fluence vs. dose approach waligorski
TRANSCRIPT
Fluence vs. Dose ApproachFluence vs. Dose Approach in Radiobiological Modellingin Radiobiological Modelling of Ion Beam Radiotherapyof Ion Beam Radiotherapy
Michael P.R. WaligMichael P.R. Waligóórskirski
National Atomic Energy Agency, WarsawNational Atomic Energy Agency, Warsaw& &
The Maria SkThe Maria Skłłodowskaodowska--Curie Centre of Oncology, Curie Centre of Oncology, KrakKrakóów Division w Division
&&Institute of Nuclear Physics, Institute of Nuclear Physics,
Polish Academy of Sciences, Krakow,Polish Academy of Sciences, Krakow,
POLANDPOLAND
Modern conformal radiotherapy uses Modern conformal radiotherapy uses MegaMega--Volt photon beamsVolt photon beams
Uniform dose distribution over the target volume impliesUniform dose distribution over the target volume implies uniformuniform
distributiondistribution
of surviving cellsof surviving cells
in the tumour regionin the tumour region
Uniform dose distribution over the target volume impliesUniform dose distribution over the target volume implies uniformuniform
distributiondistribution
of surviving cellsof surviving cells
in the tumour regionin the tumour region……
Is this also true for ion beam radiotherapy?Is this also true for ion beam radiotherapy?
0 2 4 6 8 10 121E-3
0.01
0.1
1
Data: Tilly et al, 1999 * Stenerlöw et al, 1995
Model Parameters:m = 2.14E0 = 2.13*104 erg/cm3
0 = 5.15*10-7 cm2
= 1100
Katz ModelCo 60 & N-ions, V79 cells
Surv
ival
Dose (Gy)
Co 60 N 76.6 eV/nm N 121 eV/nm* N 159 eV/nm
Range & Dose (LET) RRange & Dose (LET) RadioadioBBiologicaliological
EEffectivenessffectivenessOOxygenxygen
EEnhancementnhancement
RRatioatio
A complicated dependence of cell survival, RBE and A complicated dependence of cell survival, RBE and OER on LET is observed for ion radiotherapy beamsOER on LET is observed for ion radiotherapy beams
Data: Furusawa Data: Furusawa et al. Radiat. Reset al. Radiat. Res. . 154154, 485, 485--496 (2000)496 (2000)
Survival of V79 cells in vitro vs. LET of a Carbon-12 beam:Aerated cells Anoxic cells
The Cell Survival Curve(cell cultures in vitro)
Note that „high-LET”
(i.e. densely ionising radiation, such as neutrons or heavy ions) are more effective cell killers per dose –
as given by Relative Biological Effectiveness (RBE)
Survival curve formulae: αD + βD2
m -
target
Does in matter how we fit the survival curve?Does in matter how we fit the survival curve?S = exp –
(αD+βD2) or S = 1 –
(1-exp(-
D/D0
)m
?
At high doses: poor fit (beta term dominates )
good fit (linear = exponential)
At low doses : linear
= exponential (alpha term) zero initial slope
a = 0.478 /Gy
b = 0.028 /Gy2
m = 2.35
D0
= 1.10 Gy
0 1 2 3 4 5 61E-3
0,01
0,1
1
surv
ivin
g f
ract
ion
Dose [Gy]
Data: Tsuruoka et al. 200 keV X-ray TST model: D0 = 1.10 Gy, m = 2.35 = 0.478 = 0.048
It does matter:
Alpha and beta terms are fitted individually to each curve, while with two additional parameters:σ0
and κall data points can be represented using values best fitted to all data points:
m = 2.35D0
= 1.10 Gy
= 14.2 um2
= 1230
Survival of Normal Human Skin Fibroblasts after irradiation by ions, Tsuruoka et. al., J.Rad.Res. (2005),163, 494-500.
