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Correction to: Recent review of natural and artificial background radiation dosimetry studies in Saudi Arabia. 更正:沙特阿拉伯自然和人工本底辐射剂量学研究的最新综述。
IF 1.7 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2023-05-01 DOI: 10.1007/s00411-023-01029-0
Ibrahim B Mansir, Alhassan A Jaoji, Ali S AlArjani, Sunday A Jonah
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引用次数: 0
Recent review of natural and artificial background radiation dosimetry studies in Saudi Arabia. 沙特阿拉伯自然和人工本底辐射剂量学研究的最新回顾。
IF 1.7 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2023-05-01 DOI: 10.1007/s00411-023-01022-7
Ibrahim B Mansir, Alhassan A Jaoji, Ali S AlArjani, Sunday A Jonah

This paper includes a review of the natural background radiation of the Kingdom of Saudi Arabia. The review deals with natural radioactivity measurements conducted in the past few decades in the Kingdom. The numerous research works reviewed refer to different materials soils processed building material, terrestrial (dwellings) and mining sites. For the measurements, different experimental techniques were adopted. The highest mean specific activity of 238U, 232Th and 40 K in soil samples was found to be 39.0, 25.6, and 343.0 Bq/kg, respectively. While the world average values are 33, 45 and 420 Bq/kg, respectively. For building materials, the highest mean values for 226Ra, 232Th and 40 K were 89, 106 and 773 Bq/kg, respectively. The mean indoor and outdoor dose rates were 455 µGy/y (Riyadh City) and 883 µGy/y (Al-Khamis City), respectively. For the mining sites the mean values for 238U, 226Ra, 228Ra, gross α and gross β, were 0.12, 0.33, 21, 0.78 and 2.44 Bq/kg, respectively. Based on the available data it is concluded that most of the natural background radiation levels in the measured locations were within acceptable limits, while a few isolated locations showed elevated dose rates. This review suggests that new improved radiological survey methods be employed to cover the entire country, and that areas identified with comparably high dose rates be re-assessed, especially, in dwellings and mining sites.

本文包括对沙特阿拉伯王国自然本底辐射的综述。该审查涉及过去几十年在王国进行的天然放射性测量。所审查的许多研究工作涉及不同的材料、土壤、加工过的建筑材料、陆地(住宅)和采矿场地。为了测量,采用了不同的实验技术。土壤样品中238U、232Th和40k的最高平均比活性分别为39.0、25.6和343.0 Bq/kg。而世界平均值分别为33、45和420 Bq/kg。对于建筑材料,226Ra、232Th和40k的最高平均值分别为89、106和773 Bq/kg。平均室内和室外剂量率分别为455µGy/y(利雅得市)和883µGy/y (Al-Khamis市)。矿区238U、226Ra、228Ra、总α和总β的平均值分别为0.12、0.33、21、0.78和2.44 Bq/kg。根据现有数据得出的结论是,所测地点的大多数自然本底辐射水平都在可接受的限度之内,而少数孤立地点的剂量率则有所上升。这项审查建议采用新的改进的放射调查方法来覆盖整个国家,并重新评估已确定剂量率较高的地区,特别是住宅和矿区。
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引用次数: 0
Lung cancer incidence attributable to residential radon exposure in Finland. 芬兰可归因于住宅氡暴露的肺癌发病率。
IF 1.5 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2023-03-01 Epub Date: 2022-11-08 DOI: 10.1007/s00411-022-01004-1
Olli Kurkela, Jaakko Nevalainen, Salla-Maaria Pätsi, Katja Kojo, Olli Holmgren, Anssi Auvinen

This study aimed to estimate (1) the number of avoidable lung cancer cases attributable to residential radon in Finland in 2017, separately by age, sex, dwelling type and smoking status, (2) the impact of residential radon alone and the joint effect of residential radon and smoking on the number of lung cancers and (3) the potential decrease in the number of radon-attributable lung cancers if radon concentrations exceeding specified action levels (100, 200 and 300 Bq m-3) would have been mitigated to those levels. Population-based surveys of radon concentrations and smoking patterns were used. Observed radon levels were contrasted with 25 Bq m-3 representing a realistic minimum level of exposure. Lung cancer risk estimates for radon and smoking were derived from literature. Lastly, the uncertainty due to the estimation of exposure and risk was quantified using a computationally derived uncertainty interval. At least 3% and at most 8% of all lung cancers were estimated as being attributable to residential radon. For small cell carcinoma, the proportion of cases attributable to radon was 8-13%. Among smokers, the majority of the radon-related cases were attributable to the joint effect of radon and smoking. Reduction of radon exposure to 100 Bq m-3 action level would eliminate approximately 30% of radon-attributable cases. Estimates were low compared with the literature, given the (relatively high) radon levels in Finland. This was mainly due to the lower radon levels and higher smoking prevalence in flats than in houses and a more realistic point of comparison, factors which have been ignored in previous studies. The results can guide actions in radon protection and in prevention of lung cancers.

