Vlastou Elena, Pantelis Evaggelos, Efstathopoulos Efstathios P, Karaiskos Pantelis, Kouloulias Vasileios, Platoni Kalliopi
Medical Physics Unit, 2nd Department of Radiology, University General Hospital "Attikon", School of Medicine, National and Kapodistrian University of Athens, 12462 Athens, Greece.
Medical Physics Laboratory, School of Medicine, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Cancers (Basel). 2022 Apr 26;14(9):2167. doi: 10.3390/cancers14092167.
The recent progress in Nanotechnology has introduced Gold Nanoparticles (AuNPs) as promising radiosensitizing agents in radiation oncology. This work aims to estimate dose enhancement due to the presence of AuNPs inside an irradiated water region through Monte Carlo calculations. The GATE platform was used to simulate 6 MV photon histories generated from a TrueBeam linear accelerator with and without a Flattening Filter (FF) and model AuNPs clusters. The AuNPs size, concentration and distribution pattern were examined. To investigate different clinical irradiation conditions, the effect of field size, presence of FF and placement of AuNPs in water were evaluated. The range of Dose Enhancement Factors (DEF = Dose/Dose) calculated in this study is 0.99 ± 0.01-1.26 ± 0.02 depending on photon beam quality, distance from AuNPs surface, AuNPs size and concentration and pattern of distribution. The highest DEF is reported for irradiation using un-flattened photon beams and at close distances from AuNPs. The obtained findings suggest that dose deposition could be increased in regions that represent whole cells or subcellular targets (mitochondria, cell nucleus, etc.). Nevertheless, further and consistent research is needed in order to make a step toward AuNP-aided radiotherapy in clinical practice.
纳米技术的最新进展已将金纳米颗粒(AuNPs)引入放射肿瘤学领域,作为一种有前景的放射增敏剂。这项工作旨在通过蒙特卡罗计算估计在受辐照水区域内存在AuNPs时的剂量增强情况。使用GATE平台模拟了有和没有均整滤过器(FF)的TrueBeam直线加速器产生的6 MV光子历史,并对AuNPs簇进行建模。研究了AuNPs的尺寸、浓度和分布模式。为了研究不同的临床照射条件,评估了射野大小、FF的存在以及AuNPs在水中的放置的影响。根据光子束质量、距AuNPs表面的距离、AuNPs的尺寸和浓度以及分布模式,本研究计算的剂量增强因子(DEF = 剂量/剂量)范围为0.99±0.01 - 1.26±0.02。据报道,使用未均整的光子束且在距AuNPs较近的距离照射时,DEF最高。所得结果表明,在代表整个细胞或亚细胞靶点(线粒体、细胞核等)的区域,剂量沉积可能会增加。然而,为了在临床实践中朝着AuNP辅助放疗迈出一步,还需要进一步且一致的研究。