0 1 2 3 4 5 61E-3
0,01
0,1
1
0 1 2 3 4 5 61E-3
0,01
0,1
1
0 1 2 3 4 5 61E-3
0,01
0,1
1
0 1 2 3 4 5 61E-3
0,01
0,1
1
0 1 2 3 4 5 61E-3
0,01
0,1
1
0 1 2 3 4 5 61E-3
0,01
0,1
1 B
surv
ivin
g fra
ctio
n
Dose [Gy]
38 keV/m 55 keV/m 84 keV/m 91 keV/m 94 keV/m 98 keV/m
D
surv
ivin
g fra
ctio
n
Dose [Gy]
30 keV/m 44 keV/m 58 keV/m 77 keV/m 105 keV/m 127 keV/m 156 keV/m 184 keV/m
C
surv
ivin
g fra
ctio
n
Dose [Gy]
45 keV/m 59 keV/m 77 keV/m 105 keV/m 132 keV/m 158 keV/m 177 keV/m
E
surv
ivin
g fra
ctio
n
Dose [Gy]
55 keV/m 59 keV/m 69 keV/m 113 keV/m 145 keV/m 173 keV/m 214 keV/m
F
surv
ivin
g fra
ctio
n
Dose [Gy]
200 keV/m 260 keV/m 300 keV/m 350 keV/m 400 keV/m
A
su
rviv
ing
fract
ion
Dose [Gy]
13 keV/m 19 keV/m 38 keV/m 54 keV/m 64 keV/m 73 keV/m 76 keV/m
C-290 MeV/u C-135 MeV/u
Ne-230 MeV/u C-290 MeV/u
Si-490 MeV/u
Fe-500 MeV/u
This complicated dependence of cell This complicated dependence of cell survival,survival,
RBE and RBE and OER on LET OER on LET can be modelled can be modelled for ion beamsfor ion beams
Data: Tsuruoka Data: Tsuruoka et al. J. Radiat. Reset al. J. Radiat. Res. . 163163, 494, 494--500 (2005)500 (2005)
Survival of normal human skin fibroblast cells in vitro vs. LETCarbon-12 ions Iron-56 ions Korcyl & Waligorski, Int. J. Radiat. Biol. 85, 1101-1113 (2009)
0
2
4
6
8
1E-3
0,01
0,1
1
1
2
31000
100
10
0,01
0,1
1
surv
ivin
g fra
ctio
n
LET keV/m
Dose [Gy]
0
2
4
6
8
1E-3
0,01
0,1
1
1
2
31000
100
10
0,01
0,1
1
surv
ivin
g fra
ctio
n
LET keV/m
Dose[Gy]
This complicated dependence of cell survivalThis complicated dependence of cell survival,,
RBERBE
and and OER on LET OER on LET can be modelled can be modelled for ion beamsfor ion beams
Data: Tsuruoka Data: Tsuruoka et al. J. Radiat. Reset al. J. Radiat. Res. . 163163, 494, 494--500 (2005)500 (2005)
RBE at 10% survival vs. LET for normal human skin fibroblast cells in vitro, for C-12, Ne-20, Si-28 and Fe-56 ions
Korcyl & Waligorski, Int. J. Radiat. Biol. 85, 1101-1113 (2009)
10 100 1000
LET [keV/m]
1
2
3
4
5
RB
E
Data: Tsuruoka et al. (2005)C 290 MeV/uC 135 MeV/uNe 230 MeV/uNe 400MeV/uSi 490 MeV/uFe 500 MeV/u
m = 2.35D0
= 1.10 Gy0
= 14.2 um2
k = 1230
In photon beam radiotherapy, uniform In photon beam radiotherapy, uniform dosedose distribution over the target volume is recommendeddistribution over the target volume is recommended……
(ICRU(ICRU--50) 50)
Is this also true for ion radiotherapy?Is this also true for ion radiotherapy?
Spreading out the Bragg peak by: varying the absorber depth magnetic beam scanning
In ion radiotherapy beamIn ion radiotherapy beams,s,
LET, RBE LET, RBE and OERand OER
varvaryy
widely along the depth of widely along the depth of
the beam and dependthe beam and depend
on on ::
the physical characteristics of the ion beamthe physical characteristics of the ion beam,,
the radiobiological the radiobiological characteristicscharacteristics
of tumoof tumouurrand healthy tissue cell linesand healthy tissue cell lines..
