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Contribution of Nuclear Fragmentation to Dose and RBE in Carbon-Ion Radiotherapy.
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2025-01-25 DOI: 10.1667/RADE-24-00164.1
Shannon Hartzell, Fada Guan, Giuseppe Magro, Paige Taylor, Phillip J Taddei, Christine B Peterson, Stephen Kry

Variable relative biological effectiveness (RBE) of carbon radiotherapy may be calculated using several models, including the microdosimetric kinetic model (MKM), stochastic MKM (SMKM), repair-misrepair-fixation (RMF) model, and local effect model I (LEM), which have not been thoroughly compared. In this work, we compared how these four models handle carbon beam fragmentation, providing insight into where model differences arise. Monoenergetic and spread-out Bragg peak carbon beams incident on a water phantom were simulated using Monte Carlo. Using these beams, input parameters for each model (microdosimetric spectra, DNA double-strand break yield, kinetic energy spectra, physical dose fragment contributions) were calculated for each contributing carbon beam fragment (hydrogen, helium, lithium, beryllium, boron, secondary carbon, primary carbon, electrons, and "other"). Scored input parameters for each fragment were used to calculate linear (α) and quadratic (β) parameters according to each model, which were combined with reference α and β values and absorbed physical dose to calculate RBE. Contributions from secondary fragments were found to exceed 30% of the total physical dose. Using identical beam parameters, the four models produced not only different RBE values but also different RBE trends. In all models, RBE was highest for secondary carbon ions. Beyond secondary carbons, the RBE magnitude typically increased with the atomic number of the fragment, but RBE trends differed dramatically by model and beamline region (entrance, spread-out Bragg peak, and tail). Variations in fragment RBE were large enough to be apparent in biological dose predictions. This study demonstrated that fragmentation is a nonnegligible consideration in carbon radiotherapy. Our findings identified differences in RBE among specific fragments and the four models, contributing to variability in the total biological dose across models. Because these findings emphasize differences in how various models handle carbon beam fragments, greater care should be taken in characterization of secondary fragments in particle therapy.

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引用次数: 0
Comparison of Acute and Protracted Gamma Irradiation Effects During Perinatal Development in Beagle Dogs.
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2025-01-24 DOI: 10.1667/RADE-24-00080.1
Shayenthiran Sreetharan, Stephanie Puukila, Christine Lalonde, Jake Pirkkanen, Gayle E Woloschak, Tatjana Paunesku, Antone L Brooks, Fiona E McNeill, Christopher Thome, Douglas R Boreham, Simon J Lees, Sujeenthar Tharmalingam, T C Tai

Ionizing radiation exposure during perinatal development can produce various biological effects on the developing offspring. These effects are dependent on a number of factors, including total dose, dose rate and the developmental processes occurring at the time of irradiation. The present study conducted an analysis of historical radiobiological archived data involving 60Co-gamma irradiation of beagle dogs at specific periods of prenatal or postnatal development. The original studies were performed at two sites where animals were exposed to a single, acute dose of 0.2 or 1.0 Gy at six different stages of perinatal development or with protracted exposures ranging from 0.004 to 0.35 Gy per day, over multiple days of gestation. A number of outcomes were investigated after perinatal irradiation including changes in sex ratio, survival probability, disease incidence and growth of animals, based on collected size and weight measurements of animals and different tissues. Protracted irradiations with doses up to 0.35 Gy per day did not significantly affect survival in animals when irradiated prenatally, although significant increases in the incidence of neoplasms and diseases related to the cardiovascular and urogenital system were observed at the time of death. Dogs irradiated at a dose rate of 0.10 Gy per day, with the irradiations continuing after birth and resulting in the accumulation of large total doses, were observed to have chronic radiation syndrome symptoms based on pathologies related to the hematopoietic system. Acute irradiation with 0.2 and 1.0 Gy resulted in changes of different body or tissue sizes measured in animals terminally, with changes detected after irradiation at all tested prenatal and postnatal time points, with the exception of irradiation at 365 days after birth. The present analysis provides new information regarding the biological effects of ionizing radiation during perinatal development in offspring in the unique mammalian study model of the beagle dog.

