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DNA Damage Repair Meets Radiation: Better Radiotherapy Based on Study of the Underlying Mechanisms DNA 损伤修复与辐射:基于基本机制研究的更好放射治疗
Q1 Health Professions Pub Date : 2024-07-01 DOI: 10.1016/j.radmp.2024.07.002
Ruixue Huang
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引用次数: 0
Knockdown of the nucleoporin Nup50 protects cells against ionizing radiation through enhancing DNA-PKcs-mediated DNA damage repair 敲除核蛋白 Nup50 可通过加强 DNA-PKcs 介导的 DNA 损伤修复保护细胞免受电离辐射的伤害
Q1 Health Professions Pub Date : 2024-07-01 DOI: 10.1016/j.radmp.2024.06.006
Zhijie Wan , Jingwen Gu , Songyun Zhao , Hang Jia , Tingting Liu , Yuanyuan Chen , Yanyong Yang

Objective

To investigate the effect and mechanism of Nup50 on radiation-induced DNA damage repair to radiation and explore the potential role of Nup50 as radioprotective target.

Methods

The Nup50 gene was knocked down in HUVEC cells using lentiviruses. Colony formation, CCK-8, and flow cytometry were performed to determine the viability, proliferation and apoptosis of HUVEC cells treated with γ-rays,respectively. The extent of DNA damage was evaluated by using comet assay and immunofluorescence staining against γ-H2AX. In addition, we explored the role of Nup50 in DNA damage response (DDR) pathways through western blotting assay. Finally, nuclear and chromatin fractionation were performed to determine the potential molecular mechanism underlying the radiation protection function of Nup50 knockdown.

Results

Nup50 knockdown increased the cellular resistance to ionizing radiation. The CCK-8 data showed that cell viability was significantly increased in the Nup50 knockdown group after radiation (t ​= ​4.23, P ​< ​0.01). The Nup50 knockdown group also showed more survived colonies (t ​= ​10.06, P ​< ​0.001), less apoptosis rate (t ​= ​3.78, P ​< ​0.05) and less unrepaired DNA damage. Furthermore, Nup50 knockdown increased radiation-activated phosphorylation levels of DNA-PKcs in HUVEC cells. Finally, the nuclear and chromatin fractionation data showed that inhibiting Nup50 increased the recruitment of DNA-PKcs to chromatin after DNA damage.

Conclusions

Our findings revealed that Nup50 knockdown promoted radioresistance in normal HUVEC cells by regulating DNA-PKcs pathway, suggesting Nup50 as a potential target for radiation protection.

方法 用慢病毒敲除 HUVEC 细胞中的 Nup50 基因。方法利用慢病毒敲除 HUVEC 细胞中的 Nup50 基因,通过菌落形成、CCK-8 和流式细胞术检测经γ射线处理的 HUVEC 细胞的活力、增殖和凋亡。彗星试验和针对γ-H2AX的免疫荧光染色评估了DNA损伤的程度。此外,我们还通过Western印迹分析探讨了Nup50在DNA损伤应答(DDR)通路中的作用。结果Nup50敲除增加了细胞对电离辐射的抵抗力。CCK-8数据显示,Nup50敲除组细胞活力在辐射后显著增加(t = 4.23,P <0.01)。Nup50 敲除组还显示出更多的存活菌落(t = 10.06,P < 0.001)、更低的细胞凋亡率(t = 3.78,P < 0.05)和更少的未修复 DNA 损伤。此外,Nup50基因敲除增加了HUVEC细胞中DNA-PKcs的辐射激活磷酸化水平。最后,核分馏和染色质分馏数据显示,抑制 Nup50 增加了 DNA 损伤后 DNA-PKcs 对染色质的招募。
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引用次数: 0
Tacrolimus may play a role in dermatitis and radiation-induced skin injury through cellular senescence 他克莫司可能通过细胞衰老在皮炎和辐射引起的皮肤损伤中发挥作用
Q1 Health Professions Pub Date : 2024-06-25 DOI: 10.1016/j.radmp.2024.06.005
Jie Chen, Ling Gao

