RRC ID 45497
著者 Tinganelli W, Durante M, Hirayama R, Krämer M, Maier A, Kraft-Weyrather W, Furusawa Y, Friedrich T, Scifoni E.
タイトル Kill-painting of hypoxic tumours in charged particle therapy.
ジャーナル Sci Rep
Abstract Solid tumours often present regions with severe oxygen deprivation (hypoxia), which are resistant to both chemotherapy and radiotherapy. Increased radiosensitivity as a function of the oxygen concentration is well described for X-rays. It has also been demonstrated that radioresistance in anoxia is reduced using high-LET radiation rather than conventional X-rays. However, the dependence of the oxygen enhancement ratio (OER) on radiation quality in the regions of intermediate oxygen concentrations, those normally found in tumours, had never been measured and biophysical models were based on extrapolations. Here we present a complete survival dataset of mammalian cells exposed to different ions in oxygen concentration ranging from normoxia (21%) to anoxia (0%). The data were used to generate a model of the dependence of the OER on oxygen concentration and particle energy. The model was implemented in the ion beam treatment planning system to prescribe uniform cell killing across volumes with heterogeneous radiosensitivity. The adaptive treatment plans have been validated in two different accelerator facilities, using a biological phantom where cells can be irradiated simultaneously at three different oxygen concentrations. We thus realized a hypoxia-adapted treatment plan, which will be used for painting by voxel of hypoxic tumours visualized by functional imaging.
巻・号 5
ページ 17016
公開日 2015-11-24
DOI 10.1038/srep17016
PII srep17016
PMID 26596243
PMC PMC4657060
MeSH Animals CHO Cells Cell Hypoxia Cell Survival / radiation effects Cricetinae Cricetulus Humans Neoplasms / radiotherapy* Oxygen / physiology Radiation Tolerance Radiotherapy Planning, Computer-Assisted Radiotherapy, Image-Guided
IF 3.998
引用数 52
WOS 分野 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
リソース情報
ヒト・動物細胞 CHO