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使用定制准直器的临床前光子微束放射治疗:在胶质瘤模型上的剂量学特性和初步体内结果。

Preclinical photon minibeam radiotherapy using a custom collimator: Dosimetry characterization and preliminary in-vivo results on a glioma model.

机构信息

Experimental Imaging Center, IRCCS San Raffaele Scientific Institute, Milan, Italy; Medical Physics Department, Istanbul University Oncology Institute, Istanbul, Turkey.

Experimental Imaging Center, IRCCS San Raffaele Scientific Institute, Milan, Italy.

出版信息

Phys Med. 2024 Aug;124:103420. doi: 10.1016/j.ejmp.2024.103420. Epub 2024 Jul 5.

Abstract

PURPOSE

The purpose of this study is to investigate the dosimetric characteristics of a collimator for minibeam radiotherapy (MBRT) with film dosimetry and Monte Carlo (MC) simulations. The outcome of MBRT with respect to conventional RT using a glioma preclinical model was also evaluated.

METHODS

A multi-slit collimator was designed to be used with commercial small animal irradiator. The collimator was built by aligning 0.6 mm wide and 5 mm thick parallel lead leaves at 0.4 mm intervals. Dosimetry characteristics were evaluated by Gafchromic (CG) films and TOPAS Monte Carlo (MC) code. An in vivo experiment was performed using a glioma preclinical model by injecting two million GL261cells subcutaneously and treating with 25 Gy, single fraction, with MBRT and conventional RT. Survival curves and acute radiation damage were measured to compare both treatments.

RESULTS

A satisfactory agreement between experimental results and MC simulations were obtained, the measured FWHM and distance between the peaks were respectively 0.431 and 1.098 mm. In vivo results show that MBRT can provide local tumor control for three weeks after RT treatment and a similar survival fraction of open beam radiotherapy. No severe acute effects were seen for the MBRT group.

CONCLUSIONS

We developed a minibeam collimator and presented its dosimetric features. Satisfactory agreement between MC and GC films was found with differences consistent with uncertainties due to fabrication and set-up errors. The survival curves of MBRT and open field RT are similar while atoxicity is dramatically lower with MBRT, preliminarily confirming the expected effect.

摘要

目的

本研究旨在通过胶片剂量学和蒙特卡罗(MC)模拟研究一种适用于微型束放射治疗(MBRT)的准直器的剂量学特性。还评估了使用胶质瘤临床前模型的 MBRT 相对于常规放射治疗的结果。

方法

设计了一种多狭缝准直器,与商业小动物辐照器一起使用。准直器通过以 0.4 毫米的间隔对齐 0.6 毫米宽和 5 毫米厚的平行铅叶制成。通过 Gafchromic(CG)胶片和 TOPAS 蒙特卡罗(MC)代码评估剂量学特性。使用皮下注射两百万个 GL261 细胞的胶质瘤临床前模型进行体内实验,并采用 MBRT 和常规 RT 单次 25Gy 进行治疗。测量生存曲线和急性辐射损伤以比较两种治疗方法。

结果

实验结果与 MC 模拟之间获得了令人满意的一致性,测量的半峰全宽和峰间距离分别为 0.431 和 1.098 毫米。体内结果表明,MBRT 可以在 RT 治疗后三周内提供局部肿瘤控制,并具有与开放束放射治疗相似的生存分数。MBRT 组没有出现严重的急性副作用。

结论

我们开发了一种微型束准直器,并介绍了其剂量学特性。MC 和 GC 胶片之间存在令人满意的一致性,差异与由于制造和设置误差引起的不确定性一致。MBRT 和开放野 RT 的生存曲线相似,而 MBRT 的毒性明显降低,初步证实了预期的效果。

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