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Exploring Auger electron-emitting radionuclides for targeted DNA damage in mismatch repair-deficient cells: a theoretical study of 99Rh- and 123I-labeled metalloinsertors. 探索俄歇电子发射放射性核素在错配修复缺陷细胞中的靶向DNA损伤:99Rh-和123i标记金属插入物的理论研究。
IF 2.4 Pub Date : 2025-06-20 DOI: 10.1080/09553002.2025.2517328
Alexandre França Velo, Lukas Carter, Michael Bellamy, Mike A Cornejo, Brian M Zeglis, John L Humm

Purpose: Preserving the integrity of the genome is critical to healthy cellular growth and development. Under normal circumstances, the eukaryotic mismatch repair (MMR) machinery is effective at detecting DNA polymerase errors and maintaining the fidelity of the genome. However, cells with inactivated MMR machinery are prone to the accumulation of mutations and tumorigenesis. This study explores the theoretical potential of rhodium-99- and iodine-123-labeled DNA metalloinsertors as Auger electron-emitting radiotherapeutics for cancers characterized by MMR deficiency.

Materials and methods: A Monte Carlo code was developed in MATLAB® to obtain Auger electron energy spectra for 99Rh and 123I. Using Geant4 track structure simulations, we determined the difference in effectiveness of these two Auger electron-emitting radionuclides in direct damage to DNA and the ability to produce double strand break damage (dsb) to the DNA comparing two different constructors 'G4EmDNAPhysics_option2' and 'G4EmDNAPhysics_option4'.

Results: Differences in the Auger electron emission spectra of 99Rh and 123I arise from their electronic structure: 123I favors more complex cascades and ultra-low-energy electrons, while 99Rh produces electrons with energies more suited to DNA damage. Despite similar total electron yields, the emissions of 99Rh are more effective at causing dsb (0.71 vs. 0.60 dsb/decay for 99Rh and 123I, respectively, using constructor 'G4EmDNAPhysics_option2' and 0.81 dsb/decay for 99Rh vs. 0.71 dsb/decay for 123I when using 'G4EmDNAPhysics_option4'.

Conclusion: This theoretical study leverages both simulation and comparative analyses to identify 99Rh as a promising Auger electron-emitting nuclide for radiotheranostics, as it offers superior DNA damage efficacy compared to 123I.

目的:保持基因组的完整性对健康的细胞生长和发育至关重要。在正常情况下,真核错配修复(MMR)机制在检测DNA聚合酶错误和维持基因组保真度方面是有效的。然而,MMR机制失活的细胞容易发生突变积累和肿瘤发生。本研究探讨了铑-99和碘-123标记的DNA金属插入物作为俄歇电子放射治疗以MMR缺乏症为特征的癌症的理论潜力。材料和方法:在MATLAB®中开发了蒙特卡罗代码,以获得99Rh和123I的俄歇电子能谱。使用Geant4轨道结构模拟,我们确定了这两种俄格电子发射放射性核素对DNA直接损伤的有效性的差异,以及比较两种不同构建器“g4emdnphysics_option2”和“g4emdnphysics_option4”对DNA产生双链断裂损伤(dsb)的能力。结果:99Rh和123I的俄歇电子发射谱的差异是由它们的电子结构引起的:123I倾向于更复杂的级联和超低能电子,而99Rh产生的电子能量更适合DNA损伤。尽管总电子产率相似,但使用构造函数“g4emdnphysics_option2”时,99Rh的发射更有效地引起dsb(分别为0.71 dsb/ 99Rh和0.60 dsb/ 123I),使用构造函数“g4emdnphysics_option4”时,99Rh的发射更有效地引起dsb/ 99Rh和0.71 dsb/ 123I的衰变。结论:该理论研究利用模拟和比较分析来确定99Rh是一种有前途的俄热电子发射核素,用于放射治疗,因为它比123I具有更好的DNA损伤功效。
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引用次数: 0
Development of an electron spin resonance spectroscopy code for measuring carbonate radicals in tooth enamel and verification of its practicality using irradiated Japanese macaque teeth. 电子自旋共振光谱法测定牙釉质中碳酸盐自由基的程序研制及辐照日本猕猴牙齿的实用性验证。
Pub Date : 2025-06-09 DOI: 10.1080/09553002.2025.2510676
Takuma Yamashita, Teppei Hayashi, Yusuke Mitsuyasu, Kenta Ono, Satone Iwami, Yasushi Kino, Tsutomu Sekine, Toshitaka Oka, Atsushi Takahashi, Yoshinaka Shimizu, Mirei Chiba, Toshihiko Suzuki, Ken Osaka, Keiichi Sasaki, Taku Sato, Rio Isobe, Masatoshi Suzuki, Tomisato Miura, Manabu Fukumoto, Hisashi Shinoda

Purpose: We developed a new computer program for the application of electron spin resonance (ESR) to dosimetry of wild animals related to the Fukushima Daiichi Nuclear Power Plant accident.