Skin Exposure of skin to ionizing radiation can induce acute or chronic biological effects, resulting in radiation-induced skin injury (RSI). Premature cellular senescence, caused by oxidative stress and/or DNA damage from chemical or physical agents, leads to the decrease of cellular proliferation and physiological function. Persistent DNA damage and accumulation of senescent cells are associated with the progression of radiation-induced injury. Atopic dermatitis and RSI have similar inflammatory symptoms. The treatment of tacrolimus (TAC) in atopic dermatitis may be associated with premature cellular senescence. TAC can prevent the onset of cellular senescence by inactivating the p38 mitogen-activated protein kinase (p38 ​MAPK). The activation of p38 ​MAPK can induce the senescence-associated secretory phenotype (SASP) by enhancing the transcriptional activity of nuclear factor kappa-B (NF-κB), which ultimately leads to premature cellular senescence. FK506 binding protein 51 (FKBP51) exhibits resistance to ionizing radiation, but the mechanism of TAC regulation of ionizing radiation-induced premature senescence still needs further study. This review discusses the mechanism of cellular senescence in RSI and the role of TAC in both dermatitis and RSI.

皮肤 皮肤暴露于电离辐射可诱发急性或慢性生物效应,导致辐射诱发皮肤损伤(RSI)。氧化应激和/或化学或物理因子造成的 DNA 损伤会导致细胞过早衰老,从而降低细胞增殖和生理功能。持续的 DNA 损伤和衰老细胞的积累与辐射诱导损伤的进展有关。特应性皮炎和 RSI 具有相似的炎症症状。使用他克莫司(TAC)治疗特应性皮炎可能与细胞过早衰老有关。TAC 可通过使 p38 丝裂原活化蛋白激酶(p38 MAPK)失活来防止细胞衰老的发生。p38 MAPK 的激活可通过增强核因子卡巴-B(NF-κB)的转录活性诱导衰老相关分泌表型(SASP),最终导致细胞过早衰老。FK506 结合蛋白 51(FKBP51)对电离辐射具有抗性,但 TAC 对电离辐射诱导的早衰的调控机制仍有待进一步研究。本综述讨论了 RSI 中细胞衰老的机制以及 TAC 在皮炎和 RSI 中的作用。
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引用次数: 0
Study on healthcare level and its relationship with medical radiation in China 中国医疗保健水平及其与医疗辐射的关系研究
Q1 Health Professions Pub Date : 2024-06-19 DOI: 10.1016/j.radmp.2024.06.003
Shiyue Cui, Yinping Su, Hui Xu, Quanfu Sun

Objective

To evaluate the health-care level (HCL), one of the most extensively used indicators to assess the level of medical exposure, and its influencing factors in China.

Methods

Based on the data from the China Statistical Yearbook of the National Bureau of Statistics and other public documents, HCL was calculated in terms of the number of physicians per head of population throughout the country. Multiple linear regression was used to analyze the association of HCL with main socioeconomic factors, including population size, area, number of administrative divisions and gross domestic product (GDP).

Results

Since 2015, there has been at least one physician for every 1,000 people in China on average. However, by 2019, there has yet been one physician for more than 1,000 people in each of two provinces. By 2020, there was at least one physician for every 1,000 people across all 31 provincial-level administrative districts (provinces). The population size and GDP were the influencing factors on HCL, with correlation coefficients of 0.416 and −0.583, respectively. Furthermore, a moderate correlation was found between HCL and the frequency of medical exposure (FME) to ionizing radiation (r ​= ​−0.620, P ​= ​0.028).

Conclusion

There has been at least one physician for every 1,000 people since 2015, but there are great differences between various provinces. HCL as an indicator to evaluate level of medical exposure is warranted further research in China.