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引用次数: 0
Super-competition as a Novel Mechanism of the Dose-rate Effect in Radiation Carcinogenesis: A Mathematical Model Study. 超级竞争作为辐射致癌剂量率效应的新机制:一个数学模型研究。
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2025-01-20 DOI: 10.1667/RADE-24-00191.1
Yuya Hattori, Kento Nagata, Ritsuko Watanabe, Akinari Yokoya, Tatsuhiko Imaoka

Data from animal experiments show that the radiation-related risk of cancer decreases if the dose rate is reduced, even though the cumulative dose is unchanged (i.e., a dose-rate effect); however, the underlying mechanism is not well understood. To explore factors underlying the dose-rate effect observed in experimental rat mammary carcinogenesis, we developed a mathematical model that accounts for cellular dynamics during carcinogenesis, and then examined whether the model predicts cancer incidence. A mathematical model of multistage carcinogenesis involving radiation-induced cell death and mutagenesis was constructed using differential equations. The mutation rate was changed depending on the dose rate. The model also considered competition among cells with various mutation levels. The main parameters of the model were determined using previous experimental data. The parameters of the model were consistent with experimental observations. A dose-rate effect on carcinogenesis became apparent when the relationship between dose rate and mutation rate was linear quadratic or quadratic. The dose-rate effect became prominent when cells with more mutations preferentially compensated for the radiation-induced death of cells with fewer mutations. The phenomenon by which mutated cells gain a competitive advantage over normal cells is known as super-competition. Here, we identified super-competition as a novel mechanism underlying the dose-rate effects on carcinogenesis. The data also confirmed the relevance of the shape of the relationship between dose rate and the mutation rate. Thus, this study provides new evidence for the mechanism underlying the dose-rate effect, which is important for predicting the cancer-related risks of low-dose-rate irradiation.

来自动物实验的数据表明,如果剂量率降低,即使累积剂量不变(即剂量率效应),与辐射有关的癌症风险也会降低;然而,其潜在机制尚不清楚。为了探索实验大鼠乳腺癌发生过程中观察到的剂量率效应的潜在因素,我们建立了一个数学模型来解释癌变过程中的细胞动力学,然后检验该模型是否能预测癌症发病率。利用微分方程建立了辐射诱导细胞死亡和突变的多阶段癌变数学模型。突变率随剂量率而变化。该模型还考虑了不同突变水平的细胞之间的竞争。模型的主要参数是根据之前的实验数据确定的。模型参数与实验观测值基本一致。当剂量率与突变率呈线性二次或二次关系时,致癌作用的剂量率效应就变得明显。当突变较多的细胞优先补偿突变较少的细胞因辐射引起的死亡时,剂量率效应变得突出。突变细胞比正常细胞获得竞争优势的现象被称为超级竞争。在这里,我们发现超级竞争是一种潜在的致癌剂量率效应的新机制。数据还证实了剂量率和突变率之间关系的形状的相关性。因此,本研究为剂量率效应的机制提供了新的证据,对预测低剂量率辐照的癌症相关风险具有重要意义。
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引用次数: 0
Individual Sensitivity for Radiotherapy-related Adverse Tissue Reactions in Patients Treated Twice for Metachronous Cancers. 两次接受治疗的晚期癌症患者放疗相关组织不良反应的个体敏感性
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2025-01-14 DOI: 10.1667/RADE-24-00226.1
Luca Caramenti, Pawel Wołowiec, Piotr Kędzierawski, Stanisław Góźdź, André Buchali, Michael Hauptmann, Andrzej Wojcik

