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DNA Damage Repair Meets Radiation: Better Radiotherapy Based on Study of the Underlying Mechanisms DNA 损伤修复与辐射:基于基本机制研究的更好放射治疗
Radiation Medicine and Protection Pub Date : 2024-07-01 DOI: 10.1016/j.radmp.2024.07.002
Ruixue Huang
{"title":"DNA Damage Repair Meets Radiation: Better Radiotherapy Based on Study of the Underlying Mechanisms","authors":"Ruixue Huang","doi":"10.1016/j.radmp.2024.07.002","DOIUrl":"https://doi.org/10.1016/j.radmp.2024.07.002","url":null,"abstract":"","PeriodicalId":34051,"journal":{"name":"Radiation Medicine and Protection","volume":"48 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141849728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Knockdown of the nucleoporin Nup50 protects cells against ionizing radiation through enhancing DNA-PKcs-mediated DNA damage repair 敲除核蛋白 Nup50 可通过加强 DNA-PKcs 介导的 DNA 损伤修复保护细胞免受电离辐射的伤害
Radiation Medicine and Protection Pub Date : 2024-07-01 DOI: 10.1016/j.radmp.2024.06.006
Zhijie Wan , Jingwen Gu , Songyun Zhao , Hang Jia , Tingting Liu , Yuanyuan Chen , Yanyong Yang
{"title":"Knockdown of the nucleoporin Nup50 protects cells against ionizing radiation through enhancing DNA-PKcs-mediated DNA damage repair","authors":"Zhijie Wan ,&nbsp;Jingwen Gu ,&nbsp;Songyun Zhao ,&nbsp;Hang Jia ,&nbsp;Tingting Liu ,&nbsp;Yuanyuan Chen ,&nbsp;Yanyong Yang","doi":"10.1016/j.radmp.2024.06.006","DOIUrl":"10.1016/j.radmp.2024.06.006","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the effect and mechanism of Nup50 on radiation-induced DNA damage repair to radiation and explore the potential role of Nup50 as radioprotective target.</p></div><div><h3>Methods</h3><p>The Nup50 gene was knocked down in HUVEC cells using lentiviruses. Colony formation, CCK-8, and flow cytometry were performed to determine the viability, proliferation and apoptosis of HUVEC cells treated with γ-rays,respectively. The extent of DNA damage was evaluated by using comet assay and immunofluorescence staining against γ-H2AX. In addition, we explored the role of Nup50 in DNA damage response (DDR) pathways through western blotting assay. Finally, nuclear and chromatin fractionation were performed to determine the potential molecular mechanism underlying the radiation protection function of Nup50 knockdown.</p></div><div><h3>Results</h3><p>Nup50 knockdown increased the cellular resistance to ionizing radiation. The CCK-8 data showed that cell viability was significantly increased in the Nup50 knockdown group after radiation (<em>t</em> ​= ​4.23, <em>P</em> ​&lt; ​0.01). The Nup50 knockdown group also showed more survived colonies (<em>t</em> ​= ​10.06, <em>P</em> ​&lt; ​0.001), less apoptosis rate (<em>t</em> ​= ​3.78, <em>P</em> ​&lt; ​0.05) and less unrepaired DNA damage. Furthermore, Nup50 knockdown increased radiation-activated phosphorylation levels of DNA-PKcs in HUVEC cells. Finally, the nuclear and chromatin fractionation data showed that inhibiting Nup50 increased the recruitment of DNA-PKcs to chromatin after DNA damage.</p></div><div><h3>Conclusions</h3><p>Our findings revealed that Nup50 knockdown promoted radioresistance in normal HUVEC cells by regulating DNA-PKcs pathway, suggesting Nup50 as a potential target for radiation protection.</p></div>","PeriodicalId":34051,"journal":{"name":"Radiation Medicine and Protection","volume":"5 3","pages":"Pages 194-200"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266655572400056X/pdfft?md5=d2155b2199bc1194ef56c1f1d010a931&pid=1-s2.0-S266655572400056X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141711119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tacrolimus may play a role in dermatitis and radiation-induced skin injury through cellular senescence 他克莫司可能通过细胞衰老在皮炎和辐射引起的皮肤损伤中发挥作用
Radiation Medicine and Protection Pub Date : 2024-06-25 DOI: 10.1016/j.radmp.2024.06.005
Jie Chen, Ling Gao