本研究旨在估算:(1)2017 年芬兰因住宅氡而导致的可避免的肺癌病例数,按年龄、性别、住宅类型和吸烟状况分别估算;(2)住宅氡本身以及住宅氡和吸烟对肺癌病例数的共同影响;(3)如果氡浓度超过规定的行动水平(100、200 和 300 Bq m-3),将氡浓度降低到这些水平,氡导致的肺癌病例数可能减少的数量。我们采用了基于人口的氡浓度和吸烟模式调查。观察到的氡浓度水平与代表实际最低暴露水平的 25 Bq m-3 进行了对比。氡和吸烟的肺癌风险估计值来自文献。最后,使用计算得出的不确定性区间量化了辐照和风险估算的不确定性。据估计,在所有肺癌中,至少有 3%、最多有 8%可归因于住宅氡。就小细胞癌而言,可归因于氡气的病例比例为 8-13%。在吸烟者中,大多数与氡有关的病例是由于氡和吸烟的共同作用造成的。将氡暴露量减少到100 Bq m-3行动水平,可消除约30%的氡相关病例。鉴于芬兰的氡含量(相对较高),与文献相比,估计值较低。这主要是由于与住宅相比,公寓中的氡含量较低,吸烟率较高,而且比较点更切合实际,而这些因素在以往的研究中都被忽略了。研究结果可以指导氡防护和肺癌预防方面的行动。
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引用次数: 0
Bone marrow dosimetry for mice: exposure from bone-seeking 89,90Sr. 小鼠骨髓剂量测定:寻骨89,90sr暴露。
IF 1.7 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2023-03-01 DOI: 10.1007/s00411-022-01010-3
Elena Shishkina, Alina Shuiskaya, Pavel Sharagin

Studies of radiobiological effects in murine rodents exposed to internal radiation in the wild or in laboratory experiments require dosimetric support. The main problem of bone marrow (BM) dosimetry for bone-seeking β-emitters is dosimetric modeling, because the bone is a heterogeneous structure with complex microarchitecture. To date, there are several approaches to calculating the absorbed dose in BM, which mostly use rough geometric approximations. Recently, in the framework of studies of people exposed to 90Sr in the Urals, a new approach (SPSD) has been developed. The aim of the current study was to test for the first time the possibility of extension of the SPSD approach elaborated for humans to mice. For this, computational phantoms of femur bones of laboratory animals (C57BL/6, C57BL/6 J, BALB/c, BALB/cJ) aged 5-8 weeks (growing) and > 8 weeks (adults) were created. The dose factors DFSr-90(BM ← TBV + CBV) to convert the Sr isotope activity concentration in a bone tissue into units of dose rate absorbed in the bone marrow were 1.75 ± 0.42 and 2.57 ± 0.93 μGy day-1 per Bq g-1 for growing and adult animals, respectively, while corresponding values for DFSr-89(BM ← TBV + CBV) were 1.08 ± 0.27 and 1.66 ± 0.67 μGy day-1 per Bq g-1, respectively. These results are about 2.5 times lower than skeleton-average DFs calculated assuming homogenous bone, where source and target coincide. The results of the present study demonstrate the possibility of application of the SPSD approach elaborated for humans to non-human mammals. It is concluded that the study demonstrates the feasibility and appropriateness of application of the SPSD approach elaborated for humans to non-human mammals. This approach opens up new prospects for studying the radiobiological consequences of red bone marrow exposure for both laboratory and wildlife mammals.

