Oxygenation of spontaneous canine tumors during fractionated radiation therapy

Background and Purpose: Tumor oxygenation predicts treatment outcome, and reoxygenation is considered important in the efficacy of fractionated radiation therapy. Therefore, the purpose of this study was to document the changes of the oxygenation status in spontaneous canine tumors during fractionated radiation therapy using polarographic needle electrodes. Material and Methods: Tumor oxygen partial. pressure (pO(2)) measurements were performed with the Eppendorf-pO(2)-Histograph. The measurements were done under general anesthesia, and probe tracks were guided with ultrasound. pO(2) was measured before radiation therapy in all dogs. In patients treated with curative intent, measurements were done sequentially up to eight times (total dose: 45-59.5 Gy). Oxygenation status of the palliative patient group was examined before each fraction of radiation therapy up to five times (total dose: 24-30 Gy). Results: 15/26 tumors had a pretreatment median pO(2) less than or equal to 10 mmHg. The pO(2) values appeared to be quite variable in individualtumors during fractionated radiation therapy. The pO(2) of initially hypoxic tumors (pretreatment median pO(2) less than or equal to 10 mmHg) remained unchanged during fractionated radiotherapy, whereas in initially normoxic tumors the pO(2) decreased. Conclusion: Hypoxia is common in spontaneous canine tumors, as 57.7% of the recorded values were less than or equal to 10 mmHg. The data of this study showed that initially hypoxic tumors remained hypoxic, whereas normoxic tumors became more hypoxic.