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技术说明:一种用于研究FLASH效应与电子束参数相关性的小动物辐照平台。

Technical note: A small animal irradiation platform for investigating the dependence of the FLASH effect on electron beam parameters.

作者信息

Byrne Kevin E, Poirier Yannick, Xu Junliang, Gerry Andrew, Foley Mark J, Jackson Isabel Lauren, Sawant Amit, Jiang Kai

机构信息

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

Department of Physics, School of Natural Sciences, University of Galway, Galway, Ireland.

出版信息

Med Phys. 2024 Feb;51(2):1421-1432. doi: 10.1002/mp.16909. Epub 2024 Jan 11.

Abstract

BACKGROUND

The recent rediscovery of the FLASH effect, a normal tissue sparing phenomenon observed in ultra-high dose rate (UHDR) irradiations, has instigated a surge of research endeavors aiming to close the gap between experimental observation and clinical treatment. However, the dependences of the FLASH effect and its underpinning mechanisms on beam parameters are not well known, and large-scale in vivo studies using murine models of human cancer are needed for these investigations.

PURPOSE

To commission a high-throughput, variable dose rate platform providing uniform electron fields (≥15 cm diameter) at conventional (CONV) and UHDRs for in vivo investigations of the FLASH effect and its dependences on pulsed electron beam parameters.

METHODS

A murine whole-thoracic lung irradiation (WTLI) platform was constructed using a 1.3 cm thick Cerrobend collimator forming a 15 × 1.6 cm slit. Control of dose and dose rate were realized by adjusting the number of monitor units and couch vertical position, respectively. Achievable doses and dose rates were investigated using Gafchromic EBT-XD film at 1 cm depth in solid water and lung-density phantoms. Percent depth dose (PDD) and dose profiles at CONV and various UHDRs were also measured at depths from 0 to 2 cm. A radiation survey was performed to assess radioactivation of the Cerrobend collimator by the UHDR electron beam in comparison to a precision-machined copper alternative.

RESULTS

This platform allows for the simultaneous thoracic irradiation of at least three mice. A linear relationship between dose and number of monitor units at a given UHDR was established to guide the selection of dose, and an inverse-square relationship between dose rate and source distance was established to guide the selection of dose rate between 20 and 120 Gy·s . At depths of 0.5 to 1.5 cm, the depth range relevant to murine lung irradiation, measured PDDs varied within ±1.5%. Similar lateral dose profiles were observed at CONV and UHDRs with the dose penumbrae widening from 0.3 mm at 0 cm depth to 5.1 mm at 2.0 cm. The presence of lung-density plastic slabs had minimal effect on dose distributions as compared to measurements made with only solid water slabs. Instantaneous dose rate measurements of the activated copper collimator were up to two orders of magnitude higher than that of the Cerrobend collimator.

CONCLUSIONS

A high-throughput, variable dose rate platform has been developed and commissioned for murine WTLI electron FLASH radiotherapy. The wide field of our UHDR-enabled linac allows for the simultaneous WTLI of at least three mice, and for the average dose rate to be modified by changing the source distance, without affecting dose distribution. The platform exhibits uniform, and comparable dose distributions at CONV and UHDRs up to 120 Gy·s , owing to matched and flattened 16 MeV CONV and UHDR electron beams. Considering radioactivation and exposure to staff, Cerrobend collimators are recommended above copper alternatives for electron FLASH research. This platform enables high-throughput animal irradiation, which is preferred for experiments using a large number of animals, which are required to effectively determine UHDR treatment efficacies.

摘要

背景

最近重新发现了FLASH效应,这是一种在超高剂量率(UHDR)照射中观察到的正常组织保护现象,引发了大量研究工作,旨在弥合实验观察与临床治疗之间的差距。然而,FLASH效应及其潜在机制对束流参数的依赖性尚不清楚,需要使用人类癌症小鼠模型进行大规模体内研究。

目的

构建一个高通量、可变剂量率平台,在传统(CONV)和UHDR剂量率下提供均匀电子束(直径≥15 cm),用于体内研究FLASH效应及其对脉冲电子束参数的依赖性。

方法

使用1.3 cm厚的铈钨合金准直器构建小鼠全胸肺照射(WTLI)平台,形成一个15×1.6 cm的狭缝。分别通过调整监测单位数量和治疗床垂直位置来控制剂量和剂量率。使用Gafchromic EBT-XD胶片在固体水和肺密度模体中1 cm深度处研究可达到的剂量和剂量率。还在0至2 cm深度处测量了CONV和各种UHDR剂量率下的百分深度剂量(PDD)和剂量分布曲线。进行了辐射测量,以评估UHDR电子束对铈钨合金准直器的放射性活化,并与精密加工的铜质替代准直器进行比较。

结果

该平台允许同时对至少三只小鼠进行胸部照射。在给定的UHDR剂量率下,建立了剂量与监测单位数量之间的线性关系以指导剂量选择,建立了剂量率与源距离之间的平方反比关系以指导20至120 Gy·s之间的剂量率选择。在0.5至1.5 cm深度(与小鼠肺部照射相关的深度范围),测量的PDD变化在±1.5%以内。在CONV和UHDR剂量率下观察到类似的横向剂量分布曲线,剂量半值宽度从0 cm深度处的0.3 mm扩大到2.0 cm深度处的5.1 mm。与仅使用固体水模体的测量相比,肺密度塑料板的存在对剂量分布的影响最小。活化铜质准直器的瞬时剂量率测量值比铈钨合金准直器高两个数量级。

结论

已开发并启用了一个高通量、可变剂量率平台用于小鼠WTLI电子FLASH放疗。我们的UHDR直线加速器产生的宽视野允许同时对至少三只小鼠进行WTLI,并通过改变源距离来改变平均剂量率,而不影响剂量分布。由于16 MeV的CONV和UHDR电子束匹配且平坦,该平台在CONV和高达120 Gy·s的UHDR剂量率下表现出均匀且可比的剂量分布。考虑到放射性活化和对工作人员的照射,对于电子FLASH研究,推荐使用铈钨合金准直器而非铜质替代准直器。该平台能够进行高通量动物照射,这对于使用大量动物的实验是首选,而大量动物是有效确定UHDR治疗效果所必需的。

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