Wierzbicki J G, Maruyama Y, Porter A T
Department of Radiation Oncology, Wayne State University, Detroit, Michigan 48201.
Med Phys. 1994 Jun;21(6):787-90. doi: 10.1118/1.597324.
252Cf has been used as a brachytherapy source since the early 1970s. The dominant mechanism of interactions of 252Cf neutrons with tissue is elastic scattering. The scattered neutrons lose part of their energy, which is released as kinetic energy of the recoiling nuclei. By multiple scattering, neutrons lose their energy and eventually become thermalized (in energetic equilibrium with tissue atoms with an average energy of 0.025 eV) and do not play any role in radiotherapy. These thermal neutrons may interact with hydrogen nuclei or with nitrogen, but the cell killing effects by these reaction products are negligibly small compared to the elastic scattering by fast neutrons or by photons emitted by californium. Nonetheless, these thermal neutrons are still potentially usable for neutron capture therapy and can be used to enhance californium brachytherapy effects. Neutron capture therapy is a two-part therapy relying on the selective loading of tumor cells with compounds containing 10B or 157Gd and subsequent irradiation with thermal neutrons. To calculate neutron capture doses one has to know thermal neutron flux. This paper presents results of an experimental study of thermal neutron flux and calculations of boron neutron capture and gadolinium neutron capture doses in the vicinity of 252Cf sources.
自20世纪70年代初以来,²⁵²Cf一直被用作近距离治疗源。²⁵²Cf中子与组织相互作用的主要机制是弹性散射。散射的中子会损失部分能量,这些能量以反冲核的动能形式释放出来。通过多次散射,中子会损失能量并最终热化(与平均能量为0.025 eV的组织原子处于能量平衡状态),在放射治疗中不再起任何作用。这些热中子可能会与氢核或氮相互作用,但与快中子的弹性散射或锎发射的光子相比,这些反应产物的细胞杀伤作用小到可以忽略不计。尽管如此,这些热中子仍有可能用于中子俘获治疗,并可用于增强锎近距离治疗的效果。中子俘获治疗是一种分两步进行的治疗方法,它依赖于用含有¹⁰B或¹⁵⁷Gd的化合物对肿瘤细胞进行选择性加载,随后用热中子进行照射。为了计算中子俘获剂量,必须知道热中子通量。本文介绍了热中子通量的实验研究结果以及²⁵²Cf源附近硼中子俘获剂量和钆中子俘获剂量的计算结果。