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Medical physics aspects of the synchrotron radiation therapies: Microbeam radiation therapy (MRT) and synchrotron stereotactic radiotherapy (SSRT).

Identifieur interne : 002969 ( PubMed/Checkpoint ); précédent : 002968; suivant : 002970

Medical physics aspects of the synchrotron radiation therapies: Microbeam radiation therapy (MRT) and synchrotron stereotactic radiotherapy (SSRT).

Auteurs : Elke Br Uer-Krisch [France] ; Jean-Francois Adam [France] ; Enver Alagoz [Norvège] ; Stefan Bartzsch [Royaume-Uni] ; Jeff Crosbie [Australie] ; Carlos Dewagter [Belgique] ; Andrew Dipuglia [Australie] ; Mattia Donzelli [France] ; Simon Doran [Royaume-Uni] ; Pauline Fournier [Australie] ; John Kalef-Ezra [Grèce] ; Angela Kock [Norvège] ; Michael Lerch [Australie] ; Ciara Mcerlean [Royaume-Uni] ; Uwe Oelfke [Royaume-Uni] ; Pawel Olko [Pologne] ; Marco Petasecca [Australie] ; Marco Povoli [Norvège] ; Anatoly Rosenfeld [Australie] ; Erik A. Siegbahn [Suède] ; Dan Sporea [Roumanie] ; Bjarne Stugu [Norvège]

Source :

RBID : pubmed:26043881

Descripteurs français

English descriptors

Abstract

Stereotactic Synchrotron Radiotherapy (SSRT) and Microbeam Radiation Therapy (MRT) are both novel approaches to treat brain tumor and potentially other tumors using synchrotron radiation. Although the techniques differ by their principles, SSRT and MRT share certain common aspects with the possibility of combining their advantages in the future. For MRT, the technique uses highly collimated, quasi-parallel arrays of X-ray microbeams between 50 and 600 keV. Important features of highly brilliant Synchrotron sources are a very small beam divergence and an extremely high dose rate. The minimal beam divergence allows the insertion of so called Multi Slit Collimators (MSC) to produce spatially fractionated beams of typically ∼25-75 micron-wide microplanar beams separated by wider (100-400 microns center-to-center(ctc)) spaces with a very sharp penumbra. Peak entrance doses of several hundreds of Gy are extremely well tolerated by normal tissues and at the same time provide a higher therapeutic index for various tumor models in rodents. The hypothesis of a selective radio-vulnerability of the tumor vasculature versus normal blood vessels by MRT was recently more solidified. SSRT (Synchrotron Stereotactic Radiotherapy) is based on a local drug uptake of high-Z elements in tumors followed by stereotactic irradiation with 80 keV photons to enhance the dose deposition only within the tumor. With SSRT already in its clinical trial stage at the ESRF, most medical physics problems are already solved and the implemented solutions are briefly described, while the medical physics aspects in MRT will be discussed in more detail in this paper.

