Ekinci Fatih, Acici Koray, Asuroglu Tunc, Emek Soylu Busra
Institute of Nuclear Sciences, Ankara University, Ankara 06830, Turkey.
Artificial Intelligence and Data Engineering, Ankara University, Ankara 06830, Turkey.
Healthcare (Basel). 2023 Sep 12;11(18):2523. doi: 10.3390/healthcare11182523.
Helium ion beam therapy, one of the particle therapies developed and studied in the 1950s for cancer treatment, resulted in clinical trials starting at Lawrence Berkeley National Laboratory in 1975. While proton and carbon ion therapies have been implemented in research institutions and hospitals globally after the end of the trials, progress in comprehending the physical, biological, and clinical findings of helium ion beam therapy has been limited, particularly due to its limited accessibility. Ongoing efforts aim to establish programs that evaluate the use of helium ion beams for clinical and research purposes, especially in the treatment of sensitive clinical cases. Additionally, helium ions have superior physical properties to proton beams, such as lower lateral scattering and larger LET. Moreover, they exhibit similar physical characteristics to carbon, oxygen, and neon ions, which are all used in heavy ion therapy. However, they demonstrate a sharper lateral penumbra with a lower radiobiological absence of certainties and lack the degradation of variations in dose distributions caused by excessive fragmenting of heavier-ion beams, especially at greater depths of penetration. In this context, the status and the prospective advancements of helium ion therapy are examined by investigating ionization, recoil, and lateral scattering values using MC TRIM algorithms in mandible plate phantoms designed from both tissue and previously studied biomaterials, providing an overview for dental cancer treatment. An average difference of 1.9% in the Bragg peak positions and 0.211 mm in lateral scattering was observed in both phantoms. Therefore, it is suggested that the He ion beam can be used in the treatment of mandibular tumors, and experimental research is recommended using the proposed biomaterial mandible plate phantom.
氦离子束疗法是20世纪50年代开发并研究用于癌症治疗的粒子疗法之一,1975年在劳伦斯伯克利国家实验室开始了临床试验。虽然质子和碳离子疗法在试验结束后已在全球的研究机构和医院中得到应用,但在理解氦离子束疗法的物理、生物学和临床结果方面进展有限,特别是由于其可及性有限。目前正在努力建立评估将氦离子束用于临床和研究目的的项目,尤其是在治疗敏感临床病例方面。此外,氦离子具有比质子束更优越的物理特性,如较低的侧向散射和较大的传能线密度(LET)。而且,它们表现出与碳、氧和氖离子相似的物理特性,这些离子都用于重离子治疗。然而,它们显示出更尖锐的侧向半影,放射生物学确定性较低,并且不存在重离子束过度碎片化导致的剂量分布变化的降解情况,尤其是在更深的穿透深度处。在此背景下,通过使用MC TRIM算法研究由组织和先前研究的生物材料设计的下颌骨板模型中的电离、反冲和侧向散射值,来研究氦离子疗法的现状和未来进展,为牙癌治疗提供概述。在两个模型中均观察到布拉格峰位置的平均差异为1.9%,侧向散射为0.211毫米。因此,建议氦离子束可用于治疗下颌骨肿瘤,并建议使用所提出的生物材料下颌骨板模型进行实验研究。