Temperature Gradients and Local Perfusion in a Mammary Carcinoma<xref ref-type="fn" rid="fn2">2</xref>

Abstract

Temperature gradients of mammary tumors in randombred Sprague-Dawley rats under normothermia, hypothermia, and hyperthermia were determined, and their experimental modifications were utilized to assess differences in perfusion rates within the neoplastic tissue. Normothermic tumors showed a circadian rhythm with zenith at midnight and nadir at midday. Differences between highest and lowest temperatures recorded during the 24-hour period reached up to 3 degrees C. Similar oscillations were observed in subcutaneous tissue without tumor. An average temperature increment of 0.5-1.0 degrees C was observed when a tumor was transferred from the subcutaneous to the abdominal location. Gradients larger than 1 degrees C were observed within the same tumor in locations only a few millimeters distance from each other. The nonuniformity in temperature within normothermic tumors was exaggerated during hyperthermia. No appreciable change in temperature gradients was seen within a normothermic tumor when tumor blood flow was doubled or reduced to one-third of the basal level. Hyperthermia increased both volume and temperature of tumor efferent blood. As expected, decrease or increase in blood flow during hyperthermia increased or decreased tumor temperature, respectively, but substantial temperature gradients up to 2 degrees C still persisted within adjacent regions. The extent of temperature changes in the tumor could not be correlated with a known change in blood supply. A pulse of cold serum into the tumor afferent artery produced a substantial reduction of tumor blood flow, but only a small depression in tumor temperatures, and a very small change in tumor temperature gradients. No appreciable modification could be brought about in tumor temperature levels and temperature gradients within the tumor by pulses of cold serum in the afferent artery during hyperthermia. After external cooling of the tumor, the time necessary to compensate for temperature depression did not correlate with either the reduction of temperature or with the thickness of the tumor tissue separating the thermistor from the cold source. The results indicate extensive anisotropy of temperature and blood distribution within growing neoplastic tissue and suggest that heat transfer by convection within the tumor is much less effective than it is commonly assumed.