Cyclotron fast neutron RBE for late kidney damage.

Decrease in kidney weight six months after unilateral kidney exposure to single doses of neutrons or x rays has been studied. The relative biological effectiveness for late kidney damage was 1.7 at a neutron dose of 1,000 rads.     

Cyclotron fast neutron RBE for various normal tissues.

The relative biological effectiveness (RBE) values of fast neutrons as a function of dose in the range of dose per fraction being used clinically are reported for effects on several normal mouse tissues. The specific tissues examined were: thymus, spleen, white blood cells (WBC), testes, and small intestine. The RBE values for damage to the thymus (1.2), spleen (1.2), WBC (1.0), and testes (3.0) were independent of neutron dose size. In contrast, the RBE for the small intestine varied between 2.7 and 3.4 and was dependent on the size of the neutron dose. The RBE for intestinal death (2.4) and hematopoietic death (1.1) also is reported.     

RBE values for colo-rectal injury after caesium 137 gamma-ray and neutron irradiation. I. Single doses

Colo-rectal damage in mice has been assessed after caesium gamma irradiation and 3 MeV neutrons given as single doses. Several assays were used, including body weight changes, faecal deformity and lethality. Dose response curves have been constructed for each assay at different times after irradiation, ranging from 10 days to 16 months. The data have been analysed in terms of the time course of expression of damage and the RBE for neutrons. An initial loss of weight at 10-20 days was presumably related to epithelial denudation, but a dose-dependent weight reduction (compared with controls) persisted over the animal's life span. Mice died progressively after localised pelvic gamma irradiation; there was no sharp demarcation between an early and late phase of lethal injury. Death resulted from intestinal stricture or stenosis. The time course for lethality was qualitatively different after neutrons, with little progression of damage between 5 and 11 months. Faecal deformity was detectable as a higher proportion of small pellets when the rectum became constricted by fibrosis. No significant faecal deformity was observed before 6 months after which time dose response curves could be obtained. The RBE for early damage (assessed at 1-3 months) was 2.2-2.7. This fell to 1.7-1.9 for late damage (determined at 10-15 months) over the range of neutron doses of 7.5-12 Gy. The need for sublethal assays allowing for sequential evaluation of radiation damage within the same animal is stressed, as is the need to compare RBE values from early and late endpoints at equivalent neutron doses.     

RBE and clinical response in radiotherapy with neutron beams

Consideration of the clinical results reported, when a cyclotron produced neutron beam was used for treatments in the pelvis region, suggested that a constant RBE of 3 should not have been used for all neutron doses. Instead a variable RBE, which increased from approximately 3 to 8 (with decreasing dose), should have been used. Although some of these RBE values are much higher than 3, they have been observed in clinical practice. An "equivalent photon" isodose plan was produced by employing a variable RBE and, by taking a TDF limit of 86 for bowel, an isoeffect plan was produced. This shows that in the clinical situation under consideration much of the pelvis was overdosed. Doses to tumour cells and late effects are also briefly considered. It is suggested that, in neutron therapy, both an "equivalent photon" isodose plan and an isoeffect plan should be produced prior to treatment.     

Influence of dose rate on fast neutron OER and biological effectiveness determined for growth inhibition in Vicia faba

