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Medicinas Complementares
Métodos Terapêuticos e Terapias MTCI
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1.
Appl Radiat Isot ; 61(5): 841-4, 2004 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-15308154

RESUMO

We summarize previous researches regarding neutron guides of small transverse cross-section (neutron fibres), smaller than those of the standard hollow guides and collimators employed currently. Those studies may not be widely known in the neutron capture therapy (NCT) community, but they may be interesting for it. Such neutron fibres could allow to deliver and concentrate neutron beams selectively in regions of size smaller than 1mm. We present new estimates and point out and discuss some new possible specific applications of those neutron fibres, which would not replace standard NCT but could supplement it. Thus, we entertain the possibility that neutron fibres could be useful for additional therapies (in typical NCT durations) of: (i) rather small tumours, (ii) thin borders of tumours. The use of these neutron fibres could reduce the undesirable delivery of radiation to healthy tissue around regions with malignant tissue.


Assuntos
Terapia por Captura de Nêutron/instrumentação , Terapia por Captura de Nêutron de Boro/instrumentação , Nêutrons Rápidos/uso terapêutico , Vidro , Humanos , Neoplasias/radioterapia
2.
Med Phys ; 29(10): 2328-37, 2002 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-12408307

RESUMO

At the Heavy Water Neutron Irradiation Facility of the Kyoto University Research Reactor, the mix irradiation of thermal and epi-thermal neutrons, and the solo irradiation of epi-thermal neutrons are available additionally to the thermal neutron irradiation, and then the neutron capture therapy (NCT) at this facility became more flexible, after the update in 1996. The estimation of the depth dose distributions in NCT clinical irradiation, were performed for the standard irradiation modes of thermal, mixed and epi-thermal neutrons, from the both sides of experiment and calculation. On the assumption that the 10B concentration in tumor part was 40 ppm and the ratio of tumor to normal tissue was 3.5, the advantage depth were estimated to 5.4, 6.0, and 8.0, for the respective standard irradiation modes. It was confirmed that the various irradiation conditions can be selected according to the target-volume conditions, such as size, depth, etc. Besides, in the viewpoint of the radiation shielding for patient, it was confirmed that the whole-body exposure is effectively reduced by the new clinical collimators, compared with the old one.


Assuntos
Antineoplásicos/uso terapêutico , Óxido de Deutério , Temperatura Alta , Terapia por Captura de Nêutron/instrumentação , Terapia por Captura de Nêutron/métodos , Nêutrons/uso terapêutico , Radiometria/métodos , Humanos , Japão , Imagens de Fantasmas , Temperatura , Água
3.
Med Phys ; 29(10): 2338-50, 2002 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-12408308

RESUMO

The updating construction of the Heavy Water Neutron Irradiation Facility of the Kyoto University Research Reactor has been performed from November 1995 to March 1996 mainly for the improvement in neutron capture therapy. On the performance, the neutron irradiation modes with the variable energy spectra from almost pure thermal to epi-thermal neutrons became available by the control of the heavy-water thickness in the spectrum shifter and by the open-and-close of the cadmium and boral thermal neutron filters. The depth distributions of thermal, epi-thermal and fast neutron fluxes were measured by activation method using gold and indium, and the depth distributions of gamma-ray absorbed dose rate were measured using thermo-luminescent dosimeter of beryllium oxide for the several irradiation modes. From these measured data, the controllability of the depth dose distribution using the spectrum shifter and the thermal neutron filters was confirmed.


Assuntos
Antineoplásicos/uso terapêutico , Óxido de Deutério , Temperatura Alta , Terapia por Captura de Nêutron/instrumentação , Terapia por Captura de Nêutron/métodos , Nêutrons/uso terapêutico , Radiometria/métodos , Cádmio , Humanos , Japão , Imagens de Fantasmas , Reprodutibilidade dos Testes , Temperatura , Água
4.
Phys Med Biol ; 46(10): 2681-95, 2001 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11686282

RESUMO

The feasibility of neutron capture therapy (NCT) using an accelerator-based neutron source of the 7Li(p,n) reaction produced by 2.5 MeV protons was investigated by comparing the neutron beam tailored by both the Hiroshima University radiological research accelerator (HIRRAC) and the heavy water neutron irradiation facility in the Kyoto University reactor (KUR-HWNIF) from the viewpoint of the contamination dose ratios of the fast neutrons and the gamma rays. These contamination ratios to the boron dose were estimated in a water phantom of 20 cm diameter and 20 cm length to simulate a human head, with experiments by the same techniques for NCT in KUR-HWNIF and/or the simulation calculations by the Monte Carlo N-particle transport code system version 4B (MCNP-4B). It was found that the 7Li(p,n) neutrons produced by 2.5 MeV protons combined with 20, 25 or 30 cm thick D20 moderators of 20 cm diameter could make irradiation fields for NCT with depth-dose characteristics similar to those from the epithermal neutron beam at the KUR-HWNIF.