The role of genetics in susceptibility to radiotherapy-induced toxicities is unclear. A strong impact of genetics should cause correlated toxicities in patients with metachronous double radiotherapy. We ascertained information about demographics, lifestyle, radiotherapy and early toxicities in irradiated tissues for a retrospective cohort of 98 patients from 2 hospitals who underwent two metachronous radiotherapeutic treatments (2007-2022) of different anatomical regions. European Organisation for Research and Treatment of Cancer/Radiation Therapy Oncology Group (EORTC/RTOG) toxicity scores per organ system were combined to a single mean score. We considered as genetic component the variation of toxicity not explained by radiation dose to the tumor, age at radiotherapy, sex, smoking status, and surgery. Variance components of toxicity were evaluated by ordinal logistic regression with random intercept. Common site combinations were breast/contralateral breast (N = 16), breast/endometrium (N = 6), and cervix/breast (N = 5). Mean toxicity over exposed tissues was 0.70 (range, 0-3). Prescribed radiation dose was significantly associated with mean toxicity, with a 5% (95% CI 3-8) increase of the odds for a higher toxicity level per Gy. Sex, surgery, age and smoking were not. There was no genetic contribution to risk of toxicities after adjustment. Toxicity levels were not more similar within patients than between patients, suggesting a negligible impact of genotype on radiotherapy-related toxicities.

