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

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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


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Radiobiology Research at MedAustron – Ion Therapy and Research Centre

Sylvia Gruber, PhD Medical University of Vienna High Energy Physics Seminars Imperial College London

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Contents

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The MedAustron Centre

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A Brief History

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Tumour Therapy Options

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Ion Beam Therapy: Physical Motivation

  • Superior dose distribution
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Ion Beam Therapy: Biological Motivation

  • Increased Effectiveness
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Ion Beam Therapy: Indications

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Facility Layout

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Pencil Beam Scanning

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Irradiation Rooms

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Irradiation Rooms – Patient Treatment

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Current Treamtents at MedAustron

Skull Base CNS Prostate Pediatric Tumours Head & Neck Sarcoma Re-Irradiation

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Irradiation Rooms - Research

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Irradiation Room 1

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Non Clinical Research Groups

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Applied and Translational Radiobiology Team

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Timeline of ATRAB at MedAustron

53BP1

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Mission

Broadening of the therapeutic index

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Focus of Radiobiological Research at MedAustron

  • Challenging the RBE
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RBE Dependencies: Tissue Characteristics

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RBE Dependencies: LET

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RBE Dependencies: LET

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RBE Dependencies: Target Coverage Energy

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RBE Dependencies: Target Coverage Energy and LET

  • 66.5 – 135.6 MeV

137.2 – 180.1 MeV

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Dosimetry Aspects

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Dosimetry Aspects

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Squamous Cell Carcinoma Cells

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Normal Skin Keratinocytes

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Prostate Carcinoma Cells

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A 3D World

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Advances Cell Culture Models: Multicellular Tumor Spheroids

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Advances Cell Culture Models: Multicellular Tumor Spheroids

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Therapy-relevant Factor: Hypoxia

  • Indirect vs. direct DNA damage
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Spheroid Size determines Oxygen Gradient

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DNA Damage: Influence of 3D Tissue Architecture

Squamous Cell Carcinoma Spheroids

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Tumor Spheroids: Irradiation Setup

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Tumor Spheroids: Irradiation Setup

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Résumé and Workaround

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Advances Cell Culture Models: Biomimetic Epithelium

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Radiobiology of Normal Tissue Reactions

functional layer germinal layer submucosa tongue muscle

(nth gen)

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The Oral Mucositis Mouse Model

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Normal Tissue Protection: Dermatan Sulfate for OM Mitigation

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DS-mediated radioprotection: not stimulation of proliferation but junctions

2 4 6 8 10 12 14 2 4 6 8 10 12 14

days after onset of irradiation Fraction of BrdU positive cells (%) / germinal epithelial layer 2 4 6 8 10 12 14 40 60 80 100 120 140

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days after onset of irradiation Epithelial cell numbers (%)

2 4 6 8 10 12 14 50 100 150 200

days after onset of irradiation Epithelial thickness (µm)

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DS-mediated radioprotection: reduced hypoxia

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DS-mediated radioprotection: reduced inflammation

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MedAustron - Outlook

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Research Outlook– 2019-2021

  • Correlation of LET and signalling events
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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.

Acknowledgement

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Supplementary

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Accelerator Components – Ion Sources

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Accelerator components – Low Energy Beam Transfer Line

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Accelerator components – Linear Accelerator

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Accelerator components – Synchotron

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Accelerator components – High Energy Transfer Line