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体模射线治疗的临床前试验剂量学方案。

Dosimetry protocol for the preclinical trials in white-beam minibeam radiation therapy.

机构信息

ID17 Biomedical Beamline, European Synchrotron Radiation Facility, Grenoble, France.

出版信息

Med Phys. 2011 Sep;38(9):5012-20. doi: 10.1118/1.3608908.

Abstract

PURPOSE

In the quest of a curative radiotherapy treatment for gliomas, new delivery modes are being explored. At the Biomedical Beamline of the European Synchrotron Radiation Facility, a new spatially fractionated technique, called minibeam radiation therapy (MBRT), is under development. The aims of this work were to assess different dosimetric aspects and to establish a dosimetry protocol to be applied in the forthcoming animal (rat) studies in order to evaluate the therapeutic index of this new radiotherapy approach.

METHODS

Absolute dosimetry was performed with a thimble ionization chamber (PTW semiflex 31010) whose center was positioned at 2 g cm(-2) depth. To translate the dose measured in broad beam configuration to the dose deposited with a minibeam, the scatter factors were used. Those were assessed by using the Monte Carlo simulations and verified experimentally with Gafchromic films and a Bragg Peak chamber. The comparison of the theoretical and experimental data were used to benchmark the calculations. Finally, the dose distributions in a rat phantom were evaluated by using the validated Monte Carlo calculations.

RESULTS

The absolute dosimetry in broad beam configuration was measured in reference conditions. The dose rate was in the range between 168 and 224 Gy∕min, depending on the storage ring current. A scatter factor of 0.80 ± 0.04 was obtained. Percentage depth dose and lateral profiles were evaluated both in homogenous and heterogeneous slab phantoms. The general good agreement between Monte Carlo simulations and experimental data permitted the benchmark of the calculations. Finally, the peak doses in the rat head phantom were assessed from the measurements in reference conditions. In addition, the peak-to-valley dose ratio values as a function of depth in the rat head were evaluated.

CONCLUSIONS

A new promising radiotherapy approach is being explored at the ESRF: Minibeam Radiation Therapy. To assess the therapeutic index of this new modality, in vivo experiments are being planned, for which an accurate knowledge of the dosimetry is essential. For that purpose, a complete set of measurements and Monte Carlo simulations was performed. The first dosimetry protocol for preclinical trials in minibeam radiation therapy was established. This protocol allows to have reproducibility in terms of dose for the different biological studies.

摘要

目的

为了寻找胶质瘤的治愈性放疗方法,人们正在探索新的放疗模式。在欧洲同步辐射装置的生物医学光束线,一种新的空间分割技术,称为微束放射治疗(MBRT),正在开发中。本研究的目的是评估不同的剂量学方面,并建立一个剂量学方案,以便在即将进行的动物(大鼠)研究中应用,以评估这种新放疗方法的治疗指数。

方法

采用针尖电离室(PTW semiflex 31010)进行绝对剂量测量,其中心位于 2 g cm(-2)深度。为了将宽束配置下测量的剂量转换为微束照射下的剂量,使用了散射因子。通过蒙特卡罗模拟评估了这些散射因子,并通过 Gafchromic 胶片和 Bragg 峰值室进行了实验验证。通过比较理论和实验数据来验证计算结果。最后,使用经过验证的蒙特卡罗计算评估了大鼠模型中的剂量分布。

结果

在参考条件下测量了宽束配置下的绝对剂量。剂量率在 168 到 224 Gy∕min 之间变化,具体取决于储存环电流。获得的散射因子为 0.80 ± 0.04。在均匀和非均匀平板模型中评估了百分深度剂量和侧向分布。蒙特卡罗模拟与实验数据之间的良好一致性允许对计算结果进行验证。最后,根据参考条件下的测量结果评估了大鼠头部模型中的峰值剂量。此外,还评估了大鼠头部深度处峰谷剂量比作为函数的值。

结论

ESRF 正在探索一种新的有前途的放疗方法:微束放射治疗。为了评估这种新方法的治疗指数,计划进行体内实验,这对剂量学有准确的要求。为此,进行了一系列全面的测量和蒙特卡罗模拟。建立了微束放射治疗的临床前试验的第一个剂量学方案。该方案确保了不同生物学研究的剂量具有可重复性。

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