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Interstitial photodynamic laser therapy in interventional oncology

  • Oncology
  • Published:
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Abstract

Photodynamic therapy (PDT) is a well-investigated locoregional cancer treatment in which a systemically administered photosensitizer is activated locally by illuminating the diseased tissue with light of a suitable wavelength. PDT offers various treatment strategies in oncology, especially palliative ones. This article focuses on the development and evaluation of interstitial PDT for the treatment of solid tumors, particularly liver tumors. The PDT is mostly used for superficial and endoluminal lesions like skin or bladder malignancies and also more frequently applied for the treatment of lung, esophageal, and head and neck cancer. With the help of specially designed application systems, PDT is now becoming a practicable option for solid lesions, including those in parenchymal organs such as the liver. After intravenous treatment with the photosensitizer followed by interstitial light activation, contrast-enhanced computed tomography shows the development of therapy-induced necrosis around the light-guiding device. With the use of multiple devices, ablation of liver tumors seems to be possible, and no severe side effects or toxicities related to the treatment are reported. PDT can become a clinically relevant adjunct in the locoregional therapy strategies.

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References

  1. Vogl TJ, Straub R, Eichler K, Woitaschek D, Mack MG (2002) Malignant liver tumors treated with mr imaging-guided laser-induced thermotherapy: experience with complications in 899 patients (2,520 lesions). Radiology 225:367–377

    PubMed  Google Scholar 

  2. Lencioni R, Goletti O, Armillotta N et al (1998) Radio-frequency thermal ablation of liver metastases with a cooled-tip electrode needle: results of a pilot clinical trial. Eur Radiol 8:1205–1211

    Article  CAS  PubMed  Google Scholar 

  3. Engelmann K, Mack MG, Eichler K, Straub R, Zangos S, Vogl TJ (2003) Interstitial photodynamic laser therapy for liver metastases: first results of a clinical phase I-study. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 175:682–687

    Article  CAS  PubMed  Google Scholar 

  4. Vogl TJ, Mack MG, Straub R et al (2002) MR-guided laser-induced thermotherapy with a cooled power laser system: a case report of a patient with a recurrent carcinoid metastasis in the breast. Eur Radiol 12:S101–S104

    PubMed  Google Scholar 

  5. Tanaka H, Hashimoto K, Yamada I et al (2001) Interstitial photodynamic therapy with rotating and reciprocating optical fibers. Cancer 91:1791–1796

    Article  CAS  PubMed  Google Scholar 

  6. Dougherty TJ, Marcus SL (1992) Photodynamic therapy. Eur J Cancer 28A:1734–1742

    CAS  PubMed  Google Scholar 

  7. Cramers P, Ruevekamp M, Oppelaar H, Dalesio O, Baas P, Stewart FA (2003) Foscan uptake and tissue distribution in relation to photodynamic efficacy. Br J Cancer 88:283–290

    Article  CAS  PubMed  Google Scholar 

  8. Fingar VH, Wieman TJ, Doak KW (1990) Role of thromboxane and prostacyclin release on photodynamic therapy-induced tumor destruction. Cancer Res 50:2599–2603

    CAS  PubMed  Google Scholar 

  9. Henderson BW, Donovan JM (1989) Release of prostaglandin E2 from cells by photodynamic treatment in vitro. Cancer Res 49:6896–6900

    CAS  PubMed  Google Scholar 

  10. Dougherty TJ, Gomer CJ, Henderson BW et al (1998) Photodynamic therapy. J Natl Cancer Inst 90:889–905

    CAS  PubMed  Google Scholar 

  11. Dougherty TJ, Kaufman JE, Goldfarb A, Weishaupt KR, Boyle D, Mittleman A (1978) Photoradiation therapy for the treatment of malignant tumors. Cancer Res 38:2628–2635

    CAS  PubMed  Google Scholar 

  12. Moore JV, West CM, Whitehurst C (1997) The biology of photodynamic therapy. Phys Med Biol 42:913–935

    Article  CAS  PubMed  Google Scholar 

  13. Gulati S, Atzpodien J, Lemoli R, Shimazaki C, Clarkson B (1990) Photoradiation methods for purging autologous bone marrow grafts. Prog Clin Biol Res 333:87–102

    CAS  PubMed  Google Scholar 

  14. Rovers JP, Schuitmaker JJ, Vahrmeijer AL, van Dierendonck JH, Terpstra OT (1998) Interstitial photodynamic therapy with the second-generation photosensitizer bacteriochlorin a in a rat model for liver metastases. Br J Cancer 77:2098–2103

