Abstract
It is well known that cells irradiated under conditions of oxygen deprivation are more resistant to sparsely ionizing radiation than well-oxygenated cells (Hall 1988). Additional studies have now shown that oxygen-deficient cells exist in most animal solid tumours (Guichard et al. 1980; Moulder and Rockwell 1984). There is strong evidence to suggest that hypoxic cells can also be found in human tumours and that they are probably one of the major reasons for failure to locally control certain tumor types with conventional radiation therapy (Dische 1989; Overgaard 1989).
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References
Adams GE (1984) Radiosensitizers: a conference preview. Int J Radiat Oncol Biol Phys 10: 1181–1184
Adams GE, Stratford IJ, Godden J, Howells N (1989) Enhancement of the anti-tumor effect of melphalan in experimental mice by some vaso-active agents. Int J Radiat Oncol Biol Phys 16: 1137–1139
Adams GE, Bremner J, Edwards HS, Fielden EM, Naylor M, Stratford I J, Wood P (1992) Bioreductive drugs—dual function agents and related compounds. In: Dewey WC, Edington M, Fry RJM, Hall EJ, Whitmore GF (eds) Radiation research: a twentieth-century perspective, vol II. Academic, San Diego, p 802
Awwad HK, Nagger M, Mocktar N, Barsoum M (1986) Intercapillary distance measurement as an indicator of hypoxia in carcinoma of the cervix uteri. Int J Radiat Oncol Biol Phys 12: 1329–1333
Beddell CR, Goodford PJ, Kneen G, White RD, Wilkinson S, Wootton R (1984) Substituted benzaldehydes designed to increase the oxygen affinity of human haemoglobin and inhibit the sickling of sickle erythrocytes. Br J Pharmacol 82: 397–407
Bentzen SM, Grau C (1991) Direct estimation of the fraction of hypoxic cells from tumour-control data obtained under aerobic and clamped conditions. Int J Radiat Biol 59: 1435–1440
Bremner JCM, Stratford I J, Bowler J, Adams GE (1990) Bioreductive drugs and the selective induction of tumour hypoxia. Br J Cancer 61: 717–721
Brown JM (1979) Evidence for acutely hypoxic cells in mouse tumours and a possible mechanism of reoxygenation. Br J Radiol 52: 650–656
Burton MA, Gray BN, Self GW, Heggie JC, Townsend PS (1985) Manipulation of experimental rat and rabbit liver tumor blood flow with angiotensin II. Cancer Res 45: 5390–5393
Chaplin DJ (1986) Potentiation of RSU-1069 tumour cytotoxicity by 5-hydroxytryptamine. Br J Cancer 54: 727–731
Chaplin DJ. Acker B (1987) The effect of hydralazine on the tumor cytotoxicity of the hypoxic cell cytotoxin RSU-1069: evidence of therapeutic gain. Int J Radiat Oncol Biol Phys 13: 579–585
Chaplin DJ, Trotter MJ (1991) Chemical modifiers of tumour blood flow. In: Vaupel P, Jain RK (eds) Tumour blood supply and metabolic microenvironment. Gustav Fischer, Stuttgart, p 65
Chaplin DJ, Durand RE, Olive PL (1986) Acute hypoxia in tumors: implication for modifiers of radiation effects. Int J Radiat Oncol Biol Phys 12: 1279–1282
Chaplin DJ, Olive PL, Durand RE (1987) Intermittent blood flow in a murine tumor: radiobiological effects. Cancer Res 47: 597–601
Chaplin DJ, Acker B, Olive PL (1989) Potentiation of the tumor cytotoxicity of melphalan by vasodilating drugs. Int J Radiat Oncol Biol Phys 16: 1131–1135
Chaplin DJ, Horsman MR, Aoki D (1990a) Nicotinamide, fluosol DA and carbogen: a strategy to reoxygenate acutely and chronically hypoxic cells in vivo. Br J Cancer 63: 109–113
Chaplin DJ, Horsman MR, Trotter MJ (1990b) Effect of nicotinamide on the microregional heterogeneity of oxygen delivery within a murine tumour. J Natl Cancer Inst 82: 672–676
Chapman JD, Raleigh JA, Pedersen JE, Ngan J, Shum FY, Meeker BE, Urtasun RC (1979) Potentially three distinct roles for hypoxic cell sensitizers in the clinic. In: Okada S, Imamura M, Terashima T, Yamaguchi H (eds) Radiation research. Proceedings of the sixth international congress of radiation research. Tokyo, p 885
