Torrisi Lorenzo, Restuccia Nancy, Torrisi Alfio
Dipartimento di Scienze Matematiche e Informatiche, Scienze Fisiche e Scienze della Terra, V.le F.S. d'Alcontres 31, 98166 S. Agata, Messina, Italy.
Nuclear Physics Institute, CAS, 25068 Rez, Czech Republic.
Rep Pract Oncol Radiother. 2019 Sep-Oct;24(5):450-457. doi: 10.1016/j.rpor.2019.07.005. Epub 2019 Jul 30.
A study on the possibility to use gold nanoparticles in mammography, both for a better image diagnostics and radiotherapy, is presented and discussed. We evaluate quantitatively the increment of dose released to the tumor enriched with Au-NPs with respect to the near healthy tissues, finding that for X-rays the increase can reach two orders of greater intensity.
Gold nanoparticles continue to be investigated for their potential to improve existing therapies and to develop novel therapies. They are simple to obtain, can be functionalized with different chemical approaches, are stable, non-toxic, non-immunogenic and have high permeability and retention effects in the tumor cells. The possibility to use these for breast calcified tumors to be better treated by radiotherapy is presented as a possible method to destroy the tumor.
The nanoparticles can be generated in water using the top-down method, should have a size of the order of 10-20 nm and be treated to avoid their coalescence. Under diagnostic X-ray monitoring, the solution containing nanoparticles can be injected locally inside the tumor site avoiding injection in healthy tissues. The concentrations that can be used should be of the order of 10 mg/ml or higher.
An enhancement of the computerized tomography diagnostics using 80-150 keV energy is expected, due to the higher mass X-ray coefficient attenuation with respect to other contrast media. Due to the increment of the effective atomic number of the biological tissue containing the gold nanoparticles, also an improvement of the radiotherapy effect using about 30 keV X-ray energy is expected, due to the higher photoelectric cross sections involved.
The study carried out represents a feasibility proposal for the use of Au-nanoparticles for mammographic molecular imaging aimed at radiotherapy of tumor nodules but no clinical results are presented.
本文介绍并讨论了一项关于在乳腺钼靶摄影中使用金纳米颗粒以实现更好的图像诊断和放射治疗的可能性的研究。我们定量评估了富含金纳米颗粒的肿瘤部位相对于附近健康组织所释放剂量的增加情况,发现对于X射线而言,这种增加可达两个数量级的更高强度。
金纳米颗粒因其改善现有疗法及开发新疗法的潜力而持续受到研究。它们易于获取,可通过不同化学方法进行功能化,具有稳定性、无毒、无免疫原性,且在肿瘤细胞中具有高渗透性和滞留效应。提出将其用于乳腺钙化肿瘤以通过放射治疗更好地治疗的可能性,作为一种破坏肿瘤的可能方法。
纳米颗粒可采用自上而下的方法在水中生成,粒径应在10 - 20纳米量级,并进行处理以避免其聚结。在诊断性X射线监测下,可将含有纳米颗粒的溶液局部注射到肿瘤部位,避免注入健康组织。可使用的浓度应为10毫克/毫升或更高量级。
由于相对于其他造影剂具有更高的X射线质量衰减系数,预计使用80 - 150keV能量可增强计算机断层扫描诊断效果。由于含有金纳米颗粒的生物组织的有效原子序数增加,预计使用约30keV X射线能量时放射治疗效果也会改善,这是由于涉及更高的光电截面。
所开展的研究代表了一项关于将金纳米颗粒用于乳腺钼靶分子成像以针对肿瘤结节进行放射治疗的可行性提议,但未给出临床结果。