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Alexei V Chvetsov1

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A new metric, equivalent uniform RBE-weighted dose (EUDRBE), quantifies cell survival in ocular melanoma brachytherapy. This tool accounts for variable dose rates and relative biological effectiveness (RBE), improving treatment comparisons.

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BEDEUDLQ modelRBEeye plaque brachytherapy

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Area of Science:

  • Radiation Oncology
  • Medical Physics
  • Ophthalmology

Background:

  • Ocular melanoma brachytherapy utilizes eye plaques with varying dose distributions, rates, and relative biological effectiveness (RBE).
  • Accurate dosimetry is crucial for optimizing treatment outcomes and minimizing side effects.

Purpose of the Study:

  • To introduce the equivalent uniform RBE-weighted dose (EUDRBE) for quantitative assessment of cell survival.
  • To apply EUDRBE to 125I eye plaque brachytherapy for ocular melanoma, considering variable RBE, dose, and dose rate.

Main Methods:

  • Defined EUDRBE as a uniform dose (RBE=1) yielding equal cell survival to a non-uniform dose (RBE>1).
  • Modeled 125I COMS eye plaque brachytherapy, incorporating steep dose gradients, protracted irradiation (3-8 days), and dose-rate dependent RBE (max 1.4).
  • Converted physical dose distributions to biologically effective dose (BED) to account for sublethal repair and protracted irradiation.

Main Results:

  • EUDRBE increased with prescription depth (up to 6% for 12mm tumor height) due to steep dose gradients.
  • Increasing dose rate (decreasing implant duration) increased EUDRBE by up to 12%.
  • Combined effects of dose non-uniformity and dose rate altered EUDRBE by up to 18% for an 85 Gy prescription.

Conclusions:

  • The calculated EUDRBE range for 125I COMS eye plaque brachytherapy validates the chosen models and hypotheses.
  • EUDRBE offers a valuable tool for analyzing treatment outcomes and comparing dose regimens in ocular brachytherapy.