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在离子束治疗计划中包含氧增强比:模型实现与实验验证。

Including oxygen enhancement ratio in ion beam treatment planning: model implementation and experimental verification.

机构信息

Biophysics Department, GSI Helmoltzzentrum für Schwerionenforschung, D-64291 Darmstadt, Germany.

出版信息

Phys Med Biol. 2013 Jun 7;58(11):3871-95. doi: 10.1088/0031-9155/58/11/3871. Epub 2013 May 16.

Abstract

We present a method for adapting a biologically optimized treatment planning for particle beams to a spatially inhomogeneous tumor sensitivity due to hypoxia, and detected e.g., by PET functional imaging. The TRiP98 code, established treatment planning system for particles, has been extended for including explicitly the oxygen enhancement ratio (OER) in the biological effect calculation, providing the first set up of a dedicated ion beam treatment planning approach directed to hypoxic tumors, TRiP-OER, here reported together with experimental tests. A simple semi-empirical model for calculating the OER as a function of oxygen concentration and dose averaged linear energy transfer, generating input tables for the program is introduced. The code is then extended in order to import such tables coming from the present or alternative models, accordingly and to perform forward and inverse planning, i.e., predicting the survival response of differently oxygenated areas as well as optimizing the required dose for restoring a uniform survival effect in the whole irradiated target. The multiple field optimization results show how the program selects the best beam components for treating the hypoxic regions. The calculations performed for different ions, provide indications for the possible clinical advantages of a multi-ion treatment. Finally the predictivity of the code is tested through dedicated cell culture experiments on extended targets irradiation using specially designed hypoxic chambers, providing a qualitative agreement, despite some limits in full survival calculations arising from the RBE assessment. The comparison of the predictions resulting by using different model tables are also reported.

摘要

我们提出了一种方法,用于将基于生物学优化的粒子束治疗计划适应由于缺氧而导致的空间不均匀肿瘤敏感性,并通过 PET 功能成像等方法进行检测。TRiP98 代码是一种用于粒子治疗计划的建立治疗计划系统,现已扩展到包括生物学效应计算中的氧增强比 (OER),为专门针对缺氧肿瘤的离子束治疗计划方法提供了第一个设置,即 TRiP-OER,这里一并报告了实验测试结果。我们引入了一种简单的半经验模型,用于计算作为氧浓度和剂量平均线性能量传递函数的 OER,为程序生成输入表。然后,我们扩展了代码,以便从当前或替代模型导入这些表,并进行正向和逆向规划,即预测不同氧合区域的存活反应,并优化恢复整个照射靶区均匀存活效果所需的剂量。多野优化结果表明了该程序如何选择治疗缺氧区域的最佳光束成分。针对不同离子的计算为多离子治疗的可能临床优势提供了指示。最后,通过使用专门设计的缺氧室对扩展目标照射进行细胞培养实验,对代码的预测能力进行了测试,尽管由于相对生物效应 (RBE) 评估导致完全存活计算存在一些限制,但仍获得了定性一致性。还报告了使用不同模型表进行预测的结果比较。

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