    CAS  PubMed  Google Scholar 

  15. Brancaleon L, Moseley H (2002) Laser and non-laser light sources for photodynamic therapy. Lasers Med Sci 17:173–186

    Article  CAS  PubMed  Google Scholar 

  16. Sibata CH, Colussi VC, Oleinick NL, Kinsella TJ (2001) Photodynamic therapy in oncology. Expert Opin Pharmacother 2:917–927

    CAS  PubMed  Google Scholar 

  17. Dougherty TJ (2002) An update on photodynamic therapy applications. J Clin Laser Med Surg 20:3–7

    Article  PubMed  Google Scholar 

  18. Lofgren LA, Ronn AM, Abramson AL et al (1994) Photodynamic therapy using m-tetra(hydroxyphenyl) chlorin. An animal model. Arch Otolaryngol Head Neck Surg 120:1355–1362

    CAS  PubMed  Google Scholar 

  19. Ris HB, Altermatt HJ, Inderbitzi R et al (1991) Photodynamic therapy with chlorins for diffuse malignant mesothelioma: initial clinical results. Br J Cancer 64:1116–1120

    CAS  PubMed  Google Scholar 

  20. Poate TW, Dilkes MG, Kenyon GS (1996) Use of photodynamic therapy for the treatment of squamous cell carcinoma of the soft palate. Br J Oral Maxillofac Surg 34:66–68

    CAS  PubMed  Google Scholar 

  21. Whelpton R, Michael-Titus AT, Basra SS, Grahn M (1995) Distribution of temoporfin, a new photosensitizer for the photodynamic therapy of cancer, in a murine tumor model. Photochem Photobiol 61:397–401

    CAS  PubMed  Google Scholar 

  22. Rovers JP, Saarnak AE, Molina A, Schuitmaker JJ, Sterenborg HJ, Terpstra OT (1999) Effective treatment of liver metastases with photodynamic therapy, using the second-generation photosensitizer meta-tetra(hydroxyphenyl)chlorin (mTHPC), in a rat model. Br J Cancer 81:600–608

    Article  CAS  PubMed  Google Scholar 

  23. Allen CM, Langlois R, Sharman WM, La Madeleine C, Van Lier JE (2002) Photodynamic properties of amphiphilic derivatives of aluminum tetrasulfophthalocyanine. Photochem Photobiol 76:208–216

    Article  CAS  PubMed  Google Scholar 

  24. Fisher AM, Murphree AL, Gomer CJ (1995) Clinical and preclinical photodynamic therapy. Lasers Surg Med 17:2–31

    CAS  PubMed  Google Scholar 

  25. Chen J, Keltner L, Christophersen J et al (2002) New technology for deep light distribution in tissue for phototherapy. Cancer J 8:154–163

    PubMed  Google Scholar 

  26. Rovers JP, de Jode ML, Grahn MF (2000) Significantly increased lesion size by using the near-infrared photosensitizer 5,10,15,20-tetrakis (m-hydroxyphenyl)bacteriochlorin in interstitial photodynamic therapy of normal rat liver tissue. Lasers Surg Med 27:235–240

    Article  CAS  PubMed  Google Scholar 

  27. Purkiss S, Grahn M, Abulafi A, JT. D, Williams N (1994) Multiple fiber interstitial photodynamic therapy of patients with colorectal liver metastases. Lasers Med Sci 9:27–35

    Google Scholar 

  28. Vogl TJ (2002) Laser-induced thermotherapy: do we really need MR thermometry? Eur Radiol 12:5–6

    PubMed  Google Scholar 

  29. Lightdale CJ, Heier SK, Marcon NE et al (1995) Photodynamic therapy with porfimer sodium versus thermal ablation therapy with Nd:YAG laser for palliation of esophageal cancer: a multicenter randomized trial. Gastrointest Endosc 42:507–512

    CAS  PubMed  Google Scholar 

  30. Overholt BF, Panjehpour M, Haydek JM (1999) Photodynamic therapy for Barrett’s esophagus: follow up in 100 patients. Gastrointest Endosc 49:1–7

    Google Scholar 

  31. Nseyo UO, Dehaven J, Dougherty TJ et al (1998) Photodynamic therapy (PDT) in the treatment of patients with resistant superficial bladder cancer: a long-term experience. J Clin Laser Med Surg 16:61–68