遗传学在放射治疗引起的毒性易感性中的作用尚不清楚。遗传学的强烈影响可能导致异时双重放疗患者的相关毒性。我们确定了来自2家医院的98名患者的人口统计学信息、生活方式、放射治疗和放射组织的早期毒性,这些患者接受了两次不同解剖区域的异时放射治疗(2007-2022)。欧洲癌症研究和治疗组织/放射治疗肿瘤组(EORTC/RTOG)每个器官系统的毒性评分合并为一个平均评分。我们认为遗传成分的毒性变异不能由肿瘤的辐射剂量、放疗年龄、性别、吸烟状况和手术来解释。采用随机截距的有序逻辑回归评估毒性的方差成分。常见的部位组合为乳房/对侧乳房(N = 16)、乳房/子宫内膜(N = 6)和宫颈/乳房(N = 5)。暴露组织的平均毒性为0.70(范围0-3)。规定的辐射剂量与平均毒性显著相关,每Gy较高毒性水平的几率增加5% (95% CI 3-8)。而性别、手术、年龄和吸烟则不在其中。调整后毒性风险无遗传影响。患者体内的毒性水平并不比患者之间更相似,这表明基因型对放疗相关毒性的影响可以忽略不计。
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引用次数: 0
Analysis of Departures from Linearity in the Dose Response for Japanese Atomic Bomb Survivor Solid Cancer Mortality and Cancer Incidence Data and Assessment of Low-Dose Extrapolation Factors. 日本原子弹爆炸幸存者实体癌死亡率和发病率数据的剂量反应偏离线性分析及低剂量外推因素的评估。
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2025-01-13 DOI: 10.1667/RADE-24-00202.1
Mark P Little, Nobuyuki Hamada, Harry M Cullings
<p><p>Although leukemia in the Japanese atomic bomb survivor data has long exhibited upward curvature, until recently this appeared not to be the case for solid cancer. It has been suggested that the recently observed upward curvature in the dose response for the Japanese atomic bomb survivor solid cancer mortality data may be accounted for by flattening of the dose response in the moderate dose range (0.3-0.7 Gy). To investigate this, the latest version available of the solid cancer mortality and incidence datasets (with follow-up over the years 1950-2003 and 1958-2009 respectively) for the Life Span Study cohort of atomic bomb survivors were used to assess possible departures from linearity in the moderate dose range. Linear-spline models were fitted, also up to 6th order polynomial models in dose (higher order polynomials tended not to converge). The organ dose used for all solid cancers was weighted dose to the colon. There are modest indications of departures from linearity for the mortality data, whether using polynomial or linear-spline models. Use of the Akaike information criterion (AIC) suggests that the optimal model for the mortality data is given by a 5th order polynomial in dose. There is borderline significant (P = 0.071) indication of improvement provided by a linear-spline model in the mortality data. The low-dose extrapolation factor (LDEF), which measures the degree of overestimation of low-dose linear slope by the linear slope fitted over some specified dose range, is generally between 1.1-2.0 depending on the dose range, with upper confidence limits that sometimes exceed 10; although LDEF < 1 for the lowest dose range (<0.5 Gy), there are substantial uncertainties, with an upper confidence limit that exceeds 1.6. There are generally only modest indications of departures from linearity for the solid cancer incidence data, whether using polynomial or linear-spline models. In contrast to the mortality data, there are much weaker indications of improvement in fit provided by higher order polynomials, and only weak indications (P > 0.2) of improvement provided by linear-spline models. Nevertheless, use of AIC suggests that the optimal model for the incidence data is given by a 3rd order polynomial. LDEF evaluated over various dose ranges is generally between 1.2-1.4 with upper confidence limits that generally exceed 1.6; although LDEF < 1 for the lowest dose range (<0.5 Gy), there are substantial uncertainties, with an upper confidence limit that substantially exceeds 2.0. In summary, the evidence we have presented for higher order powers than the second in the dose response is not overwhelmingly strong, and is to some extent dependent on dose range. A feature of the dose response, which is reflected in the higher-order polynomials fitted to the data, is a leveling off or even a downturn in the response at doses >2 Gy. The linear-quadratic model is very widely used for modeling of dose response, and has been widely used in radioth
虽然日本原子弹爆炸幸存者的白血病数据长期以来一直呈上升趋势,但直到最近,实体癌的情况似乎并非如此。有人认为,最近在日本原子弹爆炸幸存者实体癌死亡率数据中观察到的剂量反应上升曲线可能是由于在中等剂量范围内(0.3-0.7戈瑞)剂量反应趋于平缓所致。为了调查这一点,使用了原子弹幸存者寿命研究队列的实体癌死亡率和发病率的最新版本数据集(分别在1950-2003年和1958-2009年进行了随访),以评估中等剂量范围内可能偏离线性的情况。拟合了线性样条模型,在剂量上也拟合到6阶多项式模型(高阶多项式往往不收敛)。用于所有实体癌的器官剂量都是结肠加权剂量。无论使用多项式模型还是线性样条模型,死亡率数据都有偏离线性的适度迹象。赤池信息准则(AIC)的应用表明,死亡率数据的最优模型是剂量的5阶多项式。在死亡率数据中,线性样条模型提供了临界显著(P = 0.071)的改善迹象。低剂量外推系数(LDEF)衡量的是在某一特定剂量范围内拟合的线性斜率对低剂量线性斜率的高估程度,根据剂量范围的不同,低剂量外推系数一般在1.1-2.0之间,置信上限有时超过10;尽管线性样条模型提供的最低剂量范围(0.2)的改善LDEF < 1。然而,AIC的使用表明,发生率数据的最佳模型是由一个三阶多项式给出的。在不同剂量范围内评估的LDEF一般在1.2-1.4之间,置信上限一般超过1.6;虽然LDEF < 1在最低剂量范围(2 Gy)。线性二次模型被广泛用于剂量反应的建模,并作为治疗计划的一部分被广泛应用于放射肿瘤学应用。这个基于双靶点模型的模型有一定的理论基础,尽管用于验证这一模型的数据主要是在体外进行的;可能存在比双靶模型所暗示的更复杂的相互作用,但是这些相互作用所产生的高次(比二次)剂量幂的作用,在中等剂量范围内可能不是很明显。
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引用次数: 0
NGS Detects Extensive Genomic Alterations in Survivors of Irradiated Normal Human Fibroblast Cells. NGS检测辐照后正常人类成纤维细胞存活者的广泛基因组改变。
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2025-01-01 DOI: 10.1667/RADE-24-00094.1
Aashish Soni, Daniela Beisser, Emil Mladenov, Matthias Höller, Inken Wohlers, Vladimir Nikolov, Simon Magin, Tamara Mussfeldt, Ludger Klein-Hitpass, Michael N Cornforth, Bradford D Loucas, Sven Rahmann, George Iliakis