NO!
Uniform dose distribution over the target volume impliesUniform dose distribution over the target volume implies uniformuniform
distributiondistribution
of surviving cellsof surviving cells
in the tumour regionin the tumour region……
Is this also true for ion beam radiotherapy?Is this also true for ion beam radiotherapy?
So, what do we do about it?So, what do we do about it?In the In the ““αα--ββ
--
aproachaproach””,,
i.e. i.e.
SS = 1= 1-- exp exp –– ((αα DD + + ββ DD 22 )), ,
wherewhere
SS = = N/NN/N00 is the number of is the number of cells surviving of a population of cells surviving of a population of NN00 cells exposed to a dose cells exposed to a dose D D of of radiationradiation, we , we evaluate the RBE of evaluate the RBE of these these ““highhigh--LETLET””
modalities and modalities and
calculate a calculate a distribution of distribution of ““biologically equivalent dosebiologically equivalent dose””::
D = DD = D
biolbiol
= = RBERBE* * DD
physphys
..
“clinical RBE”-
is usually the number
by which the “physical
dose”
(DDphysphys , absorbed dose in tissue, in Gy) applied to the target region should be divided
in
order to correctly treat a given type of tumour.
The Clinical Solution:
BUT WE HAVE TO ACCOUNTFOR VARIATION OF RBEWITH S AND ION LET !
Uniform dose distribution over the target volume impliesUniform dose distribution over the target volume implies uniformuniform
distributiondistribution
of surviving cellsof surviving cells
in the tumour in the tumour
regionregion……
But NOT for ion beams!But NOT for ion beams!
0 2 4 6 8 10 12 14 16 18 201E-4
1E-3
0.01
0.1
1
60Co 1H 4He 11B 12C 14N 20NeV79 cellsS
urvi
val
Dose (Gy)0.0 0.2 0.4 0.6 0.8 1.0
0.01
0.1
1
10
100
V79 cells
1H 4He 11B 12C 14N 20NeR
BE
Survival
At the same dose of differentions, survival will differ …(this is what RBE is all about)
…but RBE
will also depend onthe level of survival, S !
Uniform dose distribution over the target volume impliesUniform dose distribution over the target volume implies uniformuniform
distributiondistribution
of surviving cellsof surviving cells
in the tumour in the tumour
regionregion…… But NOT for ion beams!But NOT for ion beams!
1 10 100 1000 100000
1
2
3
4
5
6
7
8
9
Data: Tilly et al, 1999 * Stenerlöw et al, 1995
Model Parameters:m = 2.14E
0 = 2.13*104 erg/cm3
0 = 5.15*10-7 cm2
= 1100
Katz ModelRBE0.1, V79 cells
Track Segment
RB
E 0.1
LET (MeV/cm)
H He RBE for He* B N RBE for N Ar Fe
1 10 100 10000
1
2
3
4
5
6
7
8
9
10
Model Parameters:m = 2.5E0 = 2.23 Gy
0 = 5.7 *103 nm2
= 876
Data: Furusawa et al, 2000V79 cells, RBE0.1
RB
E 0.1
LET [keV/m]
3He
12C
20Ne
……and RBE depends on LET, of course…….
Our proposal:Our proposal:We propose that in order to transfer the We propose that in order to transfer the experience of conventional radiotherapy to ion experience of conventional radiotherapy to ion beam radiotherapy, a direct comparison be beam radiotherapy, a direct comparison be made, in clinically relevant conditions, between made, in clinically relevant conditions, between the survival of cells in the tumour volume after the survival of cells in the tumour volume after their irradiation by their irradiation by ““conventionalconventional””
photon or photon or
electron beams, and after their irradiation by ion electron beams, and after their irradiation by ion beams.beams.WWe further propose to base our comparisons on e further propose to base our comparisons on data from data from in vitroin vitro cell cultures. We wish to cell cultures. We wish to investigate more closely the investigate more closely the particle fluenceparticle fluence
rather than rather than particle doseparticle dose approachapproach
to ion to ion radiotherapy, to circumvent the doseradiotherapy, to circumvent the dose--related related concept of RBE inherent in the concept of RBE inherent in the ““αα--ββ
––
formulaformula””
Some relevant questionsSome relevant questions::In conventional radiotherapy In conventional radiotherapy
(60 Gy in 30 fractions of 2 Gy each):(60 Gy in 30 fractions of 2 Gy each):What fraction of cells survive What fraction of cells survive 2 Gy 2 Gy ??