The influence of dose rate on the effectiveness of a neutron irradiation was investigated using growth inhibition in Vicia faba bean roots as biological system. d(50) + Be neutron beams produced at the cyclotron CYCLONE of the University of Louvain-la-Neuve were used, at high and low dose rate, by modifying the deuteron beam current. When decreasing the dose rate from 0.14 Gy.min-1 to 0.2 Gy.h-1, the effectiveness of the neutrons decreased down to 0.84 +/- 0.05 (dose ratio, at high and low dose rate. Dhigh/Dlow, producing equal biological effect). Control irradiations, with 60Co gamma-rays, indicated a similar reduction in effectiveness (0.84 +/- 0.03) when decreasing dose rate from 0.6 Gy.min-1 to 0.7 Gy.h-1. In previous experiments, on the same Vicia faba system, higher RBE values were observed for 252Cf neutrons, at low dose rate (RBE = 8.3), compared to different neutron beams actually used in external beam therapy (RBE = 3.2 - 3.6 for d(50) + Be, p(75) + Be and 15 MeV (d, T) neutrons). According to present results, this higher RBE has to be related to the lower energy of the 252Cf neutron spectrum (2 MeV), since the influence of dose rate was shown to be small. As far as OER is concerned, for d(50) + Be neutrons, it decreases from 1.65 +/- 0.12 to 1.59 +/- 0.09 when decreasing dose rate from 0.14 Gy.min-1 to 0.2 Gy.h-1. Control irradiations with 60Co gamma-rays have shown an OER decrease from 2.69 +/- 0.08 to 2.55 +/- 0.11 when decreasing dose rate from 0.6 Gy.min-1 to 0.7 Gy.h-1. These rather small OER reductions are within the statistical fluctuations.     

The RBE for renal damage after irradiation with 3 MeV neutrons

Mouse kidneys were locally irradiated with single doses or up to 8 fractions of 240 kV X rays or 3 MeV neutrons. Damage was assessed from measurements of urine output, isotope clearance or haematocrit levels. All three assays gave steep dose-response curves by 4-5 months after irradiation. The repair capacity of the kidney was considerable after X-irradiation but was very small after irradiation with neutrons. Thus the RBE increased sharply with increasing fractionation. After large doses, an RBE of 2.3-2.5 was measured, rising to 4.5-5.1 after 8 fractions of 4 to 5 Gy X rays. Linear-quadratic analysis of these data has allowed RBE's to be calculated outside the measured dose range. The limiting RBE predicted at very low doses per fraction is 20 to 26, whereas at extremely high doses it would be as low as 1.2 to 1.4. This indicates that high RBE values may be seen in a slow turnover tissue after low doses per fraction (within the clinically relevant range) although this may not be evident after larger doses. Such high RBE's arise because of the shape of the underlying X-ray dose-response curve rather than the shape of the neutron curve.     

中子剂量测量及估算方法

随着科技的发展,中子在许多行业得到越来越广泛的应用,在医疗上应用最广泛的是硼中子俘获治疗.但在使用中子辐射的过程中,操作人员可能会受到中子辐射,因此中子剂量的测量和估算问题也就变得重要起来.目前,国内关于中子剂量的研究在有些方面还不是很深人,因此对中子剂量的测量和估算方法进行了归纳和阐述.     

Early repair kinetics of intestine and lung in mice, after fast neutron and photon irradiation

Early repair (Elkind repair) kinetics of an early and a late responding tissue after gamma and d(50) + Be neutron irradiation were compared in mice. LD50 at five days after abdominal irradiation and LD50 at 180 days after thoracic irradiation were chosen as biological endpoints to study intestinal and lung tolerance, respectively. Elkind repair is assessed from the additional dose Dr to reach LD50 when a single dose Ds is split into two equal fractions Di separated by time intervals "i" ranging from 0 to 24 hours (Dr = 2Di-Ds). Dr is greater for lung than for intestine after both gamma and neutron irradiations. Our data are consistent with an exponential early repair with an half-life (T 1/2) of 0.5 h for intestine and 1.5 to 2 h for lung.     

Alternative irregular field collimation for fast neutron therapy

The neutron therapy program at the King Faisal Specialist Hospital and Research Centre was resumed in the spring of 1987. Due to the limited number of standard treatment cones, some form of beam modification was necessary. Originally we chose a cast iron blocking system, as adopted by other neutron treatment centers. For several reasons we found this arrangement to be generally unsatisfactory and inconvenient. We therefore, developed an alternative collimation system which resolved our earlier difficulties.