{"title":"Tacrolimus may play a role in dermatitis and radiation-induced skin injury through cellular senescence","authors":"Jie Chen,&nbsp;Ling Gao","doi":"10.1016/j.radmp.2024.06.005","DOIUrl":"10.1016/j.radmp.2024.06.005","url":null,"abstract":"<div><p>Skin Exposure of skin to ionizing radiation can induce acute or chronic biological effects, resulting in radiation-induced skin injury (RSI). Premature cellular senescence, caused by oxidative stress and/or DNA damage from chemical or physical agents, leads to the decrease of cellular proliferation and physiological function. Persistent DNA damage and accumulation of senescent cells are associated with the progression of radiation-induced injury. Atopic dermatitis and RSI have similar inflammatory symptoms. The treatment of tacrolimus (TAC) in atopic dermatitis may be associated with premature cellular senescence. TAC can prevent the onset of cellular senescence by inactivating the p38 mitogen-activated protein kinase (p38 ​MAPK). The activation of p38 ​MAPK can induce the senescence-associated secretory phenotype (SASP) by enhancing the transcriptional activity of nuclear factor kappa-B (NF-κB), which ultimately leads to premature cellular senescence. FK506 binding protein 51 (FKBP51) exhibits resistance to ionizing radiation, but the mechanism of TAC regulation of ionizing radiation-induced premature senescence still needs further study. This review discusses the mechanism of cellular senescence in RSI and the role of TAC in both dermatitis and RSI.</p></div>","PeriodicalId":34051,"journal":{"name":"Radiation Medicine and Protection","volume":"5 3","pages":"Pages 161-164"},"PeriodicalIF":0.0,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666555724000558/pdfft?md5=61a3b5051ddcfb38f2eab1a90f6102e7&pid=1-s2.0-S2666555724000558-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Study on healthcare level and its relationship with medical radiation in China 中国医疗保健水平及其与医疗辐射的关系研究
Radiation Medicine and Protection Pub Date : 2024-06-19 DOI: 10.1016/j.radmp.2024.06.003
Shiyue Cui, Yinping Su, Hui Xu, Quanfu Sun
{"title":"Study on healthcare level and its relationship with medical radiation in China","authors":"Shiyue Cui,&nbsp;Yinping Su,&nbsp;Hui Xu,&nbsp;Quanfu Sun","doi":"10.1016/j.radmp.2024.06.003","DOIUrl":"10.1016/j.radmp.2024.06.003","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the health-care level (HCL), one of the most extensively used indicators to assess the level of medical exposure, and its influencing factors in China.</p></div><div><h3>Methods</h3><p>Based on the data from the <em>China Statistical Yearbook</em> of the National Bureau of Statistics and other public documents, HCL was calculated in terms of the number of physicians per head of population throughout the country. Multiple linear regression was used to analyze the association of HCL with main socioeconomic factors, including population size, area, number of administrative divisions and gross domestic product (GDP).</p></div><div><h3>Results</h3><p>Since 2015, there has been at least one physician for every 1,000 people in China on average. However, by 2019, there has yet been one physician for more than 1,000 people in each of two provinces. By 2020, there was at least one physician for every 1,000 people across all 31 provincial-level administrative districts (provinces). The population size and GDP were the influencing factors on HCL, with correlation coefficients of 0.416 and −0.583, respectively. Furthermore, a moderate correlation was found between HCL and the frequency of medical exposure (FME) to ionizing radiation (<em>r</em> ​= ​−0.620, <em>P</em> ​= ​0.028).</p></div><div><h3>Conclusion</h3><p>There has been at least one physician for every 1,000 people since 2015, but there are great differences between various provinces. HCL as an indicator to evaluate level of medical exposure is warranted further research in China.</p></div>","PeriodicalId":34051,"journal":{"name":"Radiation Medicine and Protection","volume":"5 3","pages":"Pages 201-206"},"PeriodicalIF":0.0,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666555724000534/pdfft?md5=37110ad7850003c3513c8c05fcf95abd&pid=1-s2.0-S2666555724000534-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Biophoton signaling in mediation of cell-to-cell communication and radiation-induced bystander effects 生物光子信号在调解细胞间通信和辐射诱导的旁观者效应中的作用