It is thought that cells surviving ionizing radiation exposure repair DNA double-strand breaks (DSBs) and restore their genomes. However, the recent biochemical and genetic characterization of DSB repair pathways reveals that only homologous recombination (HR) can function in an error-free manner and that the non-homologous end joining (NHEJ) pathways canonical NHEJ (c-NHEJ), alternative end joining (alt-EJ), and single-strand annealing (SSA) are error-prone, and potentially leave behind genomic scars and altered genomes. The strong cell cycle restriction of HR to S/G2 phases and the unparalleled efficiency of c-NHEJ throughout the cell cycle, raise the intriguing question as to how far a surviving cell "reaches" after repairing the genome back to its pre-irradiation state. Indeed, there is evidence that the genomes of cells surviving radiation treatment harbor extensive genomic alterations. To directly investigate this possibility, we adopted next-generation sequencing (NGS) technologies and tested a normal human fibroblast cell line, 82-6 hTert, after exposure up to 6 Gy. Cells were irradiated and surviving colonies expanded and the cells frozen. Sequencing analysis using the Illumina sequencing platform and comparison with the unirradiated genome detected frequent genomic alterations in the six investigated radiation survivor clones, including translocations and large deletions. Translocations detected by this analysis and predicted to generate visible cytogenetic alterations were frequently (three out of five) confirmed using mFISH cytogenetic analysis. PCR analysis of selected deletions also confirmed seven of the ten examined. We conclude that cells surviving radiation exposure tolerate and pass to their progeny a wide spectrum of genomic alterations. This recognition needs to be integrated into the interpretation of biological results at all endpoints, as well as in the formulation of mathematical models of radiation action. NGS analysis of irradiated genomes promises to enhance molecular cytogenetics by increasing the spectrum of detectable genomic alterations and advance our understanding of key molecular radiobiological effects and the logic underpinning DSB repair. However, further developments in the technology will be required to harness its full potential.

人们认为,在电离辐射照射下存活的细胞可以修复DNA双链断裂(DSBs)并恢复其基因组。然而,最近对DSB修复途径的生化和遗传学表征表明,只有同源重组(HR)可以无错误地发挥作用,而非同源末端连接(NHEJ)途径典型的NHEJ (c-NHEJ)、替代末端连接(alt-EJ)和单链退火(SSA)容易出错,并可能留下基因组疤痕和改变基因组。HR对S/G2期的强烈细胞周期限制以及c-NHEJ在整个细胞周期中无与伦比的效率,提出了一个有趣的问题,即在将基因组修复回辐照前状态后,存活细胞“到达”了多远。事实上,有证据表明,在放射治疗中存活下来的细胞的基因组有广泛的基因组改变。为了直接研究这种可能性,我们采用了下一代测序(NGS)技术,并在暴露高达6 Gy后测试了正常的人成纤维细胞系82-6 hTert。细胞被照射,存活的菌落扩大,细胞被冻结。利用Illumina测序平台进行测序分析,并与未辐照的基因组进行比较,在6个被调查的辐射幸存者克隆中发现了频繁的基因组改变,包括易位和大缺失。通过该分析检测到的易位并预测会产生可见的细胞遗传学改变,经常(五分之三)通过mFISH细胞遗传学分析得到证实。对所选缺失的PCR分析也证实了10个缺失中的7个。我们得出的结论是,在辐射照射下存活的细胞能够忍受并将广泛的基因组改变传递给后代。这一认识需要纳入对所有终点的生物学结果的解释,以及在制订辐射作用的数学模型时。辐照基因组的NGS分析有望通过增加可检测基因组改变的光谱来增强分子细胞遗传学,并促进我们对关键分子放射生物学效应和DSB修复的逻辑基础的理解。然而,要充分利用这项技术的潜力,还需要进一步的发展。
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引用次数: 0
Establishment and Application of a New Radiation Biodosimetric Method Based on the Quantitative RPA-SHERLOCK Amplification Technology. 基于定量 RPA-SHERLOCK 扩增技术的新型辐射生物测定方法的建立和应用。
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2025-01-01 DOI: 10.1667/RADE-24-00157.1
Shibo Yao, Tao Wu, Cui Wang, Tinghui Zhang, Ruixue Huang, Chenjun Bai, Pingkun Zhou

