Evidence map›Paper›PMID 39496703›Full record

ArticleScientific reports2024

Investigating ultra-high dose rate water radiolysis using the Geant4-DNA toolkit and a Geant4 model of the Oriatron eRT6 electron linac.

Flore Chappuis, Hoang Ngoc Tran, Patrik Gonçalves Jorge, Sara A Zein, Ioanna Kyriakou, Dimitris Emfietzoglou, Claude Bailat, François Bochud, Sébastien Incerti, Laurent Desorgher

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

10 authors.

Flore ChappuisInstitute of Radiation Physics (IRA), Lausanne University Hospital and University of Lausanne, Lausanne, CH-1007, Switzerland.
Hoang Ngoc TranUniversity of Bordeaux, CNRS, LP2I Bordeaux, UMR 5797, Gradignan, F-33170, France.
Patrik Gonçalves JorgeInstitute of Radiation Physics (IRA), Lausanne University Hospital and University of Lausanne, Lausanne, CH-1007, Switzerland.
Sara A ZeinUniversity of Bordeaux, CNRS, LP2I Bordeaux, UMR 5797, Gradignan, F-33170, France.
Ioanna KyriakouMedical Physics Laboratory, Department of Medicine, University of Ioannina, Ioannina, EL-45110, Greece.
Dimitris EmfietzoglouMedical Physics Laboratory, Department of Medicine, University of Ioannina, Ioannina, EL-45110, Greece.
Claude BailatInstitute of Radiation Physics (IRA), Lausanne University Hospital and University of Lausanne, Lausanne, CH-1007, Switzerland.
François BochudInstitute of Radiation Physics (IRA), Lausanne University Hospital and University of Lausanne, Lausanne, CH-1007, Switzerland.
Sébastien IncertiUniversity of Bordeaux, CNRS, LP2I Bordeaux, UMR 5797, Gradignan, F-33170, France.
Laurent DesorgherInstitute of Radiation Physics (IRA), Lausanne University Hospital and University of Lausanne, Lausanne, CH-1007, Switzerland. laurent.desorgher@chuv.ch.

Funding

FNS Synergia MAGIC-FNS CRS II5_186369
6 · The paper itself

Abstract

Ultra-high dose rate FLASH radiotherapy, a promising cancer treatment approach, offers the potential to reduce healthy tissue damage during radiotherapy. As the mechanisms underlying this process remain unknown, several hypotheses have been proposed, including the altered production of radio-induced species under ultra-high dose rate (UHDR) conditions. This study explores realistic irradiation scenarios with various dose-per-pulse and investigates the role of pulse temporal structure. Using the Geant4 toolkit and its Geant4-DNA extension, we modeled the Oriatron eRT6 linac, a FLASH-validated electron beam, and conducted simulations covering four distinct dose-per-pulse scenarios - 0.17 Gy, 1 Gy, 5 Gy, and 10 Gy - all featuring a 1.8 µs pulse duration. Results show close agreement between simulated and experimental dose profiles in water, validating the eRT6 model for Geant4-DNA simulations. We observed important changes in the temporal evolution of certain species, such as the earlier fall in hydroxyl radicals ([Formula: see text]) and reduced production and lifetime of superoxide ([Formula: see text]) with higher dose-per-pulse levels. The pulse temporal structure did not influence the long-term evolution of species. Our findings encourage further investigation into different irradiation types, such as multi-pulse configurations, and emphasize the need to add components in water to account for relevant cellular processes.

Indexed as

ElectronsWaterDNAHumansHydroxyl RadicalParticle AcceleratorsRadiotherapy DosageDNAHydroxyl RadicalWaterFLASH effectGeant4Geant4-DNAUHDR simulation

Identifiers

PMID39496703
PMCPMC11535405

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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.