Coleman CN (1988) Hypoxia in tumours: a paradigm for the approach to biochemical and physiological heterogeneity. J Natl Cancer Inst 80: 310–317
DeCree J, DeCock W, Guckens H, DeClerck F, Beerens M, Verhaegen H (1979) The rheological effects of cinnarizine and flunarizine in normal and pathological conditions. Angiology 30: 505–515
Delides GS, Venizelos J, Revesz L (1988) Vascularization and curability of stage III and IV nasopharyngeal tumours. J Cancer Res Clin Oncol 114: 321–323
Denekamp J (1991) ARCON: accelerated radiotherapy with carbogen and nicotinamide. Eur Cancer News 4: 3–5
Dische S (1989) The clinical consequences of the oxygen effect. In: Steel GG, Adams GE, Horwich A (eds) The biological basis of radiotherapy, 2nd edn. Elsevier Science, Amsterdam, p 135
Evelhoch JL, Bissery MC, Chabot GG, Simpson NE, McCoy CL,Heilbrun LK, Corbett TH (1988) Flavone acetic acid (NSC 34512)-induced modulation of murine tumor physiology monitored by in vivo nuclear magnetic resonance spectroscopy. Cancer Res 48: 4149–4155
Evelhoch JL, Simpson NE, Valeriote FA, Corbett TH (1990) 31-P and 2-H MRS studies of flavone acetic acid and analogues. In: Evelhoch JL, Negendank W, Valeriote FA, Baker LH (eds) Magnetic resonance in experimental and clinical oncology. Kluwer Academic, Boston, p 121
Fenton BM, Rofstad EK, Degnar FL, Sutherland RM (1988) Cryospectrophotometric determination of tumour intra-vascular oxyhemoglobin saturations: dependence on vascular geometry and tumour growth. J Natl Cancer Inst 80: 1612–1619
Folkman J (1976) The vascularization of tumours. Sei Am 234: 58–73
Franko A J (1986) Misonidazole and other hypoxic markers: metabolism and applications. Int J Radiat Oncol Biol Phys 12: 1195–1202
Gatenby RA, Kessler HB, Rosenblaum JS, Coia LR, Moldofsky PJ, Hartz WH, Broder GJ (1988) Oxygen distribution in squamous cell carcinoma metastases and its relationship to outcome of radiation therapy. Int J Radiat Oncol Biol Phys 14: 831–838
Gerweck LE, Urano M, Koutcher J, Fellenz MP, Kahn J (1989) Relationship between energy status, hypoxic cell fraction, and hyperthermic sensitivity in a murine fibrosarcoma. Radiat Res 117: 448–458
Grau C, Horsman MR, Overgaard J (1992) Influences of carboxyhemoglobin level on tumour growth, blood flow and radiation response in an experimental model. Int J Radiat Oncol Biol Phys 22: 421–424
Guichard M, Courdi A, Malaise EP (1980) Experimental data on the radiobiology of solid tumours. Eur J Radiother 1: 171–191
Hafström L, Nobin A, Persson B, Sundqvist K (1980) Effects of catecholamines on cardiovascular response and blood flow distribution to normal tissue and liver tumours in rats. Cancer Res 40: 481–485
Hall EJ (1988) Radiobiology for the radiologist. Harper and Row, Philadelphia
Henderson BW, Waldow SM, Potter WR, Dougherty TJ (1985) Interaction of photodynamic therapy and hyperthermia: tumor response and cell survival studies after treatment of mice in vivo. Cancer Res 45: 6071–6077
Herman TS, Teicher BA, Coleman CN (1990) Interaction of SR-4233 with hyperthermia and radiation in the FSallC murine fibrosarcoma tumour system in vitro and in vivo. Cancer Res 50: 5055–5059
Hiraoka M, Hahn GM (1990) Changes in pH and blood flow induced by glucose, and their effects on hyperthermia with or without BCNU in RIF-1 tumours. Int J Hyperthermia 6: 97–103
Hirst DG, Wood PJ (1989) Chlorophenoxyacetic acid derivatives as hemoglobin modifiers and tumour radio-sensitizers. Int J Radiat Oncol Biol Phys 16: 1183–1186
Höckel M, Knoop C, Schienger K, Vorndran B, Mitz M, Knapstein PG, Vaupel P (1993) Intratumoral p02 predicts survival in advanced cancer of the uterine cervix. Radiother Oncol (to be publ.)
