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A: Transverse sections of spinal cords at the contusion epicenter and 1.5 or 3.5 mm rostral (+) or caudal (-) to the epicenter (o) from an unirradiated rat (upper micrographs) and a rat x-irradiated at 4 mm rostral to the epicenter (lower micrographs) at 6 weeks following contusion injury as indicated. The sections were stained with Luxol fast blue for myelin and counterstained with cresyl violet, as described in the Methods section. Typically, the central cavity and peripheral rim of spared tissue appeared histologically similar in x-irradiated and untreated spinal cords, although a greater extent of sparing of spinal cord white matter is apparent at and adjacent to the epicenter following contusion injury of the x-irradiated compared to the unirradiated spinal cord. Areas of white matter and cavitation are indicated, respectively, by striped white and dotted black lines with gray matter area remaining. The calibration bar equals 1 mm. B: The effects of varying the anatomical rostral-caudal position of the x-irradiation beam relative to the contusion site on sparing of spinal cord tissue. Values are means of determinations of the cross-sectional area of spared spinal cord white matter (in myelin-stained transverse sections) as a function of distance from the contusion epicenter. The rats received a contusion injury and radiation treatment, as described for Fig. 1A. Significant increases in spared spinal cord white matter (in a region several millimeters in length, extending rostrally and caudally from the epicenter) due to x-irradiation at the epicenter ( †) and 4 mm, but not 8 mm, rostral (*) and 4 mm caudal ( ‡) to the contusion epicenter were observed at 6 weeks postirradiation compared to rats receiving x-irradiation of the thorax (p < 0.05 [least significant difference]). (continued)→

A: Transverse sections of spinal cords at the contusion epicenter and 1.5 or 3.5 mm rostral (+) or caudal (-) to the epicenter (o) from an unirradiated rat (upper micrographs) and a rat x-irradiated at 4 mm rostral to the epicenter (lower micrographs) at 6 weeks following contusion injury as indicated. The sections were stained with Luxol fast blue for myelin and counterstained with cresyl violet, as described in the Methods section. Typically, the central cavity and peripheral rim of spared tissue appeared histologically similar in x-irradiated and untreated spinal cords, although a greater extent of sparing of spinal cord white matter is apparent at and adjacent to the epicenter following contusion injury of the x-irradiated compared to the unirradiated spinal cord. Areas of white matter and cavitation are indicated, respectively, by striped white and dotted black lines with gray matter area remaining. The calibration bar equals 1 mm. B: The effects of varying the anatomical rostral-caudal position of the x-irradiation beam relative to the contusion site on sparing of spinal cord tissue. Values are means of determinations of the cross-sectional area of spared spinal cord white matter (in myelin-stained transverse sections) as a function of distance from the contusion epicenter. The rats received a contusion injury and radiation treatment, as described for Fig. 1A. Significant increases in spared spinal cord white matter (in a region several millimeters in length, extending rostrally and caudally from the epicenter) due to x-irradiation at the epicenter ( †) and 4 mm, but not 8 mm, rostral (*) and 4 mm caudal ( ‡) to the contusion epicenter were observed at 6 weeks postirradiation compared to rats receiving x-irradiation of the thorax (p < 0.05 [least significant difference]). (continued)→

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OBJECTIVE X-irradiation has been shown to be beneficial to recovery from spinal cord injury (SCI); however, the optimal therapeutic target has not been defined. Experiments were designed to determine the optimal target volume within the injured spinal cord for improving functional recovery and sparing tissue with stereotactic x-irradiation. METHOD...

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... Gy/time. Moreover, studies have verified that with increases of the total dose and amount of each division, or decreases of age, the risk of disease increases remarkably (Saager et al., 2020;Zeman et al., 2020). Akbas et al. (2019) reported that 10 years after radiotherapy for nasopharyngeal carcinoma, the incidence of nerve injury in the brain and spinal cord reached 18.6%. ...
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Conventional radiotherapy has a good killing effect on femoral echinococcosis. However, the sciatic nerve around the lesion is irreversibly damaged owing to bystander effects. Although intensity-modulated radiation therapy shows great advantages for precise dose distribution into lesions, it is unknown whether intensity-modulated radiation therapy can perfectly protect the surrounding sciatic nerve on the basis of good killing of femoral echinococcosis foci. Therefore, this study comparatively analyzed differences between intensity-modulated radiation therapy and conventional radiotherapy on the basis of safety to peripheral nerves. Pure-breed Meriones meridiani with bilateral femoral echinococcosis were selected as the research object. Intensity-modulated radiation therapy was used to treat left femoral echinococcosis of Meriones meridianus, while conventional radiotherapy was used to treat right femoral echinococcosis of the same Meriones meridianus. The total radiation dose was 40 Gy. To understand whether intensity-modulated radiation therapy and conventional radiotherapy can kill femoral echinococcosis, trypan blue staining was used to detect pathological changes of bone Echinococcus granulosus and protoscolex death after radiotherapy. Additionally, enzyme histochemical staining was utilized to measure acid phosphatase activity in the protoscolex after radiotherapy. One week after radiotherapy, the overall structure of echinococcosis in bilateral femurs of Meriones meridiani treated by intensity-modulated radiation therapy disappeared. There was no significant difference in the mortality rate of protoscoleces of Echinococcus granulosus between the bilateral femurs of Meriones meridiani. Moreover, there was no significant difference in acid phosphatase activity in the protoscolex of Echinococcus granulosus between bilateral femurs. To understand the injury of sciatic nerve surrounding the foci of femoral echinococcosis caused by intensity-modulated radiation therapy and conventional radiotherapy, the ultrastructure of sciatic nerves after radiotherapy was observed by transmission electron microscopy. Additionally, apoptosis of neurons was examined using a terminal-deoxynucleotidyl transferase-mediated dUTP nick end labeling assay, and expression of Bcl-2 and Bax in sciatic nerve tissue was detected by immunohistochemical staining and western blot assay. Our results showed that most neurons in the left sciatic nerve of Meriones meridiani with echinococcosis treated by intensity-modulated radiation therapy had reversible injury, and there was no obvious apoptosis. Compared with conventional radiotherapy, the number of apoptotic cells and Bax expression in sciatic nerve treated by intensity-modulated radiation therapy were significantly decreased, while Bcl-2 expression was significantly increased. Our findings suggest that intensity-modulated radiation therapy has the same therapeutic effect on echinococcosis as conventional radiotherapy, and can reduce apoptosis of the sciatic nerve around foci caused by radiotherapy. Experiments were approved by the Animal Ethics Committee of People's Hospital of Xinjiang Uygur Autonomous Region, China (Approval No. 20130301A41) on March 1, 2013.