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重离子微束疗法:正常脑组织中的副作用

Heavy Ion Minibeam Therapy: Side Effects in Normal Brain.

作者信息

Eley John G, Haga Catherine W, Keller Asaf, Lazenby Ellis M, Raver Charles, Rusek Adam, Dilmanian Farrokh Avraham, Krishnan Sunil, Waddell Jaylyn

机构信息

Department of Radiation Oncology, Vanderbilt University School of Medicine, Nashville, TN 37232, USA.

Department of Radiation Oncology, University of Maryland School of Medicine, Baltimore, MD 21201, USA.

出版信息

Cancers (Basel). 2021 Dec 9;13(24):6207. doi: 10.3390/cancers13246207.

DOI:10.3390/cancers13246207
PMID:34944825
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8699126/
Abstract

The purpose of this work was to investigate whether minibeam therapy with heavy ions might offer improvements of the therapeutic ratio for the treatment of human brain cancers. To assess neurotoxicity, we irradiated normal juvenile rats using 120 MeV lithium-7 ions at an absorbed integral dose of 20 Gy. Beams were configured either as a solid parallel circular beam or as an array of planar parallel minibeams having 300-micron width and 1-mm center-to-center spacing within a circular array. We followed animals for 6 months after treatment and utilized behavioral testing and immunohistochemical studies to investigate the resulting cognitive impairment and chronic pathologic changes. We found both solid-beam therapy and minibeam therapy to result in cognitive impairment compared with sham controls, with no apparent reduction in neurotoxicity using heavy ion minibeams instead of solid beams under the conditions of this study.

摘要

这项工作的目的是研究重离子微束疗法是否能提高人类脑癌治疗的治疗比。为了评估神经毒性,我们用120兆电子伏特的锂-7离子以20戈瑞的吸收积分剂量照射正常幼鼠。束流配置为实心平行圆形束或平面平行微束阵列,微束宽度为300微米,圆形阵列内中心距为1毫米。治疗后我们对动物进行了6个月的跟踪,并利用行为测试和免疫组化研究来调查由此产生的认知障碍和慢性病理变化。我们发现,与假手术对照组相比,实心束疗法和微束疗法均导致认知障碍,在本研究条件下,使用重离子微束而非实心束并未明显降低神经毒性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe4/8699126/d706d917eee9/cancers-13-06207-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe4/8699126/a49dff579e4a/cancers-13-06207-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe4/8699126/6723c402ad6a/cancers-13-06207-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe4/8699126/857db69f729e/cancers-13-06207-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe4/8699126/d706d917eee9/cancers-13-06207-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe4/8699126/a49dff579e4a/cancers-13-06207-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe4/8699126/6723c402ad6a/cancers-13-06207-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe4/8699126/857db69f729e/cancers-13-06207-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe4/8699126/d706d917eee9/cancers-13-06207-g004.jpg

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Pharmacological or genetic depletion of senescent astrocytes prevents whole brain irradiation-induced impairment of neurovascular coupling responses protecting cognitive function in mice.药理或基因耗竭衰老星形胶质细胞可预防全脑照射诱导的神经血管耦联反应损伤,保护小鼠认知功能。
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Proton pencil minibeam irradiation of an in-vivo mouse ear model spares healthy tissue dependent on beam size.
高传能重带电粒子:放射生物学及其在放射治疗新方法中的应用。
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Longitudinally Heterogeneous Tumor Dose Optimizes Proton Broadbeam, Interlaced Minibeam, and FLASH Therapy.纵向异质性肿瘤剂量优化质子宽束、交错微束和FLASH治疗。
Cancers (Basel). 2022 Oct 21;14(20):5162. doi: 10.3390/cancers14205162.
质子铅笔束微束照射活体小鼠耳朵模型可根据射束大小保护健康组织。
PLoS One. 2019 Nov 25;14(11):e0224873. doi: 10.1371/journal.pone.0224873. eCollection 2019.
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Tumor Control in RG2 Glioma-Bearing Rats: A Comparison Between Proton Minibeam Therapy and Standard Proton Therapy.RG2 神经胶质瘤荷瘤鼠的肿瘤控制:质子微射束治疗与标准质子治疗的比较。
Int J Radiat Oncol Biol Phys. 2019 Jun 1;104(2):266-271. doi: 10.1016/j.ijrobp.2019.01.080. Epub 2019 Jan 29.
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