Dose or ‘LET’ painting – What is optimal in particle therapy of hypoxic tumors?

作者: Eirik Malinen , Åste Søvik

DOI: 10.3109/0284186X.2015.1062540

关键词:

摘要: ABSTRACTBackground. Dose painting is a concept that may increase the tumor control probability (TCP). In particle therapy of hypoxic tumors, it also be beneficial to redistribute linear energy transfer (LET) so oxygen effect minimized; so-called LET painting. The purpose present study was use TCP estimates for comparing dose and tumors.Material methods. Protons, lithium ions carbon were considered. Tumor images tentatively depicting hypoxia used as input. Optimal prescription maps obtained by optimizing under and/or redistribution. TCPs compared those resulting from conventional with no or therapeutic gain at given iso-effect calculated. Treatment adaptation during in response changes spatial distribution considered.Results. Both gave higher therapy, irrespective o...

参考文章(28)
Anders Brahme, Recent advances in light ion radiation therapy International Journal of Radiation Oncology Biology Physics. ,vol. 58, pp. 603- 616 ,(2004) , 10.1016/J.IJROBP.2003.09.034
Tatiana Wenzl, Jan J Wilkens, Modelling of the oxygen enhancement ratio for ion beam radiation therapy Physics in Medicine and Biology. ,vol. 56, pp. 3251- 3268 ,(2011) , 10.1088/0031-9155/56/11/006
Brita Singers Sørensen, Jens Overgaard, Niels Bassler, In vitro RBE-LET dependence for multiple particle types Acta Oncologica. ,vol. 50, pp. 757- 762 ,(2011) , 10.3109/0284186X.2011.582518
Åste Søvik, Eirik Malinen, Hege K. Skogmo, Søren M. Bentzen, Øyvind S. Bruland, Dag Rune Olsen, Radiotherapy Adapted to Spatial and Temporal Variability in Tumor Hypoxia International Journal of Radiation Oncology Biology Physics. ,vol. 68, pp. 1496- 1504 ,(2007) , 10.1016/J.IJROBP.2007.04.027
Niels Bassler, Jakob Toftegaard, Armin Lühr, Brita Singers Sørensen, Emanuele Scifoni, Michael Krämer, Oliver Jäkel, Lise Saksø Mortensen, Jens Overgaard, Jørgen B. Petersen, LET-painting increases tumour control probability in hypoxic tumours Acta Oncologica. ,vol. 53, pp. 25- 32 ,(2014) , 10.3109/0284186X.2013.832835
Herman Suit, Thomas DeLaney, Saveli Goldberg, Harald Paganetti, Ben Clasie, Leo Gerweck, Andrzej Niemierko, Eric Hall, Jacob Flanz, Josh Hallman, Alexei Trofimov, Proton vs carbon ion beams in the definitive radiation treatment of cancer patients. Radiotherapy and Oncology. ,vol. 95, pp. 3- 22 ,(2010) , 10.1016/J.RADONC.2010.01.015
Michael R. Horsman, Lise Saksø Mortensen, Jørgen B. Petersen, Morten Busk, Jens Overgaard, Imaging hypoxia to improve radiotherapy outcome Nature Reviews Clinical Oncology. ,vol. 9, pp. 674- 687 ,(2012) , 10.1038/NRCLINONC.2012.171
Lawrence B. Marks, Ellen D. Yorke, Andrew Jackson, Randall K. Ten Haken, Louis S. Constine, Avraham Eisbruch, Søren M. Bentzen, Jiho Nam, Joseph O. Deasy, Use of normal tissue complication probability models in the clinic. International Journal of Radiation Oncology Biology Physics. ,vol. 76, ,(2010) , 10.1016/J.IJROBP.2009.07.1754