Pizzardi Stefano, Alborghetti Lisa, Vurro Federica, Lacavalla Maria Assunta, Capialbi Macrina Milani, Milani Paolo, Cavaliere Francesco, Fiorino Claudio, Spinelli Antonello E
IRCCS San Raffaele Scientific Institute, Experimental Imaging Center, Via Olgettina 60, 20132, Milan, Italy.
Physics Department, University of Milan, Via Celoria 16, 20133, Milan, Italy.
Sci Rep. 2025 Aug 15;15(1):29926. doi: 10.1038/s41598-025-15281-5.
Minibeam Radiation Therapy (MBRT) delivers spatially fractionated beams, generating alternating high-dose peaks and low-dose valleys, with potential benefits in tumor control and normal tissue sparing. This study presents the development of a Monte Carlo (MC) Treatment Planning System (TPS) for preclinical MBRT, preceded by an investigation of various collimator configurations and a comparison of MC simulations with experimental data. Multiple simulations were conducted to evaluate different combinations of attenuator materials (lead, tungsten) and spacer materials (PMMA, air), as well as various slit widths (0.5-1 mm). Among the tested configurations, tungsten and PMMA emerged as the most suitable materials. As expected, the peak-to-valley dose ratio (PVDR) decreased with depth, while the full-width at half-maximum (FWHM) slightly increased. Fluka and Topas simulations showed good agreement with experimental measurements from gafchromic MDV3 films. A MC-based TPS was implemented to compute dose distributions in mice using CT data and to extract key dosimetric parameters, including PVDR and FWHM. Simulations were performed for a subcutaneous glioblastoma tumor as a case study. Within the tumor volume, the TPS estimated PVDR values ranging from 27 to 16 and a depth-dependent FWHM increase of about 5%. This system provides a robust platform for preclinical MBRT research, supporting treatment planning and delivery optimization.
微束放射治疗(MBRT)提供空间分割束,产生交替的高剂量峰值和低剂量谷值,在肿瘤控制和正常组织保护方面具有潜在益处。本研究介绍了一种用于临床前MBRT的蒙特卡罗(MC)治疗计划系统(TPS)的开发,在此之前对各种准直器配置进行了研究,并将MC模拟与实验数据进行了比较。进行了多次模拟,以评估衰减器材料(铅、钨)和间隔材料(聚甲基丙烯酸甲酯、空气)的不同组合以及各种狭缝宽度(0.5 - 1毫米)。在测试的配置中,钨和聚甲基丙烯酸甲酯被证明是最合适的材料。正如预期的那样,峰谷剂量比(PVDR)随深度降低,而半高宽(FWHM)略有增加。Fluka和Topas模拟与gafchromic MDV3薄膜的实验测量结果显示出良好的一致性。实施了基于MC的TPS,以使用CT数据计算小鼠体内的剂量分布,并提取关键剂量学参数,包括PVDR和FWHM。作为案例研究,对皮下胶质母细胞瘤肿瘤进行了模拟。在肿瘤体积内,TPS估计的PVDR值范围为27至16,并且FWHM随深度增加约5%。该系统为临床前MBRT研究提供了一个强大的平台,支持治疗计划和交付优化。