Biodosimetry is a key diagnostic tool for radiation exposure, risk assessment and treatment planning of acute radiation sickness. To effectively respond to a large-scale radiological incident, there is a need for the development of biodosimetric methods with fast, portable, and convenient operating advantages. We employed the recombinase polymerase amplification specific high-sensitivity enzymatic reporter unlocking (RPA-SHERLOCK) technology to establish a method for fast radiation dose assessment by measuring the expression level of radiation-inducible genes. Moreover, we proposed for the first time the principle of quantitative detection of curve slopes based on this method. Using this new method, changes in mRNA expression were confirmed in a number of radiation-sensitive genes (XPC, CDKN1A, and ATM) in human lymphocytes after irradiation. The standard curve of the dose-effect relationship was established, which can be used to quickly determine the exposed dose of the irradiated samples. Compared with traditional detection methods such as RT-qPCR, this method was found to be more convenient, fast and easy to operate. With the same amount of template input as RT-qPCR, the detection time of this method can be shortened to less than 20 min. The detection instrument required by this method is also more portable than a qPCR system.

生物剂量学是辐射照射、风险评估和急性放射病治疗计划的重要诊断工具。为了有效应对大规模辐射事故,需要开发具有快速、便携、操作方便等优点的生物测定方法。我们采用重组酶聚合酶扩增特异性高灵敏度酶报告基因解锁(RPA-SHERLOCK)技术,通过测量辐射诱导基因的表达水平,建立了一种快速评估辐射剂量的方法。此外,我们还首次提出了基于该方法的曲线斜率定量检测原理。利用这种新方法,我们证实了人类淋巴细胞中一些辐射敏感基因(XPC、CDKN1A 和 ATM)在辐照后 mRNA 表达的变化。建立的剂量效应关系标准曲线可用于快速确定辐照样本的受照剂量。与 RT-qPCR 等传统检测方法相比,该方法更加方便、快捷、易于操作。在模板输入量与 RT-qPCR 相同的情况下,该方法的检测时间可缩短至 20 分钟以内。该方法所需的检测仪器也比 qPCR 系统更便携。
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引用次数: 0
Representative Organ Doses from Computed Tomography (CT) Exams from a Large International Registry. 来自大型国际注册中心的计算机断层扫描(CT)检查的代表性器官剂量。
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2025-01-01 DOI: 10.1667/RADE-24-00178.1
Philip W Chu, Carly Stewart, Cameron Kofler, Malini Mahendra, Yifei Wang, Cameron A Chu, Choonsik Lee, Wesley E Bolch, Rebecca Smith-Bindman

Estimation of absorbed organ doses used in computed tomography (CT) using time-intensive Monte Carlo simulations with virtual patient anatomic models is not widely reported in the literature. Using the library of computational phantoms developed by the University of Florida and the National Cancer Institute, we performed Monte Carlo simulations to calculate organ dose values for 9 CT categories representing the most common body regions and indications for imaging (reflecting low, routine, and high radiation dose examinations), stratified by patient age (in children) and effective diameter (in adults, using "diameter" as a measure of patient size). Our sample of 559,202 adult and 103,423 pediatric CT examinations was prospectively assembled between 2015-2020 from 156 imaging facilities from 27 healthcare organizations in 20 U.S. states and 7 countries in the University of California San Francisco International CT Dose Registry. Organ doses varied by body region and exam type. For example, the mean brain dose associated with head CT was 20 mGy [standard deviation (SD) 14] for head low dose, 46 mGy (SD 21) for head routine dose, and 64 mGy (SD 31) for head high dose scan protocols. The mean colon doses associated with abdomen and pelvis CT were 19 mGy (SD 12), 32 mGy (SD 28), and 69 mGy (SD 42) for low, routine, and high dose examinations, respectively. Organ doses in general varied modestly by patient diameter, and for many categories the organ doses among the largest quartile of patients were no more than 10% higher than doses in the smallest quartile. For example, for abdomen and pelvis high dose, the colon dose increased from 67 to 74 mGy from the smallest to the largest patients (10% increase). With few exceptions, pediatric organ doses also varied relatively little by patient age, except for the youngest children who, on average, had higher organ doses. Thyroid dose, however, tended to increase with age in neck or cervical spine and chest CT. Overall, the highest organ doses were to the skin, thyroid, brain, and eye lens. Mean organ doses differ substantially by site. The organ dose values included in this report are derived from empirical clinical exams and offer useful, representative values. Large inter-site variations demonstrate areas for radiation dose reduction.

