2021
DOI: 10.3390/cancers13133238
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Quantification of Differential Response of Tumour and Normal Cells to Microbeam Radiation in the Absence of FLASH Effects

Abstract: Microbeam radiotherapy (MRT) is a preclinical method of delivering spatially-fractionated radiotherapy aiming to improve the therapeutic window between normal tissue complication and tumour control. Previously, MRT was limited to ultra-high dose rate synchrotron facilities. The aim of this study was to investigate in vitro effects of MRT on tumour and normal cells at conventional dose rates produced by a bench-top X-ray source. Two normal and two tumour cell lines were exposed to homogeneous broad beam (BB) ra… Show more

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Cited by 11 publications
(11 citation statements)
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“…As an example, line-focus X-ray tubes are being considered as microbeam source and Monte Carlo simulations have demonstrated they have a great potential as a radiation source for clinical application [ 82 ], of MRT. With this respect it is also important to mention recent studies in which in-vitro MRT treatments performed with laboratory sources at conventional dose rates enhanced an increased tumor cell sensitivity [ 83 , 84 ].…”
Section: Discussionmentioning
confidence: 99%
“…As an example, line-focus X-ray tubes are being considered as microbeam source and Monte Carlo simulations have demonstrated they have a great potential as a radiation source for clinical application [ 82 ], of MRT. With this respect it is also important to mention recent studies in which in-vitro MRT treatments performed with laboratory sources at conventional dose rates enhanced an increased tumor cell sensitivity [ 83 , 84 ].…”
Section: Discussionmentioning
confidence: 99%
“…Spatially fractionated radiation therapy was first used to exploit the advantage of skin-sparing effects in patients while enabling a high dose rate to refractory tumours in palliative treatments. Potential use of GRID, or other applications of SFRT, such as MRT, beyond the original palliative applications, and even multi-technique approaches [ 7 , 8 ] have been investigated due to findings of a greater therapeutic index resulting from both the increased normal tissue sparing and the greater tumour toxicity when compared to conventional temporally fractionated radiation therapy [ 9 , 10 , 11 , 12 ].…”
Section: Molecular and Radiobiological Mechanisms Of Spatially Fracti...mentioning
confidence: 99%
“…At the cellular level, the tissue integrity and tumour control will likely depend on the number of surviving, clonogenic cells and potentially on the survival of resistant stem cells (Niwa et al 2015). While the high peak doses kill almost all cells, the level of the valley dose will determine cell survival and, indeed, many studies show the dependence of normal tissue effects on the valley dose and show that the valley dose is important for biological effects in vitro (Steel et al 2021) and in vivo (Serduc et al 2009, Smyth et al 2018. Nonetheless, processes originating from tissue parts within the radiation peaks are likely to cause the (Sabatasso et al 2021) differential effect and there are several hypothesized mechanisms involving the microenvironment of normal tissue and tumour.…”
Section: Spatially Fractionated Beams: Cell and Tissue Effects Toward...mentioning
confidence: 99%