FLASH radiotherapy with photon beams

被引:68
作者
Montay-Gruel, Pierre [1 ,7 ]
Corde, Stephanie [2 ,3 ,4 ]
Laissue, Jean A. [5 ]
Bazalova-Carter, Magdalena [6 ]
机构
[1] Univ Calif Irvine, Dept Radiat Oncol, Irvine, CA USA
[2] Prince Wales Hosp, Dept Radiat Oncol, Randwick, NSW, Australia
[3] Univ Wollongong, Ctr Med Radiat Phys, Wollongong, NSW, Australia
[4] Univ Wollongong, Illawarra Hlth & Med Res Inst, Wollongong, NSW, Australia
[5] Univ Bern, Inst Pathol, Bern, Switzerland
[6] Univ Victoria, Dept Phys & Astron, Victoria, BC, Canada
[7] Iridium Network, Dept Radiotherapy, Antwerp, Belgium
基金
瑞士国家科学基金会; 英国医学研究理事会;
关键词
FLASH-RT; radiotherapy; X-rays; MICROBEAM RADIATION-THERAPY; SYNCHROTRON MICROBEAM; LINEAR-ACCELERATOR; DOSE-RATE; IN-VIVO; DOSIMETRY; IRRADIATION; CELLS;
D O I
10.1002/mp.15222
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Ultra-high-dose rate "FLASH" radiotherapy (FLASH-RT) has been shown to drastically reduce normal tissue toxicities while being as efficacious as conventional dose rate radiotherapy to treat tumors. A large number of preclinical studies describing this so-called FLASH effect have led to the clinical translation of FLASH-RT using ultra-high-dose rate electron and proton beams. Although the vast majority of radiation therapy treatments are delivered using X-rays, few preclinical data using ultra-high-dose rate X-ray irradiation have been published. This review focuses on different methods that can be used to generate ultra-high-dose rate X-rays and their beam characteristics along with their effect on the biological tissues and the perspectives for the development of FLASH-RT with X-rays.
引用
收藏
页码:2055 / 2067
页数:13
相关论文
共 71 条
[1]  
Alex Gottberg N, 2019, COMP ANN SCI M, P1
[2]   High spatial resolution scintillator dosimetry of synchrotron microbeams [J].
Archer, James ;
Li, Enbang ;
Davis, Jeremy ;
Cameron, Matthew ;
Rosenfeld, Anatoly ;
Lerch, Michael .
SCIENTIFIC REPORTS, 2019, 9 (1)
[3]   On the capabilities of conventional x-ray tubes to deliver ultra-high (FLASH) dose rates [J].
Bazalova-Carter, Magdalena ;
Esplen, Nolan .
MEDICAL PHYSICS, 2019, 46 (12) :5690-5695
[4]   RADIATION LOSSES IN THE INDUCTION ELECTRON ACCELERATOR [J].
BLEWETT, JP .
PHYSICAL REVIEW, 1946, 69 (3-4) :87-95
[5]   Better Efficacy of Synchrotron Spatially Microfractionated Radiation Therapy Than Uniform Radiation Therapy on Glioma [J].
Bouchet, Audrey ;
Brauer-Krisch, Elke ;
Prezado, Yolanda ;
El Atifi, Michele ;
Rogalev, Leonid ;
Le Clec'h, Celine ;
Laissue, Jean Albert ;
Pelletier, Laurent ;
Le Duc, Geraldine .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2016, 95 (05) :1485-1494
[6]   Treatment of a first patient with FLASH-radiotherapy [J].
Bourhis, Jean ;
Sozzi, Wendy Jeanneret ;
Jorge, Patrik Goncalves ;
Gaide, Olivier ;
Bailat, Claude ;
Duclos, Frederic ;
Patin, David ;
Ozsahin, Mahmut ;
Bochud, Francois ;
Germond, Jean-Francois ;
Moeckli, Raphael ;
Vozenin, Marie-Catherine .
RADIOTHERAPY AND ONCOLOGY, 2019, 139 :18-22
[7]   Effects of pulsed, spatially fractionated, microscopic synchrotron X-ray beams on normal and tumoral brain tissue [J].
Braeuer-Krisch, E. ;
Serduc, R. ;
Siegbahn, E. A. ;
Le Duc, G. ;
Prezado, Y. ;
Bravin, A. ;
Blattmann, H. ;
Laissue, J. A. .
MUTATION RESEARCH-REVIEWS IN MUTATION RESEARCH, 2010, 704 (1-3) :160-166
[8]  
Breneman J, FEASIBILITY STUDY FL
[9]   Characterization of an x-ray tube-based ultrahigh dose-rate system for in vitro irradiations [J].
Cecchi, Daniel D. ;
Therriault-Proulx, Francois ;
Lambert-Girard, Simon ;
Hart, Alexander ;
Macdonald, Andrew ;
Pfleger, Mike ;
Lenckowski, Mark ;
Bazalova-Carter, Magdalena .
MEDICAL PHYSICS, 2021, 48 (11) :7399-7409
[10]   A method of dosimetry for synchrotron microbeam radiation therapy using radiochromic films of different sensitivity [J].
Crosbie, J. C. ;
Svalbe, I. ;
Midgley, S. M. ;
Yagi, N. ;
Rogers, P. A. W. ;
Lewis, R. A. .
PHYSICS IN MEDICINE AND BIOLOGY, 2008, 53 (23) :6861-6877