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Maintaining competence in radiation protection research: a position statement by the MELODI scientific advisory committee. 保持辐射防护研究的能力:MELODI 科学咨询委员会的立场声明。
IF 2.3 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2025-05-01 Epub Date: 2025-03-28 DOI: 10.1007/s00411-025-01122-6
Sally A Amundson, Mauro Belli, Maria Blettner, Kerstin Borgmann, Eva Forssell-Aronsson, Mats Harms-Ringdahl, Penelope A Jeggo, Ohtsura Niwa, Peter O'Neill

The aim of this position statement is to bring to the forefront the necessity for maintaining and enhancing high competence in assessing the impact of low dose and low dose rate exposure on human health and the urge for funding to achieve this within Europe. Exposure to low dose/dose rates of radiation can arise from multiple scenarios or events, including natural radiation exposure, the use of radiation in medicine, industry and energy production, terrorist actions and following a nuclear incident or war. Technological developments involving radiation are progressing rapidly and have the potential to benefit mankind and societal issues. The benefit of high dose exposure during radiotherapy is a well-funded area. However, the health consequences of exposure to low doses is not well understood and the area of radiation protection research (RPR) is poorly funded. High quality RPR is essential to allow updating of radiation safety regulations for optimal protection from natural, medical and occupational exposure and for assessment of radiation incidents. Continuous evaluation of risks is essential as technological developments result in new types of radiation exposure. We will overview the technologies and situations which can potentially lead to low dose exposure, evaluate what has been gained from RPR and the questions that still need addressing, discuss the current state of RPR in Europe and highlight the consequences of a failure to adequately fund this area. We conclude that increased funding for RPR is essential to maintain high competence and to allow adequate protection of the public to inevitable low dose radiation exposure.

本立场声明的目的是突出强调在评估低剂量和低剂量率照射对人类健康的影响方面保持和加强高能力的必要性,以及迫切需要为在欧洲实现这一目标提供资金。受到低剂量/剂量率辐射可能来自多种情况或事件,包括自然辐射照射、在医学、工业和能源生产中使用辐射、恐怖主义行动以及核事件或战争之后。涉及辐射的技术发展进展迅速,有可能造福人类和解决社会问题。放疗期间高剂量照射的益处是一个资金充足的领域。然而,人们对低剂量照射对健康的影响还不甚了解,辐射防护研究领域的资金不足。高质量的辐射安全审查对于更新辐射安全条例以最佳地保护人们免受自然、医疗和职业照射以及评估辐射事件至关重要。随着技术发展导致新型辐射暴露,对风险进行持续评估至关重要。我们将概述可能导致低剂量暴露的技术和情况,评估从RPR中获得的成果和仍需解决的问题,讨论欧洲RPR的现状,并强调未能充分资助这一领域的后果。我们的结论是,增加RPR的资金对于保持高能力和使公众在不可避免的低剂量辐射照射下得到充分保护至关重要。
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引用次数: 0
Comparing texture analysis of pretreatment 18F-FDG PET and 68Ga-PSMA PET in patients with prostate cancer: investigation of diagnostic efficacy and prognostic biomarker. 预处理18F-FDG PET和68Ga-PSMA PET在前列腺癌患者中的质构分析比较:诊断疗效和预后生物标志物的研究。
IF 1.5 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2025-05-01 Epub Date: 2025-03-26 DOI: 10.1007/s00411-025-01114-6
Mahmoud A Kenawy, Hussein M Abdelhafez, Murtadha Al-Fatlawi, Tariq Nadhim Jassim, Ahmed Salman Jasim, Elsayed M Alashkar