about about ½½What fraction of cells survive What fraction of cells survive 60 Gy 60 Gy ??
aboutabout ((½½
))30 30 ~~
1010 --1010
There are someThere are some 1010 1010 cells incells in 11 cmcm3 3 of tumour volumeof tumour volume
We assume that similar (We assume that similar (~~1010 --1010 ) ) survival is also required survival is also required for ion radiotherapy beamsfor ion radiotherapy beams
We apply tWe apply the cellular track structure theory he cellular track structure theory ((Katz and coKatz and co--workersworkers, 1967, 1967……..)..)..
ThisThis
fourfour--parameter analytical model parameter analytical model has has been extremely successful in quantitatively been extremely successful in quantitatively describing and predicting RBE for cellular describing and predicting RBE for cellular survival survival in vitroin vitro after heavy ion bombardmentafter heavy ion bombardment, , whereby RBE is referred to a beam of Cowhereby RBE is referred to a beam of Co--60 60 gamma rays. gamma rays.
THE CELLULAR TRACK STRUCTURE THE CELLULAR TRACK STRUCTURE MODEL CALCULATION MODEL CALCULATION
Cell Parameters:Cell Parameters: mm ,, EE00 , ,
00 , , Ion Parameters:Ion Parameters: charge charge z z ,,
fluence fluence FF , , speed (speed ()),,
tracktrack--segmentsegment
LETLET
((z,z,))
MODEL FORMULATION MODEL FORMULATION --
TRACK SEGMENTTRACK SEGMENT(Katz et al. 1994 (Katz et al. 1994 Radiat. Res. Radiat. Res. 140, 356140, 356--365)365)
Survival curves after a dose from a beamof heavy ions (specified by the charge, energy and fluence of these ions) can be calculated, once the four parameters have been simultaneously fitted to a set of experimentally measured cellular survival curves.
Model parameters are fitted from experimental dataModel parameters are fitted from experimental data
R.A. Roth, S.C. Sharma and R. Katz, Systematic evaluation of cellular radiosensitivity parameters,Phys. Med. Biol. 21, 491-503 (1976)
R. Katz, R. Zachariah, F.A. Cucinotta and C. Zhang, Survey of Cellular Radiosensitivity ParametersRadiat. Res. 140, 356-365 (1994).
For a given cell line, cell survival depends on ion dose (fluence),ion charge,and ion energy.
0 2 4 6 8 10 121E-3
0.01
0.1
1
Data: Tilly et al, 1999 * Stenerlöw et al, 1995
Model Parameters:m = 2.14E0 = 2.13*104 erg/cm3
0 = 5.15*10-7 cm2
= 1100
Katz ModelCo 60 & N-ions, V79 cells
Sur
viva
l
Dose (Gy)
Co 60 N 76.6 eV/nm N 121 eV/nm* N 159 eV/nm
The cellular parameters of the modelThe cellular parameters of the model representrepresentinging
V79 V79 (Chinese Hamster) (Chinese Hamster) cellscells..AA (human melanoma) AA (human melanoma) celcell parametersl parameters
were fittedwere fitted
from experimental datafrom experimental data..
CELL PARAMETERSCELL PARAMETERS
The calculation is performed The calculation is performed forfor
waterwaterby following the variation of energyby following the variation of energyof aof ann
ion of charge ion of charge ZZ and initial energy and initial energy EEinin
(or speed, (or speed,
inin ), as it slows down (CSDA),), as it slows down (CSDA),in consecutive in consecutive track segments of length track segments of length xxii ((
ii ), over which LET(), over which LET(
ii ) is constant) is constant..
