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Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
Published on: February 6, 2019
Biophysical modelling of proton radiation effects based on amorphous track models
1Massachusetts General Hospital, Department of Radiation Oncology and Harvard Medical School, Boston, MA, USA. hpaganetti@partners.org
Track structure models predict proton radiation effects with limitations. These models, designed for heavy ions, show weaknesses in predicting cell survival curves for protons, highlighting areas for improvement in charged particle therapy.
Area of Science:
- Medical Physics
- Radiation Biology
- Computational Biology
Background:
- Accurate Relative Biological Effectiveness (RBE) is crucial for charged particle therapy dose calculation.
- Estimating RBE is challenging due to uncertainties in physical (LET distributions) and biological (cell nucleus size, local response) parameters.
- Track structure theory offers a framework for predicting particle irradiation dose-response curves.
Purpose of the Study:
- To compare the Amorphous Track Partition (ATP) and Amorphous Track Local effect (ATL) models for predicting proton radiation effects.
- To investigate the predictive power of these track structure models for proton therapy applications.
- To evaluate the general dependencies of model predictions on input parameters.
Main Methods:
- Comparison of the principles and computational procedures of the ATP and ATL track structure models.
- Investigation of model dependencies on physical and biological input parameters.
- Comparison of model predictions for V79 cell survival with experimental data for proton irradiation.
Main Results:
- ATP model uses equations and average doses in subtargets; ATL model uses Monte Carlo simulations and local doses in infinitesimal compartments.
- Both models predict proton survival curves reasonably well but lack agreement with experimental data across a range of proton energies and absorbed doses.
- Conceptual differences include empirical scaling in ATP and parameter adjustment for high local dose regions in ATL.
Conclusions:
- Track structure models, primarily designed for heavy ions, exhibit limitations in predicting proton radiation effects.
- Questionable assumptions regarding subtargets, multitarget/single-hit response, radial dose parameterization, and high-dose cellular response impact model accuracy for protons.
- Further refinement of track structure models is needed for reliable application in proton therapy.
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