Fairchild R G, Bond V P
Strahlentherapie. 1984 Dec;160(12):758-63.
It is suggested here that significant advantages should accrue from the use of 40 keV photons from implanted sources of 145Sm. These energies should stimulate Auger electron cascades from IdUrd, as well as produce non-repairable damage from radiosensitization. The use of low dose rates (approximately 10 rd/hr) should allow repair in normal tissues exposed to the activating photons. Utilization of this technique with brain tumors should minimize problems associated with radiosensitization of normal tissues, as CNS tissues do not synthesize DNA. The deposition of high LET radiations selectively in tumor cells provides unique advantages not available to either conventional therapy or other forms of particle therapy (fast neutrons, protons, pions, heavy ions).
本文认为,使用来自植入的145Sm源的40 keV光子会带来显著优势。这些能量应能激发IdUrd产生俄歇电子级联反应,并通过放射增敏产生不可修复的损伤。使用低剂量率(约10拉德/小时)应能使暴露于激活光子的正常组织得以修复。将该技术应用于脑肿瘤应能最大限度地减少与正常组织放射增敏相关的问题,因为中枢神经系统组织不合成DNA。高传能线密度辐射在肿瘤细胞中的选择性沉积提供了传统疗法或其他形式的粒子疗法(快中子、质子、π介子、重离子)所没有的独特优势。