
Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown
Published: Dec. 3, 2024
Language: Английский
Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown
Published: Dec. 3, 2024
Language: Английский
Frontiers in Oncology, Journal Year: 2024, Volume and Issue: 14
Published: July 3, 2024
Ultra-high dose-rate ‘FLASH’ radiotherapy may be a pivotal step forward for cancer treatment, widening the therapeutic window between radiation tumour killing and damage to neighbouring normal tissues. The extent of tissue sparing reported in pre-clinical FLASH studies typically corresponds an increase isotoxic dose-levels 5–20%, though gains are larger at higher doses. Conditions currently thought necessary ≥40 Gy s -1 , dose-per-fraction ≥5–10 irradiation duration ≤0.2–0.5 s. Cyclotron proton accelerators first clinical systems adapted irradiate deep-seated tumours dose-rates, but even using these machines it is challenging meet conditions. In this review we describe challenges delivering beam therapy, compromises that ensue if not addressed, resulting dosimetric losses. Some losses on same scale as from found pre-clinically. We therefore conclude succeed clinically must systematically overcome rather than accommodated, survey physical routes achieving this.
Language: Английский
Citations
1Physics in Medicine and Biology, Journal Year: 2024, Volume and Issue: 69(12), P. 125010 - 125010
Published: May 15, 2024
In Intensity Modulated Proton Therapy (IMPT), the weights of individual pencil-beams or spots are optimized to fulfil dosimetric constraints. Theses usually located on a regular lattice and their positions fixed during optimization. many cases, range spot may however be limited, leading sometimes sub-optimal plan quality. An emblematic use case is delivery at ultra-high dose rate (FLASH-RT), for which typically constrained high values.
Language: Английский
Citations
0Medical Physics, Journal Year: 2024, Volume and Issue: 51(10), P. 7580 - 7588
Published: May 25, 2024
High-energy transmission beams (TBs) are currently the main delivery method for proton pencil beam scanning ultrahigh dose-rate (UHDR) FLASH radiotherapy. TBs place Bragg-peaks behind target, outside patient, making practical and achievement of high dose-rates more likely. However, they lead to higher integral dose compared conventional intensity-modulated therapy (IMPT), in which placed within tumor. It is hypothesized that, when energy changes not required currents possible, Bragg-peak-based can only achieve conformal distributions than TBs, but also have FLASH-potential.
Language: Английский
Citations
0Cancer/Radiothérapie, Journal Year: 2024, Volume and Issue: 28(5), P. 453 - 462
Published: Sept. 28, 2024
Language: Английский
Citations
0International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(23), P. 12506 - 12506
Published: Nov. 21, 2024
Radiotherapy (RT) has been shown to be a cornerstone of both palliative and curative tumor care. RT generally reported sharply limited by ionizing radiation (IR)-induced toxicity, thereby constraining the control effect on growth. FLASH-RT is delivery ultra-high dose rate (UHDR) several orders magnitude higher than what presently used in conventional (CONV-RT). The clinical trials have designed examine UHDR deliverability, effectiveness control, tolerance normal tissue, reproducibility treatment effects across institutions. Although it still its infancy, potential rival current terms safety. Several studies suggested that adoption very limited, incorporation this new technique into routine will require use accurate dosimetry methods reproducible equipment enable reliable robust measurements doses rates. purpose review highlight advantages technology, mechanisms underpinning effect, major challenges need tackled transfer FLASH-RT.
Language: Английский
Citations
0Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown
Published: Dec. 3, 2024
Language: Английский
Citations
0