Horsman MR (1992) Modifiers of tumor blood supply. In: Urano M, Douple EB (eds) Hyperthermia and oncology. VSP, Netherlands
Horsman MR (1992b) Carbogen and nicotinamide: expectations too high? Radiother Oncol 24: 121–122
Horsman MR (1992c) Overcoming tumour radiation resistance resulting from acute hypoxia. Eur J Cancer 28A: 717–718
Horsman MR, Winther J (1989) Vascular effects of photo-dynamic therapy in an intraocular retinoblastoma-like tumour. Acta Oncol 28: 693–697
Horsman MR, Brown JM, Hirst VK, Lemmon MJ, Wood PJ, Dunphy EP, Overgaard J (1988a) Mechanism of action of the selective tumor radiosensitizer nicotinamide. Int J Radiat Oncol Biol Phys 15: 685–690
Horsman MR, Overgaard J, Chaplin DJ (1988b). The interaction between RSU-1069, Hydralazine and hyper-thermia in a C3H mammary carcinoma as assessed by tumour growth delay. Acta Oncol 27: 861–862
Horsman MR, Chaplin DJ, Brown JM (1989a) Tumor radiosensitization by nicotinamide: a result of improved blood perfusion and oxygenation. Radiat Res 118: 139–150
Horsman MR, Christensen KL, Overgaard J (1989b) Hydralazine-induced enhancement of hyperthermic damage in a C3H mammary carcinoma in vivo. Int J Hyperthermia 5: 123–136
Horsman MR, Hansen PV, Overgaard J (1989c) Radiosensi-tization by nicotinamide in tumors and normal tissues: the importance of tissue oxygenation status. Int J Radiat Oncol Biol Phys 16: 1273–1276
Horsman MR, Chaplin DJ, Overgaard J (1990a) Combination of nicotinamide and hyperthermia to eliminate radioresistant chronically and acutely hypoxic tumor cells. Cancer Res 50: 7430–7436
Horsman MR, Wood PJ, Chaplin DJ, Brown JM, Overgaard J (1990b) The potentiation of radiation damage by nicotin-amide in the SCCVII tumour in vivo. Radiother Oncol 18: 49–57
Horsman MR, Chaplin DJ, Overgaard J (1991) The effect of combining flavone acetic acid and hyperthermia on the growth of a C3H mammary carcinoma in vivo. Int J Radiat Biol 60: 385–388
Horsman MR, Kristjansen PEG, Mizuno M, Christensen K, Chaplin DJ, Quistorff B, Overgaard J (1992) Biochemical and physicological changes induced by nicotinamide in a C3H mouse mammary carcinoma and CDF1 mice. Int J Radiat Oncol Biol Phys 22: 451–454
Intaglietta M, Myers RR, Gross JF, Reinhold HS (1977) Dynamics of microvascular flow in implanted mouse mammary tumours. Bibl Anat 15: 237–276
Jain RK (1988) Determinants of tumor blood flow: a review. Cancer Res 48: 2641–2658
Jirtle RL (1988) Chemical modification of tumour blood flow. Int J Hyperthermia 4: 355–371
Jirtle R, Clifton KH, Rankin JHG (1978) Effects of several vasoactive drugs on the vascular resistance of MT-W9B tumors in W/Fu rats. Cancer Res 38: 2385–2390
Kaelin WG, Shrivastava S, Shand DG, Jirtle RL (1982) Effect of verapamil on malignant tissue blood flow in SMT-2A tumor-bearing rats. Cancer Res 42: 3944–3949
Kallinowski F, Moehle R, Vaupel P (1989a) Substantial enhancement of tumor hyperthermic response by tumor necrosis factor. In: Sugahara T, Saito M (eds) Hyperthermic oncology, vol 1. Summary papers. Taylor & Francis, London, p 258
