Fiedler Fine, Priegnitz Marlen, Jülich Robert, Pawelke Jörg, Crespo Paulo, Parodi Katia, Pönisch Falk, Enghardt Wolfgang
Institute of Radiation Physics, Forschungszentrum Dresden-Rossendorf, Dresden, Germany.
Acta Oncol. 2008;47(6):1077-86. doi: 10.1080/02841860701769743.
One of the long-standing problems in carbon-ion therapy is the monitoring of the treatment, i.e. of the delivered dose to a given tissue volume within the patient. Over the last 8 years, in-beam positron emission tomography (PET) has been used at the experimental carbon ion treatment facility at the Gesellschaft fur Schwerionenforschung (GSI) Darmstadt and has become a valuable quality assurance tool. In order to determine and evaluate the correct delivery of the patient dose, a simulation of the positron emitter distribution has been compared to the measurement. One particular effect is the blurring as well as the reduction of the measured activity distribution via washout. The objective of this study is the investigation of tissue dependent effective half-lives from patient data. We find no significant dependence of the effective half-life on the Hounsfield unit but on the local dose. The biological half-life within the high dose region is longer than in the low dose region. Furthermore, the influence of the overall treatment time on the kinetics of the positron emitter is reported. There are indications for a metabolic response of the tissue on the irradiation. Taking into account the biological half-life in the simulation leads to an improvement of the quality of the PET-images in some cases.
碳离子治疗中长期存在的问题之一是治疗监测,即对患者体内特定组织体积所给予剂量的监测。在过去8年中,德国达姆施塔特重离子研究中心(GSI)的实验性碳离子治疗设施使用了束内正电子发射断层扫描(PET),它已成为一种有价值的质量保证工具。为了确定和评估患者剂量的正确输送,已将正电子发射体分布的模拟结果与测量结果进行了比较。一个特殊的效应是通过洗脱导致测量的活度分布模糊以及降低。本研究的目的是根据患者数据研究组织依赖性有效半衰期。我们发现有效半衰期对亨氏单位没有显著依赖性,但对局部剂量有依赖性。高剂量区域内的生物半衰期比低剂量区域长。此外,还报告了总体治疗时间对正电子发射体动力学的影响。有迹象表明组织对辐射有代谢反应。在模拟中考虑生物半衰期在某些情况下会提高PET图像的质量。