Schyns Lotte Ejr, Eekers Daniëlle Bp, van der Heyden Brent, Almeida Isabel P, Vaniqui Ana, Verhaegen Frank
1 Department of Radiation Oncology (MAASTRO), GROW-School for Oncology and Developmental Biology, Maastricht University Medical Centre , Maastricht , The Netherlands.
2 Proton Therapy Department, South-East Netherlands (ZON-PTC) , Maastricht , The Netherlands.
Br J Radiol. 2019 Mar;92(1095):20180454. doi: 10.1259/bjr.20180454. Epub 2018 Nov 30.
: Dual energy CT (DECT) images of 9 female mice were used to extract the effective atomic number Z and the relative electron density ρ for each voxel in the images. To investigate the influence of the tissue compositions on the absorbed radiation dose for a typical kilovoltage photon beam, mass energy-absorption coefficients μ/ρ were calculated for 10 different tissues in each mouse.
Differences between human and murine tissue compositions can lead to errors around 7.5 % for soft tissues and 20.1 % for bone tissues in μ/ρ values for kilovoltage photon beams. When considering the spread within tissues, these errors can increase up to 17.5 % for soft tissues and 53.9 % for bone tissues within only a single standard deviation away from the mean tissue value.
: This study illustrates the need for murine reference tissue data. However, assigning only a single mean reference value to an entire tissue can still lead to large errors in dose calculations given the large spread within tissues of μ/ρ values found in this study. Therefore, new methods such as DECT and spectral CT imaging need to be explored, which can be important next steps in improving tissue assignment for dose calculations in small animal radiotherapy.
: This is the first study that investigates the implications of using human tissue compositions for dose calculations in mice for kilovoltage photon beams.
使用9只雌性小鼠的双能CT(DECT)图像来提取图像中每个体素的有效原子序数Z和相对电子密度ρ。为了研究组织成分对典型千伏光子束吸收辐射剂量的影响,计算了每只小鼠10种不同组织的质能吸收系数μ/ρ。
人体和小鼠组织成分的差异可导致千伏光子束的μ/ρ值在软组织中产生约7.5%的误差,在骨组织中产生20.1%的误差。考虑到组织内的离散度,仅在距平均组织值一个标准差范围内,这些误差在软组织中可增加至17.5%,在骨组织中可增加至53.9%。
本研究说明了需要小鼠参考组织数据。然而,鉴于本研究中发现的μ/ρ值在组织内的较大离散度,仅为整个组织指定一个单一的平均参考值仍可能导致剂量计算中的较大误差。因此,需要探索诸如DECT和光谱CT成像等新方法,这可能是改进小动物放射治疗剂量计算中组织赋值的重要下一步。
这是第一项研究使用人体组织成分进行小鼠千伏光子束剂量计算的影响的研究。