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Burger, Karin; Ilicic, Katarina; Dierolf, Martin; Günther, Benedikt; Walsh, Dietrich W. M.; Schmid, Ernst; Eggl, Elena; Achterhold, Klaus; Gleich, Bernhard; Combs, Stephanie E.; Molls, Michael; Schmid, Thomas E.; Pfeiffer, Franz; Wilkens, Jan J. (2017): Increased cell survival and cytogenetic integrity by spatial dose redistribution at a compact synchrotron X-ray source.
In: PLOS One 12(10), 186005
Volltext auf 'Open Access LMU' nicht verfügbar.

Abstract

X-ray microbeam radiotherapy can potentially widen the therapeutic window due to a geometrical redistribution of the dose. However, high requirements on photon flux, beam collimation, and system stability restrict its application mainly to large-scale, cost-intensive synchrotron facilities. With a unique laser-based Compact Light Source using inverse Compton scattering, we investigated the translation of this promising radiotherapy technique to a machine of future clinical relevance. We performed in vitro colony-forming assays and chromosome aberration tests in normal tissue cells after microbeam irradiation compared to homogeneous irradiation at the same mean dose using 25 keV X-rays. The microplanar pattern was achieved with a tungsten slit array of 50 mu m slit size and a spacing of 350 mu m. Applying microbeams significantly increased cell survival for a mean dose above 2 Gy, which indicates fewer normal tissue complications. The observation of significantly less chromosome aberrations suggests a lower risk of second cancer development. Our findings provide valuable insight into the mechanisms of microbeam radiotherapy and prove its applicability at a compact synchrotron, which contributes to its future clinical translation.