方法根据国家统计局《中国统计年鉴》和其他公开文件中的数据,以全国人口人均医生数为指标计算中国的医疗卫生水平(HCL)及其影响因素。结果自 2015 年以来,中国平均每千人至少拥有一名医生。然而,到 2019 年,仍有两个省份每千人拥有一名以上的医生。到 2020 年,所有 31 个省级行政区(省)每千人至少有一名医生。人口数量和 GDP 是影响 HCL 的因素,相关系数分别为 0.416 和 -0.583。此外,HCL 与电离辐射医疗照射频率(FME)之间存在中度相关性(r = -0.620,P = 0.028)。HCL作为评估医疗照射水平的指标,在中国值得进一步研究。
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引用次数: 0
Biophoton signaling in mediation of cell-to-cell communication and radiation-induced bystander effects 生物光子信号在调解细胞间通信和辐射诱导的旁观者效应中的作用
Q1 Health Professions Pub Date : 2024-06-19 DOI: 10.1016/j.radmp.2024.06.004
Jian Tong

This paper presents a comprehensive overview of the historical trajectory and development in biophoton studies over the past 100 years, with a particular focus on the recent progress regarding the pivotal role of biophoton in mediating radiation-induced bystander effects (RIBE). The exploration of biophoton mystery starts from the initial observation of mitogenetic radiation and continues to develop to the contemporary science of biophotonics. The properties and underlying mechanisms of biophoton emission are described with illustrative examples from diverse biological systems such as plants, animals and humans. The conclusive evidence of cell-to-cell communication facilitated by biophoton signaling is presented, followed by an elaborate interpretation of potential mechanisms through which biophoton mediates RIBE. The engagement of mitochondria and exosomes in this process is extensively clarified, by highlighting their significant roles in biophoton-mediated RIBE. The advances in biophoton research in respect of bystander response to ionizing radiation may offer profound insights into radiobiology and provide for possible future applications as well in radiation medicine and protection.

本文全面概述了过去 100 年来生物光子研究的历史轨迹和发展,尤其重点介绍了生物光子在介导辐射诱导旁观者效应(RIBE)方面的关键作用的最新进展。对生物光子奥秘的探索始于对有丝分裂辐射的最初观察,并一直发展到当代的生物光子学。书中通过植物、动物和人类等不同生物系统的实例,描述了生物光子发射的特性和基本机制。介绍了生物光子信号促进细胞间通信的确凿证据,随后详细解释了生物光子介导 RIBE 的潜在机制。通过强调线粒体和外泌体在生物光子介导的 RIBE 中的重要作用,广泛阐明了线粒体和外泌体在这一过程中的参与。生物光子研究在电离辐射旁观者反应方面取得的进展可能会为放射生物学提供深刻的见解,并为未来在放射医学和防护领域的应用提供可能。
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引用次数: 0
Role of bioinformatics databases and tools in radiation biology 生物信息学数据库和工具在辐射生物学中的作用
Q1 Health Professions Pub Date : 2024-06-11 DOI: 10.1016/j.radmp.2024.06.002

Bioinformatics has become increasingly integral to radiation biology, also known as radiobiology, providing substantial support through data storage, conversion, visualization, and sharing. This review aims to deepen understanding of bioinformatics application in radiobiology by introducing key databases and analytical tools in radiobiology, including general bioinformatics databases, radiobiology-specific databases, data processing tools, and statistical analysis tools for differentially expressed genes (DEGs) and LC/MS analysis. This review also discusses bioinformatics applications in radiobiological fields, such as radioresistance and immune cell enrichment. Despite these advances, challenges such as data interoperability remain. Methods and projects to address these issues, such as GeCo and GMQL, are also examined.

生物信息学已日益成为辐射生物学(又称放射生物学)不可或缺的一部分,通过数据存储、转换、可视化和共享提供了大量支持。本综述旨在通过介绍放射生物学中的关键数据库和分析工具,包括通用生物信息学数据库、放射生物学专用数据库、数据处理工具以及差异表达基因(DEGs)和 LC/MS 分析的统计分析工具,加深对放射生物学中生物信息学应用的理解。本综述还讨论了生物信息学在放射生物学领域的应用,如放射抗性和免疫细胞富集。尽管取得了这些进展,但数据互操作性等挑战依然存在。本文还探讨了解决这些问题的方法和项目,如 GeCo 和 GMQL。
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引用次数: 0
A population level study on smoking and radon induced adenocarcinoma and small-cell carcinoma among males and females in Canada 关于加拿大男性和女性吸烟与氡诱发腺癌和小细胞癌的人群研究
Q1 Health Professions Pub Date : 2024-06-06 DOI: 10.1016/j.radmp.2024.06.001

Objective

To assess if there is a relationship between residential radon exposure and two lung cancer histological types, small-cell carcinoma (diagnosed in people with a smoking history) and adenocarcinoma (the most commonly diagnosed histologic type in people who have never smoked) among males and females in Canada.