For each ion species, For each ion species, tracktrack--segment LETsegment LET, , survival, and RBEsurvival, and RBEs s areare
thus calculatedthus calculated, ,
vs. vs. range of ionrange of ion (cm).(cm).
THE CELLULAR TRACK STRUCTURE THE CELLULAR TRACK STRUCTURE MODEL CALCULATIONMODEL CALCULATION
THE CELLULAR TRACK STRUCTURE THE CELLULAR TRACK STRUCTURE MODEL CALCULATIONMODEL CALCULATION
The The dosedose
(in water) of a beam of ions is (in water) of a beam of ions is calculated as the calculated as the product of the ion fluenceproduct of the ion fluenceF (no. of particles/cmF (no. of particles/cm22) and LET) and LETinin
= LET(= LET(
inin
), ), represented as the entrance (represented as the entrance (””skinskin””) values) values..
As the beam particles slow downAs the beam particles slow down
(no range (no range straggling nor fluence loss)straggling nor fluence loss),,
the the surviving surviving
fractionfraction
of cells is calculatedof cells is calculated
in consecutive in consecutive track segments from Katztrack segments from Katz’’s cellular track s cellular track structure modelstructure model..
ION PARAMETERS (BEAM DATA)ION PARAMETERS (BEAM DATA)
The CSDA range of all ion beams is R = 26.0 cm, in water
In the following In the following figuresfigures are are shownshown::
--
surviving fractionsurviving fraction, S,, S, of V79 of V79 & AA & AA cellscellsvs. vs. ddepth in waterepth in water, for different, for different
ions,ions,
--
RBERBEss vs. depthvs. depth, where, where
RBERBEss , the , the RBERBEat the level of survival at a given depth, at the level of survival at a given depth, SSii ,,is calculated as the ratio of the is calculated as the ratio of the CoCo--6060 dosedoserequired to obtain required to obtain SSii and the and the ““ion doseion dose””,,DDii = F= F
LET(LET(
ii )) at the at the ii--th track segmentth track segment
at that depthat that depth,,
--
LETLET vs. depthvs. depth..
THE CELLULAR TRACK STRUCTURE THE CELLULAR TRACK STRUCTURE MODEL CALCULATIONMODEL CALCULATION
DEPTH DISTRIBUTIONS OF DEPTH DISTRIBUTIONS OF LET, SURVIVAL AND RBELET, SURVIVAL AND RBESS
0 5 10 15 20 25 260,01
0,1
1
10
100
1000
Dose 0.25 Gy 1 Gy
V79 cells12C
Survival
RBES
LET
Sur
viva
l, R
BES, L
ET
(keV
/m
)
Depth in tissue (cm)
DEPTH DISTRIBUTIONS OF LET, DEPTH DISTRIBUTIONS OF LET, SURVIVAL AND RBESURVIVAL AND RBESS
26 10 1 0,1 0,01 1E-3 1E-40,01
0,1
1
10
1 Gy
12C
Survival
RBES
LET
Sur
viva
l, R
BE S
Residual range (cm)
CellsV79 AA
10
100
1000
LET
(keV
/m
)
Depth distributions of ion LET, cell survival and RBES for V79 and AA cells in a beam of 12C ions of initial energy 385.2 MeV/amu, delivering an entrance dose of 1.0
Gy.
