Integral and Pulse Mode Silicon Dosimetry for Dose Verification on Radiation Oncology Modalities Grigori I

Total Page:16

File Type:pdf, Size:1020Kb

Integral and Pulse Mode Silicon Dosimetry for Dose Verification on Radiation Oncology Modalities Grigori I University of Wollongong Research Online University of Wollongong Thesis Collection University of Wollongong Thesis Collections 2001 Integral and pulse mode silicon dosimetry for dose verification on radiation oncology modalities Grigori I. Kaplan University of Wollongong Recommended Citation Kaplan, Grigori I., Integral and pulse mode silicon dosimetry for dose verification on radiation oncology modalities, Doctor of Philosophy thesis, Department of Engineering Physics, University of Wollongong, 2001. http://ro.uow.edu.au/theses/1364 Research Online is the open access institutional repository for the University of Wollongong. For further information contact Manager Repository Services: [email protected]. INTEGRAL AND PULSE MODE SILICON DOSIMETRY FOR DOSE VERIFICATION ON RADIATION ONCOLOGY MODALITIES A thesis submitted in fulfilment of the requirements for the award of the degree DOCTOR OF PHILOSOPHY from UNIVERSITY OF WOLLONGONG by Grigori I. Kaplan, MSc Department of Engineering Physics 2001 STATEMENT OF ORIGINALITY Ill ACKNOWLEDGEMENTS IV PUBLICATIONS V ABSTRACT VII FIGURES IX TABLES .7.". XIV CHAPTER INTRODUCTION. PRINCIPLES OF MOSFET DOSIMETRY 1 1.1. INTRODUCTION 1 1.2. RADIATION EFFECTS AND CHARGE TRAPS DM SILICON DIOXIDE 1 1.3. APPLICATION OF METAL-OXEDE-SELICON STRUCTURE FOR RADIATION DOSIMETRY 6 1.3.1. Dose enhancement. Energy dependence 16 1.3.2. MOSFET dosimetry ofhadron beams 19 1.3.3. MOSFET dosimeter applications in radiation oncology and other fields 20 CHAPTER 2. REVIEW OF BORON NEUTRON CAPTURE THERAPY (BNCT) AND FAST NEUTRON THERAPY (FNT) 25 2.1. PHYSICAL, CHEMICAL AND BIOLOGICAL ASPECTS OF BNCT 25 2.2. EARLY TRIALS OFTHERMAL BNCT AT THE BNL AND MIT (1951 TO 1961) 31 2.3. DEVELOPMENT OF THERMAL BNCT IN JAPAN 34 2.4. CURRENT CLINICAL TRIALS OF BNCT 36 2.5. FNT AND THE POSSIBILITY OF BORON ENHANCEMENT OF FNT 38 CHAPTER 3. EXPERIMENTAL PROCEDURES AND MATERIALS 42 3.1. MOSFET DETECTORS 42 3.1.1. N'-channel MOSFETs ' 42 3.1.2. P-channel MOSFETs 44 3.2. MOSFET READERS 45 3.3. FILM DOSIMETER 48 3.3.1. Film read out system 54 3.4. RADIATION SOURCES 56 3.4.1. Hospital based x-ray generators 56 3.4.2. Brookhaven Medical Research Reactor (BMRR) 57 3.4.3. The Kyoto University Reactor 59 3.4.4. The Harper Hospital Fast Neutron Therapy Cyclotron 60 3.4.5. The National Synchrotron Light Source (NSLS) at BNL 61 3.5. PHANTOMS 63 3.5.1. The hadron therapy phantom 63 3.5.2. Micrometer jig and phantom for planar microbeam measurements 66 3.6. BORON-10 COATING OF THE RADIATION DETECTORS 67 CHAPTER 4. INVESTIGATION OF PHYSICAL PROPERTIES OF THE MOSFET DOSIMETER 72 4.1. AIM 72 4.2. TEMPERATURE DEPENDENCE OF THE MOSFET CURRENT-VOLTAGE CHARACTERISTIC: THERMAL-STABLE CURRENT 73 4.3. ENERGY AND PACKAGE MATERIAL DEPENDENCE OF A MOSFET RESPONSE TO X-RAY RADIATION 77 4.4. PHANTOM DEPTH AND ANGULAR DEPENDENCE OF MOSFET MEASUREMENTS 83 4.5. DEPENDENCE OF MOSFET SENSITIVITY ON TOTAL ACCUMULATED DOSE 89 4.6. CONCLUSIONS 93 1 CHAPTER 5. THE MOSFET AS A DUAL ALPHA-GAMMA DETECTOR AND AS A MICRODOSIMETER 95 5.1. AIM 95 