Evidence map›Paper›PMID 27043633›Full record

ArticleCancers2016

Computed Tomography Demonstration of the Production and Distribution of Oxygen Gas Following Intratumoral Injection of a New Radiosensitizer (KORTUC) for Patients with Breast Cancer-Is Intratumoral Injection Not an Ideal Approach to Solve the Major Problem of Tumor Hypoxia in Radiotherapy?

Naoya Hayashi, Yasuhiro Ogawa, Kei Kubota, Kazuhiro Okino, Ryo Akima, Shiho Morita-Tokuhiro, Akira Tsuzuki, Shin Yaogawa, Akihito Nishioka, Mitsuhiko Miyamura

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Naoya HayashiDivision of Radiology, Medical School Hospital, Kochi University, Nankoku, Kochi 783-8505, Japan. jm-n.hayashi@kochi-u.ac.jp.
Yasuhiro OgawaHyogo Prefectural Kakogawa Medical Center, Kakogawa, Hyogo 675-8555, Japan. ogaway@kochi-u.ac.jp.
Kei KubotaDepartment of Diagnostic Radiology & Radiation Oncology, Medical School Hospital, Kochi University, Nankoku, Kochi 783-8505, Japan. kubotak@kochi-u.ac.jp.
Kazuhiro OkinoDivision of Radiology, Medical School Hospital, Kochi University, Nankoku, Kochi 783-8505, Japan. jm-okinok@kochi-u.ac.jp.
Ryo AkimaDivision of Radiology, Medical School Hospital, Kochi University, Nankoku, Kochi 783-8505, Japan. jm-akima.r@kochi-u.ac.jp.
Shiho Morita-TokuhiroDivision of Radiology, Medical School Hospital, Kochi University, Nankoku, Kochi 783-8505, Japan. jm-tokuhiros@kochi-u.ac.jp.
Akira TsuzukiDivision of Radiology, Medical School Hospital, Kochi University, Nankoku, Kochi 783-8505, Japan. jm-tsuzukia@kochi-u.ac.jp.
Shin YaogawaDivision of Radiology, Medical School Hospital, Kochi University, Nankoku, Kochi 783-8505, Japan. jm-yaogawa@kochi-u.ac.jp.
Akihito NishiokaDepartment of Diagnostic Radiology & Radiation Oncology, Medical School Hospital, Kochi University, Nankoku, Kochi 783-8505, Japan. nishiokaa@kochi-u.ac.jp.
Mitsuhiko MiyamuraDepartment of Pharmacy, Medical School Hospital, Kochi University, Nankoku, Kochi 783-8505, Japan. miyamus@kochi-u.ac.jp.
Kōchi University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We previously developed a new enzyme-targeting radiosensitization treatment named Kochi Oxydol-Radiation Therapy for Unresectable Carcinomas, Type II (KORTUC II), which contains hydrogen peroxide and sodium hyaluronate for injection into various types of tumors. For breast cancer treatment, the radiosensitization agent was injected into the tumor tissue twice a week under ultrasonographic guidance, immediately prior to each administration of radiation therapy. At approximately three hours after the second or third injection, computed tomography (CT) was performed to confirm the production and distribution of oxygen gas generated from the KORTUC radiosensitization agent by catalysis of peroxidases contained mainly in tumor tissue. The purpose of this study was to demonstrate that tumor hypoxia could be overcome by such a procedure and to evaluate the method of intratumoral injection in terms of confirming oxygen distribution in the target tumor tissue and around the tumor to be visualized on dedicated CT imaging. Three-dimensional reconstructed maximum intensity projection imaging of contrast-enhanced breast magnetic resonance imaging was used to compare the position of the tumor and that of the generated oxygen. Distributed oxygen gas was confirmed in the tumor tissue and around it in all 10 patients examined in the study. A region of oxygen gas was measured as an average value of -457.2 Hounsfield units (HU) as a region of interest. A slightly increased HU value compared to the density of air or oxygen was considered due to the presence of tumor tissue in the low-density area on 5-mm-thick reconstructed CT imaging. The results of this study showed that intratumoral oxygen was successfully produced by intratumoral KORTUC injection under ultrasonographic guidance, and that tumor hypoxia, which is considered a main cause of radioresistance in currently used Linac (linear accelerator) radiation therapy for malignant neoplasms, could be resolved by this method.

Indexed as

hydrogen peroxideKORTUCradiation therapyradiosensitizerradiotherapysodium hyaluronatetumor hypoxia

Identifiers

PMID27043633
PMCPMC4846852
OpenAlexW2316827599

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.