This study aims to evaluate the predictive accuracy of textural parameters and current parameters of 18F-fluorodeoxyglucose and 68Ga-labeled prostate-specific antigen positron emission tomography (FDG and PSMA PET) images in prostate cancer (PCa) and compare the features retrieved from both scans. Based on symptoms, digital rectal examination (DRE), prostate-specific antigen (PSA) level in the blood, or histopathology from transrectal ultrasound-guided biopsy and 4Kscore Test, 120 patients have confirmed PCa. Sixty of them were scanned on a PET/CT machine using 18F-FDG, and the other 60 patients were scanned using 68Ga-PSMA of radiopharmacy. Each tumour was delineated using PET. Edge texture parameters were used to define each tumour, and 73 features in all were taken from eight distinct texture matrices and computed using the open-source program Chang-Gung Image Texture Analysis (CGITA). Using Spearman correlation, feature correlation with conventional quantitative metrics (Maximum Standardized Uptake Value (SUVmax), Total Lesion Glycolysis (TLG), Metabolic Tumor Volume (MTV)) was investigated, and it was found that the High-Intensity Low-Energy Radiation (HILRE) correlation was strong. PCa was best discriminated by HILRE (64-bin) in receiver operating characteristic curves. It is concluded that 68Ga-PSMA-based PET imaging is better than 18F-FDG-based PET and is strongly associated with PCa tumour allocation. According to extracted features, HILRE is the most significant measure and it is, thus, considered here an independent predictor of PCa prognosis. Although the study's findings are helpful, confirmation by further prospective research is required.

本研究旨在评估18f -氟脱氧葡萄糖和68ga标记的前列腺特异性抗原正电子发射断层扫描(FDG和PSMA PET)图像的纹理参数和电流参数在前列腺癌(PCa)中的预测准确性,并比较两种扫描结果的特征。根据症状、直肠指检(DRE)、血液中前列腺特异性抗原(PSA)水平或经直肠超声引导活检和4Kscore测试的组织病理学结果,120例患者确诊为前列腺癌。其中60例采用18F-FDG PET/CT扫描,其余60例采用68Ga-PSMA放射药学扫描。每个肿瘤用PET描绘。使用边缘纹理参数定义每个肿瘤,并从8个不同的纹理矩阵中提取73个特征,并使用开源程序Chang-Gung图像纹理分析(CGITA)计算。采用Spearman相关,研究了与常规定量指标(最大标准化摄取值(SUVmax)、病灶总糖酵解(TLG)、代谢肿瘤体积(MTV))的特征相关性,发现高强度低能辐射(HILRE)相关性强。在受试者工作特征曲线中,用HILRE (64-bin)识别PCa效果最好。综上所述,基于68ga - psma的PET成像优于基于18f - fdg的PET成像,并且与PCa的肿瘤分布密切相关。根据提取的特征,HILRE是最显著的指标,因此,本文认为HILRE是PCa预后的独立预测因子。虽然这项研究的发现是有帮助的,但还需要进一步的前瞻性研究来证实。
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引用次数: 0
Commissioning and performance assessment of diodes and MOSFETs in in-vivo dosimetry for external beam radiation therapy. 用于体外放射治疗体内剂量测定的二极管和 MOSFET 的调试和性能评估。
IF 1.5 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2025-05-01 Epub Date: 2025-03-04 DOI: 10.1007/s00411-025-01117-3
Omama Al Kharusi, Raya Al Mamari, Balaqis Al Hosni, Iqbal Al Amri, Mahmoud Al Fishawy, Mohamed-Rachid Boulassel, Yassine Bouchareb

