Background This study evaluated the clinical application of CT guided ^125iodine implantation in patients with portal vein tumor thrombus in primary hepatocellular carcinoma. Methods The ten patients （9 males and 1 f...Background This study evaluated the clinical application of CT guided ^125iodine implantation in patients with portal vein tumor thrombus in primary hepatocellular carcinoma. Methods The ten patients （9 males and 1 female, aged from 36 to 72 years） with portal vein tumor thrombus accompanying hepatocellular carcinoma had been treated with comprehensive therapy including surgery, transcatheter arterial chemoembolization, radiotherapy ablation, microwave ablation or percutaneous ethanol injection. The average diameter of each tumor thrombus was 21.5 mm × 30.5 mm. Seeds of 30 MBq ^125I were implanted 5 mm apart within the portal vein tumor thrombus. The follow-up after 4 months included enhanced spiral CT. Results CT screening of the tumours indicated that 4 out of 10 patients showed complete response to the therapy, 5 partial response and 1 stable disease. Adverse effects included aggravated abdominal dropsy and temporarily increased transaminase, which were controlled by medical management. Severe complications such as haemorrhage, biliary fistula hepatic abscess, pancreatic fistula and hepatic function failure were not observed. Implanted seeds migrated to lung and left hepatic lobe in 1 case. Conclusion CT guided implantation of ^125iodine seeds, can effectively treat portal vein tumor thrombus accompanying hepatocellular carcinoma with minimal damage and few complications.展开更多
Gaomiaozi （GMZ） bentonite is regarded as the favorable candidate backfilling material for a potential repository in China. It is important to understand the diffusion behavior of ^125I in GMZ bentonite and compare t...Gaomiaozi （GMZ） bentonite is regarded as the favorable candidate backfilling material for a potential repository in China. It is important to understand the diffusion behavior of ^125I in GMZ bentonite and compare the diffusion behavior in GMZ and other types of bentonite like MX-80, Avonlea, etc. Therefore, through- and out-diffusion experiments were conducted to obtain the effective diffusion coefficient （De） and distribution coefficient （Kd）. A computer code named Fitting for diffusion coefficient （FDP） was used for the experimental data processing and theoretical modeling. At the dry density of GMZ bentonite from 1600-2000 kg/m^3, the De values of ^125I were （2.4-20.4）×10 ^-12 m^2/s and Ka values were constants. At dry density above 1800 kg/m^3, the diffusion behaviors were almost the same, indicating that the anion exclusion was ineffective. Out-diffusion results showed that the species of ^125I may be changed during the diffusion processing. It was probably caused by some organic mat- ters or reducing substances in GMZ bentonite. Since the main composition of bentonite is montmorillonite, similar diffusion parameters were obtained in GMZ and other types of bentonite. The relationship of DE and accessible porosity （εacc） could be described by Archie＇s law with exponent n = 1.2-2.8 for ^125I diffusion in bentonite, whereas n = 2.0 in GMZ bentonite. Fur- thermore, bentonite with the dry density of 1800 kg/m^3 was proposed as the backfilling materials used in the construction of high level radioactivity waste repository.展开更多
文摘Background This study evaluated the clinical application of CT guided ^125iodine implantation in patients with portal vein tumor thrombus in primary hepatocellular carcinoma. Methods The ten patients （9 males and 1 female, aged from 36 to 72 years） with portal vein tumor thrombus accompanying hepatocellular carcinoma had been treated with comprehensive therapy including surgery, transcatheter arterial chemoembolization, radiotherapy ablation, microwave ablation or percutaneous ethanol injection. The average diameter of each tumor thrombus was 21.5 mm × 30.5 mm. Seeds of 30 MBq ^125I were implanted 5 mm apart within the portal vein tumor thrombus. The follow-up after 4 months included enhanced spiral CT. Results CT screening of the tumours indicated that 4 out of 10 patients showed complete response to the therapy, 5 partial response and 1 stable disease. Adverse effects included aggravated abdominal dropsy and temporarily increased transaminase, which were controlled by medical management. Severe complications such as haemorrhage, biliary fistula hepatic abscess, pancreatic fistula and hepatic function failure were not observed. Implanted seeds migrated to lung and left hepatic lobe in 1 case. Conclusion CT guided implantation of ^125iodine seeds, can effectively treat portal vein tumor thrombus accompanying hepatocellular carcinoma with minimal damage and few complications.
基金supported by Qianjiang Talents Project in Zhejiang ProvinceProject Supported by the Scientific Research Foundation for the Returned Overseas Chinese Scholars,State Education Ministry
文摘Gaomiaozi （GMZ） bentonite is regarded as the favorable candidate backfilling material for a potential repository in China. It is important to understand the diffusion behavior of ^125I in GMZ bentonite and compare the diffusion behavior in GMZ and other types of bentonite like MX-80, Avonlea, etc. Therefore, through- and out-diffusion experiments were conducted to obtain the effective diffusion coefficient （De） and distribution coefficient （Kd）. A computer code named Fitting for diffusion coefficient （FDP） was used for the experimental data processing and theoretical modeling. At the dry density of GMZ bentonite from 1600-2000 kg/m^3, the De values of ^125I were （2.4-20.4）×10 ^-12 m^2/s and Ka values were constants. At dry density above 1800 kg/m^3, the diffusion behaviors were almost the same, indicating that the anion exclusion was ineffective. Out-diffusion results showed that the species of ^125I may be changed during the diffusion processing. It was probably caused by some organic mat- ters or reducing substances in GMZ bentonite. Since the main composition of bentonite is montmorillonite, similar diffusion parameters were obtained in GMZ and other types of bentonite. The relationship of DE and accessible porosity （εacc） could be described by Archie＇s law with exponent n = 1.2-2.8 for ^125I diffusion in bentonite, whereas n = 2.0 in GMZ bentonite. Fur- thermore, bentonite with the dry density of 1800 kg/m^3 was proposed as the backfilling materials used in the construction of high level radioactivity waste repository.
