Physics in Medicine and Biology · 2023 · 17 citations · 53 references
MedicineRadiation OncologyRadiation DosimetryRadiation PhysicsRadiobiologyBiological Effects Of RadiationProton TherapyRadiation TherapyRadiation ToxicityRadiation Track StructureRadiobiological ModelingFlash ExposureMonte Carlo Dose SimulationMonte Carlo Radiobiological SimulationMonte Carlo Track SimulationsNormal Tissue Toxicity ModelingRadiation Chemistry ModelingTrack Structure ModelingTrack Structure Simulation
Abstract Objective. In FLASH radiotherapy (dose rates ≥40 Gy s −1 ), a reduced normal tissue toxicity has been observed, while maintaining the same tumor control compared to conventional radiotherapy (dose rates ≤0.03 Gy s −1 ). This protecting effect could not be fully explained yet. One assumption is that interactions between the chemicals of different primary ionizing particles, so-called inter-track interactions, trigger this outcome. In this work, we included inter-track interactions in Monte Carlo track structure simulations and investigated the yield of chemicals ( G -value) produced by ionizing particles. Approach. For the simulations, we used the Monte Carlo toolkit TOPAS, in which inter-track interactions cannot be implemented without further effort. Thus, we developed a method enabling the simultaneous simulation of N original histories in one event allowing chemical species to interact with each other. To investigate the effect of inter-track interactions we analyzed the G -value of different chemicals using various radiation sources. We used electrons with an energy of 60 eV in different spatial arrangements as well as a 10 MeV and 100 MeV proton source. For electrons we set N between 1 and 60, for protons between 1 and 100. Main results. In all simulations, the total G -value decreases with increasing N . In detail, the G -value for • OH , H 3 O and e aq decreases with increasing N , whereas the G -value of OH − , H 2 O 2 and H 2 increases slightly. The reason is that with increasing N , the concentration of chemical radicals increases allowing for more chemical reactions between the radicals resulting in a change of the dynamics of the chemical stage. Significance. Inter-track interactions resulting in a variation of the yield of chemical species, may be a factor explaining the FLASH effect. To verify this hypothesis, further simulations are necessary in order to evaluate the impact of varying G -values on the yield of DNA damages.
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Geant4 developments and applications
John E. Allison, K. Amako, J. Apostolakis et al. · IEEE Transactions on Nuclear Science · 2006 · 6.9K citations · Full text
Volumetric modulated arc therapy: IMRT in a single gantry arc
Karl F. Otto · Medical Physics · 2007 · 1.9K citations · Full text
Medicine, Radiation Oncology, Clinical Radiation Oncology +16
Radiological Use of Fast Protons
Robert R. Wilson · Radiology · 1946 · 1.4K citations
Natural Sciences, Physics, Radiology +14