Materials & methods: The ESR spectra of carbonate radicals and other inorganic radicals are calculated by the complete elliptic integral. A simulated annealing method is implemented for the parameter optimization. A cost function is designed to include the second derivative form of the microwave absorption spectrum to improve the fitting accuracy. As a testing ground for the developed code, we prepared tooth enamel samples from a Japanese macaque captured in a control area.

Results: The developed code well reproduced the measured ESR spectrum. With a test spectrum, we demonstrated that the cost function that includes the second derivative form of the microwave absorption spectrum is helpful for the precise analysis of the low-dose enamel samples. The smoothness of the ESR spectrum plays an important role in utilizing this feature.

Conclusion: The developed computer code can be used to analyze the ESR spectrum of tooth enamels of Japanese macaques. A precise analysis is essential to lower the detection limit and expand the applicability of ESR dosimetry. The code is independent of the computer operating system and is available publicly.

目的:为应用电子自旋共振(ESR)对福岛第一核电站事故相关野生动物进行剂量测定,开发了一个新的计算机程序。材料与方法:用完全椭圆积分法计算碳酸盐自由基和其他无机自由基的ESR谱。采用模拟退火方法进行参数优化。为了提高拟合精度,设计了包含微波吸收光谱二阶导数形式的代价函数。作为开发代码的试验场,我们准备了一只在控制区捕获的日本猕猴的牙釉质样本。结果:所建立的代码能较好地再现所测ESR谱。通过测试光谱,我们证明了包含微波吸收光谱二阶导数形式的代价函数有助于低剂量牙釉质样品的精确分析。ESR谱的平滑度对这一特性的利用起着重要作用。结论:建立的计算机代码可用于日本猕猴牙釉质的ESR谱分析。精确的分析是降低检测限和扩大ESR剂量法适用性的必要条件。代码独立于计算机操作系统,并且是公开的。
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引用次数: 0
Effective centrifugation techniques for improving the frequency of metaphase spreads in lymphocytopenic patients. 提高淋巴细胞减少患者中期扩散频率的有效离心技术。
Pub Date : 2025-06-02 DOI: 10.1080/09553002.2025.2510674
Hyo Jin Yoon, Hae Young Ko, Su San Yang, Soon Woo Kwon, Minsu Cho, Jin Kyung Lee, Tomisato Miura, Yohei Fujishima, Donovan Anderson, Yang Hee Lee

Purpose: Cytogenetic biodosimetry is used for radiation dose assessment by evaluating chromosomal aberrations in peripheral blood lymphocytes. However, high-dose radiation may cause low absolute lymphocyte counts (ALCs), making it difficult to obtain sufficient metaphase spreads for analysis. This study aimed to optimize centrifugation settings to enrich metaphase spreads, particularly for lymphocytopenic patients.

Materials and methods: Peripheral blood samples from four healthy donors and one lymphocytopenic patient were collected. Lymphocytes were harvested using one of four centrifugation settings. After an additional low-speed centrifugation step (200 × g for 1 minute) in each experiment, we evaluated slide quality using mitotic index (MI) and metaphase frequency (MF), which were calculated by the number of metaphases and blasts using Metafer 4 software.

Results: We established an automatic measurement method for metaphases and blasts, adjusting the settings of Metafer 4. In four healthy donors, the strongest centrifugation (Exp. 4, 879 × g for 5 minutes) yielded the highest number of 'all cells' after harvest. Incorporating an additional low-speed centrifugation step significantly increased MF by 1.5- to 2-fold across all settings, with the greatest improvement observed in Exp. 4. This approach was applied to a lymphocytopenic patient, resulting in a 3.5-fold improvement of MF and the production of high-quality slides. MI was not significantly affected by centrifugation.

Conclusions: The combined high-speed and additional low-speed centrifugation method increased MF, improved slide quality by eliminating lower-density cells, and made it easier to analyze metaphase spreads. This method could be used for obtaining sufficient metaphase spreads in lymphocytopenic patients.