Radiation Medicine and Protection Pub Date : 2024-06-19 DOI: 10.1016/j.radmp.2024.06.004
Jian Tong
{"title":"Biophoton signaling in mediation of cell-to-cell communication and radiation-induced bystander effects","authors":"Jian Tong","doi":"10.1016/j.radmp.2024.06.004","DOIUrl":"10.1016/j.radmp.2024.06.004","url":null,"abstract":"<div><p>This paper presents a comprehensive overview of the historical trajectory and development in biophoton studies over the past 100 years, with a particular focus on the recent progress regarding the pivotal role of biophoton in mediating radiation-induced bystander effects (RIBE). The exploration of biophoton mystery starts from the initial observation of mitogenetic radiation and continues to develop to the contemporary science of biophotonics. The properties and underlying mechanisms of biophoton emission are described with illustrative examples from diverse biological systems such as plants, animals and humans. The conclusive evidence of cell-to-cell communication facilitated by biophoton signaling is presented, followed by an elaborate interpretation of potential mechanisms through which biophoton mediates RIBE. The engagement of mitochondria and exosomes in this process is extensively clarified, by highlighting their significant roles in biophoton-mediated RIBE. The advances in biophoton research in respect of bystander response to ionizing radiation may offer profound insights into radiobiology and provide for possible future applications as well in radiation medicine and protection.</p></div>","PeriodicalId":34051,"journal":{"name":"Radiation Medicine and Protection","volume":"5 3","pages":"Pages 145-160"},"PeriodicalIF":0.0,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666555724000546/pdfft?md5=735d55048ac5fd2f33369180b18c61af&pid=1-s2.0-S2666555724000546-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Role of bioinformatics databases and tools in radiation biology 生物信息学数据库和工具在辐射生物学中的作用
Radiation Medicine and Protection Pub Date : 2024-06-11 DOI: 10.1016/j.radmp.2024.06.002
{"title":"Role of bioinformatics databases and tools in radiation biology","authors":"","doi":"10.1016/j.radmp.2024.06.002","DOIUrl":"10.1016/j.radmp.2024.06.002","url":null,"abstract":"<div><p>Bioinformatics has become increasingly integral to radiation biology, also known as radiobiology, providing substantial support through data storage, conversion, visualization, and sharing. This review aims to deepen understanding of bioinformatics application in radiobiology by introducing key databases and analytical tools in radiobiology, including general bioinformatics databases, radiobiology-specific databases, data processing tools, and statistical analysis tools for differentially expressed genes (DEGs) and LC/MS analysis. This review also discusses bioinformatics applications in radiobiological fields, such as radioresistance and immune cell enrichment. Despite these advances, challenges such as data interoperability remain. Methods and projects to address these issues, such as GeCo and GMQL, are also examined.</p></div>","PeriodicalId":34051,"journal":{"name":"Radiation Medicine and Protection","volume":"5 3","pages":"Pages 165-169"},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666555724000522/pdfft?md5=2d9d5caefb88b1e417f08754cc8b301e&pid=1-s2.0-S2666555724000522-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141408024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A population level study on smoking and radon induced adenocarcinoma and small-cell carcinoma among males and females in Canada 关于加拿大男性和女性吸烟与氡诱发腺癌和小细胞癌的人群研究
