New Advantage in Stereotactic Treatment of Lung and Pancreatic Cancer. Performance of Ultra-High Energy Electron (VHEE) Therapy Adjuvanted to the FLASH Effect: Clinical Implications and Treatment Plans Analysis.

D Carlotti, A Muscato,A De Gregorio,M de Simoni, M Fiore, G Franciosini, T Insero, M Marafini, V Marè, R Mirabelli, L Palumbo, S Ramella, A Sarti, A Schiavi, M Toppi, G Traini, A Trigilio, V Patera

International journal of radiation oncology, biology, physics(2023)

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摘要
In the case of pancreatic cancer and assuming a non-negligible contribution from the FLASH effect, the DVH showed how the duodenum healthy tissue sparing could allow a higher dose to be prescribed at the target while keeping the constraints respected, improving the therapeutic ratio. In the case of lung cancer, the advantages of the technique are additionally increased by the significant benefit that could be related to the treatment delivery time reduction (<1s) and to the corresponding advantage coming from a reduced organ movement that translates in a lower risk of lung toxicity.
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