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Article Dans Une Revue Physica Medica European Journal of Medical Physics Année : 2024

A microscopic model of the dose distribution in hepatocellular carcinoma after selective internal radiation therapy

Résumé

The dosimetry evaluation for the selective internal radiation therapy is currently performed assuming a uniform activity distribution, which is in contrast with literature findings. A 2D microscopic model of the perfused liver was developed to evaluate the effect of two different 90Y microspheres distributions: i) homogeneous partitioning with the microspheres equally distributed in the perfused liver, and ii) tumor-clustered partitioning where the microspheres distribution is inferred from the patient specific images. Methods: Two subjects diagnosed with liver cancer were included in this study. For each subject, abdominal CT scans acquired prior to the SIRT and post-treatment 90Y positron emission tomography were considered. Two microspheres partitionings were simulated namely homogeneous and tumor-clustered partitioning. The homogeneous and tumor-clustered partitionings were derived starting from CT images. The microspheres radiation is simulated by means of Russell's law. Results: In homogenous simulations, the dose delivery is uniform in the whole liver while in the tumor-clustered simulations a heterogeneous distribution of the delivered dose is visible with higher values in the tumor regions. In addition, in the tumor-clustered simulation, the delivered dose is higher in the viable tumor than in the necrotic tumor, for all patients. In the tumor-clustered case, the dose delivered in the non-tumoral tissue (NTT) was considerably lower than in the perfused liver. Conclusions: The model proposed here represents a proof-of-concept for personalized dosimetry assessment based on preoperative CT images.
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hal-04614632 , version 1 (17-06-2024)

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Elena Cutrì, Ewan Morel--Corlu, Yan Rolland, Hervé Saint-Jalmes, Pierre-Antoine Eliat, et al.. A microscopic model of the dose distribution in hepatocellular carcinoma after selective internal radiation therapy. Physica Medica European Journal of Medical Physics, 2024, 122, pp.103384. ⟨10.1016/j.ejmp.2024.103384⟩. ⟨hal-04614632⟩
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