The precision of radiation therapy treatment depends on several calibration and quality assurance processes. In-vivo dosimetry (IVD) is used in external beam radiotherapy to evaluate the delivered versus planned dose as a patient-specific quality assurance verification procedure. This study aimed at assessing the performance of diodes (EDP-103G and EDP-203G) and metal oxide semiconductor field-effect transistors (MOSFETs) and corresponding correction factors followed by IVD evaluation in different treatment configurations. Linearity, stability, gantry angle, field size, and source-to-subject distance (SSD) were assessed across various photon energies, with correction factors determined. To minimize patient movement uncertainty, the study utilized the Alderson Rando phantom to replicate clinical setups, comparing diode and MOSFET dose readings to treatment planning system (TPS) doses. Diodes and MOSFETs were evaluated across different photon energy levels for brain, chest, and pelvis planning sites. Diodes and MOSFETs demonstrated good stability and linearity at the different utilized photon beams. Data analysis showed that MOSFETs had a slightly higher sensitivity compared to diodes in gantry angle, field size and SSD corrections. Regarding the validation process after applying the correction factors, dose variations between diode readings and TPS doses were found to be 1.89%, 1.58%, and 6.72% for brain, breast, and pelvis, respectively. In contrast, MOSFET readings were 2.40% for brain, 2.03% for chest, and 2.03% for pelvis. It is concluded that, while diode and MOSFET dosimeters both allowed for accurate patient dose measurements, for different anatomical sites, MOSFETs demonstrated better performance for the pelvis compared to diodes.

放射治疗的精度取决于几个校准和质量保证过程。体内剂量法(IVD)用于体外放射治疗,以评估交付剂量与计划剂量,作为患者特异性质量保证验证程序。本研究旨在评估二极管(EDP-103G和EDP-203G)和金属氧化物半导体场效应晶体管(mosfet)在不同处理配置下的性能和相应的校正因子,然后进行IVD评估。在不同的光子能量下评估线性度、稳定性、龙门角度、场大小和源到对象距离(SSD),并确定校正因子。为了最大限度地减少患者运动的不确定性,该研究利用Alderson随机模体来复制临床设置,将二极管和MOSFET剂量读数与治疗计划系统(TPS)剂量进行比较。二极管和mosfet在脑、胸部和骨盆规划部位的不同光子能量水平上进行了评估。二极管和mosfet在不同利用的光子光束下表现出良好的稳定性和线性度。数据分析表明,与二极管相比,mosfet在门架角、场尺寸和SSD校正方面具有略高的灵敏度。在应用校正因子后的验证过程中,脑、乳腺和骨盆的二极管读数与TPS剂量之间的剂量差异分别为1.89%、1.58%和6.72%。相比之下,脑的MOSFET读数为2.40%,胸部为2.03%,骨盆为2.03%。结论是,虽然二极管和MOSFET剂量计都允许精确的患者剂量测量,但对于不同的解剖部位,MOSFET与二极管相比,在骨盆中表现出更好的性能。
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引用次数: 0
Impact of meteorological factors and atmospheric particulate matter on background radiation. 气象因子和大气颗粒物对本底辐射的影响。
IF 1.5 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2025-05-01 Epub Date: 2025-03-20 DOI: 10.1007/s00411-025-01121-7
Mao-Chin Hung

The interactions between meteorological factors, atmospheric particulate matter (PM), and background radiation were investigated in this study. Three databases that recorded these data in Taipei were used and multiple linear regression was applied to analyze the data. It turned out the distributions of meteorological factors, PM2.5 and PM10 concentrations, and background radiation differed significantly between periods of sunny and rainy hours. Background radiation was positively correlated with temperature and relative humidity, but negatively correlated with wind speed on sunny and rainy days. In particular, background radiation significantly increased with PM2.5 and PM10 concentrations on sunny days or nights. However, on rainy days or nights, the background radiation significantly increased with precipitation, regardless of the PM concentration. The effects of PM2.5, PM10 and precipitation on background radiation were found to last up to 1, 5 and 4 h, respectively. In conclusion, meteorological factors and PM have significantly different effects on background radiation on sunny and rainy hours.