Methods

With survey data of long-term radon measurements in residential homes, long-term averaged tobacco consumption rates in the units of cigarettes per day per person and long-term averaged age-standardized lung cancer incidence rates at provincial level, simple linear fitting (ANOVA linear regression) was applied in this study to determine the effect on lung cancer induction by smoking and exposure to indoor radon, and to assess if there is a relationship between residential radon exposure and lung cancer histological types.

Results

Lung cancer incidence rates correlate very well with the tobacco consumption rates (P ​< ​0.05). However, females appear to be more likely than males to develop lung cancer at a given amount of cigarette consumption. For both small-cell carcinoma and adenocarcinoma, a statistically significant correlation between incidence rate and mean radon concentration was observed for females, the correlation was much stronger for adenocarcinoma (P ​= ​0.0057) than small-cell carcinoma (P ​= ​0.0483). However, there was no such correlation for males.

Conclusion

It is possible that female non-smokers are more susceptible to radon-induced lung cancer, and the joint effect of radon exposure and tobacco smoking may be worse in female smokers compared to males, such that higher incidence rate of adenocarcinoma among females compared to males were observed in recent decades, even though females never smoked more than males.

目的评估加拿大男性和女性的住宅氡暴露量与两种肺癌组织学类型--小细胞癌(在有吸烟史的人群中诊断出)和腺癌(在从未吸烟的人群中最常诊断出的组织学类型)之间是否存在关系。方法本研究利用居民家庭长期氡测量的调查数据、以每人每天香烟支数为单位的长期平均烟草消费率以及各省长期平均的年龄标准化肺癌发病率,采用简单的线性拟合(方差分析线性回归)来确定吸烟和室内氡暴露对肺癌诱发的影响,并评估居民氡暴露与肺癌组织学类型之间是否存在关系。结果肺癌发病率与烟草消费率有很好的相关性(P < 0.05)。然而,在一定的香烟消费量下,女性似乎比男性更容易患肺癌。就小细胞癌和腺癌而言,女性的发病率与平均氡浓度之间存在统计学意义上的显著相关性,腺癌(P = 0.0057)的相关性比小细胞癌(P = 0.0483)强得多。结论 女性非吸烟者可能更容易患上氡气诱发的肺癌,而女性吸烟者与男性相比,氡气暴露和吸烟的共同影响可能更严重,因此,近几十年来,尽管女性吸烟人数从未超过男性,但女性腺癌的发病率却高于男性。
{"title":"A population level study on smoking and radon induced adenocarcinoma and small-cell carcinoma among males and females in Canada","authors":"","doi":"10.1016/j.radmp.2024.06.001","DOIUrl":"10.1016/j.radmp.2024.06.001","url":null,"abstract":"<div><h3>Objective</h3><p>To assess if there is a relationship between residential radon exposure and two lung cancer histological types, small-cell carcinoma (diagnosed in people with a smoking history) and adenocarcinoma (the most commonly diagnosed histologic type in people who have never smoked) among males and females in Canada.</p></div><div><h3>Methods</h3><p>With survey data of long-term radon measurements in residential homes, long-term averaged tobacco consumption rates in the units of cigarettes per day per person and long-term averaged age-standardized lung cancer incidence rates at provincial level, simple linear fitting (ANOVA linear regression) was applied in this study to determine the effect on lung cancer induction by smoking and exposure to indoor radon, and to assess if there is a relationship between residential radon exposure and lung cancer histological types.</p></div><div><h3>Results</h3><p>Lung cancer incidence rates correlate very well with the tobacco consumption rates (<em>P</em> ​&lt; ​0.05). However, females appear to be more likely than males to develop lung cancer at a given amount of cigarette consumption. For both small-cell carcinoma and adenocarcinoma, a statistically significant correlation between incidence rate and mean radon concentration was observed for females, the correlation was much stronger for adenocarcinoma (<em>P</em> ​= ​0.0057) than small-cell carcinoma (<em>P</em> ​= ​0.0483). However, there was no such correlation for males.</p></div><div><h3>Conclusion</h3><p>It is possible that female non-smokers are more susceptible to radon-induced lung cancer, and the joint effect of radon exposure and tobacco smoking may be worse in female smokers compared to males, such that higher incidence rate of adenocarcinoma among females compared to males were observed in recent decades, even though females never smoked more than males.</p></div>","PeriodicalId":34051,"journal":{"name":"Radiation Medicine and Protection","volume":"5 3","pages":"Pages 170-177"},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666555724000510/pdfft?md5=8ff8cd6f1c20bb420e0a4ccd99107ceb&pid=1-s2.0-S2666555724000510-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141396565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-ionizing radiation-induced cellular senescence and age-related diseases 非电离辐射诱导的细胞衰老与老年相关疾病
Q1 Health Professions Pub Date : 2024-06-01 DOI: 10.1016/j.radmp.2024.04.002
Haiying Wang, Jian Tong, Yi Cao