目的:利用细胞遗传学生物剂量法对外周血淋巴细胞染色体畸变进行辐射剂量评估。然而,高剂量辐射可能导致低绝对淋巴细胞计数(ALCs),使得难以获得足够的中期扩散进行分析。本研究旨在优化离心设置,以丰富中期扩散,特别是对于淋巴细胞减少患者。材料与方法:采集4例健康献血者和1例淋巴细胞减少患者外周血标本。使用四种离心设置之一收集淋巴细胞。在每个实验中进行额外的低速离心步骤(200 × g, 1分钟)后,我们使用有丝分裂指数(MI)和中期频率(MF)来评估载玻片质量,其中有丝分裂指数(MI)和中期频率(MF)由中期和胚的数量计算,使用Metafer 4软件。结果:通过调整Metafer 4的设置,建立了中期和胚期的自动测定方法。在4名健康供体中,最强离心(Exp. 4879 × g,离心5分钟)在收获后获得的“全部细胞”数量最多。结合一个额外的低速离心步骤,在所有设置中显著增加了1.5到2倍的MF,在实验4中观察到最大的改善。该方法应用于淋巴细胞减少患者,导致MF改善3.5倍,并产生高质量的载玻片。离心对心肌梗死无明显影响。结论:高速加低速联合离心法增加了MF,消除了低密度细胞,改善了载玻片质量,便于中期播散分析。该方法可用于淋巴细胞减少患者获得足够的中期扩散。
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引用次数: 0
Transformation of the Chornobyl NPP cooling pond: radioecological situation and its impact on the blood system of small rodents. 切尔诺贝利核电站冷却池改造:放射性生态状况及其对小型啮齿动物血液系统的影响。
Pub Date : 2025-05-28 DOI: 10.1080/09553002.2025.2505529
Natalia Riabchenko, Alla Lypska, Natalia Rodionova, Hiroko Ishiniwa, Kenji Nanba, Olena Burdo

Purpose: To assess the radioecological consequences of the technogenic transformation of the Chornobyl NPP cooling pond aquatic ecosystem and its impact on the blood system of Myodes glareolus, a typical small rodent species in the Chornobyl exclusion zone.

Materials and methods: Animals were captured in the drained areas of the cooling pond and nearby areas. Radiometric surveys of the animals' natural habitat and soil sampling were conducted. γ-β-spectrometry was used to measure radionuclide levels (137Cs and 90Sr) in soil and animal bodies. Absorbed dose rates were calculated. Blood smears, bone marrow and spleen imprints were prepared and stained using the standard Pappenheim method.

Results: Activity of 137Cs and 90Sr in soil and animal samples, external/internal doses in animals were estimated. Radioecological assessment showed that radionuclide contamination in the drained areas did not exceed that of the adjacent territory. In exposed animals, similar hematopoietic alterations were observed, including disrupted differentiation and maturation of bone marrow cells, particularly in erythroid and granulocytic lineages. However, these blood abnormalities were less pronounced in animals from the drained zones.

Conclusions: Draining the cooling pond, despite the expected high radionuclide concentrations in bottom sediments, did not cause significant changes in surface soil contamination. While bank voles showed deviations in blood parameters compared to reference values, differences between exposure groups were generally not significant. These findings support continued monitoring of radiobiological effects associated with the transforming of radiation-contaminated aquatic ecosystems into terrestrial.

目的:评价切尔诺贝利核电站冷却池水生生态系统技术改造的放射性生态后果及其对切尔诺贝利隔离区典型小型啮齿动物小齿鼠血液系统的影响。材料和方法:在冷却池排水区及附近地区捕获动物。对动物的自然栖息地进行了放射性调查,并对土壤进行了采样。采用γ-β光谱法测定了土壤和动物体内放射性核素(137Cs和90Sr)的含量。计算吸收剂量率。制备血涂片、骨髓和脾脏印迹,采用标准Pappenheim法染色。结果:测定了137Cs和90Sr在土壤和动物样品中的活性,以及动物体内和外用剂量。放射生态学评价表明,排水区的放射性核素污染没有超过邻近地区。在暴露的动物中,观察到类似的造血改变,包括骨髓细胞分化和成熟的中断,特别是在红系和粒细胞谱系中。然而,这些血液异常在来自排水区的动物中不那么明显。结论:排干冷却池,尽管预期底部沉积物中的放射性核素浓度较高,但并未引起地表土壤污染的显著变化。虽然与参考值相比,银行田鼠的血液参数出现偏差,但暴露组之间的差异通常不显著。这些发现支持继续监测与受辐射污染的水生生态系统向陆地生态系统转化有关的放射生物学效应。
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引用次数: 0
Alternative splicing in human cells exposed to ionizing radiation: a comprehensive review of ex vivo and in vivo studies. 暴露于电离辐射的人类细胞中的选择性剪接:对离体和体内研究的全面回顾。
Pub Date : 2025-05-22 DOI: 10.1080/09553002.2025.2505524
Jerónimo Leberle, Marina Perona, Ananya Choudhury, Nicolas Bellora, Irene L Ibañez, Luisa V Biolatti