5.2. MOSFET THRESHOLD VOLTAGE SENSITIVITY TO ALPHA PARTICLE FLUENCE 96 5.3. PULSE HEIGHT SPECTRUM MEASUREMENTS BY A MOSFET SOURCE AND DRAIN P-N JUNCTIONS 103 5.4. ALPHA PARTICLE PROBE OF THE CHARGE COLLECTION OF THE BIASED DRAW-SUBSTRATE P-N JUNCTION 112 5.5. APPLICATION OF A MOSFET DETECTOR FOR SIMULTANEOUS MACRO AND MICRO DOSIMETRY AT NEUTRON RADIATION THERAPY FACJLJTJES 125 5.5.1. Basic principles of microdosimetry 125 5.5.2. Microdosimetry application of a MOSFET at a FNT facility 131 5.5.3. Application of a MOSFET as a dual dosimeter at a BNCT facility 140 5.6. CONCLUSIONS 145 CHAPTER 6. SEMICONDUCTOR PROBES FOR THERMAL NEUTRON FLUX AND DOSE MEASUREMENTS IN NEUTRON THERAPY MODALITIES 149 6.1. AIM 149 6.2. METHODS OF THERMAL NEUTRON DOSIMETRY AT NEUTRON RADIATION THERAPY FACILITIES 150 6.2.7. Foil activation method 151 6.2.2. Fission chamber 155 6.2.3. Solid state fission detector 160 6.3. ION IMPLANTED SILICON DETECTORS 163 6.3.1. Fission detector with a thick uranium-235 converter 164 6.4. EXPERIMENTAL SET UP AND CALIBRATION 169 6.5. EPITHERMAL BNCT 172 6.5.1. Fission detector study 172 6.5.2. MOSFET study of a relative depth dose distribution 755 6.6. THERMAL AND QUASI EPITHERMAL BNCT 189 6.7. FNT AND THE FEASIBILITY OF BNCEFTN 192 6.8. THERMAL NEUTRON DOSIMETRY IN 252CF BRACHYTHERAPY 200 6.9. CONCLUSIONS 207 CHAPTER 7. MICROBEAM RADIATION THERAPY AND RADIATION DOSIMETRY OF X-RAY MICROBEAMS 211 7.1. AIM 211 7.2. CURRENT STAGE OF DEVELOPMENT OF MRT 212 7.2.7. Radiobiology of microbeam irradiation 272 7.2.2. Radiation dosimetry of x-ray microbeams 277 7.3. THE "EDGE-ON" APPLICATION OF A MOSFET DETECTOR IN AN X-RAY MICROBEAM 221 7.4. HIGH SPATIAL RESOLUTION MEASUREMENTS OF DOSE PROFILES ACROSS X-RAY MICROBEAMS 227 7.4.1. Comparison of the spatial resolution of a MOSFET and Gafchromic film 232 7.4.2. MOSFET measurement of a dose distribution profile across 30 /Jm wide synchrotron microbeam 235 7.5. CONCLUSIONS 236 SUMMARY 239 ii Statement of Originality I hereby declare that this submission is my own work and that, to the best of my knowledge and belief, it contains no material previously published or written by another person nor material which to a substantial extent has been accepted for the award of any degree or diploma of a university or other institution of higher learning, except where due acknowledgement is made in the text. G.I. Kaplan 6th December, 2001 in Acknowledgements Firstly I would like to thank my supervisor, Professor Anatoly Rosenfeld, for all his valuable intellectual guidance, support and help during the past few years. His encouragement, belief in my abilities and excellent advice made this thesis possible. I am grateful to Professor Barry Allen, from the St. George Cancer Care Centre, Sydney for many fruitful discussions, valuable advice and encouragement. I would like to thank Professor Bill Zealey, Head of the Department of Engineering Physics, University of Wollongong for encouragement and for support during the course of this project. My many thanks to Mr. Peter Ihnat, from the Department of Engineering Physics, for electronic design of the MOSFET reader and to Mr. Peter Anthony, from the same Department, for assembling the reader. I also would like to thank Mr. John Burke, from the Mechanical Workshop of the Faculty of Science, for