Kallinowski F, Schaefer C, Tyler G, Vaupel P (1989b) In vivo targets of recombinant human tumour necrosis factoralpha: blood flow, oxygen consumption and growth of isotransplanted rat tumours. Br J Cancer 60: 555–560
Kallinowski F, Zander R, Höckel M, Vaupel P (1990) Tumor tissue oxygenation as evaluated by computerised— p02—histography. Int J Radiat Oncol Biol Phys 19: 953–961
Kallman RF, Denardo GL, Stasch MJ (1972) Blood flow in irradiated mouse sarcoma as determined by the clearance of xenon—133. Cancer Res 32: 483–490
Kalmus J, Okunieff P, Vaupel P (1990) Dose-dependent effects of hydralazine on microcirculatory function and hyperthermic response of murine FSall tumors. Cancer Res 50: 15–19
Kjellen E, Joiner MC, Collier JM, Johns H, Rojas A (1991) A therapeutic benefit from combining normobaric carbogen or oxygen with nicotinamide in fractionated x-ray treatments. Radiother Oncol 22; 81–91
Knapp WH, Debatin J, Layer K, Helus F, Altmann A, Sinn HJ, Ostertag H (1985) Selective drug-induced reduction of blood flow in tumour transplants. Int J Radiat Oncol Biol Phys 11: 1357–1366
Kolstad P (1968) Intercapillary distance, oxygen tension and local recurrence in cervix cancer. Scand J Clin Lab Invest 106: 145–157
Koutcher JA, Barnett D, Kornblith AB, Cowburn D, Brady TJ, Gerweck LE (1990) Relationship of changes in pH and energy status to hypoxic cell fraction and hyperthermia sensitivity. Int J Radiat Oncol Biol Phys 18: 1429–1435
Kristjansen PEG, Pederson EJ, Quistorff B, Elling F, Spang-Thomsen M (1990) Early effects of radiotherapy in small cell lung cancer xenografts monitored by 31-P- magnetic resonance spectroscopy and biochemical analysis. Cancer Res 50: 4880–4884
Lauk S, Skates S, Goodman M, Suit HD (1989) Morphometric study of the vascularity of oral squamous cell carcinomas and its relation to outcome of radiation therapy. Eur J Cancer Clin Oncol 25: 1431–1440
Mattson J, Appelgren L, Karlsson L, Peterson HI (1978) Influence of vasoactive drugs and ischaemia on intratumour blood flow distribution. Eur J Cancer 14: 761–764
McEwan AJB 91989) Positron-emission tomography and predicting tumor treatment response. In: Chapman JD, Peters LJ, Withers HR (eds) Prediction of tumor treatment response. Pergamon, New York, p 277
McNally NJ, Sheldon PW (1977) The effect of radiation on tumour growth delay, cell survival, and cure of the animal using a single tumour system. Br J Radiol 50: 321–328
Menke H, Vaupel P (1988) Effect of injectable or inhalational anaesthetics and of neuroleptic, neuroleptanalgesia and sedative agents on tumour blood flow. Radiat Res 114: 64–76
Moulder JE, Martin DF (1984) Hypoxic fraction determina-tions in the BA1112 rat sarcoma: variations within and among assay techniques. Radiat Res 98: 536–548
Moulder JE, Rockwell S (1984) Hypoxic fractions of solid tumors. Int J Radiat Oncbl Biol Phys 10: 695–712
Miiller-Klieser W, Kröger M, Wallenta S, Rofstad EK (1991) Comparative imaging of structure and metabolites in tumours. Int J Radiat Biol 60: 147–159
Okunieff P (1990) Relationship of 31-P NMR measurements to tumor biology. In: Evelhoch JL, Negendank W, Valeriote FA, Baker LH (eds) Magnetic resonance in experimental and clinical oncology. Kluwer Academic, Boston, p 23