Purpose: This study reviews how ionizing radiation (IR) induces alternative splicing (AS) in non-tumor and tumor cells under both ex vivo and in vivo irradiation conditions. The relevance and limitations of IR-induced AS in identifying potential biomarkers are highlighted for two main applications: biodosimetry and radiotherapy.

Conclusions: Radiation promotes alterations in AS, which may differentially affect the response in both tumor and non-tumor cells. This response can occur in genes that change their overall expression as well as in those that remain unaltered in response to IR. Although cis-regulators modulate AS, trans-regulators like splicing factors are more involved in the IR response. Variants of key genes involved in the DNA damage response (DDR) are regulated in non-tumor cells while they are often deregulated in tumor cells favoring radioresistance. Identifying IR-induced AS variants could enhance the sensitivity of biodosimeters for dose estimation and biomarkers for radiosensitivity, offering potential strategies to personalize radiotherapy and improve outcomes. New and advanced sequencing technologies will allow variant identification important for the field of radiobiological research.

目的:本研究综述了电离辐射(IR)在离体和体内辐照条件下诱导非肿瘤细胞和肿瘤细胞选择性剪接(AS)的机制。红外诱导AS在识别潜在生物标志物方面的相关性和局限性在两个主要应用中得到强调:生物剂量测定和放射治疗。结论:放疗促进AS的改变,这可能对肿瘤细胞和非肿瘤细胞的反应有不同的影响。这种反应可以发生在改变其整体表达的基因中,也可以发生在那些对IR反应保持不变的基因中。虽然顺式调节因子调节AS,但反式调节因子如剪接因子更多地参与IR响应。参与DNA损伤反应(DDR)的关键基因的变异在非肿瘤细胞中受到调控,而在肿瘤细胞中往往不受调控,有利于辐射抗性。识别红外诱导的AS变体可以提高生物剂量计对剂量估计的敏感性和生物标志物对放射敏感性的敏感性,为个性化放疗和改善结果提供潜在的策略。新的和先进的测序技术将使变异鉴定对放射生物学研究领域具有重要意义。
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引用次数: 0
Addressing major issues regarding the roles of biodosimetry in responding to a major nuclear incident: report of EPR BioDose 2024 roundtable discussion. 处理有关生物剂量学在应对重大核事件中的作用的主要问题:EPR生物剂量2024圆桌讨论报告。
Pub Date : 2025-05-14 DOI: 10.1080/09553002.2025.2498978
Matthias Port, Donovan Anderson, Harold M Swartz, Valerie Swee Ting Goh, Merriline M Satyamitra, Naduparambil K Jacob, Mattia Romeo, Ruth Wilkins, Ann Barry Flood

The roundtable discussion at EPR BioDose 2024 focused on identifying challenges for using biodosimetry in a large nuclear incident and exploring potential solutions to strengthen preparedness and response frameworks. This report outlines the major themes discussed, including advancements in techniques, challenges in scaling operations, and the future of biodosimetry in emergency response. Initiated by International Association of Biological and EPR Radiation Dosimetry (IABERD), a group of experts comprised of professionals in academia, government and other agencies, were asked to discuss the question: 'When and how should biodosimetry be used for an unplanned radiation explosion in the short or long term?' This question challenged participants to consider a range of scenarios, from immediate triage in the aftermath of an incident to long-term health monitoring and risk assessment. Panelists acknowledged that, while biodosimetry plays a crucial role in rapidly assessing exposure levels to guide medical response, its practical implementation can vary based on scale, resources, and timing. They emphasized that in the short term, methods that provide quick, large-scale screening are important, whereas long-term strategies might include more detailed biological assessments to understand cumulative effects and potential health risks. Despite the difficulty of a one-size-fits-all approach, the insights gathered aimed to inform strategies that balance speed, accuracy, and sustainability in biodosimetry practices. Finally, panelists emphasized the need for better communication about preparedness with the general public and healthcare providers, and a more collaborative approach that also takes into account evaluating the practicality of various methods for triage or guiding treatment.