manufacturing the perspex phantoms and the detector holders. I also appreciate assistance with detector measurements by Jeremy Booth, Peter Bradley and Michael Bailey from the Centre of Medical Radiation Physics of the University of Wollongong. I am grateful to Professor Rick Kefford, Director of the Westmead Institute for Cancer Research, for support and for fostering an atmosphere of scientific research. A/Professor Christine Clarke and Dr. Graham Mann, senior scientists of the Westmead Institute for Cancer Research, for encouragement and support. I also would like to thank A/Professor Clarke for helping me to overcome a brief decrease in motivation during the writing of this manuscript. I would like to thank Dr. Patricia Mote, from the Westmead Institute for Cancer Research, for reading this manuscript. I appreciate support of the following people for assistance and use of radiation oncology facilities: Professor Peter Metcalfe, Dr. Martin Butson and Martin Carolan from the Illawarra Cancer Care Centre; Dr. Jeffey Coderre and the reactor staff, Avraham Dilmanian and the synchrotron staff at the Medical Department of the Brookhaven National Laboratory, Long Island, USA; Dr. Richard Maughan, Dr. Chandrasekhar Kota and Dr. Mark Yudelev from the Gershenson Radiation Oncology Centre, Harper Hospital, Detroit, USA; Dr. Tooru Kobaysahi from the Kyoto University Research Reactor. I am grateful to SPO Detector, Kiev, Ukraine for manufacturing of MOSFET detectors and ion-implanted silicon detectors. I am very grateful and am in debt to my parents, Professor Ilya Kaplan and Dr. Lara Popova, for showing me, by their own example, the excitement of scientific endeavours, for encouraging a critical scientific thinking, and for believing in me and taking pride in my achievements. Finally I must acknowledge my wife, Elena, for her total support, interest in my study and for the input of her artistic talent in enhancing some of the illustrations in this manuscript. IV Publications 1. Kaplan, G. I., Rosenfeld, A. B., Booth, J. T., Allen, B. J., Carolan, M. G., and Holmes-Siedle, A. "Improved spatial resolution by MOSFET dosimetry of an x-ray microbeam", Medical Physycs, v. 27, pp. 239-244, (2000) 2. Kaplan, G. I., Rosenfeld, A. B., Allen, B. J., Coderre, J. A., and Liu, H. B. "Fission converter and metal-oxide-semiconductor field effect transistor study of thermal neutron flux distribution in an epithermal neutron therapy beam", Medical Physics, v. 26, pp. 1989-1994, (1999) 3. Kaplan, G. I., Rosenfeld, A. B., Allen, B. J., Maughan, R. L., Coderre, J. A. and Kobayashi, T.,"Semiconductor detectors for in-phantom thermal neutron flux and boron dose measurements in BNCT and Fast Neutron Therapy". In: Fronties in Neutron Capture Therapy, Hawthrone (ed.), pp. 1175-1180, Kluver Publisher, (2001) 4. Rosenfeld, A. B., Kaplan, G. I., Kron, T., Allen, B. J., Dalmanian, F. A., Orion, I., Ren, B., and Holmes-Siedle, A. "MOSFET dosimetry of x-ray microbeam", IEEE Transactions on Nuclear Science, v. 46, pp. 1774-1780, (1999) 5. Rosenfeld, A. B., Kaplan, G. I., Carolan, M. G., Allen, B. J., Anokhin, I., Zinets, O., Khivrich, V., and Litovchenko, P. "Application of p-i-n diodes and MOSFETs for dosimetry in gamma and neutron radiation fields", Radiation Protection and Dosimetry, v.
