Abstract
Greene melanoma in the anterior chamber of rabbits was irradiated by protons to find the isoeffect curve for proton irradiation fractionated into one, two, three or four doses. The isoeffect curve for tumor tissue remained constant between one- and three-dose fractionations and rose with four-dose fractionation. The isoeffect curve for normal tissue approximately followed the Ellis equation. Therefore, the optimal irradiation schedule should be in the range of three fractions because this best spares normal tissue while delivering a tumoricidal dose to the lesion. The relative reduction of the total dose from four- to one-dose fractions of intraoperative irradiation should be 20%.
Similar content being viewed by others
References
Augsburger JJ, McNeary BT, Below H von, Gamel JW, Shields JA, Brady LW, Markoe AM, Day JL (1986) Regression of posterior uveal malignant melanomas after cobalt plaque radiotherapy. Graefe's Arch Clin Exp Ophthalmol 224:397–400
Augsburger JJ, Eagle RC, Chin M, Shields JA (1987) The effect of pre-enucleation radiotherapy on mitotic activity of choroidal and ciliary body melanomas. Ophthalmology 94:1627–1630
Austin-Seymour M, Munzenrider JE, Goitein M, Gentry R, Gragoudas E, Koehler AM, McNulty P, Osborne E, Ryugo DK, Seddon J, Urie M, Verhey L, Suit HD (1985) Progress in low-LET heavy particle therapy: intracranial and paracranial tumors and uveal melanomas. Radiat Res 104:S219-S226
Blodi FC (1977) Pathology of choroidal melanomas. Unusual aspects confusing the clinical diagnosis. Trans Ophthalmol Soc UK 97:362–367
Brovkina AF, Zarubei GD (1986) Ciliochoroidal melanomas treated with a narrow medical proton beam. Arch Ophthalmol 104:402–404
Callender GR (1931) Malignant melanotic tumors of the eye: a study of histologic types in 111 cases. Trans Am Acad Ophthalmol Otolaryngol 36:131–142
Char DH, Castro JR (1982) Helium ion therapy for choroidal melanoma. Arch Ophthalmol 100:935–938
Egan KM, Seddon JM, Glynn RJ, Gragoudas ES, Albert DM (1988) Epidemiologic aspects of uveal melanoma. Surv Ophthalmol 32:239–251
Egan KM, Gragoudas ES, Seddon JM, Glynn RJ, Munzenreider JE, Goitein M, Verhey L, Urie M, Koehler A (1989) The risk of enucleation after proton beam irradiation of uveal melanoma. Ophthalmology 96:1377–1383
Fowler JF (1983) Dose response curves for organ function or cell survival. Br J Radiol 56:497–500
Friberg TR, Fineberg E, McQuaig S (1983) Extremely rapid growth of a primary choroidal melanoma. Arch Ophthalmol 101:1375–1377
Gass JDM (1985) Comparison of uveal melanoma growth rates with mitotic index and mortality. Arch Ophthalmol 103:924–931
Gragoudas ES, Goitein M, Verhey L, Munzenrider J, Suit HD, Koehler A (1980) Proton beam irradiation. An alternative to enucleation for intraocular melanomas. Ophthalmology 87:571–581
Gragoudas ES, Seddon J, Goitein M, Verhey L, Munzenrider J, Uric M, Suit HD, Blitzer P, Koehler A (1985) Current results of proton beam irradiation of uveal melanomas. Ophthalmology 92:284–291
Gragoudas ES, Seddon JM, Egan KM, Glynn RJ, Goitein M, Munzenrider J, Verhey L, Urie M, Koehler A (1988) Metastasis from uveal melanoma after proton beam irradiation. Ophthalmology 95:992–999
Greiner R, Egger E, Zografos L, Perret Ch (1989) Maligne Melanome der Uvea. Muench Med Wochenschr 131:652–655
Hahn I, Spitznas M (1981) The morphology of the amelanotic Greene melanoma. Graefe's Arch Clin Exp Ophthalmol 216:115
Hornsey SH (1978) The relationship between total dose, number of fractions and fraction size in the response of malignant melanoma in patients. Br J Radiol 521:905–909
Jensen OA, Ry Andersen S (1974) Spontaneous regression of a malignant melanoma of the choroid. Acta Ophthalmol 52:173–182
Kallman RF (1972) The phenomenon of reoxygenation and its implications for fractionated radiotherapy. Radiology 105:135–142
Kim MK, Char DH, Castro JL, Saunders WM, Chen GTY, Stone RD (1986) Neovascular glaucoma after helium irradiation for uveal melanoma. Ophthalmology 93:189–193
Kincaid MC, Folberg R, Torczynski E, Zakov ZN, Shore JW, Liu SJ, Planchard TA, Weingeist TA (1988) Complications after proton beam therapy for uveal malignant melanoma. Ophthalmology 95:982–991
Kindy-Degnan NA, Char DH, Castro JR, Kroll S, Stone RD, Quivey JM, Phillips TL, Irvine AR (1989) Effect of various doses of radiation for uveal melanoma on regression, visual acuity, complications, and survival. Am J Ophthalmol 107:114–120