Cellular senescence has emerged as an important contributor to aging and age-related diseases. Non-ionizing radiation (NIR), including ultraviolet radiation and electromagnetic fields, has been increasingly recognized as a key inducer of premature senescence. In this review, we discuss the molecular mechanisms of NIR-induced cellular senescence and its effects on aging and age-related diseases. We also summarize the modulation strategies for NIR-induced cellular senescence. A better understanding of the complex relationship between non-ionizing radiation, cellular senescence and age-related pathology may lead to interventions to ameliorate radiation damage and delay aging. Further research is still needed to elucidate the precise mechanisms, dose-response effects, and to develop protective strategies against radiation-induced senescence.

细胞衰老已成为导致衰老和老年相关疾病的一个重要因素。非电离辐射(NIR),包括紫外线辐射和电磁场,已被越来越多的人认为是过早衰老的关键诱因。在这篇综述中,我们讨论了非电离辐射诱导细胞衰老的分子机制及其对衰老和老年相关疾病的影响。我们还总结了近红外诱导细胞衰老的调节策略。更好地理解非电离辐射、细胞衰老和老年相关病理之间的复杂关系,可能有助于采取干预措施,改善辐射损伤,延缓衰老。要阐明精确的机制、剂量-反应效应,并针对辐射诱导的衰老制定保护策略,还需要进一步的研究。
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引用次数: 0
Radiation protection knowledge and practices among Moroccan dentists: A cross-sectional study 摩洛哥牙医的辐射防护知识和实践:横断面研究
Q1 Health Professions Pub Date : 2024-06-01 DOI: 10.1016/j.radmp.2024.03.001
Naoual Elmorabit , Majdouline Obtel , Mohamed Azougagh , Oumkeltoum Ennibi

Objective

To analyze the current status of knowledge and practices among the Moroccan dentists in the region of Rabat-Salé-Kenitra, towards radiation protection.

Methods

This is a cross-sectional study based on a questionnaire related to knowledge and practice regarding radiation protection of patients and dental staff from April to June 2022. The study sample included 325 dentists practicing in the Rabat-Salé-Kénitra region. The target population consisted of all dentists working in public, semi-public and private workplaces.