本研究调查了气象因素、大气颗粒物(PM)和背景辐射之间的相互作用。研究使用了记录台北市这些数据的三个数据库,并应用多元线性回归分析数据。结果表明,气象要素、PM2.5 和 PM10 浓度以及本底辐射的分布在晴天和雨天时段有显著差异。在晴天和雨天,本底辐射与温度和相对湿度呈正相关,但与风速呈负相关。特别是,在晴天或夜晚,本底辐射随着 PM2.5 和 PM10 浓度的增加而明显增加。然而,在雨天或夜晚,无论 PM 浓度如何,本底辐射都会随着降水量的增加而明显增加。研究发现,PM2.5、PM10 和降水对本底辐射的影响分别持续了 1、5 和 4 小时。总之,气象因素和可吸入颗粒物对晴天和雨天的本底辐射有明显不同的影响。
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引用次数: 0
Emerging themes and future directions in space radiation health research: a bibliometric exploration from 2013 to 2022. 空间辐射健康研究的新兴主题与未来方向:2013 - 2022年文献计量学探索。
IF 1.5 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2025-05-01 Epub Date: 2025-03-29 DOI: 10.1007/s00411-025-01115-5
Jianhui Tan, Zhongming Zhou, Huihui Zheng, Yanpo Li, Haiting Wang, Qiuping Yang, Huiting Tian, Haolin Chen, Jiayi Xie, Zhiyang Li, Yexi Chen

The impact of space radiation on health (SRHE) is extensive and significantly influences public health and space operations, making it essential to analyze global collaboration networks and track developmental trends over the last decade. However, bibliometric analysis in this area remains limited. This study aims to outline publication trends, citation patterns, major journals, key authors, institutional and national collaborations, and to explore emerging themes and future directions. A bibliometric analysis was conducted using CiteSpace, Bibliometrix in R, and VOSviewer on SRHE research from the Web of Science Core Collection up to November 12, 2023. The analysis included 390 records from 4,857 journals, involving 1,918 authors across 701 institutions in 53 countries. The predominant publications were Articles and Review Articles in Life Sciences and Biomedicine, with a notable publication surge in 2020. The most cited work was by Li et al. (2017), with Cucinotta F.A. as the most prolific author. The USA led in publications, citations, and collaboration strength, followed by Germany and China. Key journals include Radiation Research, Plos One, Life Sciences in Space Research, and Health Physics. Research has focused on radiation exposure effects, DNA damage repair, astronaut health risks, and radiation protection, with emerging trends in microgravity, astrobiology, and lifespan research, which examines the biological, psychological, and social aspects of aging and the entire life course, aiming to understand and extend the health span-the period of life free from chronic diseases and age-related disabilities-rather than just the total lifespan. Future research may benefit from focusing on personalized radiation protection, exploring biological mechanisms, and embracing technological innovations, based on the trends observed in this study.

空间辐射对健康的影响是广泛的,并对公共卫生和空间业务产生重大影响,因此必须分析全球协作网络并跟踪过去十年的发展趋势。然而,这方面的文献计量分析仍然有限。本研究旨在概述出版趋势、引用模式、主要期刊、主要作者、机构和国家合作,并探讨新兴主题和未来方向。利用CiteSpace、Bibliometrix in R和VOSviewer对Web of Science核心馆藏截至2023年11月12日的SRHE研究进行文献计量学分析。该分析包括来自4857种期刊的390条记录,涉及53个国家701个机构的1918位作者。主要出版物为生命科学和生物医学领域的文章和综述文章,2020年发表量显著增加。被引用最多的是Li et al.(2017),其中Cucinotta F.A.是最多产的作者。美国在出版物、引用和合作强度方面领先,其次是德国和中国。重点期刊包括《辐射研究》、《公共科学图书馆综合》、《空间研究中的生命科学》和《健康物理学》。研究的重点是辐射暴露效应、DNA损伤修复、宇航员健康风险和辐射防护,以及微重力、天体生物学和寿命研究的新兴趋势,这些研究检查衰老和整个生命过程的生物学、心理和社会方面,旨在了解和延长健康跨度——没有慢性疾病和与年龄有关的残疾的生命周期——而不仅仅是整个寿命。基于本研究的趋势,未来的研究可能会受益于个性化辐射防护、探索生物机制和拥抱技术创新。
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引用次数: 0
Characterization of backscatter factors for various tissue substitutes in diagnostic radiology: a Monte Carlo investigation. 诊断放射学中各种组织替代物的后向散射因素的表征:蒙特卡洛调查。
IF 1.5 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2025-05-01 Epub Date: 2025-04-05 DOI: 10.1007/s00411-025-01123-5
A Khallouqi, H Sekkat, O El Rhazouani, A Halimi, Y Madkouri