EPR生物剂量2024圆桌会议的讨论重点是确定在大型核事件中使用生物剂量学的挑战,并探索加强准备和应对框架的潜在解决方案。本报告概述了讨论的主要主题,包括技术的进步、规模操作的挑战以及生物剂量测定在应急响应中的未来。由国际生物和EPR辐射剂量学协会(IABERD)发起,由学术界、政府和其他机构的专业人士组成的一组专家被要求讨论以下问题:“在短期或长期内,生物剂量学应该在何时以及如何用于计划外的辐射爆炸?”这个问题要求参与者考虑一系列情景,从事件发生后的立即分类到长期健康监测和风险评估。小组成员承认,虽然生物剂量测定法在快速评估暴露水平以指导医疗反应方面发挥着至关重要的作用,但其实际实施可能因规模、资源和时间而异。他们强调,在短期内,提供快速、大规模筛查的方法很重要,而长期战略可能包括更详细的生物学评估,以了解累积效应和潜在的健康风险。尽管采用一刀切的方法存在困难,但所收集的见解旨在为生物剂量测定实践中平衡速度、准确性和可持续性的策略提供信息。最后,小组成员强调,需要与公众和医疗保健提供者就备灾工作进行更好的沟通,并采取更加协作的办法,同时考虑到评估各种分诊方法或指导治疗方法的实用性。
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引用次数: 0
Transdisciplinary team-based cancer research: a model for training the next generation of cancer researchers. 基于跨学科团队的癌症研究:培养下一代癌症研究人员的模式。
IF 2.4 Pub Date : 2025-05-06 DOI: 10.1080/09553002.2025.2494546
Dietmar W Siemann, Wendy Malorzo

Purpose: Interdisciplinary team collaboration is a key element of discovery and advancement in oncology science and medicine. This fact is well-recognized by both laboratory and physician scientists and yet, most cancer research trainees are minimally exposed to and ill prepared in the collaboration skills required for them to be successful in the future. Similarly, near-peer mentoring, the benefits of which have been broadly published for precollegiate and undergraduate programs, is usually not a formal training component for doctoral and postdoctoral oncology trainees. At the University of Florida, the Team-based Interdisciplinary Cancer Research Training (TICaRT) Program seeks to address this unmet need by offering a unique opportunity for trainees to develop interdisciplinary skills in cancer research and gain collaborative expertise through team-based learning and near-peer mentoring.

Conclusion: Active transdisciplinary research collaboration drives cancer discovery, knowledge, and treatment. Providing opportunities for trainees to participate in collaborative research experiences by incorporating team science and near-peer mentoring concepts as integral components of their training would greatly aid their preparation to become successful next-generation cancer researchers.

目的:跨学科团队合作是肿瘤科学和医学发现和进步的关键因素。这一事实得到了实验室科学家和内科医生的广泛认可,然而,大多数癌症研究受训人员接触到的合作技能很少,而且在未来取得成功所需的合作技能方面准备不足。类似地,在大学预科和本科课程中广泛公布的近同伴指导的好处,通常不是博士和博士后肿瘤学学员的正式培训组成部分。在佛罗里达大学,团队为基础的跨学科癌症研究培训(TICaRT)项目旨在解决这一未满足的需求,为受训者提供了一个独特的机会,通过团队为基础的学习和近同伴的指导来发展癌症研究的跨学科技能,并获得协作专业知识。结论:积极的跨学科研究合作推动了癌症的发现、知识和治疗。通过将团队科学和近同伴指导概念作为培训的组成部分,为受训者提供参与合作研究经验的机会,将极大地帮助他们为成为成功的下一代癌症研究人员做好准备。
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引用次数: 0
Analysis of dosimetric parameters reporting in biological dosimetry peer-reviewed publications: strengths and weaknesses. 生物剂量学同行评审出版物中剂量学参数报告的分析:优点和缺点。
Pub Date : 2025-05-05 DOI: 10.1080/09553002.2025.2494551
Morgane Dos Santos, François Trompier

Purpose: Dosimetry reporting in radiobiological studies is frequently incomplete and leads to poor replicability. As the main objective of biological dosimetry is estimating an exposure dose reflecting a whole-body dose equivalent to assess acute and delayed health risks, dosimetry reporting is even more crucial. This study aims to evaluate the quality of the dosimetry reporting and irradiation parameters related to biological dosimetry publications.

