dedup_wf_001--91d6d1b709e95dd75e5570f42ff8e650

Purpose: Well-controlled ionizing radiation injury animal models for testing medical countermeasure efficacy require robust radiation physics and dosimetry to ensure accuracy of dose-delivery and reproducibility of the radiation dose-response relationship. The objective of this study was to establish a simple, convenient, robust and accurate technique for validating total body irradiation (TBI) exposure of the New Zealand White rabbit. Methods: We use radiotherapy techniques such as computed tomography simulation and a 3D-conformal radiation therapy treatment planning system (TPS) on three animals to comprehensively design and pre-plan a TBI technique for rabbits. We evaluate the requirement for bolus, treatment geometry, bilateral vs anterior-posterior treatment delivery, the agreement between monitor units calculated using the TPS vs a traditional hand calculation to the mid-plane, and resulting individual organ doses. Results: The optimal technique irradiates animals on the left-decubitus position using two isocentric bilateral parallel-opposed 6 MV x-ray beams. Placement of a 5 mm bolus and 8.5 mm beam spoiler was shown to increase the dose to within ≤5 mm of the surface, improving dose homogeneity throughout the body of the rabbit. A simple hand calculation formalism, dependent only on mid-abdominal separation, could be used to calculate the number of monitor units (MUs) required to accurately deliver the prescribed dose to the animal. For the representative animal, the total body volume receiving >95% of the dose, V95% > 99%, V100% > 95%, and V107% < 20%. The area of the body receiving >107% of the prescribed dose was mainly within the limbs, head, and around the lungs of the animal, where the smaller animal width reduces the x-ray attenuation. Individual organs were contoured by an experienced dosimetrist, and each received doses within 95–107% of the intended dose, with mean values ∼104%. Only the bronchus showed a maximal dose >107% (113%) due to the decreased attenuation of the lungs. To validate the technique, twenty animals were irradiated with four optically-stimulated luminescence dosimeters (OSLDs) placed on the surface of each animal (two on each side in the center of the radiation beam). The average dose over all animals was within <0.1% from intended values, with no animal receiving an average dose more than ±3.1% from prescription. Conclusion: The TBI technique developed in this pilot study was successfully used to establish the dose-response relationship for 45-day lethality across the dose-range to induce the hematopoietic-subsyndrome of the acute radiation syndrome (ARS).

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PID https://www.doi.org/10.6084/m9.figshare.12952056.v1
PID https://www.doi.org/10.1080/09553002.2019.1665215
URL http://dx.doi.org/10.6084/m9.figshare.12952056.v1
URL http://dx.doi.org/10.1080/09553002.2019.1665215
URL https://www.tandfonline.com/doi/pdf/10.1080/09553002.2019.1665215
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Author Yannick Poirier, 0000-0002-6548-8321
Author Charlotte Prado
Author Karl Prado
Author Emily Draeger, 0000-0003-4664-2642
Author Isabel L Jackson
Author Zeljko Vujaskovic
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Collected From figshare; Datacite; Crossref
Hosted By figshare; International Journal of Radiation Biology
Publication Date 2020-09-14
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Language UNKNOWN
Resource Type Other literature type; Article
keyword FOS: Chemical sciences
keyword FOS: Physical sciences
keyword FOS: Biological sciences
keyword FOS: Clinical medicine
system:type publication
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Source https://science-innovation-policy.openaire.eu/search/publication?articleId=dedup_wf_001::91d6d1b709e95dd75e5570f42ff8e650
Author jsonws_user
Last Updated 26 December 2020, 19:15 (CET)
Created 26 December 2020, 19:15 (CET)