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Type: Artigo
Title: Targeted alpha therapy with Pb-212 or Ac-225: change in RBE from daughter migration
Author: Ackerman, Nicole L.
Rosales, Liset de la Fuente
Falzone, Nadia
Vallis, Katherine A.
Bernal, Mario A.
Abstract: Targeted alpha-therapy (TAT) could be delivered early to patients who are at a high-risk for developing brain metastases, targeting the areas of the vasculature where tumor cells are penetrating into the brain. We have utilized a Monte Carlo model representing brain vasculature to calculate physical dose and DNA damage from the a-emitters Ac-225 and Pb-212. The micron-scale dose distributions from all radioactive decay products were modeled in Geant4, including the eV-scale interactions using the Geant4-DNA models. These interactions were then superimposed on an atomic-scale DNA model to estimate strand break yields. In addition to Ac-225 having a higher dose per decay than Pb-212, it also has a double strand break yield per decay that is 4.7 +/- 0.5 times that of Pb-212. However, the efficacy of both nuclides depends on retaining the daughter nuclei at the target location in the brain vasculature. The relative biological effectiveness (RBE) of Ac-225 and Pb-212 are similar when the entire decay chains are included, with maxima of 2.7 +/- 0.6 and 2.5 +/- 0.5 (respectively), and RBE values of about 2 to a depth of 80 mu m. If the initial daughter is lost, the RBE of Pb-212 is completely reduced to 1 or lower and the RBE of Ac-225 is approximately 2 only for the first 40 mu m.
Subject: Dano ao DNA
Método de Monte Carlo
Country: Reino Unido
Editor: Elsevier
Rights: fechado
Identifier DOI: 10.1016/j.ejmp.2018.05.020
Date Issue: 2018
Appears in Collections:IFGW - Artigos e Outros Documentos

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