Material and methods: 114 publications over a period of 94 years focused on biological dosimetry studies were analyzed. Nineteen parameters distributed into four categories (source specification, irradiation geometry, calibration, and irradiation details) were scored to evaluate the quality of the dosimetry reporting.

Results: We show that, even though parameters such as radiation type, sample type, and dose are systematically reported, and source type, energy/voltage, dose rate, and exposure type in more than 80% of publications, several crucial parameters are missing. Specifically, information regarding the dosimetry protocol, setup, and calibration are often not reported, making it impossible to reproduce the experiments.

Conclusions: This study highlighted that certain parameter, such as the source used or the irradiation dose, are very often well-reported. Still, critical parameters such as the dosimetric quantity or the method used for dosimetric measurements have to be systematically added. Efforts already underway in this area must be continued to further improve the description of irradiation parameters for radiobiology studies.

目的:放射生物学研究中的剂量学报告往往不完整,导致可重复性差。由于生物剂量学的主要目标是估计反映相当于全身剂量的暴露剂量,以评估急性和迟发性健康风险,因此剂量学报告就更为重要。本研究旨在评估与生物剂量学出版物有关的剂量学报告和辐照参数的质量。材料和方法:分析了94年来114份关于生物剂量学研究的出版物。19个参数分为四类(源规格、照射几何形状、校准和照射细节)进行评分,以评估剂量学报告的质量。结果:我们发现,尽管在80%以上的出版物中系统地报告了辐射类型、样品类型和剂量等参数,以及源类型、能量/电压、剂量率和暴露类型,但缺少几个关键参数。具体来说,关于剂量测定方案、设置和校准的信息通常没有报告,因此不可能重现实验。结论:本研究强调了某些参数,如使用的源或辐照剂量,经常被充分报道。但是,必须系统地增加诸如剂量计量或用于剂量计量的方法等关键参数。必须继续在这一领域进行的努力,进一步改进辐射生物学研究的辐照参数描述。
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引用次数: 0
Using ultrasound sequential images processing to predict radiotherapy-induced sternocleidomastoid muscle fibrosis. 应用超声序列图像处理预测放疗引起的胸锁乳突肌纤维化。
Pub Date : 2025-01-01 Epub Date: 2025-02-03 DOI: 10.1080/09553002.2025.2453995
Asma Khodadadi, Manijhe Mokhtari-Dizaji, Reza Ghalehtaki, Niloofar Ayoobi Yazdi

Purpose: The purpose of this study was to evaluate the thickness and biomechanical parameters of the sternocleidomastoid muscle (SCM) before, during, and after radiotherapy using ultrasound elastography to predict radiotherapy-induced muscle fibrosis.

Materials and methods: The mean daily absorbed doses of 20 SCMs were determined. To find out the Young and shear modulus, shear wave elastography (SWE) and the B-mode sequential images processing method were implemented. In the B-mode sequential images processing method, by administering dynamic stress, the Young and shear modulus were estimated utilizing the maximum gradient and the block-matching algorithms, respectively. The imaging was done before, during the third and sixth weeks of treatment, and 3 months after radiotherapy.

Results: There was a statistically significant increase in the maximum thickness during the sixth week compared to before radiotherapy (p = .043). However, this parameter did not change significantly 3 months later (p = .095). The Young modulus (p = .611) derived from SWE did not differ significantly throughout any of the weeks of radiotherapy. But Young and shear modulus increased significantly in the B-mode sequential images processing method before and during the third and sixth weeks of treatment (p = .001). The outcomes observed 3 months after radiotherapy revealed a statistically significant increase in both Young modulus (p = .029) and shear modulus (p = .004) compared to pre-radiotherapy.

Conclusion: The Young modulus and shear modulus are introduced as biological markers used to detect the onset of the fibrosis process during the initial radiotherapy fractions.

