Group 3: Hypofractionated TAI, total of 12 Gy (3 fractions in 3 days; n=6); Group 4: Hypofractionated TAI, total of 12 Gy (4 fractions in 4 days; n=6); Group 5: TAI with conventional fractionation, total of 12 Gy (6 fractions in 6 days; n=6); and Group 6: TAI with conventional fractionation, total of 12 Gy (7 fractions in 7 days; n=6).
RESULTS: There was no statistically significant difference (p>0.05) between the hypofractionated group sets of Groups 3-4 (2.66±0.51) and 5-6 (1.83±0.40). However, a statistically significant difference was found in the comparison between Group 2 (3.75±0.51) and the group sets of Groups 3–4 and 5–6 (p<0.05).
DISCUSSION AND CONCLUSION: The present study demonstrated that hypofractionated TAI leads to more prominent acute tissue damage in the kidneys than does conventional irradiation.
GİRİŞ ve AMAÇ: Amacımız aralıklı verilen fraksiyone doz radyoterapinin böbrek hasarına etkisini incelemek.
YÖNTEM ve GEREÇLER: Sıçanlarda 6 gruba randomiz edildi: Grup 1: Kontrol; sham radyoterapi (n=5); Grup 2: Hipo-fraksiyone total abdominal radyoterapi (TAR); total 12 Gy (2 günde 2 fraksiyon) (n=4); Grup 3: Hipo-fraksiyone TAR; total 12 Gy (3 günde 3 fraksiyon; n=6); Group 4: Hipo-fraksiyone TAR; total 12 Gy (4 günde 4 fraksiyon; n=6); Group 5: konvansiyonel ayırma ile TAR; total 12 Gy (6 günde 6 fraksiyon; n=6); ve Group 6: konvansiyonel ayırma ile TAR; total 12 Gy (7 günde 7 fraksiyon; n=6).
BULGULAR: Hipofraksiyone gruplar 3 ile 4 (2.66±0.51) ve grup 5 ile 6 (1.83±0.40) arasında istatistiksel olarak anlamlı fark tespit edilmezken grup 2 (3.75±0.51) ile grup 3–4 ve grup 5–6 arasında istatistiksel olarak anlamlı fark tespit edilmiştir (p<0.05).
TARTIŞMA ve SONUÇ: Bu çalışmamız hipo-fraksiyone total abdominal radyoterapini, böbreklerde akut doku hasarına konvansiyonel radyoterapiye göre daha belirgin şekilde yol açtığını göstermiştir.