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Biological dose representation for carbon-ion radiotherapy of unconventional fractionation

https://repo.qst.go.jp/records/66436
https://repo.qst.go.jp/records/66436
e589cff4-a55c-47bf-904e-9d945487753f
Item type 会議発表用資料 / Presentation(1)
公開日 2017-09-19
タイトル
タイトル Biological dose representation for carbon-ion radiotherapy of unconventional fractionation
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_c94f
資源タイプ conference object
アクセス権
アクセス権 metadata only access
アクセス権URI http://purl.org/coar/access_right/c_14cb
著者 Kanematsu, Nobuyuki

× Kanematsu, Nobuyuki

WEKO 653650

Kanematsu, Nobuyuki

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Inaniwa, Taku

× Inaniwa, Taku

WEKO 653651

Inaniwa, Taku

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兼松 伸幸

× 兼松 伸幸

WEKO 653652

en 兼松 伸幸

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稲庭 拓

× 稲庭 拓

WEKO 653653

en 稲庭 拓

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抄録
内容記述タイプ Abstract
内容記述 In carbon-ion radiotherapy, single-beam delivery each day in alternate directions has been commonly practiced for efficient operation, taking advantage of the Bragg peak and the relative biological effectiveness (RBE) for uniform dose conformation to a tumor.
These treatments are generally fractionated and their plans are evaluated with total RBE-weighted dose, which is however deficient in relevance to the biological effect.
In this study, we reformulate the biologically effective dose (BED) to normalize the dose-fractionation and cell-repopulation effects as well as the RBE of treating radiation, based on the inactivation of a reference cell line by a reference carbon-ion radiation.
The BED distribution virtually represents the biological effect of a treatment regardless of radiation modality or fractionation scheme.
We applied the BED formulation to simplistic model treatments and to a preclinical survey for hypofractionation based on an actual prostate-cancer treatment with carbon ions.
The proposed formulation was demonstrated to be practical and implicative.
For the prostate-cancer treatment in 12 fractions, the distributions of BED and of RBE-weighted dose were very similar.
With hypofractionation, while the RBE-weighted-dose distribution varied significantly, the BED distribution was nearly invariant, implying that the carbon-ion radiotherapy would be virtually insensitive to fractionation.
However, treatment evaluation with such simplistic biological dose is intrinsically limited and must be complemented in practice by clinical experience and biology experiment.
会議概要(会議名, 開催地, 会期, 主催者等)
内容記述タイプ Other
内容記述 第114回日本医学物理学会学術大会
発表年月日
日付 2017-09-16
日付タイプ Issued
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