Overgaard J (1980) Effect of misonidazole and hyperthermia on the radiosensitivity of a C3H mammary carcinoma and its surrounding normal tissue. Br J Cancer 41: 10–21
Overgaard J (1989) Sensitization of hypoxic tumour cells—clinical experience. Int J Radiat Biol 56: 801–811
Overgaard J (1993) Modification of tumour hypoxia. A meta-analysis of controlled clinical trials. Br J Radiol (to be publ. )
Overgaard J, Nielsen OS (1980) The role of tissue environ-mental factors on the kinetics and morphology of tumor cells exposed to hyperthermia. Ann NY Acad Sei 335: 254–280
Overgaard J, Nielsen OS, Lindegaard JC (1987) Biological basis for rational design of clinical treatment with combined hyperthermia and radiation. In: Field SB, Franconi C (eds) Physics and technology of hyperthermia. Martinus Nijhoff, Amsterdam, p 54
Rasey JS, Evans ML (1991) Detecting hypoxia in human tumors. In: Vaupel P, Jain RK (eds) Tumor blood supply and metabolic microenvironment. Gustav Fischer, Stuttgart, p 187
Rasey JS, Koh W-J, Grierson JR, Grunbaum Z, Krohn KA (1989) Radiolabelled fluoromisonidazole as an imaging agent for tumor hypoxia. Int J Radiat Oncol Biol Phys 17: 985–991
Reinhold HS, Blackiewicz B, Block A (1977) Oxygenation and reoxygenation in “sandwich” tumours. Bibl Anat 15: 270–272
Revesz L, Siracka E, Siracky J, Delides G, Pavlaki K (1989) Variation of vascular density within and between tumors of the uterine cervix and its predictive value for radiotherapy. Int J Radiat Oncol Biol Phys 16: 1161–1163
Rockwell S (1985) Use of a perfluorochemical emulsion to improve oxygenation in a solid tumour. Int J Radiat Oncol Biol Phys 11: 97–103
Rockwell S, Kelley M, Irvin CG, Hughes CS, Porter E, Yabuki H, Fisher JJ (1991) Modulation of tumor oxygenation and radiosensitivity by a perfluorooctylbromide emulsion. Radiother Oncol 22: 92–98
Rofstad EK, DeMuth P, Fenton BM, Ceckler TL, Sutherland — RM (1989) 32-P NMR spectroscopy and Hb02 cryospectrophotometry in prediction of tumor radioresistance caused by hypoxia. Int J Radiat Oncol Biol Phys 16: 919–923
Rojas A (1991) Radiosensitization with normobaric oxygen and carbogen. Radiother Oncol [Suppl] 20: 65–70
Sevick EM, Jain RK (1989) Geometric resistance to blood flow in solid tumors perfused ex vivo: effects of tumor size and perfusion pressure. Cancer Res 49: 3506–3512
Shrivastava S, Joines WT, Jirtle RL (1985) Effect of 5-hydroxytryptamine on tissue blood flow and microwave heating of rat tumors. Cancer Res 45: 3203–3208
Siemann DW (1990) Tumour size: a factor influencing the isoeffect analysis of tumour response to combined modalities. Br J Cancer 41 [Suppl IV]: 294–298
Siemann DW, Alliet KL, Macler LM (1989) Manipulations in the oxygen transport capacity of blood as a means of sensitizing tumors to radiation therapy. Int J Radiat Oncol Biol Phys 16: 1169–1172
Song CW (1984) Effect of local hyperthermia on blood flow and microenvironment: a review. Cancer Res 44 [Suppl]: 4721s–730s