Assuntos
Cabeça/diagnóstico por imagem , Lítio/uso terapêutico , Terapia por Captura de Nêutron/instrumentação , Terapia por Captura de Nêutron/métodos , Nêutrons , Prótons , Urânio/uso terapêutico , Humanos , Método de Monte Carlo , Imagens de Fantasmas , Radiografia
5.
Med Phys ; 27(8): 1761-9, 2000 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10984222

RESUMO

252Cf is a neutron emitting radioisotope which has promise for both standard brachytherapy and neutron capture enhanced brachytherapy. In this study, experimental measurements and calculations were used to determine the thermal neutron fluence rate, phi(th) [n cm(-2) s(-1) mg(-1)], in the vicinity of 252Cf applicator tube (AT) type sources. Results of these measurements were confirmed with Monte Carlo calculations performed in a distributed manner on multiple workstations using MCNP. Three studies were executed: (1) relative phi(th) as a function of distance from a 252Cf AT source in an A-150 tissue equivalent plastic phantom using thermoluminescent dosimeters (TLDs) of varying 6Li/Li enrichment, (2) phi(th) measured with gold foils in a 114 liter water phantom 5 cm from two 252Cf AT sources, and (3) calculations of the impact of phantom material composition (e.g., A-150, water, brain, muscle) on phi(th) from moderated 252Cf fast neutrons. TLD results and Monte Carlo calculations in A-150 of relative phi(th) typically agreed within 1% and at most differed by 3% for distances from 1 to 6 cm. Foil measurements followed the ASTM E 262-86e protocol, and the ratio of activated plain and Cd encased gold foils (7.31) agreed well with the calculated ratio (7.26). Measured phi(th) at 5 cm (1.70+/-0.10 x 10(7) n cm(-2) s(-1) mg(-1)) was 10% greater than that determined using MCNP (1.55+/-0.12 x 10(7) n cm(-2) s(-1) mg(-1)), but was within the combined uncertainties. Compared with A-150 at a distance of 1 cm, phi(th) was 20%, 22%, and 32% less for water, brain, and muscle, respectively; these ratios decreased to 16%, 16%, and 24% less, respectively, at a distance of 5 cm from the source in a 15 cm diameter phantom. Comparisons of these results generally agreed with those in the literature for a value of 2 x 10(7) n cm(-2) s(-1) mg(-1) in water at 3 cm.


Assuntos
Braquiterapia/métodos , Califórnio/uso terapêutico , Terapia por Captura de Nêutron/métodos , Nêutrons/uso terapêutico , Radioisótopos/uso terapêutico , Algoritmos , Encéfalo/efeitos da radiação , Humanos , Método de Monte Carlo , Músculos/efeitos da radiação , Terapia por Captura de Nêutron/instrumentação , Imagens de Fantasmas , Plásticos , Radiometria , Reprodutibilidade dos Testes , Água
6.
Proc Natl Acad Sci U S A ; 89(22): 11064-8, 1992 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-1438316

RESUMO

A method is described to deliver 235U to tumors; the isotope would then be fissioned by incident neutrons, producing localized lethal radiation sufficient for therapy. Apoferritin was loaded with an average of approximately 800 238U atoms per molecule. Stability of the loaded apoferritin in solution was improved, so that only 8% loss of uranium occurred after 8 days at pH 7. Fab' antibody fragments were covalently attached to the uranium-loaded apoferritin, and the immunoreactivity of the conjugate was 92% of that for antibody alone. Such bio-uranium constructions should provide significant advantages over boronated antibodies to meet the requirements for clinical neutron-capture therapy.


Assuntos
Apoferritinas/uso terapêutico , Imunoglobulina G/uso terapêutico , Neoplasias/radioterapia , Terapia por Captura de Nêutron/métodos , Urânio/uso terapêutico , Terapia por Captura de Nêutron de Boro/métodos , Estabilidade de Medicamentos , Humanos , Fragmentos Fab das Imunoglobulinas/uso terapêutico , Cinética , Terapia por Captura de Nêutron/instrumentação
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