Accurate assessment of backscatter factors (BSFs) is critical in medical dosimetry to precisely quantify the increase in surface dose caused by photon scattering, particularly in the low-energy kilovoltage X-ray beams used in diagnostic radiology. This study aimed to conduct a comprehensive evaluation of BSF values for diagnostic X-ray beams through Monte Carlo simulations. The interactions of BSFs with widely used tissue substitutes, including water, ICRU tissue, polyester, polymethyl methacrylate (PMMA), and nylon, were examined across a range of conditions, including half-value layer (HVL), field size, and energy spectra. The results demonstrate that BSF values consistently increase with larger field sizes and higher beam energies/HVLs, highlighting the significant impact of these parameters on scatter contributions. Comparative analysis of the materials revealed that water most closely approximates the BSF behaviour of ICRU tissue, with deviations of -2.08-8% across the studied energy range and field sizes. Polyester and PMMA also showed promising agreement, converging to within ± 5% of ICRU tissue at higher energies and larger field sizes. In contrast, nylon exhibited more substantial deviations, particularly in smaller field sizes and lower energies. These findings provide essential insights to improve the accuracy of dosimetric models and enhance radiation safety in diagnostic radiology applications.

准确评估后向散射因子(bsf)在医学剂量学中至关重要,以精确量化光子散射引起的表面剂量增加,特别是在诊断放射学中使用的低能量千电压x射线束中。本研究旨在通过蒙特卡罗模拟对诊断x射线光束的BSF值进行综合评价。bsf与广泛使用的组织替代品,包括水、ICRU组织、聚酯、聚甲基丙烯酸甲酯(PMMA)和尼龙的相互作用,在一系列条件下进行了研究,包括半值层(HVL)、场大小和能谱。结果表明,BSF值随着视场尺寸和光束能量/ hvl的增大而增加,这表明这些参数对散射贡献有显著影响。材料的对比分析表明,水最接近ICRU组织的BSF行为,在研究的能量范围和场大小范围内偏差为-2.08-8%。聚酯和PMMA也表现出了很好的一致性,在更高的能量和更大的场尺寸下,会聚在ICRU组织的±5%以内。相比之下,尼龙表现出更大的偏差,特别是在较小的场尺寸和较低的能量。这些发现为提高剂量学模型的准确性和提高放射诊断应用中的辐射安全性提供了重要的见解。
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引用次数: 0
Comment on "The scientific nature of the linear no-threshold (LNT) model used in the system of radiological protection" by A. Wojcik and F. Zölzer. 评论A. Wojcik和F. Zölzer的“辐射防护系统中使用的线性无阈值(LNT)模型的科学性”。
IF 1.5 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2025-05-01 Epub Date: 2025-02-21 DOI: 10.1007/s00411-025-01112-8
Michael P R Waligórski, Marek K Janiak
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引用次数: 0
Radiation dose escalation by injecting bismuth, gold and platinum nanoparticles into a tumour during high dose rate 192Ir brachytherapy: a Monte Carlo study. 在高剂量率192Ir近距离放射治疗期间,通过向肿瘤注射铋、金和铂纳米粒子来增加辐射剂量:蒙特卡洛研究。
IF 1.5 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2025-05-01 Epub Date: 2025-04-22 DOI: 10.1007/s00411-025-01127-1
Tsige Gebremariam, Ghazale Geraily, Francesco Longo, Somayeh Gholami