目的:本研究旨在利用超声弹性成像技术评估放疗前、放疗中和放疗后胸锁乳突肌(SCM)的厚度和生物力学参数,以预测放疗诱发的肌肉纤维化:测定了 20 块胸锁乳突肌的日平均吸收剂量。为了确定杨氏模量和剪切模量,采用了剪切波弹性成像(SWE)和 B 型序列图像处理方法。在 B 型序列图像处理方法中,通过施加动态应力,分别利用最大梯度算法和块匹配算法估算杨氏模量和剪切模量。成像分别在治疗前、治疗第三周和第六周以及放疗后 3 个月进行:结果:与放疗前相比,第六周的最大厚度有明显增加(p = .043)。然而,3 个月后这一参数没有明显变化(p = .095)。根据 SWE 得出的杨氏模量(p = .611)在放疗的任何一周内都没有显著差异。但在治疗的第三周和第六周之前以及期间,B 型序列图像处理方法得出的杨氏模量和剪切模量均有明显增加(p = .001)。放疗后 3 个月的观察结果显示,与放疗前相比,杨氏模量(p = .029)和剪切模量(p = .004)均有统计学意义上的显著增加:结论:杨氏模量和剪切模量可作为生物标志物,用于检测放疗初期纤维化过程的开始。
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引用次数: 0
Computed tomography-based pulmonary vasculature analysis of decreased lung perfusion after thoracic radiotherapy in patients with lung cancer. 肺癌患者胸部放疗后肺灌注减少的ct肺血管分析。
Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI: 10.1080/09553002.2024.2435316
Yu-Sen Huang, Jenny Ling-Yu Chen, Wei-Chun Ko, Yee-Fan Lee, Yeun-Chung Chang

Purpose: This study aimed to quantitatively assess changes in lung perfusion after thoracic radiotherapy in lung cancer patients.

Materials and methods: Patients underwent chest computed tomography (CT) for pulmonary vasculature analysis before radiotherapy and at 3 and 12 months after radiotherapy. The correlation between the percentage decrease in lung perfusion after radiotherapy and the delivered radiotherapy dose was analyzed.

Results: The ipsilateral lung, where the primary tumor was located, received a significantly higher dose than the contralateral lung (mean dose: 22.9 Gy vs. 6.8 Gy). At 3 months, significant reductions in lung perfusion parameters were observed in the ipsilateral lung (total blood volume (TBV): 13.8%, blood volume in vessels with cross-sectional areas of ≤10 mm2: 12.6%, blood volume in vessels with cross-sectional areas of ≤5 mm2: 11.7%, subpleural vessel count: 21.1%, subpleural vessel area: 16.9%, and subpleural vessel density: 12.3%). Significant negative correlations between perfusion parameters and the radiation dose delivered to the ipsilateral lung were observed. For every 1-Gy increase in the mean dose for the ipsilateral lung, TBV decreased by 0.852% (p = .044), and for every 1% increase in the percentage of lung volume that received more than 20 Gy, TBV decreased by 0.402% (p = .048). The 3-year overall survival of the patients was 75%. No significant association between baseline perfusion parameters and survival was observed.

Conclusions: Thoracic radiotherapy significantly reduced pulmonary perfusion, especially in the ipsilateral lung. The reduction in perfusion correlated with the radiation dose. These findings underscore the impact of radiation-induced damage on perfusion.

目的:定量评价肺癌患者胸部放疗后肺灌注的变化。材料与方法:放疗前及放疗后3个月、12个月行胸部CT检查肺血管分析。分析放疗后肺灌注减少百分比与放疗剂量的相关性。结果:原发肿瘤所在的同侧肺接受的剂量明显高于对侧肺(平均剂量:22.9 Gy对6.8 Gy)。3个月时,同侧肺灌注参数明显降低(总血容量(TBV): 13.8%,横截面积≤10 mm2的血管血容量:12.6%,横截面积≤5 mm2的血管血容量:11.7%,胸膜下血管计数:21.1%,胸膜下血管面积:16.9%,胸膜下血管密度:12.3%)。灌注参数与同侧肺放射剂量呈显著负相关。同侧肺平均剂量每增加1 Gy, TBV降低0.852% (p = 0.044),接受20 Gy以上的肺体积百分比每增加1%,TBV降低0.402% (p = 0.048)。患者3年总生存率为75%。基线灌注参数与生存率无显著相关性。结论:胸部放疗可显著降低肺灌注,尤其是同侧肺灌注。灌注减少与辐射剂量相关。这些发现强调了辐射引起的损伤对灌注的影响。
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International journal of radiation biology
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