Monochromatic Minibeams Radiotherapy: From Healthy Tissue-Sparing Effect Studies Toward First Experimental Glioma Bearing Rats Therapy

2012 ◽  
Vol 82 (4) ◽  
pp. e693-e700 ◽  
Author(s):  
Pierre Deman ◽  
Mathias Vautrin ◽  
Magali Edouard ◽  
Vasile Stupar ◽  
Laure Bobyk ◽  
...  
2021 ◽  
Author(s):  
Hisanori Fukunaga

Stem cell responses in tissues after exposure to radiation are of significance for maintaining tissue functions. From the point of view of stem cell characteristics, this article seeks to illustrate some contributions of microbeam research to spatially fractionated radiotherapy (SFRT), such as grid radiotherapy and microbeam radiotherapy. Although the tissue-sparing response after SFRT was first reported more than a century ago, current radiation dose–volume metrics are still unable to accurately predict such tissue-level changes in response to spatially fractionated radiation fields. However, microbeam approaches could contribute to uncovering the mechanisms of tissue response, significantly improving the outcomes of SFRT and reducing its adverse effects. Studies with microbeams have shown that the testicular tissue-sparing effect for maintaining spermatogenesis after exposure to spatially fractionated radiation depends on biological parameters, such as the radiation dose distribution at the microscale level for tissue-specific stem cells and the microenvironment, or niche. This indicates that stem cell survival, migration, and repopulation are involved in the tissue-level changes during or after SFRT. The illustration of microbeam applications in this article focuses on the stem cell migration as a possible mechanism of the tissue-sparing effect for preserving functionality.


Author(s):  
Abida Sultana ◽  
Ahmed Alanazi ◽  
Jintana Meesungnoen ◽  
Jean-Paul Jay-Gerin

Monte Carlo multi-track chemistry simulations were carried out to study the effects of high dose rates on the transient yields of hydronium ions (H<sub>3</sub>O<sup>+</sup>) formed during low linear energy transfer (LET) radiolysis of both pure, deaerated and aerated liquid water at 25 °C, in the interval ~1 ps–10 μs. Our simulation model consisted of randomly irradiating water with <i>N</i> interactive tracks of 300-MeV incident protons (LET ~ 0.3 keV/μm), which simultaneously impact perpendicularly on the water within a circular surface. The effect of the dose rate was studied by varying <i>N</i>. Our calculations showed that the radiolytic formation of H<sub>3</sub>O<sup>+</sup> causes the entire irradiated volume to temporarily become very acidic. The magnitude and duration of this abrupt “acid-spike” response depend on the value of <i>N</i>. It is most intense at times less than ~10–100 ns, equal to ~3.4 and 2.8 for <i>N</i> = 500 and 2000 (<i>i.e.</i>, for dose rates of ~1.9 × 10<sup>9</sup> and 8.7 × 10<sup>9</sup> Gy/s, respectively). At longer times, the pH gradually increases for all <i>N</i> values and eventually returns to the neutral value of seven, which corresponds to the non-radiolytic, pre-irradiation concentration of H<sub>3</sub>O<sup>+</sup>. It is worth noting that these early acidic pH responses are very little dependent on the presence or absence of oxygen. Finally, given the importance of pH for many cellular functions, this study suggests that these acidic pH spikes may contribute to the normal tissue-sparing effect of FLASH radiotherapy.


2008 ◽  
Vol 88 (2) ◽  
pp. 241-249 ◽  
Author(s):  
Ellen M. Kerkhof ◽  
Bas W. Raaymakers ◽  
Uulke A. van der Heide ◽  
Linda van de Bunt ◽  
Ina M. Jürgenliemk-Schulz ◽  
...  

2020 ◽  
Vol 9 (4) ◽  
pp. 1089
Author(s):  
Hisanori Fukunaga ◽  
Kiichi Kaminaga ◽  
Takuya Sato ◽  
Ritsuko Watanabe ◽  
Takehiko Ogawa ◽  
...  

