论文标题

由顺铂引起的放射疗法的模拟剂量增强

Simulation dose enhancement in radiotherapy caused by cisplatin

论文作者

Baulin, A. A.

论文摘要

这项研究认为,由于顺铂(PT)浓度和辐射类型,靶标的潜在剂量增加。使用了从0.003到120 mm的顺铂浓度。使用Geant4和PClab进行了线性加速器(Elekta Synergy)和X射线管(Xstrahl300)的蒙特卡罗模拟。作为这项研究的第一步,我们对放射疗法单元(Spectrum模型)进行了能量谱。下一步是线性加速器头和X射线管的建模,以及在水幻影中的剂量分布(PDD模型)。在第二阶段,在靶标(CIS模型)存在顺铂的情况下研究了剂量变化。模拟结果表明,剂量升级可能是由光子捕获疗法(PCT)引起的。在累积顺铂的体积中有剂量增强。然后更高的是浓度,那么效果更高。但是,由于光电效应横截面的减少,光子能量从60 kV增加到250 kV,目标深度的增加会降低PCT的影响。应该注意的是,与线性加速度源产生的巨型光子光束相比,表中列出的带有结果的矫正X射线能显示出更高的剂量增强。另外,在没有扁平过滤器的LINAC中,LINAC中的剂量增强因子(DEF)比具有扁平过滤器的LINAC中更高。

This research considers potential dose increase in target due to cisplatin (Pt) concentration and radiation type. Cisplatin concentrations from 0.003 to 120 mM were used. Monte-Carlo simulation of Linear accelerator (Elekta Synergy) and X-ray tube (Xstrahl300) was carried out using Geant4 and PClab. As the first step of this research, we performed simulation of energy spectrum from radiotherapy units (spectrum model). The next step was the modeling of linear accelerator head and X-ray tube, and the distribution of dose in the water phantom (PDD model). At the second stage, dose changes were investigated in the presence of cisplatin in the target (CIS model). The simulation results showed that the dose escalation can be caused by photon-capture therapy (PCT). There is a dose enhancement in the volume where cisplatin is accumulated. Then higher is concentration, then higher is the effect. However, the photon energy increase from 60 to 250 kV and increase of depth of target reduces the effect of PCT due the decrease of the photoelectric effect cross-section. Should be noticed, that the orthovoltage X-rays energy, listed in the table with results shows higher dose enhancement, than the megavoltage photon beam generated from linear acceleration sources. In addition, that the dose enhancement factors (DEF) are higher in linac without flattening filter, than in linac with flattening filter.

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