Clinical and experimental observations of peripheral blood leukocytes and nucleated bone marrow cells after local irradiation

Minerva Med. 2014 Feb;105(1):51-6. Epub 2013 Dec 18.

Abstract

Aim: Aim of the study was to observe the impact of bone marrow damage induced by local irradiation on leukopenia.

Methods: For the human study, five cancer patients received local radiation therapy. Bone marrow aspiration was conducted to measure nucleated cell count and 99mTc-Sc sulfur colloid ECT imaging was carried out to examine bone marrow function. For the animal study, fifty New Zealand white rabbits were divided into 3 groups: non-irradiated control group (N.=10), abdomen irradiation group (irradiation area did not cover bone marrow) (N.=20), chest irradiation group (irradiation area covered bone marrow) (N.=20). Nucleated cell counts were taken after confirming onset of leukopenia.

Results: Bone marrow of five patients proliferated normally. ECT imaging showed no abnormality in the pattern of red bone marrow distribution. Hematopoietic function was mildly active.

Conclusion: Suppressed myeloproliferative function does not fully account for irradiation-induced leukopenia.

MeSH terms

  • Animals
  • Bone Marrow / diagnostic imaging
  • Bone Marrow / radiation effects*
  • Bone Marrow Cells / diagnostic imaging
  • Bone Marrow Cells / radiation effects*
  • Cell Proliferation / radiation effects
  • Esophageal Neoplasms / radiotherapy
  • Female
  • Hodgkin Disease / radiotherapy
  • Humans
  • Leukocytes / radiation effects*
  • Leukopenia / etiology*
  • Lung Neoplasms / radiotherapy
  • Male
  • Nasopharyngeal Neoplasms / radiotherapy
  • Rabbits
  • Radionuclide Imaging
  • Technetium Tc 99m Sulfur Colloid

Substances

  • Technetium Tc 99m Sulfur Colloid