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Dosimetric characterization and commissioning of a superficial electronic brachytherapy device for skin cancer treatment

  • Park, Han Beom (Department of Nuclear and Quantum Engineering, Korea Advanced Institute of Science and Technology) ;
  • Kim, Hyun Nam (Department of Nuclear and Quantum Engineering, Korea Advanced Institute of Science and Technology) ;
  • Lee, Ju Hyuk (Department of Nuclear and Quantum Engineering, Korea Advanced Institute of Science and Technology) ;
  • Lee, Ik Jae (Department of Radiation Oncology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Choi, Jinhyun (Department of Radiation Oncology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Cho, Sung Oh (Department of Nuclear and Quantum Engineering, Korea Advanced Institute of Science and Technology)
  • 투고 : 2018.01.12
  • 심사 : 2018.04.04
  • 발행 : 2018.08.25

초록

Background: This work presents the performance of a novel electronic brachytherapy (EBT) device and radiotherapy (RT) experiments on both skin cancer cells and animals using the device. Methods and materials: The performance of the EBT device was evaluated by measuring and analyzing the dosimetric characteristics of X-rays generated from the device. The apoptosis of skin cancer cells was analyzed using B16F10 melanoma cancer cells. Animal experiments were performed using C57BL/6 mice. Results: The X-ray characteristics of the EBT device satisfied the accepted tolerance level for RT. The results of the RT experiments on the skin cancer cells show that a significant apoptosis induction occurred after irradiation with 50 kVp X-rays generated from the EBT device. Furthermore, the results of the animal RT experiments demonstrate that the superficial X-rays significantly delay the tumor growth and that the tumor growth delay induced by irradiation with low-energy X-rays was almost the same as that induced by irradiation with a high-energy electron beam. Conclusions: The developed new EBT device has almost the same therapeutic effect on the skin cancer with a conventional linear accelerator. Consequently, the EBT device can be practically used for human skin cancer treatment in the near future.

