[Alban Köhler (1874-1947): Inventor of grid therapy]

Laissue, Jean A; Blattmann, Hans; Slatkin, Daniel N (2012). [Alban Köhler (1874-1947): Inventor of grid therapy]. Zeitschrift für medizinische Physik, 22(2), pp. 90-9. Amsterdam: Elsevier, Urban & Fischer 10.1016/j.zemedi.2011.07.002

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Grid (or sieve) therapy ("Gitter-" oder "Siebtherapie"), spatially fractionated kilo- and megavolt X-ray therapy, was invented in 1909 by Alban Köhler, a radiologist in Wiesbaden, Germany. He tested it on several patients before 1913 using approximately 60-70kV Hittorf-Crookes tubes. Köhler pushed the X-ray tube's lead-shielded housing against a stiff grid of 1 mm-square iron wires woven 3.0-3.5mm on center, taped tightly to the skin over a thin chamois. Numerous islets unshielded by iron in the pressure-blanched skin were irradiated with up to about 6 erythema doses (ED). The skin was then thoroughly cleansed, disinfected, and bandaged; delayed punctate necrosis healed in several weeks. Although grid therapy was disparaged or ignored until the 1930s, it has been used successfully since then to shrink bulky malignancies. Also, advanced cancers in rats and mice have been mitigated or ablated using Köhler's concept since the early 1990s by unidirectional or stereotactic exposure to an array of nearly parallel microplanar (25-75μm-wide) beams of very intense, moderately hard (median energy approximately 100 keV) synchrotron-generated X rays spaced 0.1-0.4mm on center. Such beams maintain sharp edges at high doses well beneath the skin yet confer little toxicity. They could palliate some otherwise intractable malignancies, perhaps in young children too, with tolerable sequelae. There are plans for such studies in larger animals.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Service Sector > Institute of Pathology

UniBE Contributor:

Laissue, Jean

ISSN:

0939-3889

Publisher:

Elsevier, Urban & Fischer

Language:

German

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:34

Last Modified:

17 Mar 2015 21:22

Publisher DOI:

10.1016/j.zemedi.2011.07.002

PubMed ID:

21862299

Web of Science ID:

000306640100002

URI:

https://boris.unibe.ch/id/eprint/13288 (FactScience: 219803)

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