Evidence map›Paper›PMID 32129888›Full record

ArticleMedical physics2020

Technical Note: The development of a multi-physics simulation tool to estimate the background dose by systemic targeted alpha therapy.

T Xu, T Liu, G Li, C Dugal, N A Aydemir, Y Liu, J C Roeske

Abstract read
In one paragraph

Article in Medical physics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

T XuCanadian Nuclear Laboratories, Chalk River, ON, K0J 1J0, Canada.
T LiuCanadian Nuclear Laboratories, Chalk River, ON, K0J 1J0, Canada.
G LiCanadian Nuclear Laboratories, Chalk River, ON, K0J 1J0, Canada.
C DugalCanadian Nuclear Laboratories, Chalk River, ON, K0J 1J0, Canada.
N A AydemirCanadian Nuclear Laboratories, Chalk River, ON, K0J 1J0, Canada.
Y LiuDepartment of Electrical and Computer Engineering, Clarkson University, Potsdam, NY, 13699, USA.
J C RoeskeDepartment of Radiation Oncology, Loyola University Medical Center, Maywood, IL, 60153, USA.

Funding

Atomic Energy of Canada Limited
6 · The paper itself

Abstract

purposeTo predict biological effects of targeted alpha therapy (TAT) in preclinical studies, dosimetry calculations based on the micro-level distributions of emitters are essential. Due to the saturation of the tumor antigenic sites and bonding breaks by decay, some of Alpha-immuno-conjugate and decay daughters may inevitably be transported by convection and diffusion along with blood or lymphatic circulation. This results in highly nonuniform and unsteady distributions of irradiation sources. Since the micro-level distribution of emitters cannot be measured and obtained in patients with current technology, a modeling toolset to give more insight of the internal dose could be an alternative.

methodsA multi-physics model based on a Monte Carlo microdosimetry technique and computational fluid dynamics (CFD) modeling was developed and applied to multiple internal irradiation sources. The CFD model tracks the path of the radionuclides and the dose model is capable of evaluating the time-dependent absorbed dose to the target.

resultsThe conceptual model is capable of handling complex nonuniform irradiation sources in vasculature. The results from the simulations indicate that the assumption of homogeneous and motionless distribution of the administered activity used in the conventional dose calculation tends to significantly underestimate or overestimate the absorbed dose to the vascular system in various scenarios.

conclusionModeling the in vivo transport of radionuclides has the potential to improve the accuracy of TAT dose estimates. It could be the first step to develop a simulation tool set for assessing absorbed dose to tumor or normal tissues and predict the corresponding biological responses in the future.

Indexed as

RadioisotopesRadiometryComputer SimulationHumansMonte Carlo MethodPhysicsRadioisotopesalpha-immuno-conjugate (AIC)computational fluid dynamics (CFD)Monte Carlo (MC)targeted alpha therapy (TAT)

Identifiers

PMID32129888
PMCPMC7384137

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.