Results

96.6% of dentists were aware of radiation protection. However, nearly 35% were aware of ALARA (as low as reasonably achievable) principle and 73.9% thought that dental X-rays are harmful. 63.6%of subjects used digital image receptor. Only 16.7% of them used a film holder and more than 60% didn't follow the position and distance rule. The median knowledge score was 7 [5, 9], and there was a statistically significant difference according to dentist qualification (P ​= ​0.007), dental radiation protection continuous training (P ​< ​0.0001), age (P = ​0.007) and years of experience (P ​= ​0.039). The median practice score was 5 [4, 6] and there was a statically significance association according to workplace setting (P ​= ​0.001). There was a significant positive relationship between knowledge score and practice score (r ​= ​0.24, P<0.0001). Dentist qualification (OR 0.51, 95%CI: 0.27–0.94, P ​= ​0.03) and continuous training (OR 2.40, 95%CI: 1.47–3.93, P<0.0001) were significant predictors of knowledge, while workplace setting (OR 0.54, 95%CI: 0.32–0.93, P ​= ​0.027) and knowledge score (OR 1.24, 95%CI: 1.12–1.38, P<0.0001) were predictors of practices.

Conclusion

Improving dentists' knowledge of radiation protection measures and tools as well as dose reduction techniques could increase their safe practices in dental radiology.

目标分析摩洛哥拉巴特-萨莱-凯尼特拉地区牙医对辐射防护的知识和实践现状。方法这是一项横断面研究,基于 2022 年 4 月至 6 月对患者和牙科工作人员进行的辐射防护知识和实践问卷调查。研究样本包括在拉巴特-萨莱-凯尼特拉地区执业的 325 名牙医。结果96.6%的牙医了解辐射防护。结果96.6%的牙医有辐射防护意识,但近35%的牙医不了解ALARA(尽可能低)原则,73.9%的牙医认为X射线有害。63.6%的受试者使用数字图像接收器。只有 16.7% 的受试者使用胶片固定器,超过 60% 的受试者没有遵守位置和距离规则。知识得分中位数为 7 [5, 9],与牙医资格(P = 0.007)、牙科辐射防护持续培训(P < 0.0001)、年龄(P = 0.007)和工作年限(P = 0.039)有关,差异有统计学意义。实践得分的中位数为 5 [4, 6],与工作场所的相关性有统计学意义(P = 0.001)。知识得分与实践得分之间存在明显的正相关关系(r = 0.24,P<0.0001)。牙医资格(OR 0.51,95%CI:0.27-0.94,P = 0.03)和持续培训(OR 2.40,95%CI:1.47-3.93,P<0.0001)是知识的重要预测因素,而工作场所环境(OR 0.54,95%CI:0.32-0.93,P = 0.结论提高牙科医生对辐射防护措施和工具以及减少剂量技术的认识,可以增加他们在牙科放射学中的安全操作。
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引用次数: 0
HyperArc performance in radiotherapy and its correlations with number and volume of multiple brain metastases HyperArc 在放射治疗中的性能及其与多发性脑转移瘤数量和体积的相关性
Q1 Health Professions Pub Date : 2024-06-01 DOI: 10.1016/j.radmp.2024.05.004
Hongtao Chen, Zihuang Li, Guixiang Liao, Lijun Wang, Xiaonian Deng, Heli Zhong

Objective

To assess the performance and advantages of HyperArc for radiotherapy of multiple brain metastases with dosimetric parameters with respect to coplanar volumetric modulated arc radiotherapy (c-VMAT), and characterize implicit correlations between tumor features and dosimetric parameters.

Methods

This retrospective study involved 40 patients with multiple brain metastases (4–16 tumors, 12.8–240.8 cm3) who received simultaneous radiotherapy at the Department of Radiation Oncology, Shenzhen People's Hospital from January 2019 to December 2022. Both HyperArc and c-VMAT plans were designed by the same and qualified physicist using the Eclipse system with Truebeam. A single isocenter and a 6 ​MV flattening filter-free (6FFF) photon beam were used for radiotherapy of multiple brain metastases in each plan. Dosimetric parameters of tumors and organs at risk (OARs) were compared between HyperArc and c-VMAT plans. Correlations between tumor features (number and volume) and dosimetric parameters were revealed and analyzed. Furthermore, monitor units (MUs) of both plan types were recorded to assess rays utilization and delivery efficiency.

