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Updated: Aug 9, 2025

Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
Published on: February 6, 2019
Modelling tissue specific RBE for different radiation qualities based on a multiscale characterization of energy
Erik Almhagen1, Fernanda Villegas2, Nina Tilly3
1Medical Radiation Sciences, Department of Immunology, Genetics and Pathology, Uppsala University, Akademiska Sjukhuset, SE-75185 Uppsala, Sweden; The Skandion Clinic, Uppsala, Sweden.
The new nanoCluE model accurately predicts relative biological effectiveness (RBE) for protons and carbon ions using nano- and microdosimetry. This approach shows promise for improving RBE predictions in radiation therapy.
Area of Science:
- Medical Physics
- Radiation Biology
- Computational Biology
Background:
- Accurate modeling of relative biological effectiveness (RBE) is crucial for optimizing radiation therapy.
- Existing RBE models may have limitations in predicting biological outcomes for different radiation types.
- Understanding the correlation between nanodosimetric quantities and DNA damage is an active area of research.
Purpose of the Study:
- To introduce the nanoCluE model for predicting RBE of protons and carbon ions.
- To investigate if nano- and microdosimetric quantities can improve the accuracy of Linear-Quadratic (LQ) model parameters.
- To compare the predictive accuracy of nanoCluE with existing RBE models.
Main Methods:
- Developed the nanoCluE model utilizing nanodosimetric and microdosimetric quantities.
- Generated track structure data using the Geant4-DNA Monte Carlo code for various proton and carbon ion energies.
- Correlated nanodosimetric and microdosimetric quantities with experimental LQ data to select optimal parameters.
Main Results:
- The nanoCluE model demonstrated a root mean square error (RMSE) of 1.57 for protons, compared to 1.31 and 1.30 for other models.
- For carbon ions, nanoCluE achieved an RMSE of 2.26, outperforming other models with RMSEs of 3.24 and 5.24.
- The model showed improved accuracy, particularly for carbon ion RBE predictions.
Conclusions:
- The nanoCluE model is feasible for predicting RBE of protons and carbon ions.
- The enhanced accuracy for carbon ions suggests further investigation is warranted.
- This model offers a potential advancement in RBE modeling for particle therapy.
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