高级检索

粒子放疗的发展、挑战与前景

Development, Challenge and Future in Particle Therapy

  • 摘要: 带电粒子相比于光子具有独特的放射物理学特性——布拉格峰效应,即在射程末端沉积大部分能量,在提供类似靶区剂量的同时可减少约50%体剂量照射。而粒子放疗的挑战性在于其具有不确定性,微小的器官形变及运动将会导致显著的计划剂量与患者放疗实际接受剂量的偏差,进而将降低肿瘤控制率和增加正常组织辐射损伤的风险。精确评估与降低剂量的偏差,是发挥粒子放疗精确性的关键。近年来,不论是新的放疗设备、人工智能技术或FLASH等新技术的发展,都有望将粒子放疗的精确性提升至新的高度。本文从粒子放疗的理论与设备的发展、不确定性产生的原因及应对策略、人工智能和FLASH等新技术,对粒子放疗进行综合阐述,并结合粒子放疗鲁棒优化、人工智能束流建模/自动计划等研究基础与经验,系统总结了粒子放疗算法和新式治疗设备的可能发展方向。

     

    Abstract: Compared to photons, charged particles have unique radiophysical properties - the Bragg peak, which deposits most of the energy at the end of the range, can provide a similar dose to the target area while reducing body dose exposure by about 50%. The challenge of particle therapy lies in its uncertainty; a small deformation and movement of the organ lead to significant deviations between the planned and actual doses received by the patient, thereby reducing tumor control rates and increasing the risk of normal tissue damage. Therefore, the key of achieving the particle therapy's accuracy is to evaluate and reduce the dose deviations. In recent years, the development of new radiotherapy equipment, artificial intelligence technology, FLASH and other new technologies are expected to elevate the accuracy of particle therapy to new levels. This article comprehensively elaborates on particle therapy's theory and equipment development, the challenge and solution strategies of uncertainty, and new technologies such as AI and FLASH. Moreover, we concluded our experiences of particle therapy in robust planning, AI-based commissioning, and auto-planning. In the end, we summarized the possible development directions of particle therapy algorithms and facilities.

     

/

返回文章
返回