Department of Neurosurgery, University of Florida, Gainesville, Florida, USA.
J Nucl Med. 2011 Jun;52(6):926-33. doi: 10.2967/jnumed.110.080044. Epub 2011 May 13.
The biologic response of tissue exposed to radiation emitted by internal radioactivity is often correlated with the mean absorbed dose to a tissue element. However, studies show that even when the macroscopic absorbed dose to the tissue element is constant, the response of the cell population within the tissue element can vary significantly, depending on the distribution of radioactivity at the cellular and multicellular levels. These variations are believed to be the consequence of nonuniform distributions of activity among the cells or subcellular compartments that comprise the tissue element. Furthermore, the self-dose received by a cell containing radioactivity can be more radiotoxic than the cross-dose from neighboring cells. To study how the nonuniformity of activity among cells can affect the dose response, a 3-dimensional model of cells in a heterogeneous carbon scaffold was used to assess response.
A theoretic model of a 3-dimensional cell culture was constructed, and Monte Carlo radiation transport was performed to assess self- and cross-doses for each cell nucleus in a population of 10(6) cells. On the basis of these individual doses and on empiric models of radiation-induced cell death (i.e., reproductive failure), survival curves were simulated with different electron energies and activity distributions among the cells.
Nonuniformity of cell activities are responsible for nonuniformity of the dose at the cellular level, which in turn causes a change in the surviving fraction of the cell population from that expected on the basis of uniform activity and dose.
The macroscopic dose received by a tissue cannot be used to anticipate its biologic response. The dose distribution among individual cells, because of both their nonuniform activity and geometric environment, is an important factor in determining biologic response of the tissue at the macroscopic level.
组织暴露于放射性内部放射性发出的生物反应通常与组织元素的平均吸收剂量相关。然而,研究表明,即使组织元素的宏观吸收剂量保持不变,组织元素内细胞群体的反应也可能有很大差异,这取决于细胞和多细胞水平上放射性的分布。这些变化被认为是构成组织元素的细胞或亚细胞区室之间活性不均匀分布的结果。此外,含有放射性的细胞所接受的自剂量可能比来自相邻细胞的交叉剂量更具放射性毒性。为了研究细胞间活性的不均匀性如何影响剂量反应,使用了一个包含异质碳支架中细胞的三维模型来评估反应。
构建了一个三维细胞培养的理论模型,并进行了蒙特卡罗辐射传输,以评估种群中每个细胞核的自剂量和交叉剂量。基于这些个体剂量和辐射诱导细胞死亡的经验模型(即生殖失败),使用不同的电子能量和细胞间的活性分布模拟了生存曲线。
细胞活性的不均匀性导致细胞水平剂量的不均匀性,进而导致细胞群体的存活分数发生变化,与基于均匀活性和剂量的预期存活分数不同。
组织接受的宏观剂量不能用于预测其生物反应。由于个体细胞的非均匀活性和几何环境,个体细胞之间的剂量分布是决定宏观水平组织生物反应的重要因素。