Recommended publications
  • Understanding the Potentiality of Accelerator
    Bortolussi et al. Radiation Oncology (2017) 12:130 DOI 10.1186/s13014-017-0860-6 RESEARCH Open Access Understanding the potentiality of accelerator based-boron neutron capture therapy for osteosarcoma: dosimetry assessment based on the reported clinical experience Silva Bortolussi1,2* , Ian Postuma2, Nicoletta Protti2, Lucas Provenzano3,4, Cinzia Ferrari5,2, Laura Cansolino5,6, Paolo Dionigi5,6, Olimpio Galasso7, Giorgio Gasparini7, Saverio Altieri1,2, Shin-Ichi Miyatake8 and Sara J. González3,4 Abstract Background: Osteosarcoma is the most frequent primary malignant bone tumour, and its incidence is higher in children and adolescents, for whom it represents more than 10% of solid cancers. Despite the introduction of adjuvant and neo-adjuvant chemotherapy that markedly increased the success rate in the treatment, aggressive surgery is still needed and a considerable percentage of patients do not survive due to recurrences or early metastases. Boron Neutron Capture Therapy (BNCT), an experimental radiotherapy, was investigated as a treatment that could allow a less aggressive surgery by killing infiltrated tumour cells in the surrounding healthy tissues. BNCT requires an intense neutron beam to ensure irradiation times of the order of 1 h. In Italy, a Radio Frequency Quadrupole (RFQ) proton accelerator has been designed and constructed for BNCT, and a suitable neutron spectrum was tailored by means of Monte Carlo calculations. This paper explores the feasibility of BNCT to treat osteosarcoma using this neutron source based on accelerator. Methods: The therapeutic efficacy of BNCT was analysed evaluating the dose distribution obtained in a clinical case of femur osteosarcoma. Mixed field dosimetry was assessed with two different formalisms whose parameters were specifically derived from radiobiological experiments involving in vitro UMR-106 osteosarcoma cell survival assays and boron concentration assessments in an animal model of osteosarcoma.
    [Show full text]
  • Nuclear Data for Medical Applications ° ° INM-5: Nuklearchemie,INM-5: Forschungszentrum Germjülich, Abteilung Nuklearchemie, Zu Germanuniversitätköln, ° Syed M
    Mitglied der Helmholtz-Gemeinschaft derMitglied Nuclear Data for Medical Applications ° Syed M. Qaim ° INM-5: Nuklearchemie, Forschungszentrum Jülich, Germany; ° Abteilung Nuklearchemie, Universität zu Köln, Germany Plenary Lecture given at a Workshop in the 7 th Framework Programme of the European Union on “Solving Challenges in Nuclear Data for the Safety of Nuclear Facilities (CHANDA)”, Paul Scherrer Institute, Villigen, Switzerland, 23 to 25 November 2015 Outline ° Introduction - external radiation therapy - internal radionuclide applications ° Commonly used radionuclides - status of nuclear data - alternative routes for production of 99m Tc - standardisation of production data ° Research oriented radionuclides - non-standard positron emitters - novel therapeutic radionuclides ° New directions in radionuclide applications ° Future data needs ° Summary and conclusions Nuclear Data Research for Medical Use Aim ° Provide fundamental database for - external radiation therapy - internal radionuclide applications Areas of Work ° Experimental measurements ° Nuclear model calculations ° Standardisation and evaluation of existing data Considerable effort is invested worldwide in nuclear data research External Radiation Therapy • Biological changes under the impact of radiation • Of significance is linear energy transfer (LET) to tissue Types of Therapy • Photon therapy : use of 60 Co or linear accelerator (low-LET radiation ) most common • Fast neutron therapy : accelerator with E p or E d above 50 MeV (high-LET radiation ) being abandoned
    [Show full text]
  • Carbon Ion Therapy for Advanced Sinonasal Malignancies: Feasibility
    Jensen et al. Radiation Oncology 2011, 6:30 http://www.ro-journal.com/content/6/1/30 RESEARCH Open Access Carbon ion therapy for advanced sinonasal malignancies: feasibility and acute toxicity Alexandra D Jensen1*, Anna V Nikoghosyan1, Swantje Ecker2, Malte Ellerbrock2, Jürgen Debus1 and Marc W Münter1 Abstract Purpose: To evaluate feasibility and toxicity of carbon ion therapy for treatment of sinonasal malignancies. First site of treatment failure in malignant tumours of the paranasal sinuses and nasal cavity is mostly in-field, local control hence calls for dose escalation which has so far been hampered by accompanying acute and late toxicity. Raster-scanned carbon ion therapy offers the advantage of sharp dose gradients promising increased dose application without increase of side-effects. Methods: Twenty-nine patients with various sinonasal malignancies were treated from 11/2009 to 08/2010. Accompanying toxicity was evaluated according to CTCAE v.4.0. Tumor response was assessed according to RECIST. Results: Seventeen patients received treatment as definitive RT, 9 for local relapse, 2 for re-irradiation. All patients had T4 tumours (median CTV1 129.5 cc, CTV2 395.8 cc), mostly originating from the maxillary sinus. Median dose was 73 GyE mostly in mixed beam technique as IMRT plus carbon ion boost. Median follow- up was 5.1 months [range: 2.4 - 10.1 months]. There were 7 cases with grade 3 toxicity (mucositis, dysphagia) but no other higher grade acute reactions; 6 patients developed grade 2 conjunctivits, no case of early visual impairment. Apart from alterations of taste, all symptoms had resolved at 8 weeks post RT.
