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Effectiveness of FLASH vs. Conventional Dose Rate Radiotherapy in a Model of Orthotopic, Murine Breast Cancer.

作者信息

Melemenidis Stavros, Viswanathan Vignesh, Dutt Suparna, Kapadia Naviya, Lau Brianna, Soto Luis A, Ashraf M Ramish, Thakur Banita, Mutahar Adel Z I, Skinner Lawrie B, Yu Amy S, Surucu Murat, Casey Kerriann M, Rankin Erinn B, Horst Kathleen C, Graves Edward E, Loo Billy W, Dirbas Frederick M

机构信息

Department of Radiation Oncology, Stanford University School of Medicine, Stanford, CA 94305, USA.

Department of Surgery, Stanford University School of Medicine, Stanford Cancer Institute, Stanford, CA 94305, USA.

出版信息

Cancers (Basel). 2025 Mar 25;17(7):1095. doi: 10.3390/cancers17071095.


DOI:10.3390/cancers17071095
PMID:40227580
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11988084/
Abstract

: Radiotherapy is effective for breast cancer treatment but often causes undesirable side effects that impair quality of life. Ultra-high dose rate radiotherapy (FLASH) has shown reduced normal tissue toxicity while achieving comparable tumor growth delay compared to conventional dose rate radiotherapy (CONV). This study evaluated whether FLASH could achieve similar tumor control as CONV with tumor eradication as the primary endpoint, in an orthotopic breast cancer model. : Non-metastatic, orthotopic tumors were generated in the left fourth mammary fat pad using the Py117 mammary tumor cell line in syngeneic C57BL/6J mice. Two sequential irradiation studies were performed using FLASH (93-200 Gy/s) and CONV (0.08 Gy/s) electron beams. Single fractions of 20, 25, or 30 Gy were applied to tumors with varying abdominal wall treatment fields (~3.75 or 2.5 mm treatment margin to tumor). : Both FLASH and CONV demonstrated comparable efficacy. Small tumors treated with 30 Gy and larger abdominal wall treatment fields appeared to have complete eradication at 30 days but also exhibited the highest skin toxicity, limiting follow-up and preventing confirmation of eradication. Smaller abdominal wall treatment fields reduced skin toxicity and allowed for extended follow-up, which resulted in 75% tumor-free survival at 48 days. Larger tumors showed growth delay but no eradication. : In this preclinical, non-metastatic orthotopic breast cancer model, FLASH and CONV demonstrated equivalent tumor control with single-fraction doses of 20, 25, or 30 Gy. Overall, 30 Gy achieved the highest eradication rate but also resulted in the most pronounced skin toxicity.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a19/11988084/2ceef7f93a56/cancers-17-01095-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a19/11988084/b82c7595b0e6/cancers-17-01095-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a19/11988084/56f0f9fdefbd/cancers-17-01095-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a19/11988084/d4ba272897bf/cancers-17-01095-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a19/11988084/2ceef7f93a56/cancers-17-01095-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a19/11988084/b82c7595b0e6/cancers-17-01095-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a19/11988084/56f0f9fdefbd/cancers-17-01095-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a19/11988084/d4ba272897bf/cancers-17-01095-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a19/11988084/2ceef7f93a56/cancers-17-01095-g004.jpg

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Effectiveness of FLASH vs. Conventional Dose Rate Radiotherapy in a Model of Orthotopic, Murine Breast Cancer.

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引用本文的文献

[1]
Multidisciplinary strategies to reduce radiotherapy-induced cardiotoxicity in breast cancer: surgical and technological innovations.

Front Oncol. 2025-8-13

本文引用的文献

[1]
Dosimetric calibration of anatomy-specific ultra-high dose rate electron irradiation platform for preclinical FLASH radiobiology experiments.

Med Phys. 2024-12

[2]
A multi-institutional study to investigate the sparing effect after whole brain electron FLASH in mice: Reproducibility and temporal evolution of functional, electrophysiological, and neurogenic endpoints.

Radiother Oncol. 2024-12

[3]
Navigating the Critical Translational Questions for Implementing FLASH in the Clinic.

Semin Radiat Oncol. 2024-7

[4]
IOeRT conventional and FLASH treatment planning system implementation exploiting fast GPU Monte Carlo: The case of breast cancer.

Phys Med. 2024-5

[5]
Biomimetic Nano-Cancer Stem Cell Scavenger for Inhibition of Breast Cancer Recurrence and Metastasis after FLASH-Radiotherapy.

Small. 2024-7

[6]
Randomized phase II selection trial of FLASH and conventional radiotherapy for patients with localized cutaneous squamous cell carcinoma or basal cell carcinoma: A study protocol.

Clin Transl Radiat Oncol. 2024-2-8

[7]
Antitumor Effect by Either FLASH or Conventional Dose Rate Irradiation Involves Equivalent Immune Responses.

Int J Radiat Oncol Biol Phys. 2024-3-15

[8]
Pencil Beam Scanning Bragg Peak FLASH Technique for Ultra-High Dose Rate Intensity-Modulated Proton Therapy in Early-Stage Breast Cancer Treatment.

Cancers (Basel). 2023-9-14

[9]
Single Ultra-High Dose Rate Proton Transmission Beam for Whole Breast FLASH-Irradiation: Quantification of FLASH-Dose and Relation with Beam Parameters.

Cancers (Basel). 2023-4-30

[10]
Proton FLASH Radiotherapy for the Treatment of Symptomatic Bone Metastases: The FAST-01 Nonrandomized Trial.

JAMA Oncol. 2023-1-1

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