在野外或实验室实验中对暴露于内部辐射的鼠类动物进行放射生物学效应的研究需要剂量学的支持。由于骨是一种具有复杂微结构的非均质结构,因此用于寻骨β-发射体的骨髓剂量学的主要问题是剂量学建模。迄今为止,有几种计算BM吸收剂量的方法,它们大多使用粗略的几何近似。最近,在乌拉尔地区90Sr暴露人群的研究框架中,提出了一种新的方法(SPSD)。目前研究的目的是首次测试将人类SPSD方法扩展到小鼠的可能性。为此,制作5-8周龄(生长期)和> 8周龄(成年期)实验动物(C57BL/6、C57BL/6 J、BALB/c、BALB/cJ)的股骨计算模型。将骨组织中锶同位素活度浓度转换为骨髓吸收剂量率单位的DFSr-90(BM←TBV + CBV)对生长和成年动物分别为1.75±0.42和2.57±0.93 μGy day-1 / Bq g-1,而DFSr-89(BM←TBV + CBV)的相应值分别为1.08±0.27和1.66±0.67 μGy day-1 / Bq g-1。这些结果比假设源和靶一致的均匀骨计算的骨骼平均DFs低约2.5倍。本研究的结果证明了将针对人类的SPSD方法应用于非人类哺乳动物的可能性。研究结果表明,将人类的SPSD方法应用于非人类哺乳动物的可行性和适宜性。该方法为研究实验室和野生哺乳动物红骨髓暴露的放射生物学后果开辟了新的前景。
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引用次数: 0
Personal dose equivalent Hp(0.07) during 68Ga-DOTA-TATE production procedures. 68Ga-DOTA-TATE 生产过程中的个人剂量当量 Hp(0.07)。
IF 1.5 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2023-03-01 Epub Date: 2023-01-10 DOI: 10.1007/s00411-022-01015-y
M Wrzesień, Ł Albiniak

This work presents the exposure of hands of the personnel of a nuclear medicine department who prepare and administer 68Ga-DOTA-TATE. Dosimetry measurements were performed during three 1-week sessions, for nine production procedures. A total of 360 measurements were made by using high-sensitivity MCP-N thermoluminescent detectors. Annealed detectors were and vacuum-packed in foil and then placed on each fingertip of both hands of five radiochemists and four nurses (one detector for one fingertip). The greatest exposure to ionizing radiation was found on the non-dominant left hand of radiochemists and nurses. A maximum Hp(0.07)/A value of 49.36 ± 4.95 mSv/GBq was registered for radiochemists during the 68 Ga-DOTA-DATE activity dispensing procedure. For nurses performing the radiopharmaceutical injection procedure, a corresponding maximum value of 1.28 ± 0.13 mSv/GBq was measured, while the mean value for all the nurses was 0.38 mSv/GBq. The dispensing procedure accounted for approximately 60% of the total exposure of radiochemists' fingertips. Based on the results obtained it is recommended that a ring dosimeter should be routinely placed on the middle finger of the non-dominant hand of radiochemists and nurses. Furthermore, it is proposed to systematically train workers in handling open sources of ionizing radiation, with the aim of reducing the required handling time.

本研究介绍了核医学部门制备和施用 68Ga-DOTA-TATE 的人员的手部暴露情况。在三个为期一周的会议期间,对九个生产程序进行了剂量测定。使用高灵敏度 MCP-N 热释光探测器共进行了 360 次测量。退火后的探测器用铝箔真空包装,然后分别贴在五名放射化学家和四名护士的双手指尖上(一个指尖一个探测器)。放射化学家和护士的非惯用左手受到的电离辐射最大。在 68 Ga-DOTA-DATE 放射性活度分配过程中,放射化学家的最高 Hp(0.07)/A 值为 49.36 ± 4.95 mSv/GBq。对于执行放射性药物注射程序的护士,测得的相应最大值为 1.28 ± 0.13 mSv/GBq,而所有护士的平均值为 0.38 mSv/GBq。配药过程约占放射化学家指尖总暴露量的 60%。根据所得结果,建议将环形剂量计常规放置在放射化学家和护士非惯用手的中指上。此外,建议对工作人员进行处理开放式电离辐射源的系统培训,以减少所需的处理时间。
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引用次数: 0
Relative biological effectiveness of low-energy X-rays (25 kV) in mutant p53 cancer cells. 低能x射线(25kv)对突变型p53癌细胞的相对生物学效应。
IF 1.7 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2023-03-01 DOI: 10.1007/s00411-022-01014-z
Bettina Habelt, Wolfgang Dörr

