[Efficacy of external conventional radiotherapy in short and long term control of acromegaly; a comparison with stereotactic irradiation]. / Efficacia della Radioterapia Convenzionale nel controllo abreve e a lungo termine della malattia acromegalica: confrontocon la metodica stereotassica.

AIMS: The aim of this study was to follow up two groups of patients with active acromegaly, who underwent to external irradiation and radio-surgery and to value the efficacy of irradiation in the control of the growth of the adenoma, hypersecretion and incidence of adverse events. MATERIALS AND METHODS: In 2 groups of patients, (A) of 47 subjects treated with conventional irradiation at a dose of 45 Gy, (B) of 6 subjects irradiated with stereo taxis radiotherapy at a dose of 15-20 Gy, were evaluated GH, IGF1 levels and pituitary function at 2, 5, 10 and 15 years after treatment. A cerebral MRI scan with detailed study of the sellar region was performed every year. RESULTS: Group (A): decrease of GH levels in 9% of patients after 2 years from therapy, 29% after 5 years, 52% after 10 years, 77% after 15 years; normalization of IGF1 levels in 8% of cases after 2 years, 23%, 42% and 61% respectively after 5, 10 and 15 years; hypopituitarism in 57, 78, 85% of patients, respectively after 5, 10 and 15 years. Group (B):normalization of IGF1 levels in 4 of 6 patients after 5 years and in all subjects after 10 and 15 years; progressive decrease of GH levels in all patients and GH normalization in 2 of 6 cases after 10 years; hypopituitarism in 1 patient after 2 years. CONCLUSIONS: We confirm the long term efficacy of external Radiotherapy in active acromegaly. Stereo taxis annuls the risks of neurological and neurovascular complications of conventional RT. Although comparison between the two techniques is not statistical significant in our cases we can affirm a faster normalization of IGF1 levels after stereotactic treatment.

The Molecular Constants of 12CH3I in the Ground and v6 = 1 Excited Vibrational State.

A set of 26 new measurements have been recorded by a Doppler-free double-resonance technique, with a relative accuracy of about 10(-8). These data are combined to previous FTIR measurements to refine the molecular constants of 12CH3I. All the available literature data have been revisited, a few assignments updated, and some frequencies changed according to new laser standards. A simultaneous fit to all the measurements of infrared, microwave, and radiofrequency transitions produced an improved set of parameters, independent of previously determined constants. Copyright 1998 Academic Press.