在计算机断层扫描(CT)中使用时间密集的蒙特卡罗模拟和虚拟病人解剖模型来估计吸收器官的剂量,在文献中没有广泛报道。利用佛罗里达大学和国家癌症研究所开发的计算模型库,我们进行了蒙特卡罗模拟,计算了代表最常见身体区域和成像适应症(反映低、常规和高辐射剂量检查)的9个CT类别的器官剂量值,并按患者年龄(儿童)和有效直径(成人,使用“直径”作为患者尺寸的度量)分层。2015-2020年间,我们从美国20个州和加州大学旧金山分校国际CT剂量登记处的7个国家的27个医疗机构的156个成像设施中前瞻性地收集了559,202例成人和103,423例儿童CT检查样本。器官剂量因身体部位和检查类型而异。例如,与头部CT相关的平均脑剂量为头部低剂量20 mGy[标准差(SD) 14],头部常规剂量46 mGy (SD 21),头部高剂量扫描方案64 mGy (SD 31)。在低剂量、常规和高剂量检查中,腹部和骨盆CT的结肠平均剂量分别为19 mGy (SD 12)、32 mGy (SD 28)和69 mGy (SD 42)。一般来说,器官剂量随患者直径变化不大,对于许多类别,最大四分位数患者的器官剂量比最小四分位数患者的剂量高不超过10%。例如,对于腹部和骨盆高剂量,结肠剂量从最小到最大的患者从67增加到74 mGy(增加10%)。除少数例外情况外,儿童器官剂量随患者年龄的变化也相对较小,除了年龄最小的儿童平均器官剂量较高。然而,甲状腺剂量在颈、颈椎和胸部CT上有随年龄增加的趋势。总的来说,皮肤、甲状腺、大脑和晶状体受到的辐射剂量最高。器官平均剂量因部位而有很大差异。本报告中包含的器官剂量值来自经验性临床检查,并提供有用的、具有代表性的值。场址间较大的差异表明存在减少辐射剂量的区域。
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引用次数: 0
Additive Effects of Cu-ATSM and Radiation on Survival of Diffuse Intrinsic Pontine Glioma Cells. Cu-ATSM 和辐射对弥漫性脑桥胶质瘤细胞存活的叠加效应
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2025-01-01 DOI: 10.1667/RADE-24-00076.1
Sarah A King, Shane R Solst, Claire H Graham, Lianna Z Fiore, Rana Rheem, Ann Tomanek-Chalkley, Melissa A Fath, Joseph M Caster, Douglas R Spitz, Michelle E Howard

Diffuse intrinsic pontine gliomas (DIPG) are highly aggressive and treatment-resistant childhood primary brainstem tumors with a median survival of less than one year after diagnosis. The prevailing standard of care for DIPG, radiation therapy, does not prevent fatal disease progression, with most patients succumbing to this disease 3-8 months after completion of radiation therapy. This underscores the urgent need for novel combined-modality approaches for enhancing therapy responses. This study demonstrates that the cellular redox modulating drug, copper (II)-diacetyl-bis(N4-methylthiosemicarbazone) (Cu-ATSM) dose-dependently (1-3 μM) decreased clonogenic cell survival in SU-DIPG50 and SU-DIPG36 cell lines during 6 h of exposure but had no significant effect on survival in normal human astrocytes (NHA). Additional significant (>90%) decreases in DIPG clonogenic survival were observed at 24 h of Cu-ATSM exposure. However, NHAs also began to show dose-dependent 10-70% survival decreases at this point. Notably, 3 μM Cu-ATSM for 6 h resulted in additive clonogenic cell killing of DIPG lines when combined with radiation, which was not seen in NHAs and was partially inhibited by the copper chelator, bathocuproinedisulfonic acid. Cu-ATSM toxicity in DIPG cells was also inhibited by overexpression of mitochondrial-targeted catalase. These results support the hypothesis that Cu-ATSM is selectively cytotoxic to DIPGs by a mechanism involving H2O2 generation and copper and being additively cytotoxic with ionizing radiation.