Radiation Medicine and Protection Pub Date : 2024-06-06 DOI: 10.1016/j.radmp.2024.06.001
{"title":"A population level study on smoking and radon induced adenocarcinoma and small-cell carcinoma among males and females in Canada","authors":"","doi":"10.1016/j.radmp.2024.06.001","DOIUrl":"10.1016/j.radmp.2024.06.001","url":null,"abstract":"<div><h3>Objective</h3><p>To assess if there is a relationship between residential radon exposure and two lung cancer histological types, small-cell carcinoma (diagnosed in people with a smoking history) and adenocarcinoma (the most commonly diagnosed histologic type in people who have never smoked) among males and females in Canada.</p></div><div><h3>Methods</h3><p>With survey data of long-term radon measurements in residential homes, long-term averaged tobacco consumption rates in the units of cigarettes per day per person and long-term averaged age-standardized lung cancer incidence rates at provincial level, simple linear fitting (ANOVA linear regression) was applied in this study to determine the effect on lung cancer induction by smoking and exposure to indoor radon, and to assess if there is a relationship between residential radon exposure and lung cancer histological types.</p></div><div><h3>Results</h3><p>Lung cancer incidence rates correlate very well with the tobacco consumption rates (<em>P</em> ​&lt; ​0.05). However, females appear to be more likely than males to develop lung cancer at a given amount of cigarette consumption. For both small-cell carcinoma and adenocarcinoma, a statistically significant correlation between incidence rate and mean radon concentration was observed for females, the correlation was much stronger for adenocarcinoma (<em>P</em> ​= ​0.0057) than small-cell carcinoma (<em>P</em> ​= ​0.0483). However, there was no such correlation for males.</p></div><div><h3>Conclusion</h3><p>It is possible that female non-smokers are more susceptible to radon-induced lung cancer, and the joint effect of radon exposure and tobacco smoking may be worse in female smokers compared to males, such that higher incidence rate of adenocarcinoma among females compared to males were observed in recent decades, even though females never smoked more than males.</p></div>","PeriodicalId":34051,"journal":{"name":"Radiation Medicine and Protection","volume":"5 3","pages":"Pages 170-177"},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666555724000510/pdfft?md5=8ff8cd6f1c20bb420e0a4ccd99107ceb&pid=1-s2.0-S2666555724000510-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141396565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-ionizing radiation-induced cellular senescence and age-related diseases 非电离辐射诱导的细胞衰老与老年相关疾病
Radiation Medicine and Protection Pub Date : 2024-06-01 DOI: 10.1016/j.radmp.2024.04.002
Haiying Wang, Jian Tong, Yi Cao
{"title":"Non-ionizing radiation-induced cellular senescence and age-related diseases","authors":"Haiying Wang,&nbsp;Jian Tong,&nbsp;Yi Cao","doi":"10.1016/j.radmp.2024.04.002","DOIUrl":"10.1016/j.radmp.2024.04.002","url":null,"abstract":"<div><p>Cellular senescence has emerged as an important contributor to aging and age-related diseases. Non-ionizing radiation (NIR), including ultraviolet radiation and electromagnetic fields, has been increasingly recognized as a key inducer of premature senescence. In this review, we discuss the molecular mechanisms of NIR-induced cellular senescence and its effects on aging and age-related diseases. We also summarize the modulation strategies for NIR-induced cellular senescence. A better understanding of the complex relationship between non-ionizing radiation, cellular senescence and age-related pathology may lead to interventions to ameliorate radiation damage and delay aging. Further research is still needed to elucidate the precise mechanisms, dose-response effects, and to develop protective strategies against radiation-induced senescence.