2017
DOI: 10.1038/s41598-017-01757-6
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Optimizing radiotherapy protocols using computer automata to model tumour cell death as a function of oxygen diffusion processes

Abstract: The concept of hypofractionation is gaining momentum in radiation oncology centres, enabled by recent advances in radiotherapy apparatus. The gain of efficacy of this innovative treatment must be defined. We present a computer model based on translational murine data for in silico testing and optimization of various radiotherapy protocols with respect to tumour resistance and the microenvironment heterogeneity. This model combines automata approaches with image processing algorithms to simulate the cellular re… Show more

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Cited by 28 publications
(35 citation statements)
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“…Hypoxic niches protect cancer cells from radiation-induced killing since oxygen is a critical determinant of cell response to radiation ( 151 ). A certain degree of reoxygenation can be achieved in some tumors after radiation by a process where the surviving hypoxic tumor cells become better oxygenated due to the aerobic population being killed.…”
Section: Metabolic Targeting Of Gscsmentioning
confidence: 99%
“…Hypoxic niches protect cancer cells from radiation-induced killing since oxygen is a critical determinant of cell response to radiation ( 151 ). A certain degree of reoxygenation can be achieved in some tumors after radiation by a process where the surviving hypoxic tumor cells become better oxygenated due to the aerobic population being killed.…”
Section: Metabolic Targeting Of Gscsmentioning
confidence: 99%
“…Finally, the fact that the damage to healthy tissue is significantly lower than in photon therapy permits dose escalation and hypofractionation (fewer, but higher-dose irradiations for the same total dose received by the tumor), which may lead to a greater therapeutic advantage [7] and potentially tumor reoxygenation for better cell killing by increasing blood vessel leakage [9]. However, using higher individual doses may also change the long-term risk of increased damage to healthy tissue [5].…”
Section: The Superior Energy Deposition and Tissue Relative Biologicamentioning
confidence: 99%
“…179 IR resulted in acute hypoxia in the tumor due to transient changes in blood flow and this acute hypoxia increased radioresistance in the tumor. 180,181 Higher radiosensitivity of normoxic compared with hypoxic cells is most likely due tofixation of ROS under normoxic conditions. 182,183 Preclinical studies support that hypoxia leads to a radioresistant and metastatic phenotype of prostate tumors.…”
Section: Predictive Markers Of Resistance To Radiotherapymentioning
confidence: 99%