弥漫性桥脑胶质瘤(DIPG)是一种侵袭性极强、耐药性极强的儿童原发性脑干肿瘤,确诊后的中位生存期不到一年。目前治疗 DIPG 的标准是放射治疗,但这并不能阻止致命的疾病进展,大多数患者在完成放射治疗 3-8 个月后就会死亡。这突出表明,迫切需要新的综合治疗方法来增强治疗反应。本研究表明,细胞氧化还原调节药物铜(II)-二乙酰基-双(N4-甲基氨基硫脲)(Cu-ATSM)剂量依赖性(1-3 μM)降低了 SU-DIPG50 和 SU-DIPG36 细胞系在 6 小时暴露期间的克隆生成细胞存活率,但对正常人星形胶质细胞(NHA)的存活率没有显著影响。在接触 Cu-ATSM 24 小时后,DIPG 克隆细胞存活率又出现了明显的下降(>90%)。然而,此时 NHA 的存活率也开始出现 10-70% 的剂量依赖性下降。值得注意的是,当 3 μM Cu-ATSM 与辐射结合使用 6 小时时,会对 DIPG 株系的克隆生成细胞产生叠加杀伤作用,而这种作用在 NHAs 中未见,铜螯合剂浴己二磺酸也能部分抑制这种作用。过表达线粒体靶向过氧化氢酶也能抑制 DIPG 细胞中的铜-ATSM 毒性。这些结果支持这样的假设,即 Cu-ATSM 通过一种涉及 H2O2 生成和铜的机制对 DIPGs 具有选择性细胞毒性,并且与电离辐射具有相加的细胞毒性。
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引用次数: 0
Radiation-induced Bystander Effect in Starfish (Patiria pectinifera) Oocytes. 辐射诱导海星卵母细胞的旁观者效应。
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2025-01-01 DOI: 10.1667/RADE-23-00198.1
Haruki Chiba, Hinata Horikawa, Valerie Swee Ting Goh, Tomisato Miura, Kentaro Ariyoshi

Although multiple studies suggest that ionizing radiation can induce bystander effects (radiation-induced bystander effect, RIBE) in cultured cell lines, it is still unclear whether RIBE is evolutionarily conserved in invertebrates. In this study, we investigated the frequency of cell death of unirradiated starfish (Patiria pectinifera) oocytes co-cultured with oocytes irradiated with X rays (0, 2 and 4 Gy). We observed increased frequencies of cell death determined by morphological abnormality and TUNEL-positive cells in unirradiated oocytes co-cultured with oocytes irradiated with 2 Gy or 4 Gy oocytes. In addition, the seawater cultured with 4 Gy irradiated oocytes induced cell death in unirradiated oocytes, and TUNEL-positive cells were observed. Our results suggest that RIBE is evolutionarily conserved in starfish.

尽管多项研究表明,电离辐射可在培养细胞系中诱导旁观者效应(radiation-induced bystander effect, RIBE),但RIBE在无脊椎动物中是否具有进化保守性尚不清楚。在本研究中,我们研究了未辐照海星(Patiria pectinifera)卵母细胞与X射线(0、2和4 Gy)照射的卵母细胞共培养的细胞死亡频率。我们观察到,未辐照的卵母细胞与2 Gy或4 Gy辐照的卵母细胞共培养时,细胞死亡的频率增加,由形态异常和tunel阳性细胞决定。此外,海水培养的4 Gy辐照卵母细胞诱导未辐照卵母细胞细胞死亡,tunel阳性细胞。我们的结果表明RIBE在海星中是进化保守的。
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引用次数: 0
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Radiation research
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