Star WM, Marijnissen HPA, van den Berg-Blok AE, Versteeg J AC, Franken KAP, Reinhold HS (1986) Destruction of rat mammary tumor and normal tissue microcirculation by hematoporphyrin derivative photoradiation observed in vivo in sandwich observation chambers. Cancer Res 46: 2532–2540
Streffer C, van Beuningen D, Gross E, Eigler FW, Pelzer T (1989) Determination of DNA, micronuclei and vascular density in human rectum carcinomas. In: Chapman JD, Peters LJ, Withers HR (eds) Prediction of tumour treat-ment response. Pergamon, London, p 217
Streffer C, Zölzer F, Tamulevicius P (1992) Studies on combined treatment with X-rays, hyperthermia and hypoxic cell sensitizers on tumors. In: Dewey WC, Edington M, Fry RJM, Hall EJ, Whitmore GF (eds) Radiation research: a twentieth-century perspective, vol II. Academic, San Diego, p 1021
Suit HD, Marshall N, Woerner D (1972) Oxygen, oxygen plus carbon dioxide, and radiation therapy of a mouse mammary carcinoma. Cancer 30: 1154–1158
Sun JR, Brown JM (1989) Enhancement of the antitumor effect of flavone acetic acid by the bioreductive cytotoxic drug SR 4233 in a murine carcinoma. Cancer Res 49: 5664–5670
Sutherland RM, Franko AJ (1980) On the nature of the radiobiological hypoxic fraction in tumors. Int J Radiat Oncol Biol Phys 6: 117–120
Suzuki M, Hori K, Abe I, Saito S, Sato H (1981) A new approach to cancer chemotherapy: selective enhancement of tumor blood flow with angiotensin II. J Natl Cancer Inst 67: 663–669
Tamulevicius P, Luscher G, Streffer C (1987) Effects on intermediary metabolism in mouse tissues by Ro-03-8799. Br J Cancer 56: 315–320
Thomlinson RH, Gray LH (1955) The histological structure of some human lung cancers and the possible implications for radiotherapy. Br J Cancer 9: 539–549
Timothy AR, Overgaard J (1984) In vivo radiosensitization by nimorazole and hyperthermia. In: Overgaard J (ed) Hyperthermic oncology, vol 1. Summary Papers. Taylor amp; Francis, London, p 309
Trotter MJ, Chaplin DJ, Olive PL (1991a) Possible mechanisms for intermittent blood flow in the murine SCCVII carcinoma. Int J Radiat Biol 60: 139–146
Trotter MJ, Chaplin DJ, Olive PL (1991b) Effect of angiotensin II on intermittent tumour blood flow and acute hypoxia in the murine SCCVII carcinoma. Eur J Cancer 27: 887–893
Urano M, Cunningham M, Rice L (1980) Effect of general anaesthetics on the thermal response of normal and malignant murine tissues. Int J Radiat Biol 38: 667–671
Urano M, Montoya V, Booth A (1983) Effect of hyperglycemia on the thermal response of murine normal and tumor tissue. Cancer Res 43: 453–455
Urtasun RC (1992) Tumor hypoxia, its clinical detection and relevance. In: Dewey WC, Edington M, Fry RJM, Hall EJ, Whitmore GF (eds) Radiation research: a twentieth- century perspective, vol II. Academic, San Diego, p 725
Van Putten LM, Kallman RF (1968) Oxygenation status of a transplantable tumour during fractionated radiation therapy. J Natl Cancer Inst 40: 441–151
Vaupel P (1979) Oxygen supply to malignant tumors. In: Peterson HI (ed) Tumor blood circulation: angiogenesis, vascular morphology and blood flow of experimental and human tumors. CRC Press, Boca Raton, Fl., p 143