Low-energy X-rays as used in radiation therapy and diagnostics such as mammography are associated with a certain risk of promoting tumour development, especially in patients with mutations in cancer-related genes like TP53. The present study therefore addressed the relative biological effectiveness (RBE) of low-energy X-rays for two human adenocarcinoma cell lines of the breast (MDA-MB-468) and pancreas (BxPC-3) with a mutation in the TP53 gene. Clonogenic survival and cytogenetic changes in terms of micronuclei (MN) formation were determined following irradiation with 25 kV X-rays and 200 kV reference irradiation in the dose range of 1-8 Gy. Except the frequency of MN-containing binucleated cells (BNC) (BNC + MN/BNC) in breast cancer cells yielding an RBE between 0.6 and 0.8, both cell lines displayed dose-dependent variations of RBE values between 1 and 2 for all biological end points (cell survival, (BNC + MN/BNC), MN/BNC, MN/(BNC + MN)) with increased effectiveness of 25 kV irradiation in pancreatic compared to breast cancer cells. The results confirm previous findings indicating increased effectiveness of low-energy X-rays and underline the necessity of careful risk estimation for cancer screening programmes.

用于放射治疗和诊断(如乳房x光检查)的低能x射线具有促进肿瘤发展的一定风险,特别是在TP53等癌症相关基因突变的患者中。因此,本研究探讨了低能x射线对两种TP53基因突变的乳腺(MDA-MB-468)和胰腺(BxPC-3)腺癌细胞系的相对生物学有效性(RBE)。在25千伏x射线照射和200千伏参考照射(剂量范围为1-8 Gy)后,测定了微核(MN)形成方面的克隆生存和细胞遗传学变化。除了乳腺癌细胞中含有MN的双核细胞(BNC) (BNC + MN/BNC)产生的RBE在0.6和0.8之间的频率外,两种细胞系在所有生物学末端(细胞存活,(BNC + MN/BNC), MN/BNC, MN/(BNC + MN))的RBE值在1和2之间的剂量依赖性变化,与乳腺癌细胞相比,25 kV照射在胰腺中的有效性增加。研究结果证实了先前的发现,即低能x射线的有效性增加,并强调了在癌症筛查项目中仔细评估风险的必要性。
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引用次数: 0
Correction to: Out‑of‑field effects: lessons learned from partial body exposure. 修正:场外效应:从部分身体暴露中吸取的教训。
IF 1.7 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2023-03-01 DOI: 10.1007/s00411-022-01006-z
S Pazzaglia, M Eidemüller, K Lumniczky, M Mancuso, R Ramadan, L Stolarczyk, S Moertl
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引用次数: 0
Fish otoliths as biological dosimeter: internal dose calculation. 鱼耳石作为生物剂量计:内剂量计算。
IF 1.7 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2023-03-01 DOI: 10.1007/s00411-022-01007-y
E A Shishkina, D V Ivanov, U D Biryukhova, E A Pryakhin, G A Tryapitsina

Otoliths are organs used by fish for hearing and keeping balance. They consist of biogenic crystals of hydroxyapatite and do not contain any living cells. Upon exposure to ionizing radiation, otolith hydroxyapatite accumulates radiation-induced stable CO2- radicals whose amount is proportional to absorbed dose. In electron paramagnetic resonance (EPR) dosimetry, carbonate ions are registered and, hence, the total accumulated dose in the fish otolith can be quantified. Therefore, otoliths can be used as individual fish dosimeters to support radiobiological and radioecological studies. An important aspect of otolith-based EPR dosimetry on fish from contaminated water bodies is the potential presence of bone-seeking 90Sr. Consequently, cumulative absorbed doses measured with EPR in otoliths may reflect the superposition of internal exposure to 90Sr/90Y and external exposure due to radionuclides circulating in soft tissue of the fish as well as due to environmental contamination. The objective of the present study was to develop a method that allows for an assessment of the contribution of 90Sr to the total dose in otolith. The method has been tested using otoliths from seven fish taken from reservoirs located in the Southern Urals contaminated with radionuclides including 90Sr. It has been shown that dose to otoliths is largely determined by 90Sr in the hydroxyapatite. The internal dose component can be calculated using activity concentration-to-dose conversion factors, which vary slightly in the range of 2.0-2.8 × 10-3 Gy year-1 per Bq g-1 depending on fish species and age. Internal doses to fish from water bodies with different levels of 90Sr contamination were calculated in the range from 2 mGy to ~ 200 Gy. External dose contribution was derived for two fish only to be about 100 and 40 Gy. It is concluded that EPR dosimetry on fish otoliths is a promising tool when external exposure prevails or is comparable to internal exposure due to 90Sr.

