2014
DOI: 10.1371/journal.pone.0100547
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An Evaluation of Dose Equivalence between Synchrotron Microbeam Radiation Therapy and Conventional Broadbeam Radiation Using Clonogenic and Cell Impedance Assays

Abstract: BackgroundHigh-dose synchrotron microbeam radiation therapy (MRT) has shown the potential to deliver improved outcomes over conventional broadbeam (BB) radiation therapy. To implement synchrotron MRT clinically for cancer treatment, it is necessary to undertake dose equivalence studies to identify MRT doses that give similar outcomes to BB treatments.AimTo develop an in vitro approach to determine biological dose equivalence between MRT and BB using two different cell-based assays.MethodsThe acute response of … Show more

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Cited by 45 publications
(28 citation statements)
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“…Recently, Ibahim et al . conducted serial cell irradiation studies to evaluate the equivalence between synchrotron MRT and conventional BRT, and reported that BRT doses of 3.4 ± 0.1 Gy were radiobiologically equivalent to a peak microbeam dose of 112 Gy (25 µm wide spaced, 175 µm on center) using clonogenic assays on EMT6.5ch cells (43), which is much lower than the integrated MRT dose. On the other hand, the in vitro cell radiation study could not truly represent in vivo irradiation where possible bystander effects and vascular network factors might greatly influence the final efficacy.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Recently, Ibahim et al . conducted serial cell irradiation studies to evaluate the equivalence between synchrotron MRT and conventional BRT, and reported that BRT doses of 3.4 ± 0.1 Gy were radiobiologically equivalent to a peak microbeam dose of 112 Gy (25 µm wide spaced, 175 µm on center) using clonogenic assays on EMT6.5ch cells (43), which is much lower than the integrated MRT dose. On the other hand, the in vitro cell radiation study could not truly represent in vivo irradiation where possible bystander effects and vascular network factors might greatly influence the final efficacy.…”
Section: Discussionmentioning
confidence: 99%
“…It is still debatable which dose level of broad-beam radiation can be used for a comparison with the MRT study. The dose level of 10 Gy was chosen for BRT in the study mainly because it has been widely used in small animal studies with single-fraction conventional radiation (38, 43, 44). Our study showed that 10 Gy of BRT led to a survival extension similar to MRT.…”
Section: Discussionmentioning
confidence: 99%
“…It remains unresolved as to the choice of radiation doses for the comparative investigation of the effects of MRT and CRT (18). In our recent work, we found that the integrated dose was not a useful indicator of the biological equivalence of MRT and CRT treatment and the MRT valley dose alone does not determine the acute cellular response to MRT (29). Future in vitro and in vivo studies based on the biological equivalence of MRT and CRT are warranted.…”
Section: Gene Expression and Pathway Analysis After Mrtmentioning
confidence: 90%
“…As a result, a uniform dose distribution inside the tumor is reached ( 37 ) while the surrounding normal tissue out of the “cross-firing” range still receive largely MRT radiation pattern of peaks and valleys. In a synchrotron-MRT study Ibahim et al (38) reported that valley dose is closely correlated with cell survival, but valley dose alone does not determine the observed radiobiological effects. Our study shows that the tumor EUD (a=−10) and minimum/valley tumor dose have the highest linear associations (R 2 =0.7923, F-stat=15.26*; R 2 =0.7636, F-stat=12.92*, respectively) with tumor treatment response (Fig 7 and S1 Table).…”
Section: Discussionmentioning
confidence: 99%