    [Show full text]
  • Present Status of Fast Neutron Therapy Survey of the Clinical Data and of the Clinical Research Programmes
    PRESENT STATUS OF FAST NEUTRON THERAPY SURVEY OF THE CLINICAL DATA AND OF THE CLINICAL RESEARCH PROGRAMMES Andre Wambersie and Francoise Richard Universite Catholique de Louvain, Unite de Radiotherapie, Neutron- et CurietheVapie, Cliniques Universitaires St-Luc, 1200-Brussels, Belgium. Abstract The clinical results reported from the different neutron therapy centres, in USA, Europe and Asia, are reviewed. Fast neutrons were proven to be superior to photons for locally extended inoperable salivary gland tumours. The reported overall local control rates are 67 % and 24 % respectively. Paranasal sinuses and some tumours of the head and neck area, especially extended tumours with large fixed lymph nodes, are also indications for neutrons. By contrast, the results obtained for brain tumours were, in general, disappointing. Neutrons were shown to bring a benefit in the treatment of well differentiated slowly growing soft tissue sarcomas. The reported overall local control rates are 53 % and 38 % after neutron and photon irradiation respectively. Better results, after neutron irradiation, were also reported for bone- and chondrosarcomas. The reported local control rates are 54 % for osteosarcomas and 49 % for chondrosarcomas after neutron irradiation; the corresponding values are 21 % and 33 % respectively after photon irradiation. For locally extended prostatic adenocarcinoma, the superiority of mixed schedule (neutrons + photons) was demonstrated by a RTOG randomized trial (local control rates 77% for mixed schedule compared to 31 % for photons). Neutrons were also shown to be useful for palliative treatment of melanomas. Further studies are needed in order to definitively evaluate the benefit of fast neutrons for other localisations such as uterine cervix, bladder, and rectum.
    [Show full text]
  • Planning and Implementing a Swiss Radio-Oncology Network
    Chair Secretary PROTON Michael Goitein Ph. D. Daniel Miller Ph. D. THERAPY Department of Radiation Oncology Department of Radiation Medicine C O- Massachusetts General Hospital Loma Linda University Medical Center OPERATIVE Boston MA 02114 Loma Linda CA 92354 G ROUP (617) 724 - 9529 (909) 824 - 4197 (617) 724 - 9532 Fax (909) 824 - 4083 Fax ABSTRACTS of the XXIV PTCOG MEETING held in Detroit, Michigan, USA April 24-26 1996 1 INDEX Page PTCOG Focus Session I: Comparative treatment planning of nasopharyngeal tumors PTCOG nasopharynx treatment planning intercomparison. 5 A. Smith PTCOG Focus Session II: Proton theray clinical studies Proton therapy in 1996: a world wide perspective. 6 J. M. Sisterson Arteriovenous malformations: the NAC experience. 6 F. Vernimmen, J. Wilson, D. Jones, N. Schreuder, E. De Kock, J. Symons Preliminary results of carbon-ion therapy at NIRS. 6 H. Tsujii, J. Mizoe, T. Miyamoto, S. Morita, M. Mukai, T. Nakano, H. Kato, T. Kamada, K. Morita Proton radiation therapy for orbital and parameningeal rhabdomyosarcoma. 7 E. B. Hug, J.A. Adams, J. E. Munzenrider Conformal radiation therapy for retinoblastoma: comparison of various 3D proton plans. 8 M. Krengli, J. A Adams, E. B Hug PTCOG Focus Session III Radiotherapy in the treatment of prostate cancer: neutrons, protons or photons? An analysis of acute and late toxicity in a randomized study of pion vs. photon irradiation 9 for stage T3/4 prostate cancer. T. Pickles, G. Goodman, M. Dimitrov, G. Duncan, C. Fryer, P. Graham, M. McKenzie, J. Morris, D. Rheaume, I. Syndikus With conformal photon irradiation, who needs particles? 10 J.