    CAS  PubMed  Google Scholar 

  32. Kato H, Okunaka T, Shimatani H (1996) Photodynamic therapy for early stage bronchogenic carcinoma. J Clin Laser Med Surg 14:235–238

    CAS  PubMed  Google Scholar 

  33. Biel MA (1998) Photodynamic therapy and the treatment of head and neck neoplasia. Laryngoscope 108:1259–1268

    Article  CAS  PubMed  Google Scholar 

  34. Suhr MA, Hopper C, MacRobert AJ, Speight PM, Kubler AC, Kunz L (2001) Clinical pilot study of interstitial photodynamic therapy for treatment of advanced head and neck tumors. Mund Kiefer Gesichtschir 5:277–282

    Article  CAS  PubMed  Google Scholar 

  35. Kick G, Messer G, Plewig G (1996) Historical development of photodynamic therapy. Hautarzt 47:644–649

    Article  CAS  PubMed  Google Scholar 

  36. Dalla Via L, Marciani Magno S (2001) Photochemotherapy in the treatment of cancer. Curr Med Chem 8:1405–1418

    PubMed  Google Scholar 

  37. Mack MG, Straub R, Eichler K et al (2001) Percutaneous MR imaging-guided laser-induced thermotherapy of hepatic metastases. Abdom Imaging 26:369–374

    Article  CAS  PubMed  Google Scholar 

  38. Vogl T, Mack M, Straub R et al (2001) Thermal ablation of liver metastases. Current status and prospects. Radiologe 41:49–55

    Article  CAS  PubMed  Google Scholar 

  39. Solbiati L, Goldberg SN, Ierace T et al (1997) Hepatic metastases: percoutaneous radio-frequency ablation with cooled-tip electrodes. Radiology 205:367–373

    CAS  PubMed  Google Scholar 

  40. Livraghi T, Goldberg SN, Lazzaroni S, Meloni F, Solbiati L, Gazelle GS (1999) Small hepatocellular carcinoma: treatment with radio-frequency ablation versus ethanol injection. Radiology 210:655–661

    CAS  PubMed  Google Scholar 

  41. Stefanini GF, Amorati P, Biselli M et al (1995) Efficacy of transarterial targeted treatments on survival of patients with hepatocellular carcinoma. An Italian experience. Cancer 75:2427–2434

    CAS  PubMed  Google Scholar 

  42. Vogl TJ, Eichler K, Zangos S, Mack M, Hammerstingl R (2002) Hepatocellular carcinoma: role of imaging diagnostics in detection, intervention and follow-up. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 174:1358–1368

    Google Scholar 

  43. Andrejevic Blant S, Grosjean P, Ballini JP et al (2001) Localization of tetra(m-hydroxyphenyl)chlorin (Foscan) in human healthy tissues and squamous cell carcinomas of the upper aero-digestive tract, the esophagus and the bronchi: a fluorescence microscopy study. J Photochem Photobiol B 61:1–9

    Article  PubMed  Google Scholar 

  44. Marijnissen JP, Versteeg JA, Star WM, van Putten WL (1992) Tumor and normal tissue response to interstitial photodynamic therapy of the rat R-1 rhabdomyosarcoma. Int J Radiat Oncol Biol Phys 22:963–972

    CAS  PubMed  Google Scholar 

  45. Hamblin MR, Del Governatore M, Rizvi I, Hasan T (2000) Biodistribution of charged 17.1A photoimmunoconjugates in a murine model of hepatic metastasis of colorectal cancer. Br J Cancer 83:1544–1551

    Article  CAS  PubMed  Google Scholar 

  46. Del Governatore M, Hamblin MR, Shea CR et al (2000) Experimental photoimmunotherapy of hepatic metastases of colorectal cancer with a 17.1A chlorin(e6) immunoconjugate. Cancer Res 60:4200–4205

    PubMed  Google Scholar 

  47. Brown JM, Giaccia AJ (1998) The unique physiology of solid tumors: opportunities (and problems) for cancer therapy. Cancer Res 58:1408–1416

    CAS  PubMed  Google Scholar 

Download references

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Vogl, T.J., Eichler, K., Mack, M.G. et al. Interstitial photodynamic laser therapy in interventional oncology. Eur Radiol 14, 1063–1073 (2004). https://doi.org/10.1007/s00330-004-2290-8

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  • DOI: https://doi.org/10.1007/s00330-004-2290-8

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