DEPTH DISTRIBUTIONS OF SURVIVALDEPTH DISTRIBUTIONS OF SURVIVAL FOR V79 & AA CELLSFOR V79 & AA CELLS
26 10 1 0,1 0,01 1E-31E-4
1E-3
0,01
0,1
1
Dose Cell Lines V79 AA0.25 Gy 0.5 Gy 1 Gy
Survival12C
Sur
viva
l
Residual range (cm )
The FluenceProblem
V79 and AA cell survival-depth dependences in a beam of 12C ions of initial energy 385.2 MeV/amu, delivering an entrance dose of 0.25, 0.5 or 1
Gy
ION PARAMETERS (BEAM DATA)ION PARAMETERS (BEAM DATA)
The CSDA range of all ion beams is R = 26.0 cm, in water
V79: 0 = 5.7*10-7 cm2AA: 0 = 3.3*10-7 cm2
DEPTH DISTRIBUTIONS OF SURVIVALDEPTH DISTRIBUTIONS OF SURVIVAL FOR V79 & AA CELLSFOR V79 & AA CELLS
26 10 1 0,1 0,01 1E-31E-4
1E-3
0,01
0,1
1
Dose Cell Lines V79 AA0.25 Gy 0.5 Gy 1 Gy
Survival12C
Sur
viva
l
Residual range (cm )
The FluenceProblem
V79 and AA cell survival-depth dependences in a beam of 12C ions of initial energy 385.2 MeV/amu, delivering an entrance dose of 0.25, 0.5 or 1
Gy
DEPTH DISTRIBUTIONS OF RBEDEPTH DISTRIBUTIONS OF RBESS FOR V79 AND AA CELLSFOR V79 AND AA CELLS
26 10 1 0,1 0,01 1E-3 1E-41
2
3
4
5
Bragg Peak
12C
R
BE
S
Residual range (cm)
Dose Cell Lines V79 AA0.25 Gy 0.5 Gy 1 Gy
RBES
-depth dependences for
V79 and AA cells in a beam of 12C ions of initial energy 385.2 MeV/amu, delivering an entrance dose of 0.25, 0.5 or 1 Gy. The residual range of the Bragg peak maximum is also shown.
DEPTH DISTRIBUTIONS OF RBEDEPTH DISTRIBUTIONS OF RBESS (V79 CELLS) FOR LIGHT ION BEAMS(V79 CELLS) FOR LIGHT ION BEAMS
1,0 0,8 0,6 0,4 0,2 0,01
2
3
4V79 cells
20Ne
14N12C
11B
7Li4He
1H
1 Gy
RBE
S
Residual range (cm)
RBES -depth dependences of V79 cells over the last 1 cm of residual ion ranges, for light ion beams of range 26 cm, delivering an entrance dose of 1 Gy. Aerobic V79 cells are represented by parameters fitted to the data of Furusawa
et al. (2000)
Mixed CoMixed Co--60 and C60 and C--12 Irradiation 12 Irradiation Survival vs. Depth (V79 Cells)Survival vs. Depth (V79 Cells)
Calculated V79 (data of Furusawa
et al.) cell survival-residual range dependences, following mixed-field irradiation. A modelled 3 cm-thick “target volume”
of cells at the distal end of the beam was “uniformly irradiated”
by a 1.8 Gy
dose of Co-60 γ-rays, resulting in 77% survival (dotted line). Full line: mixed-field irradiation by 1.8 Gy
of Co-60 γ-rays and 0.2 Gy
of carbon ions representing a “high-LET boost”
after “conventional”
radiotherapy. Dashed-dotted line –
0.2 Gy, carbon beam only, dashed line –
0.6 Gy, carbon beam only.
0,00,51,01,52,02,53,00,0
0,1
0,2
0,3
0,4
0,5
0,6
0,7
0,8
0,9
1,0
0.2 Gy 12C + 1.8 Gy
0.6 Gy 12C
1.8 Gy
0.2 Gy 12C
Sur
viva
l
Residual range (cm)
CONCLUSIONSCONCLUSIONS
Cell survival is the common denominator Cell survival is the common denominator between between ““cconventionalonventional””
(photon) and ion (photon) and ion
beam radiotherapy.beam radiotherapy.By estimating, within the presented model, By estimating, within the presented model, levels of survival encountered in photon levels of survival encountered in photon radiotherapy,radiotherapy,
the clinical experience the clinical experience
gained from gained from ““cconventionalonventional””
radiotherapy radiotherapy can be transferred to ion beam can be transferred to ion beam radiotherapy.radiotherapy.
CONCLUSIONSCONCLUSIONS
The presented The presented fluencefluence
tracktrack--segment segment approach enables survivalapproach enables survival--depth depth dependences to be calculated directlydependences to be calculated directlyfor different ion speciesfor different ion species, obviating the use , obviating the use of doseof dose--related concepts, such as related concepts, such as RBE RBE or or ““biologicalbiologically equivalently equivalent
dosedose””..