Radiotherapy can result in temporary or permanent gonadal toxicity in male cancer patients despite the high precision and accuracy of modern radiation treatment techniques. Previous radiobiological studies have shown an effective tissue-sparing response in various tissue types and species following exposure to spatially fractionated radiation. In the present study, we used an ex vivo mouse testicular tissue culture model and a conventional X-ray irradiation device to evaluate the tissue-sparing effect (TSE) of spatially fractionated X-rays for the protection of male fertility from radiotherapy-related adverse effects. We revealed a significant TSE for maintaining spermatogenesis in the ex vivo testes model following spatially fractionated X-ray irradiation. Moreover, we experimentally propose a possible mechanism by which the migration of spermatogonial cells, from the non-irradiated areas to the irradiated ones, in irradiated testicular tissue, is essential for the TSE and maintaining spermatogenesis. Therefore, our findings demonstrate that the control of TSE following spatially fractionated X-rays in the testes has a considerable potential for clinical application. Interdisciplinary research will be essential for further expanding the applicability of this method as an approach for the preservation of male fertility during or after radiotherapy.


2021 ◽  
Vol 8 (1) ◽  
pp. 73-83
Author(s):  
Daniel E. Hyer ◽  
Laura C. Bennett ◽  
Theodore J. Geoghegan ◽  
Martin Bues ◽  
Blake R. Smith

Abstract Purpose The development of collimating technologies has become a recent focus in pencil beam scanning (PBS) proton therapy to improve the target conformity and healthy tissue sparing through field-specific or energy-layer–specific collimation. Given the growing popularity of collimators for low-energy treatments, the purpose of this work was to summarize the recent literature that has focused on the efficacy of collimators for PBS and highlight the development of clinical and preclinical collimators. Materials and Methods The collimators presented in this work were organized into 3 categories: per-field apertures, multileaf collimators (MLCs), and sliding-bar collimators. For each case, the system design and planning methodologies are summarized and intercompared from their existing literature. Energy-specific collimation is still a new paradigm in PBS and the 2 specific collimators tailored toward PBS are presented including the dynamic collimation system (DCS) and the Mevion Adaptive Aperture. Results Collimation during PBS can improve the target conformity and associated healthy tissue and critical structure avoidance. Between energy-specific collimators and static apertures, static apertures have the poorest dose conformity owing to collimating only the largest projection of a target in the beam's eye view but still provide an improvement over uncollimated treatments. While an external collimator increases secondary neutron production, the benefit of collimating the primary beam appears to outweigh the risk. The greatest benefit has been observed for low- energy treatment sites. Conclusion The consensus from current literature supports the use of external collimators in PBS under certain conditions, namely low-energy treatments or where the nominal spot size is large. While many recent studies paint a supportive picture, it is also important to understand the limitations of collimation in PBS that are specific to each collimator type. The emergence and paradigm of energy-specific collimation holds many promises for PBS proton therapy.


2017 ◽  
Vol 3 (2) ◽  
pp. 787-790
Author(s):  
Klaus Bratengeier ◽  
Sonja Wegener ◽  
Barbara Herzog

AbstractFor stereotactic irradiation, both, penumbra and MLC leaf width make an impact on the sparing of healthy tissue around the target. Mostly, MLC design is regarded as the one influenceable parameter. However, also penumbra can be varied by choosing different distances between the source of radiation and the patient. The authors investigate the distance- dependent penumbra effects of idealized collimators as well as for real 5 mm MLCs. Test objects are small spherical targets of varying diameters to be irradiated under differing prescription conditions. A method to calculate exact stereotactic radial dose distributions from beam profiles or 2D dose distributions of single beams is developed for circular and MLC shaped targets. Also, a planning study is performed using a Pinnacle3™ planning system. Also, in a theoretical analysis perfect top hat profile beams and beams with varying penumbra are compared for better understanding of penumbra effects with respect to radial dose distributions. It is shown, that the penumbra changes for small targets are more relevant than the beam shaping by 5 mm MLCs. Quasi-isotropic irradiated MLC shaped (quadratic) beams at virtual SAD 700 mm produce steeper radial dose decrease than ideal circular beam shapes with a penumbra typical for SAD 1000 mm. A reduced source-to-patient distance allows better sparing of healthy tissue because of two reasons: The smaller effective leaf width but even more due to steeper penumbra. First, the authors suggest for future recommendations on stereotactic irradiations to specify not only MLC widths but also penumbra characteristics. Second, a so-called “virtual isocentre” could be useful to take advantage of the penumbra effect: Dependent on gantry angle and isocentric couch angle, the couch should be steered automatically in a way that the central axes of all beams always intersect in the same point at the same distance from the source.


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