Vaupel P, Miiller-Klieser W (1992) Oxygenation and bioenergetic status of human tumors. In: Dewey WC, Edington M, Fry RJM, Hall EJ, Whitmore GF (eds) Radiation research: a twentieth-century perspective, vol II. Academic, San Diego, p 772
Vaupel P, Grunewald WA, Manz R, Sowa W (1978) Intracapillary Hb02 saturation in tumor tissue of DS-carcinosarcoma during normoxia. Adv Exp Med Biol 94: 367–375
Vaupel P, Manz R, Miiller-Klieser W, Grunewald WA (1979) Intracapillary Hb02 saturation in malignant tumors during normoxia and hyperoxia. Microvasc Res 17: 181–191
Vaupel P, Fortmeyer HP, Runkel S, Kallinowski F (1987) Blood flow, oxygen consumption and tissue oxygenation of human breast cancer xenografts in nude mice. Cancer Res 47: 3496–3503
Vaupel P, Kallinowski F, Okunieff P (1989a) Blood flow, oxygen and nutrient supply, and metabolic microenvironment of human tumors: a review. Cancer Res 49: 6449–6465
Vaupel P, Okunieff P, Kallinowski F, Neuringer LJ (1989b) Correlations between 31P-NMR spectroscopy and tissue 02 tension measurements in a murine fibrosarcoma. Radiat Res 120: 477–493
Vaupel P, Schienger K, Höckel M (1991) Blood flow and oxygenation of human tumors. In: Vaupel P, Jain RK (eds) Tumor blood supply and metabolic microenvironment. Gustav Fischer, Stuttgart, p 165
Waldow SM, Dougherty TJ (1984) Interaction of hyperthermia and photoradiation therapy. Radiat Res 97: 380–385
Warren BA (1979) The vascular morphology of tumors. In: Peterson H-I (ed) Tumor blood circulation: angiogenesis, vascular morphology and blood flow of experimental tumors. CRC Press, Boca Raton, Fl., p 1
Wiig H, Gadeholt G (1985) Interstitial fluid pressure and hemodynamics in a sarcoma implanted in the rat tail. Microvasc Res 29: 176–189
Wike-Hooley JL, Haveman J, Reinhold HS (1984) The relevance of tumor pH to the treatment of malignant disease. Radiother Oncol 2: 343–366
Wood PJ, Hirst DG (1989) Calcium antagonists as radiation modifiers: site specificity in relation to tumor response. Int J Radiat Oncol Biol Phys 16: 1141–1144
Wood PJ, Counsell CJR, Bremner JCM, Horsman MR, Adams GE (1991) The measurement of radiosensitizer- induced changes in mouse tumour metabolism by 31-P magnetic resonance spectroscopy. Int J Radiat Oncol Biol Phys 20: 291–294
Young SD, Hill RP (1988) Hypoxia induces DNA over- replication and enhances metastatic potential of murine tumour cells. Proc Natl Acad Sci USA 85: 9533–9537
Young SD, Hill RP (1990) Effects of reoxygenation on cells from hypoxic regions of solid tumours: anticancer drug sensitivity and metastatic potential. J Natl Cancer Inst 82: 371–380
Zackheim HS, Vasily DB, Westphal ML, Hastings CW (1981) Reactions to niacinamide. J Am Acad Dermatol 4: 736–737
Zanelli GD, Lucas PB, Fowler JF (1975) The effect of anaesthetics on blood perfusion I. Br J Cancer 32: 380–390
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Horsman, M.R. (1993). Hypoxia in Tumours: Its Relevance, Identification, and Modification. In: Beck-Bornholdt, HP. (eds) Current Topics in Clinical Radiobiology of Tumors. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84918-3_9
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