CONCLUSIONSCONCLUSIONS
The plotted values of The plotted values of RBERBEss
represent the represent the value of RBE at the actual level of survival at value of RBE at the actual level of survival at a given deptha given depth, for a 2 Gy fraction, for a 2 Gy fraction..OvOverer
the light ion species the light ion species (H (H --
Ne)Ne), for , for
cellular parameters representing V79 cellular parameters representing V79 and AA and AA cells, cells, our our values of values of RBERBEss
appear appear to range to range around 2around 2--3.3.
Note that aNote that a
““clinical RBEclinical RBE””
of of
about 3 about 3 is used is used for for 12 12 C radiotherapyC radiotherapy( Chiba, Japan).( Chiba, Japan).
CONCLUSIONSCONCLUSIONS
The presented oneThe presented one--dimensional track segment dimensional track segment fluencefluence
approach approach could becould be
representative of the representative of the
variable energy treatment technique.variable energy treatment technique.
An An example of example of „„ion boostion boost””
(mixed X+ion (mixed X+ion
radiotherapy) has been shown. Work is in radiotherapy) has been shown. Work is in progress on including range straggling and the progress on including range straggling and the SpreadSpread--out Bragg Peak (SOBP) out Bragg Peak (SOBP) techniqutechnique, e, following earlier work by Katz & Sharma (1974). following earlier work by Katz & Sharma (1974).
(Katz and Sharma 1974, (Katz and Sharma 1974, Phys. Med. Biol.Phys. Med. Biol. 19, 41319, 413--435)435)..
CONCLUSIONSCONCLUSIONS
In reporting ion beam radiotherapyIn reporting ion beam radiotherapythe physical specification of the irradiation the physical specification of the irradiation field, in terms of initial energyfield, in terms of initial energy--fluencefluence
spectra, should be considered.spectra, should be considered.
CONCLUSIONSCONCLUSIONS
Cellular track structure calculations are Cellular track structure calculations are readily available for mixed fields (ionreadily available for mixed fields (ion--ion ion and ionand ion--photon combinations) and are photon combinations) and are extremely fastextremely fast, so could be included in ion , so could be included in ion transport codestransport codes..
CONCLUSIONSCONCLUSIONS
From the perspective of interstitial From the perspective of interstitial brachytherapybrachytherapy, is achieving uniform, is achieving uniformisoiso--survival over the target volumesurvival over the target volumea necessary requirement for ion beam a necessary requirement for ion beam radiotherapy?radiotherapy?
Special thanks to: Special thanks to:
•• Irena Gudowska Irena Gudowska ––
Associate Professor,Associate Professor,Department of Medical Physics, Karolinska Institutet and Department of Medical Physics, Karolinska Institutet and Stockholm University, Stockholm, SwedenStockholm University, Stockholm, Sweden
••
Malin Hollmark Malin Hollmark ––
Ph.D. Department of Medical Physics, Ph.D. Department of Medical Physics, Karolinska Institutet and Stockholm University, Stockholm, Karolinska Institutet and Stockholm University, Stockholm, SwedenSweden
•• Marta Korcyl Marta Korcyl ––
Ph.D. Student, Jagiellonian University , KrakowPh.D. Student, Jagiellonian University , Krakow
•• Urszula SrokaUrszula Sroka
––
student AGH, Krakstudent AGH, Krakóóww
•• Leszek MalinowskiLeszek Malinowski
––
student AGH, Krakstudent AGH, Krakóóww
MODEL FORMULATION MODEL FORMULATION -- TRACK SEGMENTTRACK SEGMENT(Katz et al. 1994 (Katz et al. 1994 RadiatRadiat. Res. . Res. 140, 356140, 356--365)365)
MODEL FORMULATION MODEL FORMULATION -- TRACK SEGMENTTRACK SEGMENT(Katz et al. 1994 (Katz et al. 1994 RadiatRadiat. Res. . Res. 140, 356140, 356--365)365)