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MedAustron Ion Therapy and Research Centre Sylvia Gruber, PhD - PowerPoint PPT Presentation

Radiobiology Research at MedAustron Ion Therapy and Research Centre Sylvia Gruber, PhD Medical University of Vienna High Energy Physics Seminars Imperial College London Contents The MedAustron Centre A Brief History


  1. Radiobiology Research at MedAustron – Ion Therapy and Research Centre Sylvia Gruber, PhD Medical University of Vienna High Energy Physics Seminars Imperial College London

  2. Contents

  3. The MedAustron Centre • • •

  4. A Brief History

  5. Tumour Therapy Options

  6. Ion Beam Therapy: Physical Motivation Superior dose distribution • • •

  7. Ion Beam Therapy: Biological Motivation Increased Effectiveness • •  •

  8. Ion Beam Therapy: Indications • • •

  9. Facility Layout

  10. Pencil Beam Scanning

  11. Irradiation Rooms

  12. Irradiation Rooms – Patient Treatment

  13. Current Treamtents at MedAustron Head & Neck Skull Base Sarcoma CNS Pediatric Tumours Prostate Re-Irradiation • •

  14. Irradiation Rooms - Research

  15. Irradiation Room 1 • • • • • • •

  16. Non Clinical Research Groups

  17. Applied and Translational Radiobiology Team

  18. Timeline of ATRAB at MedAustron 53BP1

  19. Mission Broadening of the therapeutic index • •

  20. Focus of Radiobiological Research at MedAustron Challenging the RBE • • • • •

  21. RBE Dependencies: Tissue Characteristics

  22. RBE Dependencies: LET •

  23. RBE Dependencies: LET

  24. RBE Dependencies: Target Coverage Energy • • • •

  25. RBE Dependencies: Target Coverage Energy and LET • • • • • • 66.5 – 135.6 MeV • 137.2 – 180.1 MeV

  26. Dosimetry Aspects

  27. Dosimetry Aspects 

  28. Squamous Cell Carcinoma Cells

  29. Normal Skin Keratinocytes

  30. Prostate Carcinoma Cells

  31. A 3D World

  32. Advances Cell Culture Models: Multicellular Tumor Spheroids

  33. Advances Cell Culture Models: Multicellular Tumor Spheroids

  34. Therapy-relevant Factor: Hypoxia Indirect vs. direct DNA damage • • • • •

  35. Spheroid Size determines Oxygen Gradient • •

  36. DNA Damage: Influence of 3D Tissue Architecture Squamous Cell Carcinoma Spheroids

  37. Tumor Spheroids: Irradiation Setup •

  38. Tumor Spheroids: Irradiation Setup

  39. Résumé and Workaround • • • • •

  40. Advances Cell Culture Models: Biomimetic Epithelium

  41. Radiobiology of Normal Tissue Reactions functional layer germinal layer submucosa tongue muscle (n th gen)

  42. The Oral Mucositis Mouse Model

  43. Normal Tissue Protection: Dermatan Sulfate for OM Mitigation

  44. DS-mediated radioprotection: not stimulation of proliferation but junctions Fraction of BrdU positive cells (%) / 140 200 14 Epithelial cell numbers (%) *** Epithelial thickness (µm) germinal epithelial layer 12 120 150 10 100 *** * 8 ** ** 100 6 80 4 50 60 2 40 0 0 0 2 4 6 8 10 12 14 0 2 4 6 8 10 12 14 0 2 4 6 8 10 12 14 days after onset of irradiation days after onset of irradiation days after onset of irradiation

  45. DS-mediated radioprotection: reduced hypoxia

  46. DS-mediated radioprotection: reduced inflammation

  47. MedAustron - Outlook • • •

  48. Research Outlook – 2019-2021 Correlation of LET and signalling events • • • • •

  49. Acknowledgement http://www.meduniwien.ac.at/hp/radonc/ • • • • • • The financial support by the Federal Ministry for Digital and Economic Affairs and the National Foundation for Research, Technology and Development is gratefully acknowledged.

  50. Supplementary

  51. Accelerator Components – Ion Sources • • • • • • • •

  52. Accelerator components – Low Energy Beam Transfer Line • • • • • •

  53. Accelerator components – Linear Accelerator • • • • •

  54. Accelerator components – Synchotron • • • • • • • •

  55. Accelerator components – High Energy Transfer Line • • • • • •

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