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Article10.1118/1.4925134

SU‐E‐T‐770: Tumor Control in Ion Beam Radiotherapy with Different Ions in Presence of Hypoxia

A. Attili,Francesca J. Torriani,G. Russo,F Dalmasso,S. Giordanengo,F Ourhaleb+3 more-2015-06-01-Medical Physics
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TL;DRAbstract

Purpose: The reduced concentration of oxygen in cells (hypoxia) results in a lower cell death rate after irradiation that can lead to treatment failure. The effect can be expressed by the oxygen enhancement ratio (OER). So far, only few attempts to include OER in treatment planning for ion beam therapy were made, which are based on the dose averaged LET estimates and do not distinguish among ion species and fractionation schemes. To overcome these limitations, we implemented a new OER model and used it to estimate tumor control in clinical cases. Methods: The model, based on the microdosimetric kinetic model, was benchmarked with in‐vitro data from different ions irradiation. It was included in the simulation of treatments of a set of clinical cases (glioblastoma) using p, Li, He, C and O ion beams. Tumor Control Probability (TCP) was estimated as a function of oxygen partial pressure, dose per fraction and primary ion type. Results: The modelized OER was found to be strongly dependent

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Purpose: The reduced concentration of oxygen in cells (hypoxia) results in a lower cell death rate after irradiation that can lead to treatment failure. The effect can be expressed by the oxygen enhancement ratio (OER). So far, only few attempts to include OER in treatment planning for ion beam therapy were made, which are based on the dose averaged LET estimates and do not distinguish among ion species and fractionation schemes. To overcome these limitations, we implemented a new OER model and used it to estimate tumor control in clinical cases. Methods: The model, based on the microdosimetric kinetic model, was benchmarked with in‐vitro data from different ions irradiation. It was included in the simulation of treatments of a set of clinical cases (glioblastoma) using p, Li, He, C and O ion beams. Tumor Control Probability (TCP) was estimated as a function of oxygen partial pressure, dose per fraction and primary ion type. Results: The modelized OER was found to be strongly dependent

Keywords

IonIrradiationOxygen enhancement ratioDosimetryIon beamRadiation therapyOxygenHypoxia (environmental)

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