DOI: 10.1016/j.ejmp.2015.04.016
PubMed: 26043881


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pubmed:26043881

Le document en format XML

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<name sortKey="Olko, Pawel" sort="Olko, Pawel" uniqKey="Olko P" first="Pawel" last="Olko">Pawel Olko</name>
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<name sortKey="Petasecca, Marco" sort="Petasecca, Marco" uniqKey="Petasecca M" first="Marco" last="Petasecca">Marco Petasecca</name>
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<name sortKey="Povoli, Marco" sort="Povoli, Marco" uniqKey="Povoli M" first="Marco" last="Povoli">Marco Povoli</name>
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<nlm:affiliation>University of Oslo, Department of Physics, 0316, Oslo, Norway.</nlm:affiliation>
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<nlm:affiliation>Department of Oncolgy-Pathology, Karolinska Institutet, S-177176, Stockholm, Sweden.</nlm:affiliation>
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<name sortKey="Sporea, Dan" sort="Sporea, Dan" uniqKey="Sporea D" first="Dan" last="Sporea">Dan Sporea</name>
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<nlm:affiliation>National Institute for Laser, Plasma and Radiation Physics, Magurele, RO-077125, Romania.</nlm:affiliation>
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<name sortKey="Stugu, Bjarne" sort="Stugu, Bjarne" uniqKey="Stugu B" first="Bjarne" last="Stugu">Bjarne Stugu</name>
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<name sortKey="Dewagter, Carlos" sort="Dewagter, Carlos" uniqKey="Dewagter C" first="Carlos" last="Dewagter">Carlos Dewagter</name>
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<name sortKey="Dipuglia, Andrew" sort="Dipuglia, Andrew" uniqKey="Dipuglia A" first="Andrew" last="Dipuglia">Andrew Dipuglia</name>
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<name sortKey="Donzelli, Mattia" sort="Donzelli, Mattia" uniqKey="Donzelli M" first="Mattia" last="Donzelli">Mattia Donzelli</name>
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<nlm:affiliation>ESRF-The European Synchrotron, 71, Avenue des Martyrs, Grenoble, France.</nlm:affiliation>
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<name sortKey="Doran, Simon" sort="Doran, Simon" uniqKey="Doran S" first="Simon" last="Doran">Simon Doran</name>
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<nlm:affiliation>CRUK Cancer Imaging Centre, Institute of Cancer Research, 15 Cotswold Rd, Sutton Surrey, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
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<name sortKey="Fournier, Pauline" sort="Fournier, Pauline" uniqKey="Fournier P" first="Pauline" last="Fournier">Pauline Fournier</name>
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<nlm:affiliation>ESRF-The European Synchrotron, 71, Avenue des Martyrs, Grenoble, France; Centre for Medical Radiation Physics, University of Wollongong, Northfields Ave, NSW, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>ESRF-The European Synchrotron, 71, Avenue des Martyrs, Grenoble, France; Centre for Medical Radiation Physics, University of Wollongong, Northfields Ave, NSW</wicri:regionArea>
<wicri:noRegion>NSW</wicri:noRegion>
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<name sortKey="Kalef Ezra, John" sort="Kalef Ezra, John" uniqKey="Kalef Ezra J" first="John" last="Kalef-Ezra">John Kalef-Ezra</name>
<affiliation wicri:level="1">
<nlm:affiliation>Medical Physics Laboratory, University of Ioannina, 451.10, Ioannina, Greece.</nlm:affiliation>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>Medical Physics Laboratory, University of Ioannina, 451.10, Ioannina</wicri:regionArea>
<wicri:noRegion>Ioannina</wicri:noRegion>
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<name sortKey="Kock, Angela" sort="Kock, Angela" uniqKey="Kock A" first="Angela" last="Kock">Angela Kock</name>
<affiliation wicri:level="3">
<nlm:affiliation>Sintef Minalab, Gaustadalléen 23C, 0373, Oslo, Norway.</nlm:affiliation>
<country xml:lang="fr">Norvège</country>
<wicri:regionArea>Sintef Minalab, Gaustadalléen 23C, 0373, Oslo</wicri:regionArea>
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<settlement type="city">Oslo</settlement>
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<name sortKey="Lerch, Michael" sort="Lerch, Michael" uniqKey="Lerch M" first="Michael" last="Lerch">Michael Lerch</name>
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<nlm:affiliation>Centre for Medical Radiation Physics, University of Wollongong, Northfields Ave, NSW, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
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<div type="abstract" xml:lang="en">Stereotactic Synchrotron Radiotherapy (SSRT) and Microbeam Radiation Therapy (MRT) are both novel approaches to treat brain tumor and potentially other tumors using synchrotron radiation. Although the techniques differ by their principles, SSRT and MRT share certain common aspects with the possibility of combining their advantages in the future. For MRT, the technique uses highly collimated, quasi-parallel arrays of X-ray microbeams between 50 and 600 keV. Important features of highly brilliant Synchrotron sources are a very small beam divergence and an extremely high dose rate. The minimal beam divergence allows the insertion of so called Multi Slit Collimators (MSC) to produce spatially fractionated beams of typically ∼25-75 micron-wide microplanar beams separated by wider (100-400 microns center-to-center(ctc)) spaces with a very sharp penumbra. Peak entrance doses of several hundreds of Gy are extremely well tolerated by normal tissues and at the same time provide a higher therapeutic index for various tumor models in rodents. The hypothesis of a selective radio-vulnerability of the tumor vasculature versus normal blood vessels by MRT was recently more solidified. SSRT (Synchrotron Stereotactic Radiotherapy) is based on a local drug uptake of high-Z elements in tumors followed by stereotactic irradiation with 80 keV photons to enhance the dose deposition only within the tumor. With SSRT already in its clinical trial stage at the ESRF, most medical physics problems are already solved and the implemented solutions are briefly described, while the medical physics aspects in MRT will be discussed in more detail in this paper.</div>
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<AbstractText>Stereotactic Synchrotron Radiotherapy (SSRT) and Microbeam Radiation Therapy (MRT) are both novel approaches to treat brain tumor and potentially other tumors using synchrotron radiation. Although the techniques differ by their principles, SSRT and MRT share certain common aspects with the possibility of combining their advantages in the future. For MRT, the technique uses highly collimated, quasi-parallel arrays of X-ray microbeams between 50 and 600 keV. Important features of highly brilliant Synchrotron sources are a very small beam divergence and an extremely high dose rate. The minimal beam divergence allows the insertion of so called Multi Slit Collimators (MSC) to produce spatially fractionated beams of typically ∼25-75 micron-wide microplanar beams separated by wider (100-400 microns center-to-center(ctc)) spaces with a very sharp penumbra. Peak entrance doses of several hundreds of Gy are extremely well tolerated by normal tissues and at the same time provide a higher therapeutic index for various tumor models in rodents. The hypothesis of a selective radio-vulnerability of the tumor vasculature versus normal blood vessels by MRT was recently more solidified. SSRT (Synchrotron Stereotactic Radiotherapy) is based on a local drug uptake of high-Z elements in tumors followed by stereotactic irradiation with 80 keV photons to enhance the dose deposition only within the tumor. With SSRT already in its clinical trial stage at the ESRF, most medical physics problems are already solved and the implemented solutions are briefly described, while the medical physics aspects in MRT will be discussed in more detail in this paper.</AbstractText>
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