Robust mixed electron-photon radiation therapy optimization

2019 ◽  
Vol 46 (3) ◽  
pp. 1384-1396
Author(s):  
Marc-André Renaud ◽  
Monica Serban ◽  
Jan Seuntjens

2021 ◽  
Author(s):  
Veng Jean Heng ◽  
Monica Serban ◽  
Jan Seuntjens ◽  
Marc‐André Renaud


2017 ◽  
Vol 44 (8) ◽  
pp. 4287-4298 ◽  
Author(s):  
Marc‐André Renaud ◽  
Monica Serban ◽  
Jan Seuntjens


2012 ◽  
Vol 82 (1) ◽  
pp. 242-249 ◽  
Author(s):  
Charles B. Simone ◽  
Kevin Kramer ◽  
William P. O’Meara ◽  
Justin E. Bekelman ◽  
Arnaud Belard ◽  
...  


2017 ◽  
Vol 97 (1) ◽  
pp. 128-137 ◽  
Author(s):  
Kristin A. Higgins ◽  
Kelli O'Connell ◽  
Yuan Liu ◽  
Theresa W. Gillespie ◽  
Mark W. McDonald ◽  
...  


2019 ◽  
Vol 15 (1) ◽  
Author(s):  
Michael A. Deveau ◽  
Megan Sutton ◽  
Courtney Baetge ◽  
Alison B. Diesel

Abstract Background Total skin electron beam radiation therapy (TSEBT) is an effective treatment for primary diffuse cutaneous lymphomas in humans. While several techniques exist, they all require significant commitment of staff time and resources. In veterinary medicine, canine-specific techniques and strategies have been adapted and delivered but deemed not “realistically” clinically implementable given the time commitment of over 2.5 h plus per fraction or have been relegated to palliative intent. Leveraging these technologies of helical tomotherapy and 3D printing, we developed and clinically implemented a radiotherapeutic treatment strategy for the management of medically refractory diffuse cutaneous lymphoma in the dog. Case presentation A 13.5-year-old female spayed Bichon Frise presented to the Oncology service at Texas A&M University, College of Veterinary Medicine due to the progression of diffuse cutaneous epitheliotropic lymphoma (CEL) that had failed medical management. Twenty-seven gray were delivered to the patient with a treatment time requirement under 40 min including real time monitoring of anesthesia during setup and treatment. A partial response was noticeable after four fractions and the tumor completely regressed progressively over the entire treated area by the end of therapy. A grade 1 lethargy, fatigue, weight loss, and oral mucositis and grade 2 alopecia, nail/claw changes, pruritus, scaling, anorexia, and diarrhea were noted during treatment. Additionally, a grade 3 thrombocytopenia developed after fraction eight requiring a treatment interruption of 6 weeks and prescription modification prior to treatment continuation and completion. From the beginning of total skin photon radiation therapy (TSPT) treatment until the time of the patient was euthanized unrelated to cutaneous epitheliotropic lymphoma (123 days), only one new lesion on the head was identified and confirmed by histopathology within the treated fields. Conclusions The proposed technique is an acceptable alternative to TSEBT that is actually clinically implementable within a palliative or definitive setting and clinical constraints, however further testing and refinement is needed to reduce hematological complications and to confirm and expand on preliminary findings.



2019 ◽  
Vol 20 (17) ◽  
pp. 4148 ◽  
Author(s):  
Toshiaki Matsui ◽  
Endang Nuryadi ◽  
Shuichiro Komatsu ◽  
Yuka Hirota ◽  
Atsushi Shibata ◽  
...  

Photon radiation therapy is a major curative treatment for cancer. However, the lack of robust predictive biomarkers for radiosensitivity precludes personalized radiation therapy. Clonogenic assays are the gold standard method for measuring the radiosensitivity of cancer cells. Although a large number of publications describe the use of clonogenic assays to measure cancer cell radiosensitivity, the robustness of results from different studies is unclear. To address this, we conducted a comprehensive detailed literature search of 256 common cancer cell lines and identified the eight cell lines most-frequently examined for photon sensitivity using clonogenic assays. Survival endpoints and experimental parameters from all 620 relevant experiments were compiled and analyzed. We found that the coefficients of variation for SF2 (surviving fraction after 2 Gy irradiation) and for D10 (dose that yields a surviving fraction of 10%) were below 30% for all cell lines, indicating that SF2 and D10 have acceptable inter-assay precision. These data support further analysis of published data on clonogenic assays using SF2 and D10 as survival endpoints, which facilitates robust identification of biological profiles representative of cancer cell sensitivity to photons.



Author(s):  
A.J. Bishop ◽  
K.T. Tran ◽  
P.K. Allen ◽  
A. Mahajan ◽  
M.F. McAleer ◽  
...  


Author(s):  
D.M. Routman ◽  
A. Garant ◽  
S.C. Lester ◽  
C.N. Day ◽  
C.T. Sanhueza ◽  
...  


Author(s):  
Markus Fitzek ◽  
Allan Thornton ◽  
James Rabenow ◽  
Michael Lev ◽  
Francisco Pardo ◽  
...  


Author(s):  
А. Самойлов ◽  
A. Samoylov ◽  
Ж. Смирнова ◽  
Zh. Smirnova ◽  
В. Климанов ◽  
...  

This paper analyzes the current state of clinical application of proton radiation therapy (PRT) for the treatment of cancer. In particular, the indications for the use of PRT for the treatment of specific pathologies, the results and condition of randomized clinical studies of PRT compared to photon radiation therapy (PhRT) are considered, the cost of PRT is compared with the cost of PhRT. The focus is on discussing the results of PRT using in advanced countriesand Russia for the treatment of several common tumor sites. In the conclusion of the work, the ways of further improvement of radiobiology, dose delivering technology and dosimetric support of PRT are considered.



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