The purpose of this work was to determine and compare the dose enhancement of gold, platinum, and bismuth nanoparticles that were loaded into a tumour during high dose rate (HDR) brachytherapy. The Geant4 Monte Carlo toolkit was used to simulate an HDR 192Ir radionuclide source. To verify the accuracy of the simulations, the obtained values of air-kerma strength, dose-rate constant (Λ), radial dose function, and 2D anisotropy function (F (r, θ)) were compared with the corresponding published values for the source used. The dose enhancement was computed by injecting 7, 18, and 30 mg/g concentrations of bismuth, platinum, and gold nanoparticles separately into a cube of 1 cm3 volume of the tumour placed in 20 × 20 × 20 cm3 of a soft tissue phantom. The absorbed dose to the tumour was quantified as a function of radial distance from the source centre and concentration of each nanoparticle by determining the dose enhancement factor. The dose enhancement factors in the tumour obtained in the presence of bismuth, gold, and platinum nanoparticles with a concentration of 30 mg/g were found to be 1.285, 1.266, and 1.231, respectively. However, beyond the tumour, at greater radial distances from the source centre, low dose enhancements were observed. Notwithstanding in vitro and in vivo studies, Bi NPs scored the highest dose enhancement due to the Bi mass attenuation coefficients in the tumour volume, with percentage dose enhancements up to 28.5% when used in HDR brachytherapy. Although in vitro and in vivo studies were not performed in the present study, it is concluded that for a similar source and concentration of nanoparticles, bismuth nanoparticles show higher dose enhancement than gold and platinum nanoparticles and may show a better clinical usefulness as dose enhancement materials.

这项工作的目的是确定和比较在高剂量率(HDR)近距离放射治疗期间加载到肿瘤中的金、铂和铋纳米粒子的剂量增强。使用Geant4蒙特卡罗工具包模拟HDR 192Ir放射性核素源。为了验证模拟的准确性,将得到的空气强度、剂量率常数(Λ)、径向剂量函数和二维各向异性函数(F (r, θ))与所使用源的相应公布值进行比较。剂量增强是通过将7、18和30 mg/g浓度的铋、铂和金纳米颗粒分别注射到放置在20 × 20 × 20 cm3的软组织幻影中的1 cm3体积的肿瘤中来计算的。通过确定剂量增强因子,将肿瘤吸收剂量量化为与源中心径向距离和每个纳米颗粒浓度的函数。在浓度为30 mg/g的铋、金和铂纳米粒子存在时,肿瘤中的剂量增强因子分别为1.285、1.266和1.231。然而,在肿瘤之外,在距离源中心较远的径向距离处,观察到低剂量增强。尽管在体外和体内研究中,由于肿瘤体积中的Bi质量衰减系数,Bi NPs获得了最高的剂量增强,当用于HDR近距离放疗时,剂量增强百分比高达28.5%。虽然在本研究中没有进行体外和体内研究,但可以得出结论,在相似的纳米颗粒来源和浓度下,铋纳米颗粒比金纳米颗粒和铂纳米颗粒具有更高的剂量增强,并且可能作为剂量增强材料具有更好的临床用途。
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引用次数: 0
Response to comments by Waligorski and Janiak. 对Waligorski和Janiak评论的回应。
IF 1.5 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2025-05-01 Epub Date: 2025-04-10 DOI: 10.1007/s00411-025-01120-8
Andrzej Wojcik, Friedo Zölzer
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引用次数: 0
Radiation therapy-induced normal tissue damage: involvement of EMT pathways and role of FLASH-RT in reducing toxicities. 放射治疗诱导的正常组织损伤:EMT通路的参与和FLASH-RT在减少毒性中的作用。
IF 1.5 4区 环境科学与生态学 Q3 BIOLOGY Pub Date : 2025-03-01 Epub Date: 2025-01-06 DOI: 10.1007/s00411-024-01102-2
Dhasarathdev Srinivasan, Rajasekaran Subbarayan, Madhan Krishnan, Ranjith Balakrishna, Pooja Adtani, Rupendra Shrestha, Ankush Chauhan, Shyamaladevi Babu, Arunkumar Radhakrishnan

