Hepatic Injury of Single Irradiation on Partially to the Rat Liver with 4MV X-Ray

방사선을 일회 부분조사한 흰쥐의 간 담도계장해

In order to investigate radiation effects on the liver, functional changes of liver were analyzed after irradiation. Doses of 10 Gy, 15 Gy and 20 Gy were exposed partially to the liver of male rats(Sprague-Dawley) with X-ray(4MV linear accelerator) at room temperature. On 1, 2, 4 and 8 weeks after irradiation, sera of the animals were compared with those of unirradiated animal by liver function tests. Enzyme activities in sera such as alkaline phosphatase and concentrations of bilirubin in liver function tests. The content of the activities of many enzymes including alkaline phosphatase in sera were increased slightly with increasing exposure dose in all experiments and the activities of these enzymes increased markedly in 20 Gy irradiated groups. The contents of serum bilirubins including direct and indirect bilirubins increased continuously along with the time lapse after irradiation. However, in 20 Gy irradiated group, the content of serum bilirubin decreased slightly during 2 or 4 weeks after irradiation and increased markedly there after. From these above results, functional changes of the liver were induced in all irradiated groups. Damaged liver was recovered along with time collapsed after irradiation to the doses of 10 Gy and 15 Gy while no recovery was deteced within 8 weeks after irradiation to 20 Gy. These results suggest that careful attontion must be paid to liver not to be included in exposure field in radiation therapy.

방사선이 간 담도계에 미치는 영향을 검토하기 위하여 선형가속장치에 의한 4MV X선 10, 15 및 20Gy를 흰쥐의 간 일부에 각각 조사한 후 1, 2, 4 및 8주에 간 담도계 손상의 지표로 이용 되고 있는 혈중 alkaline phosphatase 및 bilirubin의 함량을 측정 검토한 결과 먼저 alkaline phosphatase의 활성은 전 조사선량군에서 상승경향을 나타내었으며, 특히 20 Gy 8주군에서 현저한 상승을 나타내었고, 혈중 bilirubin의 함량도 시간 경과와 함께 상승경향을 나타내었으며, 20 Gy 8주군은 유의하게 상승하였다. 이상의 실험 성적을 종합해 볼때 방사선 조사로 인한 간 담도계의 장해는 조사된 선량에 따라 10 및 15 Gy군에서는 기간 경과와 함께 점차 회복되는 경향이었으나, 20 Gy군에서는 오히려 증가 된 것으로 보아 부분조사에서도 20 Gy가 한계선량임을 확인할 수 있었으며, 방사선치료시 간의 일부가 조사야에 포함되지 않도록하는 주의가 필요하다고 생각된다.