Mairani A, Magro G, Dokic I, Valle S M, Tessonnier T, Galm R, Ciocca M, Parodi K, Ferrari A, Jäkel O, Haberer T, Pedroni P, Böhlen T T
Medical Physics Unit, CNAO Foundation, Via Strada Campeggi 53, I-27100 Pavia, Italy. Heidelberg Ion Beam Therapy Center, Im Neuenheimer Feld 450, D-69120 Heidelberg, Germany.
Phys Med Biol. 2016 Jan 21;61(2):888-905. doi: 10.1088/0031-9155/61/2/888. Epub 2016 Jan 7.
Helium ion beams are expected to be available again in the near future for clinical use. A suitable formalism to obtain relative biological effectiveness (RBE) values for treatment planning (TP) studies is needed. In this work we developed a data-driven RBE parameterization based on published in vitro experimental values. The RBE parameterization has been developed within the framework of the linear-quadratic (LQ) model as a function of the helium linear energy transfer (LET), dose and the tissue specific parameter (α/β)ph of the LQ model for the reference radiation. Analytic expressions are provided, derived from the collected database, describing the RBEα = αHe/αph and Rβ = βHe/βph ratios as a function of LET. Calculated RBE values at 2 Gy photon dose and at 10% survival (RBE10) are compared with the experimental ones. Pearson's correlation coefficients were, respectively, 0.85 and 0.84 confirming the soundness of the introduced approach. Moreover, due to the lack of experimental data at low LET, clonogenic experiments have been performed irradiating A549 cell line with (α/β)ph = 5.4 Gy at the entrance of a 56.4 MeV u(-1)He beam at the Heidelberg Ion Beam Therapy Center. The proposed parameterization reproduces the measured cell survival within the experimental uncertainties. A RBE formula, which depends only on dose, LET and (α/β)ph as input parameters is proposed, allowing a straightforward implementation in a TP system.
预计在不久的将来,氦离子束将可再次用于临床。需要一种合适的形式来获得用于治疗计划(TP)研究的相对生物有效性(RBE)值。在这项工作中,我们基于已发表的体外实验值开发了一种数据驱动的RBE参数化方法。该RBE参数化方法是在线性二次(LQ)模型的框架内开发的,它是氦线性能量传递(LET)、剂量以及参考辐射的LQ模型的组织特异性参数(α/β)ph的函数。提供了从收集的数据库中得出的解析表达式,描述了RBEα = αHe/αph和Rβ = βHe/βph比值作为LET的函数。将在2 Gy光子剂量和10%存活率下计算得到的RBE值(RBE10)与实验值进行比较。皮尔逊相关系数分别为0.85和0.84,证实了所引入方法的合理性。此外,由于缺乏低LET下的实验数据,在海德堡离子束治疗中心,使用(α/β)ph = 5.4 Gy的56.4 MeV u(-1)He束在入口处照射A549细胞系进行了克隆形成实验。所提出的参数化方法在实验不确定度范围内再现了测量的细胞存活率。提出了一个仅依赖于剂量、LET和(α/β)ph作为输入参数的RBE公式,以便在TP系统中直接实现。