    [Show full text]
  • Dosimetry and Radiation Quality in Fast- Neutron Radiation Therapy
    Linköping Studies in Health Sciences Thesis no. 989 Dosimetry and radiation quality in fast- neutron radiation therapy A study of radiation quality and dosimetric properties of fast-neutrons for external beam radiotherapy and problems associated with corrections of measured charged particle cross-sections by Jonas Söderberg Division of Radiation Physics, Department of Medicine and Care Faculty of Health Sciences, Linköping University SE-581 85 Linköping Sweden Linköping 2007 Dosimetry and radiation quality in neutron therapy ii Jonas Söderberg It is easier to perceive error than to find truth, for the former lies on the surface and is easily seen, while the latter lies in the depth, where few are willing to search for it. Johann Wolfgang von Goethe iii Dosimetry and radiation quality in neutron therapy iv Jonas Söderberg Dosimetry and radiation quality in fast-neutron radiation therapy - A study of radiation quality and basic dosimetric poperties of fast-neutrons for external beam radiotherapy and poblems associated with corrections of measured charged particle coss-sections by Jonas Söderberg Linköping Studies in Health Sciences Thesis no. 989 Akademisk avhandling som för avläggande av filosofie doktors examen vid Linköpings Universitetet kommer att offentligt försvaras i föreläsningssalen Conrad, Universitetssjukhuset i Linköping, onsdagen den 4 april 2007, klockan 9.00 Opponent: Docent Crister Ceberg, Lunds Universitet ISBN 978-91-85715-37-4 ISSN 0345-0082 Abstract The dosimetric poperties of fast-neutron beams with energies ≤80 MeV were explored using Monte Carlo techniques. Taking into account transport of all relevant types of released charged particles (electons, protons, deuteons, tritons, 3He and α particles) pencil-beam dose distributions were derived and used to calculate absorbed dose distributions.
    [Show full text]
  • 1199 Radiation Therapy Clinical Guidelines Effective 07/01
    CLINICAL GUIDELINES Radiation Therapy Version 2.0.2019 Effective July 1, 2019 Clinical guidelines for medical necessity review of radiation therapy services. © 2019 eviCore healthcare. All rights reserved. Radiation Therapy Criteria V2.0.2019 Table of Contents Brachytherapy of the Coronary Arteries 6 Hyperthermia 15 Image-Guided Radiation Therapy (IGRT) 18 Neutron Beam Therapy 22 Proton Beam Therapy 24 Radiation Therapy for Anal Canal Cancer 66 Radiation Therapy for Bladder Cancer 69 Radiation Therapy for Bone Metastases 72 Radiation Therapy for Brain Metastases 77 Radiation Therapy for Breast Cancer 85 Radiation Therapy for Cervical Cancer 96 Radiation Therapy for Endometrial Cancer 103 Radiation Therapy for Esophageal Cancer 110 Radiation Therapy for Gastric Cancer 115 Radiation Therapy for Head and Neck Cancer 118 Radiation Therapy for Hepatobiliary Cancer 122 Radiation Therapy for Hodgkin’s Lymphoma 128 Radiation Therapy for Kidney and Adrenal Cancer 132 Radiation Therapy for Multiple Myeloma and Solitary Plasmacytomas 134 Radiation Therapy for Non-Hodgkin’s Lymphoma 138 Radiation Therapy for Non-malignant Disorders 143 Radiation Therapy for Non-Small Cell Lung Cancer 161 Radiation Therapy for Oligometastases 172 Radiation Therapy for Other Cancers 182 Radiation Therapy for Pancreatic Cancer 183 Radiation Therapy for Primary Craniospinal Tumors and Neurologic Conditions 189 Radiation Therapy for Prostate Cancer 197 Radiation Therapy for Rectal Cancer 206 Radiation Therapy for Skin Cancer 209 Radiation Therapy for Small Cell Lung Cancer 217 Radiation Therapy for Soft Tissue Sarcomas 220 Radiation Therapy for Testicular Cancer 226 Radiation Therapy for Thymoma and Thymic Cancer 229 Radiation Therapy for Urethral Cancer and Upper Genitourinary Tract Tumors 233 Radiation Treatment with Azedra 235 Radiation Treatment with Lutathera 238 Radioimmunotherapy with Zevalin 243 Selective Internal Radiation Therapy 254 ______________________________________________________________________________________________________ © 2019 eviCore healthcare.