Koehler AM, Preston WM (1972) Protons in radiation therapy. Radiology 104:191–195
Lambert SR, Char DH, Howes E, Crawford JB, Wells J (1986) Spontaneous regression of a choroidal melanoma. Arch Ophthalmol 104:732–734
Lommatzsch PK (1979) Radiotherapic der intraokularen Tumoren, insbesondere bei Aderhautmelanom. Klin Monatshl Augenheilkd 174:948–958
Moulder JE, Dutreix J, Rockwell S, Siemann DW (1988) Applicability of animal tumor data to cancer therapy in humans. Int J Radiat Oncol Biol Phys 14:913–927
Munzenrider JE, Gragoudas ES, Seddon JM, Sisterson J, McNulty P, Birnbaum S, Johnson K, Austin-Seymour M, Slater J, Goitein MM, Verhey LJ, Urie M, Ruotolo DM, Egan K, Osuna F (1988) Conservative treatment of uveal melanoma: probability of eye retention after proton treatment. Int J Radiat Oncol Biol Phys 15:553–558
Munzenrider JE, Verhey LJ, Gragoudas ES, Seddon JM, Urie M, Gentry R, Birnbaum S, Ruotolo DM, Crowell C, McManus P, Finn S, Sisterson J, Johnson K, Egan K, Lento D, Bassin P (1989) Conservative treatment of uveal melanoma: local recurrence after proton beam therapy. Int J Radiat Oncol Biol Phys 17:493–498
Ni C, Liu LHS (1983) Histopathologic changes following carmustine treatment of uveal Greene melanoma in rabbits. Graefe's Arch Clin Exp Ophthalmol 220:103–109
Orton CG, Ellis F (1973) A simplification in the use of the NSD concept in practical radiotherapy. Br J Radiol 46:529–537
Overgaard J (1986) The role of radiotherapy in recurrent and metastatic melanoma: a clinical radiobiological study. Int J Radiat Oncol Biol Phys 12:867–872
Packer S, Rotman M, Fairchild RG, Albert DM, Atkins HL, Chan B (1980) Irradiation of choroidal melanoma with iodine 125 ophthalmic plaque. Arch Ophthalmol 98:1453–1457
Perret Ch, Zographos L, Gailloud C, Greiner R (1985) Die Behandlung intraokularer Melanome mit Protonen am SIN. In: Neue Aspekte radiologischer Diagnostik und Therapie. Jahrbuch 1985 der Schweizerischen Gesellschaft für Radiologie und Nuklearmedizin. Huber, Bern, pp 307–318
Reese AB, Archila EA, Jones IS, Cooper WC (1970) Necrosis of malignant melanoma of the choroid. Am J Ophthalmol 69:91–104
Riedel KG, Svitra PP, Seddon JM, Albert DM, Gragoudas ES, Koehler AM, Coleman J, Torpey J, Lizzi FL, Driller J (1985) Proton beam irradiation and hyperthermia. Effects on experimental choroidal melanoma. Arch Ophthalmol 103:1862–1869
Saunders W, Castro JR, Chen GTY, Collier JM, Zink SR, Pitluck S, Philips TL, Char D, Gutin P, Gauger G, Tobias CA, Alpen EL (1985) Helium-ion radiation therapy at the Lawrence Berkeley Laboratory: recent results of a Northern California Oncology Group clinical trial. Radiat Res 104:S227-S234
Seddon JM, Gragoudas ES, Albert DM, Hsieh Ch-Ch, Polivogianis L, Friedenberg GR (1985) Comparison of survival rates for patients with uveal melanoma after treatment with proton beam irradiation or enucleation. Am J Ophthalmol 99:282–290
Seddon JM, Gragoudas ES, Polivogianis L, Hsieh ChCh, Egan KM, Goitein M, Verhey L, Munzenrider J, Austin-Seymour M, Urie M, Koehler A (1986) Visual outcome after proton beam irradiation of uveal melanoma. Ophthalmology 93:666–674
Thames HD, Withers HR, Peters LJ, Fletcher GH (1982) Changes in early and late radiation responses with altered dose fractionation: implications for dose-survival relationships.Int J Radiat Oncol Biol Phys 8:219–226
Wilkes SR, Gragoudas ES (1982) Regression patterns of uveal melanomas after proton beam irradiation. Ophthalmology 89:840–844
Williams MV, Denekamp J, Fowler JF (1985) A review of α/β ratios for experimental tumors: implications for clinical studies of altered fractionation. Int J Radiat Oncol Biol Phys 11:87–96
Zinn KM, Stein-Pokorny K, Jakobiec FA, Friedman AH, Gragoudas ES, Ritch R (1981) Proton-beam irradiated epithelioid cell melanoma of the ciliary body. Ophthalmology 88:1315–1321
Zografos L, Gailloud Cl, Perret Ch, Uffer S, Raimondi S, Chamot L, Carrel S, Greiner R (1988) Rapport sur le traitement conservateur des mélanomes de l'uvée a la clinique ophtalmologique universitaire de Lausanne. Klin Monatsbl Augenheilkd 192:572–578
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Wollensak, G., Zografos, L., Perret, C. et al. Experimental study on the fractionation schedule for proton irradiation of uveal melanoma. Graefe's Arch Clin Exp Ophthalmol 228, 562–568 (1990). https://doi.org/10.1007/BF00918491
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00918491