耳石是鱼用来听觉和保持平衡的器官。它们由羟基磷灰石的生物晶体组成,不含任何活细胞。暴露于电离辐射后,耳石羟基磷灰石积累辐射诱导的稳定的CO2自由基,其数量与吸收剂量成正比。在电子顺磁共振(EPR)剂量法中,碳酸盐离子被记录下来,因此可以量化鱼耳石中的总累积剂量。因此,耳石可以作为单个鱼的剂量计来支持放射生物学和放射生态学的研究。以耳石为基础的EPR剂量法对来自受污染水体的鱼进行剂量测定的一个重要方面是可能存在寻骨的90Sr。因此,耳石中EPR测量的累积吸收剂量可能反映了90Sr/90Y的内部暴露和由于放射性核素在鱼类软组织中循环以及环境污染造成的外部暴露的叠加。本研究的目的是开发一种方法,可以评估90Sr对耳石总剂量的贡献。该方法已在乌拉尔南部被放射性核素(包括90Sr)污染的水库中采集的7条鱼的耳石进行了测试。耳石的剂量主要由羟基磷灰石中的90Sr决定。内剂量成分可以使用活度浓度-剂量转换因子计算,根据鱼类种类和年龄,活度浓度-剂量转换因子在2.0-2.8 × 10-3 Gy -1 / Bq - g-1的范围内略有不同。从不同程度的90Sr污染水体中计算鱼的内剂量,范围为2毫戈瑞至~ 200戈瑞。据推算,两条鱼的外剂量贡献仅约为100戈瑞和40戈瑞。结论是,当外部暴露盛行或与内部暴露相当时,对鱼耳石进行EPR剂量测定是一种很有前途的工具。
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引用次数: 0
Concepts of association between cancer and ionising radiation: accounting for specific biological mechanisms. 癌症与电离辐射之间关联的概念:解释特定的生物机制。
IF 1.7 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2023-03-01 DOI: 10.1007/s00411-022-01012-1
Markus Eidemüller, Janine Becker, Jan Christian Kaiser, Alexander Ulanowski, A Iulian Apostoaei, F Owen Hoffman

The probability that an observed cancer was caused by radiation exposure is usually estimated using cancer rates and risk models from radioepidemiological cohorts and is called assigned share (AS). This definition implicitly assumes that an ongoing carcinogenic process is unaffected by the studied radiation exposure. However, there is strong evidence that radiation can also accelerate an existing clonal development towards cancer. In this work, we define different association measures that an observed cancer was newly induced, accelerated, or retarded. The measures were quantified exemplarily by Monte Carlo simulations that track the development of individual cells. Three biologically based two-stage clonal expansion (TSCE) models were applied. In the first model, radiation initiates cancer development, while in the other two, radiation has a promoting effect, i.e. radiation accelerates the clonal expansion of pre-cancerous cells. The parameters of the TSCE models were derived from breast cancer data from the atomic bomb survivors of Hiroshima and Nagasaki. For exposure at age 30, all three models resulted in similar estimates of AS at age 60. For the initiation model, estimates of association were nearly identical to AS. However, for the promotion models, the cancerous clonal development was frequently accelerated towards younger ages, resulting in associations substantially higher than AS. This work shows that the association between a given cancer and exposure in an affected person depends on the underlying biological mechanism and can be substantially larger than the AS derived from classic radioepidemiology.

