Wang Xiaowa, Wang Xufei, Du Ning, Wang Lan
Shanghai Proton and Heavy Ion Center, Shanghai, 201321.
Shanghai Key Laboratory of Radiation Oncology, Shanghai, 201321.
Zhongguo Yi Liao Qi Xie Za Zhi. 2024 May 30;48(3):271-276. doi: 10.12455/j.issn.1671-7104.230563.
In order to improve the biological effect of proton therapy, the authors first propose a new method of boron-based proton-enhanced radiotherapy in a " ternary " radiotherapy mode, based on the existing sensitizing effect of proton radiotherapy: i.e, Boron-based mediators (B and B) induce the proton-hydrogen-boron fusion reaction of the low-energy protons arriving at the Bragg peak region of the tumor target area (p+B→3α) and thermal neutron capture (B+n→Li(0.84 MeV)+He(1.47 MeV)+(0.477 MeV)), which release low-energy α-particles with high LETs to enhance the biological effect of proton dose in the target area, thus improve the clinical effect of proton therapy. Then, the advantages and disadvantages of the "ternary" model were analyzed from the theoretical basis and current research status, and finally, the "ternary" model is summarized and prospected.
为提高质子治疗的生物学效应,作者基于质子放疗现有的增敏作用,首先提出一种“三元”放疗模式下基于硼的质子增强放疗新方法:即硼基介质(B和B)诱导到达肿瘤靶区布拉格峰区域的低能质子发生质子-氢-硼聚变反应(p+B→3α)和热中子俘获(B+n→Li(0.84 MeV)+He(1.47 MeV)+(0.477 MeV)),释放具有高传能线密度的低能α粒子,以增强靶区内质子剂量的生物学效应,从而提高质子治疗的临床效果。然后,从理论基础和当前研究现状分析了“三元”模式的优缺点,最后对“三元”模式进行了总结与展望。
Zhongguo Yi Liao Qi Xie Za Zhi. 2024-5-30