Radiation therapy (RT) is fundamental to the fight against cancer because of its exceptional ability to target and destroy cancer cells. However, conventional radiation therapy can significantly affect the adjacent normal tissues, leading to fibrosis, inflammation, and decreased organ function. This tissue damage not only reduces the quality of life but also prevents the total elimination of cancer. The transformation of epithelial cells into mesenchymal-like cells, termed epithelial-mesenchymal transition (EMT), is essential for processes such as fibrosis, embryogenesis, and wound healing. Conventional radiation therapy increases the asymmetric activation of fibrotic and inflammatory pathways, and the resulting chronic fibrotic changes and organ dysfunction are linked to radiation-induced epithelial-mesenchymal transition. Recent advances in radiation therapy, namely flash radiation therapy (FLASH-RT), have the potential to widen the therapeutic index. Radiation delivered by FLASH-RT at very high dose rates (exceeding 40 Gy/s) can protect normal tissue from radiation-induced damage, a phenomenon referred to as the "FLASH effect". Preclinical studies have demonstrated that FLASH-RT successfully inhibits processes associated with fibrosis and epithelial-mesenchymal transition, mitigates damage to normal tissue, and enhances regeneration. Three distinct types of EMT have been identified: type-1, associated with embryogenesis; Type-2, associated with injury potential; and type-3, related with cancer spread. The regulation of EMT via pathways, including TGF-β/SMAD, WNT/β-catenin, and NF-κB, is essential for radiation-induced tissue remodelling. This study examined radiation-induced EMT, TGF-β activity, multiple signalling pathways in fibrosis, and the potential of FLASH-RT to reduce tissue damage. FLASH-RT is a novel approach to treat chronic tissue injury and fibrosis post-irradiation by maintaining epithelial properties and regulating mesenchymal markers including vimentin and N-cadherin. Understanding these pathways will facilitate the development of future therapies that can alleviate fibrosis, improve the efficacy of cancer therapy, and improve the quality of life of patients.

放射治疗(RT)是对抗癌症的基础,因为它具有特殊的靶向和摧毁癌细胞的能力。然而,传统的放射治疗可显著影响邻近的正常组织,导致纤维化、炎症和器官功能下降。这种组织损伤不仅降低了生活质量,而且阻碍了癌症的完全消除。上皮细胞向间充质样细胞的转化,被称为上皮-间充质转化(epithelial-mesenchymal transition, EMT),对于纤维化、胚胎发生和伤口愈合等过程至关重要。常规放射治疗增加了纤维化和炎症通路的不对称激活,由此导致的慢性纤维化改变和器官功能障碍与辐射诱导的上皮-间质转化有关。放射治疗的最新进展,即闪光放射治疗(flash - rt),有可能扩大治疗指数。FLASH- rt以非常高的剂量率(超过40 Gy/s)释放的辐射可以保护正常组织免受辐射引起的损伤,这种现象被称为“FLASH效应”。临床前研究表明,FLASH-RT成功地抑制了与纤维化和上皮间质转化相关的过程,减轻了对正常组织的损伤,并增强了再生。已经确定了三种不同类型的EMT: 1型,与胚胎发生有关;2型,与损伤潜力有关;3型,与癌症扩散有关。通过TGF-β/SMAD、WNT/β-catenin和NF-κB等途径调控EMT对辐射诱导的组织重构至关重要。本研究检测了辐射诱导的EMT、TGF-β活性、纤维化中的多种信号通路,以及FLASH-RT减少组织损伤的潜力。FLASH-RT是一种通过维持上皮性质和调节包括vimentin和N-cadherin在内的间充质标志物来治疗辐照后慢性组织损伤和纤维化的新方法。了解这些途径将促进未来治疗方法的发展,这些治疗方法可以减轻纤维化,提高癌症治疗的疗效,并改善患者的生活质量。
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Radiation and Environmental Biophysics
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