所观察到的癌症是由辐射照射引起的概率通常是使用来自放射流行病学队列的癌症发病率和风险模型来估计的,称为分配份额(AS)。这一定义隐含地假设正在进行的致癌过程不受所研究的辐射照射的影响。然而,有强有力的证据表明,辐射也可以加速现有的克隆向癌症的发展。在这项工作中,我们定义了不同的关联措施,观察到的癌症是新诱发的,加速的,或延迟的。通过跟踪单个细胞发育的蒙特卡罗模拟,这些措施被量化。采用三种基于生物学的两期克隆扩增(TSCE)模型。在第一个模型中,辐射启动了癌症的发展,而在另外两个模型中,辐射具有促进作用,即辐射加速了癌前细胞的克隆扩增。TSCE模型的参数来源于广岛和长崎原子弹爆炸幸存者的乳腺癌数据。对于30岁时的暴露,所有三种模型得出的60岁时AS的估计值相似。对于起始模型,关联估计几乎与AS相同。然而,对于促进模型,癌性克隆的发展往往向更年轻的年龄加速,导致相关性大大高于AS。这项工作表明,特定癌症与受影响人群暴露之间的联系取决于潜在的生物学机制,并且可能比传统放射流行病学得出的AS要大得多。
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引用次数: 0
Dosimetric evaluation study of IMRT and VMAT techniques for prostate cancer based on different multileaf collimator designs. 基于不同多叶准直器设计的前列腺癌IMRT和VMAT剂量学评价研究。
IF 1.7 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2023-03-01 DOI: 10.1007/s00411-022-01011-2
Mohamed M Fathy, Belal Z Hassan, Reem H El-Gebaly, Maha H Mokhtar

The hypofractionated radiotherapy modality was established to reduce treatment durations and enhance therapeutic efficiency, as compared to conventional fractionation treatment. However, this modality is challenging because of rigid dosimetric constraints. This study aimed to assess the impact of multi-leaf collimator (MLC) widths (10 mm and 5 mm) on plan quality during the treatment of prostate cancer. Additionally, this study aimed to investigate the impact of the MLC mode of energy on the Agility flattening filter (FF), MLC Agility-free flattening filter (FFF), and MLCi2 for patients receiving hypofractionated radiotherapy. Two radiotherapy techniques; Intensity Modulated Radiotherapy (IMRT) and Volumetric Modulated Arc Radiotherapy (VMAT), were used in this research. In the present study, computed tomography simulations of ten patients (six plans per patient) with localized prostate adenocarcinoma were analyzed. Various dosimetric parameters were assessed, including monitor units, treatment delivery times, conformity, and homogeneity indices. To evaluate the plan quality, dose-volume histograms (DVHs) were estimated for each technique. The results demonstrated that the determined dosimetric parameters of planning target volume (PTV)p (such as D mean, conformity, and homogeneity index) showed greater improvement with MLC Agility FF and MLC Agility FFF than with MLCi2. Additionally, the treatment delivery time was reduced in the MLC Agility FF (by 31%) and MLC Agility FFF (by 10.8%) groups compared to the MLCi2 group. It is concluded that for both the VMAT and IMRT techniques, the smaller width (5 mm) MLCs revealed better planning target volume coverage, improved the dosimetric parameters for PTV, reduced the treatment time, and met the constraints for OARs. It is therefore recommended to use 5 mm MLCs for hypofractionated prostate cancer treatment due to better target coverage and better protection of OARs.

与传统分割治疗相比,低分割放疗方式旨在缩短治疗时间,提高治疗效率。然而,由于严格的剂量学限制,这种模式具有挑战性。本研究旨在评估多叶准直器(MLC)宽度(10 mm和5 mm)对前列腺癌治疗中计划质量的影响。此外,本研究旨在探讨MLC能量模式对低分割放疗患者Agility平坦滤波器(FF)、MLC agile -free平坦滤波器(FFF)和MLCi2的影响。两种放疗技术;本研究采用强度调制放疗(IMRT)和体积调制弧线放疗(VMAT)。在本研究中,我们分析了10例局限性前列腺癌患者(每例患者6例)的计算机断层扫描模拟。评估了各种剂量学参数,包括监测单位、治疗递送时间、一致性和均匀性指数。为了评估计划质量,对每种技术的剂量-体积直方图(DVHs)进行估计。结果表明,与MLCi2相比,MLC Agility FF和MLC Agility FFF对规划靶体积(PTV)p测定的剂量学参数(如D均值、一致性和均匀性指数)有更大的改善。此外,与MLCi2组相比,MLC Agility FF组(减少31%)和MLC Agility FFF组(减少10.8%)的治疗递送时间缩短。综上所述,对于VMAT和IMRT技术,较小宽度(5 mm)的MLCs可以更好地规划靶体积覆盖,改善PTV的剂量学参数,缩短治疗时间,并满足OARs的限制。因此,推荐使用5mm MLCs进行低分割前列腺癌治疗,因为它具有更好的靶覆盖和更好的OARs保护。
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引用次数: 3
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Radiation and Environmental Biophysics
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