</p></div>","PeriodicalId":34051,"journal":{"name":"Radiation Medicine and Protection","volume":"5 2","pages":"Pages 68-74"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666555724000273/pdfft?md5=9af5ec13cca6dc1bc81b0498a8ccc5db&pid=1-s2.0-S2666555724000273-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140787059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radiation protection knowledge and practices among Moroccan dentists: A cross-sectional study 摩洛哥牙医的辐射防护知识和实践:横断面研究
Radiation Medicine and Protection Pub Date : 2024-06-01 DOI: 10.1016/j.radmp.2024.03.001
Naoual Elmorabit , Majdouline Obtel , Mohamed Azougagh , Oumkeltoum Ennibi
{"title":"Radiation protection knowledge and practices among Moroccan dentists: A cross-sectional study","authors":"Naoual Elmorabit ,&nbsp;Majdouline Obtel ,&nbsp;Mohamed Azougagh ,&nbsp;Oumkeltoum Ennibi","doi":"10.1016/j.radmp.2024.03.001","DOIUrl":"10.1016/j.radmp.2024.03.001","url":null,"abstract":"<div><h3>Objective</h3><p>To analyze the current status of knowledge and practices among the Moroccan dentists in the region of Rabat-Salé-Kenitra, towards radiation protection.</p></div><div><h3>Methods</h3><p>This is a cross-sectional study based on a questionnaire related to knowledge and practice regarding radiation protection of patients and dental staff from April to June 2022. The study sample included 325 dentists practicing in the Rabat-Salé-Kénitra region. The target population consisted of all dentists working in public, semi-public and private workplaces.</p></div><div><h3>Results</h3><p>96.6% of dentists were aware of radiation protection. However, nearly 35% were aware of ALARA (as low as reasonably achievable) principle and 73.9% thought that dental X-rays are harmful. 63.6%of subjects used digital image receptor. Only 16.7% of them used a film holder and more than 60% didn't follow the position and distance rule. The median knowledge score was 7 [5, 9], and there was a statistically significant difference according to dentist qualification (<em>P</em> ​= ​0.007), dental radiation protection continuous training (<em>P</em> ​&lt; ​0.0001), age (<em>P</em> = ​0.007) and years of experience (<em>P</em> ​= ​0.039). The median practice score was 5 [4, 6] and there was a statically significance association according to workplace setting (<em>P</em> ​= ​0.001). There was a significant positive relationship between knowledge score and practice score (<em>r</em> ​= ​0.24, <em>P</em>&lt;0.0001). Dentist qualification (<em>OR</em> 0.51, 95%<em>CI</em>: 0.27–0.94, <em>P</em> ​= ​0.03) and continuous training (<em>OR</em> 2.40, 95%<em>CI</em>: 1.47–3.93, <em>P</em>&lt;0.0001) were significant predictors of knowledge, while workplace setting (<em>OR</em> 0.54, 95%<em>CI</em>: 0.32–0.93, <em>P</em> ​= ​0.027) and knowledge score (<em>OR</em> 1.24, 95%<em>CI</em>: 1.12–1.38, <em>P&lt;</em>0.0001) were predictors of practices.</p></div><div><h3>Conclusion</h3><p>Improving dentists' knowledge of radiation protection measures and tools as well as dose reduction techniques could increase their safe practices in dental radiology.</p></div>","PeriodicalId":34051,"journal":{"name":"Radiation Medicine and Protection","volume":"5 2","pages":"Pages 131-138"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666555724000212/pdfft?md5=457743697810a3d1f1568879a59f4710&pid=1-s2.0-S2666555724000212-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140280452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HyperArc performance in radiotherapy and its correlations with number and volume of multiple brain metastases HyperArc 在放射治疗中的性能及其与多发性脑转移瘤数量和体积的相关性