Results

Compared to c-VMAT plans, HyperArc plans achieved higher maximum dose (Dmax) (5.23%, t ​= ​7.87, P ​< ​0.01), but lower minimum dose (Dmin) (3.94%, t ​= ​−2.12, P ​= ​0.04) and mean dose (Dmean) (1.05%, t ​= ​−3.29, P < ​0.01) for planning gross tumor volumes (PGTVs). The conformity index (CI), homogeneity index (HI), gradient index (GI) and R50% of PGTVs with HyperArc were better than those with c-VMAT, with the improvements of 20.78%, 1.68%, 19.83% and 36.20%, respectively (P ​< ​0.01). The dosimetric parameters of OARs were significantly improved in HyperArc plans compared to c-VMAT plans. Specifically, the Dmax and the Dmean to the brainstem decreased by 16.14% and 11.37%, respectively. The Dmax for eye_L decreased by 16.88%, for eye_R decreased by 11.67%, for optical nerve_L decreased by 12.56 ​%, and for chiasm decreased by 18.12%. Few correlations were observed between the differences of CI/HI/GI/R50% and the number of PGTVs between the two plan types. Whereas, regression analysis indicated that the differences of CI/ GI/ R50% were negatively correlated with the volume of PGTVs, respectively. Moreover, although HyperArc plans reduced the MUs by 4.74 ​% compared to c-VMAT, no significant difference was observed (P ​> ​0.05).

Conclusions

This study demonstrates the promising performance of HyperArc for radiotherapy of multiple brain metastases, including better dose conformity for the tumors, more rapid dose drop and less dose spillage

