Spatially fractionated proton minibeams.
Br. J. Radiol. 91:20180466 (2019)
Extraordinary normal tissue response to highly spatially fractionated X-ray beams has been explored for over 25 years. More recently, alternative radiation sources have been developed and utilized with the aim to evoke comparable effects. These include protons, which lend themselves well for this endeavour due to their physical depth dose characteristics as well as corresponding variable biological effectiveness. This paper addresses the motivation for using protons to generate spatially fractionated beams and reviews the technological implementations and experimental results to date. This includes simulation and feasibility studies, collimation and beam characteristics, dosimetry and biological considerations as well as the results of in vivo and in vitro studies. Experimental results are emerging indicating an extraordinary normal tissue sparing effect analogous to what has been observed for synchrotron generated X-ray microbeams. The potential for translational research and feasibility of spatially modulated proton beams in clinical settings is discussed.
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Publication type
Article: Journal article
Document type
Review
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Keywords
Equivalent Uniform Dose ; Microbeam Radiotherapy ; Normal Tissue Sparing ; Relative Biological Effectiveness ; Spatially Fractionated Radiation Therapy; Microbeam Radiation-therapy; Glioma-bearing Rats; Microplanar Beams; 9l Gliosarcoma; Spinal-cord; Synchrotron; Brain; Radiotherapy; Irradiation; Skin
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Language
english
Publication Year
2019
Prepublished in Year
2018
HGF-reported in Year
2018
ISSN (print) / ISBN
0007-1285
e-ISSN
1748-880X
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Volume: 91,
Issue: 1095,
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Article Number: 20180466
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British Institute of Radiology N.S
Publishing Place
36 Portland Place, London W1n 4at, England
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Reviewing status
Peer reviewed
POF-Topic(s)
30203 - Molecular Targets and Therapies
Research field(s)
Radiation Sciences
PSP Element(s)
G-501300-001
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Erfassungsdatum
2018-12-13