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Development of a Voxel-Based Monte Carlo Radiation Dosimetry Methodology for a Targeted Alpha Particle Therapy

Christopher J. Tichacek

Digital Commons - University of South Florida (University of South Florida), 2019

Abstract

The use of targeted ligands to deliver radioisotopes directly to tumor cells is a promising therapeutic strategy. Because of the short path length and high LET of alpha particles, targeted alpha particles are ideal for treating metastatic disease while minimizing damage to non-targeted tissues. However, clinical methods for determining 3D radiation dosimetry in patients with multiple metastatic lesions are needed to support clinical translation of novel targeted alpha particle therapies for personalized treatment, especially in patients that have previously received radiotherapy. Recently interest in novel radiopharmaceutical development has grown significantly. However, compared to external beam radiation therapy, progress in customizing radiopharmaceutical treatments specific to the patient has remained stagnant for decades. Currently, therapies are given using fixed dose administrations and dosimetry is performed using outdated simplistic representations of a standard human. The potential benefits of targeted alpha therapies cannot be taken advantage of until pretreatment planning is employed to optimize each patient’s therapy on an individual basis. Dose response relationships need to be analyzed post-treatment to assess tumor control probabilities and normal tissue complications. With new developments in medical imaging and instrumentation, along with the continuously increasing computational power available, personalized targeted alpha therapies can be achieved.\nIn…

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