目的评估HyperArc在多发脑转移瘤放疗中与共面调强弧形放疗(c-VMAT)相比在剂量参数方面的性能和优势,并描述肿瘤特征与剂量参数之间的隐性相关性。方法这项回顾性研究涉及2019年1月至2022年12月在深圳市人民医院放射肿瘤科接受同步放疗的40例多发脑转移瘤(4-16个肿瘤,12.8-240.8 cm3)患者。HyperArc和c-VMAT计划均由同一位合格的物理学家使用Eclipse系统和Truebeam设计。每个计划都使用单个等中心和 6 MV 无扁平化滤波(6FFF)光子束对多发脑转移瘤进行放疗。对 HyperArc 和 c-VMAT 计划中肿瘤和危险器官(OAR)的剂量参数进行了比较。揭示并分析了肿瘤特征(数量和体积)与剂量参数之间的相关性。结果与 c-VMAT 计划相比,HyperArc 计划获得了更高的最大剂量(Dmax)(5.23%,t = 7.87,P <0.01),但最小剂量(Dmin)(3.94%,t = -2.12,P = 0.04)和平均剂量(Dmean)(1.05%,t = -3.29,P <0.01)较低。与 c-VMAT 相比,HyperArc 的符合性指数(CI)、均匀性指数(HI)、梯度指数(GI)和 PGTV 的 R50% 分别提高了 20.78%、1.68%、19.83% 和 36.20%(P <0.01)。与 c-VMAT 方案相比,HyperArc 方案中 OAR 的剂量学参数有明显改善。具体来说,脑干的最大剂量和平均剂量分别降低了 16.14% 和 11.37%。眼球_L 的最大值降低了 16.88%,眼球_R 的最大值降低了 11.67%,视神经_L 的最大值降低了 12.56%,脊柱的最大值降低了 18.12%。两种计划类型的 CI/HI/GI/R50% 差异与 PGTV 数量之间几乎没有相关性。而回归分析表明,CI/GI/R50% 的差异分别与 PGTV 的数量呈负相关。此外,尽管与 c-VMAT 相比,HyperArc 计划减少了 4.74 % 的 MUs,但未观察到显著差异(P > 0.05)。结论这项研究表明,HyperArc 在多发脑转移瘤的放疗中具有良好的表现,包括对肿瘤的剂量一致性更好、剂量下降更快、肿瘤区域外的剂量溢出更少、有效减少相近肿瘤之间的剂量桥,以及不损伤 OAR。该研究还揭示了肿瘤数量或体积与剂量参数之间的相关性,有助于优化 HyperArc 的使用并预测临床疗效。
{"title":"HyperArc performance in radiotherapy and its correlations with number and volume of multiple brain metastases","authors":"Hongtao Chen,&nbsp;Zihuang Li,&nbsp;Guixiang Liao,&nbsp;Lijun Wang,&nbsp;Xiaonian Deng,&nbsp;Heli Zhong","doi":"10.1016/j.radmp.2024.05.004","DOIUrl":"10.1016/j.radmp.2024.05.004","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the performance and advantages of HyperArc for radiotherapy of multiple brain metastases with dosimetric parameters with respect to coplanar volumetric modulated arc radiotherapy (c-VMAT), and characterize implicit correlations between tumor features and dosimetric parameters.</p></div><div><h3>Methods</h3><p>This retrospective study involved 40 patients with multiple brain metastases (4–16 tumors, 12.8–240.8 cm<sup>3</sup>) who received simultaneous radiotherapy at the Department of Radiation Oncology, Shenzhen People's Hospital from January 2019 to December 2022. Both HyperArc and c-VMAT plans were designed by the same and qualified physicist using the Eclipse system with Truebeam. A single isocenter and a 6 ​MV flattening filter-free (6FFF) photon beam were used for radiotherapy of multiple brain metastases in each plan. Dosimetric parameters of tumors and organs at risk (OARs) were compared between HyperArc and c-VMAT plans. Correlations between tumor features (number and volume) and dosimetric parameters were revealed and analyzed. Furthermore, monitor units (MUs) of both plan types were recorded to assess rays utilization and delivery efficiency.</p></div><div><h3>Results</h3><p>Compared to c-VMAT plans, HyperArc plans achieved higher maximum dose (<em>D</em><sub>max</sub>) (5.23%, <em>t</em> ​= ​7.87, <em>P</em> ​&lt; ​0.01), but lower minimum dose (<em>D</em><sub>min</sub>) (3.94%, <em>t</em> ​= ​−2.12, <em>P</em> ​= ​0.04) and mean dose (<em>D</em><sub>mean</sub>) (1.05%, <em>t</em> ​= ​−3.29, <em>P</em> &lt; ​0.01) for planning gross tumor volumes (PGTVs). The conformity index (CI), homogeneity index (HI), gradient index (GI) and R<sub>50</sub><sub>%</sub> of PGTVs with HyperArc were better than those with c-VMAT, with the improvements of 20.78%, 1.68%, 19.83% and 36.20%, respectively (<em>P</em> ​&lt; ​0.01). The dosimetric parameters of OARs were significantly improved in HyperArc plans compared to c-VMAT plans. Specifically, the <em>D</em><sub>max</sub> and the <em>D</em><sub>mean</sub> to the brainstem decreased by 16.14% and 11.37%, respectively. The <em>D</em><sub>max</sub> for eye_L decreased by 16.88%, for eye_R decreased by 11.67%, for optical nerve_L decreased by 12.56 ​%, and for chiasm decreased by 18.12%. Few correlations were observed between the differences of CI/HI/GI/R<sub>50</sub><sub>%</sub> and the number of PGTVs between the two plan types. Whereas, regression analysis indicated that the differences of CI/ GI/ R<sub>50</sub><sub>%</sub> were negatively correlated with the volume of PGTVs, respectively. Moreover, although HyperArc plans reduced the MUs by 4.74 ​% compared to c-VMAT, no significant difference was observed (<em>P</em> ​&gt; ​0.05).</p></div><div><h3>Conclusions</h3><p>This study demonstrates the promising performance of HyperArc for radiotherapy of multiple brain metastases, including better dose conformity for the tumors, more rapid dose drop and less dose spillage ","PeriodicalId":34051,"journal":{"name":"Radiation Medicine and Protection","volume":"5 2","pages":"Pages 139-144"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666555724000327/pdfft?md5=9756f327828bbaf08c3737544fba9530&pid=1-s2.0-S2666555724000327-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141028983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Radiation Medicine and Protection
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