    [Show full text]
  • Internal High Linear Energy Transfer (LET) Targeted Radiotherapy for Cancer
    INSTITUTE OF PHYSICS PUBLISHING PHYSICS IN MEDICINE AND BIOLOGY Phys. Med. Biol. 51 (2006) R327–R341 doi:10.1088/0031-9155/51/13/R19 REVIEW Internal high linear energy transfer (LET) targeted radiotherapy for cancer Barry J Allen Centre for Experimental Radiation Oncology, St George Cancer Care Centre, Gray St, Kogarah NSW 2217, Australia E-mail: [email protected] Received 6 April 2006, in final form 24 May 2006 Published 20 June 2006 Online at stacks.iop.org/PMB/51/R327 Abstract High linear energy transfer (LET) radiation for internal targeted therapy has been a long time coming on to the medical therapy scene. While fundamental principles were established many decades ago, the clinical implementation has been slow. Localized neutron capture therapy, and more recently systemic targeted alpha therapy, are at the clinical trial stage. What are the attributes of these therapies that have led a band of scientists and clinicians to dedicate so much of their careers? High LET means high energy density, causing double strand breaks in DNA, and short-range radiation, sparing adjacent normal tissues. This targeted approach complements conventional radiotherapy and chemotherapy. Such therapies fail on several fronts. Foremost is the complete lack of progress for the control of primary GBM, the holy grail for cancer therapies. Next is the inability to regress metastatic cancer on a systemic basis. This has been the task of chemotherapy, but palliation is the major application. Finally, there is the inability to inhibit the development of lethal metastatic cancer after successful treatment of the primary cancer.
    [Show full text]
  • Radiotherapy for Primary and Metastatic Spinal Tumors O
    Radiotherapy for Primary and Metastatic Spinal Tumors O. Kenneth Macdonald, MD,* and Christopher M. Lee, MD† Primary and metastatic spinal tumors as a group represent a heterogeneous mixture of benign and malignant processes. In general, primary tumors of the spine remain relatively uncommon, and the majority of spinal tumors that are treated annually represent systemic spread of extraosseous primary malignancy. The management of spinal tumors requires meticulous yet expedient attention as the consequences of failed or inappropriate treat- ment can be devastating. Radiotherapy has proven beneficial in many tumors of the spine, particularly metastatic lesions, Ewing’s sarcoma, and myeloid malignancies. A review of the use of radiotherapy for the more common primary spinal malignancies and metastasis is presented. Semin Spine Surg 21:121-128 © 2009 Elsevier Inc. All rights reserved. KEYWORDS radiotherapy, spine, malignancy, metastasis lthough relatively uncommon, primary spinal tumors from breast, prostate, lung, kidney, and hematopoietic can- Arepresent a heterogeneous mixture of benign and malig- cers.10-18 nant processes. These result in a broad spectrum of symp- No matter the etiology, the management of spinal tumors toms ranging from a minor backache to severe weakness that requires meticulous but expedient attention as the conse- prevents one from walking (due to neurologic structure im- quences of failed or inappropriate or careless treatment can pingement). Common benign tumors that develop in the be neurologically devastating and potentially irreversible. spine include aneurysmal bone cysts, hemangiomas, giant Surgical intervention has been established as a beneficial cell tumors of bone, osteoid osteomas, meningiomas, and treatment with durable results in the setting of primary and osteoblastomas.