Radiation Medicine and Protection Pub Date : 2024-06-01 DOI: 10.1016/j.radmp.2024.05.004
Hongtao Chen, Zihuang Li, Guixiang Liao, Lijun Wang, Xiaonian Deng, Heli Zhong
{"title":"HyperArc performance in radiotherapy and its correlations with number and volume of multiple brain metastases","authors":"Hongtao Chen,&nbsp;Zihuang Li,&nbsp;Guixiang Liao,&nbsp;Lijun Wang,&nbsp;Xiaonian Deng,&nbsp;Heli Zhong","doi":"10.1016/j.radmp.2024.05.004","DOIUrl":"10.1016/j.radmp.2024.05.004","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the performance and advantages of HyperArc for radiotherapy of multiple brain metastases with dosimetric parameters with respect to coplanar volumetric modulated arc radiotherapy (c-VMAT), and characterize implicit correlations between tumor features and dosimetric parameters.</p></div><div><h3>Methods</h3><p>This retrospective study involved 40 patients with multiple brain metastases (4–16 tumors, 12.8–240.8 cm<sup>3</sup>) who received simultaneous radiotherapy at the Department of Radiation Oncology, Shenzhen People's Hospital from January 2019 to December 2022. Both HyperArc and c-VMAT plans were designed by the same and qualified physicist using the Eclipse system with Truebeam. A single isocenter and a 6 ​MV flattening filter-free (6FFF) photon beam were used for radiotherapy of multiple brain metastases in each plan. Dosimetric parameters of tumors and organs at risk (OARs) were compared between HyperArc and c-VMAT plans. Correlations between tumor features (number and volume) and dosimetric parameters were revealed and analyzed. Furthermore, monitor units (MUs) of both plan types were recorded to assess rays utilization and delivery efficiency.</p></div><div><h3>Results</h3><p>Compared to c-VMAT plans, HyperArc plans achieved higher maximum dose (<em>D</em><sub>max</sub>) (5.23%, <em>t</em> ​= ​7.87, <em>P</em> ​&lt; ​0.01), but lower minimum dose (<em>D</em><sub>min</sub>) (3.94%, <em>t</em> ​= ​−2.12, <em>P</em> ​= ​0.04) and mean dose (<em>D</em><sub>mean</sub>) (1.05%, <em>t</em> ​= ​−3.29, <em>P</em> &lt; ​0.01) for planning gross tumor volumes (PGTVs). The conformity index (CI), homogeneity index (HI), gradient index (GI) and R<sub>50</sub><sub>%</sub> of PGTVs with HyperArc were better than those with c-VMAT, with the improvements of 20.78%, 1.68%, 19.83% and 36.20%, respectively (<em>P</em> ​&lt; ​0.01). The dosimetric parameters of OARs were significantly improved in HyperArc plans compared to c-VMAT plans. Specifically, the <em>D</em><sub>max</sub> and the <em>D</em><sub>mean</sub> to the brainstem decreased by 16.14% and 11.37%, respectively. The <em>D</em><sub>max</sub> for eye_L decreased by 16.88%, for eye_R decreased by 11.67%, for optical nerve_L decreased by 12.56 ​%, and for chiasm decreased by 18.12%. Few correlations were observed between the differences of CI/HI/GI/R<sub>50</sub><sub>%</sub> and the number of PGTVs between the two plan types. Whereas, regression analysis indicated that the differences of CI/ GI/ R<sub>50</sub><sub>%</sub> were negatively correlated with the volume of PGTVs, respectively. Moreover, although HyperArc plans reduced the MUs by 4.74 ​% compared to c-VMAT, no significant difference was observed (<em>P</em> ​&gt; ​0.05).</p></div><div><h3>Conclusions</h3><p>This study demonstrates the promising performance of HyperArc for radiotherapy of multiple brain metastases, including better dose conformity for the tumors, more rapid dose drop and less dose spillage ","PeriodicalId":34051,"journal":{"name":"Radiation Medicine and Protection","volume":"5 2","pages":"Pages 139-144"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666555724000327/pdfft?md5=9756f327828bbaf08c3737544fba9530&pid=1-s2.0-S2666555724000327-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141028983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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