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참고문헌

  1. H.W. Rogers, M.A. Weinstock, S.R. Feldman, B.M. Coldiron, Incidence estimate of nonmelanoma skin cancer (Keratinocyte Carcinomas) in the U.S. Population, 2012, JAMA Dermatol. 151 (2015) 1081-1086. https://doi.org/10.1001/jamadermatol.2015.1187
  2. R.S. Stern, Prevalence of a history of skin cancer in 2007: results of an incidence-based model, Arch. Dermatol. 146 (2010) 279-282.
  3. R.G. Freeman, J.M. Knox, C.L. Heaton, The treatment of skin cancer. A statistical study of 1,341 skin tumors comparing results obtained with irradiation, surgery, and curettage followed by electrodesiccation,, Cancer 17 (1964) 535-538. https://doi.org/10.1002/1097-0142(196404)17:4<535::AID-CNCR2820170415>3.0.CO;2-P
  4. D.L. Shriner, D.K. McCoy, D.J. Goldberg, R.F. Wagner Jr., Mohs micrographic surgery, J. Am. Acad. Dermatol. 39 (1998) 79-97. https://doi.org/10.1016/S0190-9622(98)70405-0
  5. N. Heidary, H. Naik, S. Burgin, Chemotherapeutic agents and the skin: an update, J. Am. Acad. Dermatol. 58 (2008) 545-570. https://doi.org/10.1016/j.jaad.2008.01.001
  6. E.G. Kuflik, A.A. Gage, The five-year cure rate achieved by cryosurgery for skin cancer,, J. Am. Acad. Dermatol. 24 (1991) 1002-1004. https://doi.org/10.1016/0190-9622(91)70160-4
  7. M.T. Wan, J.Y. Lin, Current evidence and applications of photodynamic therapy in dermatology, Clin. Cosmet. Investig. Dermatol. 7 (2014) 145-163.
  8. J. Locke, S. Karimpour, G. Young, M.A. Lockett, C.A. Perez, Radiotherapy for epithelial skin cancer, Int. J. Radiat. Oncol. Biol. Phys. 51 (2001) 748-755. https://doi.org/10.1016/S0360-3016(01)01656-X
  9. W. Kwan, D. Wilson, V. Moravan, Radiotherapy for locally advanced basal cell and squamous cell carcinomas of the skin, Int. J. Radiat. Oncol. Biol. Phys. 60 (2004) 406-411. https://doi.org/10.1016/j.ijrobp.2004.03.006
  10. J.J. Silva, R.W. Tsang, T. Panzarella, W. Levin, W. Wells, Results of radiotherapy for epithelial skin cancer of the pinna: the Princess Margaret Hospital experience, 1982-1993, Int. J. Radiat. Oncol. Biol. Phys. 47 (2000) 451-459. https://doi.org/10.1016/S0360-3016(00)00410-7
  11. M. Caccialanza, R. Piccinno, L. Kolesnikova, L. Gnecchi, Radiotherapy of skin carcinomas of the pinna: a study of 115 lesions in 108 patients, Int. J. Dermatol. 44 (2005) 513-517. https://doi.org/10.1111/j.1365-4632.2005.02103.x
  12. M. El-Ashmawy, M. Uesaka, H. Iiijima, T. Imai, N.H. Quyet, Overall quality comparison of c-band and x-band medical linacs, in: The 14th Symposium on Accelerator Science and Technology, Tsukuba, Japan, 2003.
  13. F.F. Knapp, A. Dash, Radiopharmaceuticals for Therapy, Springer, 2016.
  14. Y. Rong, J.S. Welsh, New technology in high-dose-rate brachytherapy with surface applicators for non-melanoma skin cancer treatment: electronic miniature x-ray brachytherapy, in: Skin cancer overview, InTech, 2011.
  15. F. Schneider, H. Fuchs, F. Lorenz, et al., A novel device for intravaginal electronic brachytherapy, Int. J. Radiat. Oncol. Biol. Phys. 74 (2009) 1298-1305. https://doi.org/10.1016/j.ijrobp.2009.01.082
  16. S.C.P. Lam, Y. Xu, G. Ingram, L. Chong, et al., Dosimetric characteristics of intrabeam$^{(R)}$ flat and surface applicators, Transl. Cancer Res. 3 (2014) 106-111.
  17. T. Garcia-Martinez, J.P. Chan, J. Perez-Calatayud, F. Ballester, Dosimetric characteristics of a new unit for electronic skin brachytherapy, J. Contemp. Brachytherapy 6 (2014) 45-53.
  18. S.H. Heo, H.J. Kim, J.M. Ha, S.O. Cho, A vacuum-sealed miniature x-ray tube based on carbon nanotube field emitters, Nanoscale Res. Lett. 7 (2012) 258. https://doi.org/10.1186/1556-276X-7-258
  19. J. Rassow, E. Klieber, Quality assurance procedures in radiotherapyeIEC specifications for equipment, Strahlenther. Onkol. Organ der Deutschen Rontgengesellschaft... [et al] 162 (1986) 496-502.
  20. A. Niroomand-Rad, C.R. Blackwell, B.M. Coursey, et al., Radiochromic film dosimetry: recommendations of aapm radiation therapy committee task group 55. American association of physicists in medicine, Med. Phys. 25 (1998) 2093-2115. https://doi.org/10.1118/1.598407
  21. C.M. Ma, C.W. Coffey, L.A. DeWerd, et al., Aapm protocol for 40-300 kv x-ray beam dosimetry in radiotherapy and radiobiology, Med. Phys. 28 (2001) 868-893. https://doi.org/10.1118/1.1374247
  22. V.E. Kouloulias, P. Poortmans, C. Antypas, C. Kappas, P. Sandios, Field flatness and symmetry of photon beams: review of the current recommendations, Technol. Health Care Offic. J. Eur. Soc. Eng. Med. 11 (2003) 283-288.
  23. A. Brahme, Dosimetric precision requirements in radiation therapy, Acta Radiol. Oncol 23 (1984) 379-391. https://doi.org/10.3109/02841868409136037
  24. R. Ballester-Sanchez, O. Pons-Llanas, M. Llavador-Ros, et al., Depth determination of skin cancers treated with superficial brachytherapy: ultrasound vs. Histopathology, J. Contemp. Brachytherapy 6 (2015) 356-361.
  25. A. Bhatnagar, R. Patel, W.P. Werschler, R.I. Ceilley, R. Strimling, High-dose rate electronic brachytherapy: a nonsurgical treatment alternative for nonmelanoma skin cancer, J. Clin. Aesthet Dermatol. 9 (2016) 16-22.
  26. H.J. Kim, H.Y. Kim, H. Saeed Raza, H.B. Park, S.O. Cho, An intraoral miniature Xray tube based on carbon nanotubes for dental radiography, Nucl. Eng. Technol. 48 (2016) 799-804. https://doi.org/10.1016/j.net.2016.01.012