    [Show full text]
  • Evaluation of Neutron Irradiation of Pancreatic Cancer
    1- I anhdd (CW1214): 283-289. 1969. Evaluation of Neutron Irradiation of Pancreatic Cancer Results of a Randomized Radiation Therapy Oncology Group Clinical Trial Frank J. Thomas,M.D., John Krall, Ph.D., Frank Hendrickson, M.D., Thomas w.Griffin, M.D., Jerrold P. Saxton, M.D., -RobertG. Parker, M.D., and Lawrence W. Davis, M.D. Baween 1980-84, the Radiation Therapy Oncology Group Carcinoma of the pancreas annually accounts for conducted a trial in patients with untreated, unrrsectable 10- over 24,000 deaths per year in the United States, where carcinomas of the pancreas. Patients were randomly alized it is the leading cause of cancer deaths (I). Only chosen to rcaive either 6,400 cGy with photons, the cquiv- fifth dent dose with a combination of photons and neutrons about 10-1546 of patients are candidates for radical (mixed-beam irradiation), or neutrons alone. A total of 49 excision (2), and even among these patients, the 5-year cases were evaluable, of which 23 wen treated with photons, crude survival rate is 1546, ‘with local recurrences in up 1 I with mixed-beam therapy, and 15 with neutrons alone. to 50% (3). Overall, the prognosis is poor, with only The median survival time was 5.6 months with neutrons, 7.8 months with mixed-beam radiation, and 8.3 months with 3-5% surviving 5 years (I). photons. The median local control time was 6.7 months with For the casc that is medically or technically inop neutrons, 6.5 months with mixed-beam radiation, and 2.6 erable, radiation can palliate the local symptoms of months with photons.
    [Show full text]
  • Neutron Therapy in the 21St Century
    Neutron Therapy in the 21st Century Thomas K Kroc, PhD1, James S Welsh, MS, MD2 1Fermi National Accelerator Laboratory, Batavia, Il, USA 2Northern Illinois University, DeKalb, Il, USA Abstract The question of whether or not neutron therapy works has been answered. It is a qualified yes, as is the case with all of radiation therapy. But, neutron therapy has not kept pace with the rest of radiation therapy in terms of beam delivery techniques. Modern photon and proton based external beam radiotherapy routinely implements image-guidance, beam intensity-modulation and 3- dimensional treatment planning. The current iteration of fast neutron radiotherapy does not. Addressing these deficiencies, however, is not a matter of technology or understanding, but resources. The future of neutron therapy lies in better understanding the interaction processes of radiation with living tissue. A combination of radiobiology and computer simulations is required in order to optimize the use of neutron therapy. The questions that need to be answered are: Can we connect the macroscopic with the microscopic? What is the optimum energy? What is the optimum energy spectrum? Can we map the sensitivity of the various tissues of the human body and use that knowledge to our advantage? And once we gain a better understanding of the above radiobiological issues will we be able to capitalize on this understanding by precisely and accurately delivering fast neutrons in a manner comparable to what is now possible with photons and protons? This presentation will review the accomplishments to date. It will then lay out the questions that need to be answered for neutron therapy to truly be a 21st Century therapy.
    [Show full text]
  • Radiation Treatment Using Hadrons (Negative Pions, Neutrons, Proton, O and Heavier Ions)
    LBNL-40537 (J(J""".f?t?nU ERNEST ORLANDO LAWRENCE .. BERKELEY NATIONAL LABORATORY Radiation Treatment Using Hadrons (Negative Pions, Neutrons, Proton, o and Heavier Ions) William T. Chu o Accelerator and Fusion Research Division . July 1997 o " to be published as ' .. a ch~Rt~t!.~~:':· , Biomedical Uses ofRadiation, . , i" , III ::e:: "1 ;;;;::) , (1) ::::s 0 ~ (1) o o '0 i" OJ '", . Z i" (") I o .Ilo '1j ISl '< U'I w ....... , ...... DISCLAIMER This document was prepared as an account of work sponsored by the United States Government. While this document is believed to contain correct information, neither the United States Government nor any agency thereof, nor the Regents of the University of California, nor any of their employees, makes any warranty, express or implied, or assumes any legal responsibility for the accuracy, completeness, or usefulness of any information, apparatus, product, or process disclosed, or represents that its use would not infringe privately owned rights. Reference herein to any specific commercial product, process, or service by its trade name, trademark, manufacturer, or otherwise, does not necessarily constitute or imply its endorsement, recommendation, or favoring by the United States Government or any agency thereof, or the Regents of the University of California. The views and opinions of authors expressed herein do not necessarily state or reflect those of the United States Government or any agency thereof or the Regents of the University of California. LBNL-40537 Volume 2, Chapter 7 Radiation Treatment Using Hadrons (Negative Pions, Neutrons, Proton, and Heavier Ions)* William T. Chu Lawrence Berkeley National Laboratory University of California Berkeley, CA 94720 July 1997 , * This work was supported by the Director, Office of Energy Research, Energy Research Laboratory Technology Transfer Program, of the u.s.
    [Show full text]