Basic Clinical Radiobiology
Basic Clinical Radiobiology is a concise but comprehensive textbook setting out the essentials of the science and clinical application of radiobiology for those seeking accreditation in radiation oncology, clinical radiation physics, and radiation technology.Fully revised and updated to keep abreast of current developments in radiation biology and radiation oncology, this fifth edition continues to present in an interesting way the biological basis of radiation therapy, discussing the basic principles and significant developments that underlie the latest attempts to improve the radiotherapeutic management of cancer.This new edition is highly illustrated with attractive 2-colour presentation and now includes new chapters on stem cells, tissue response and the convergence of radiotherapy, radiobiology, and physics. It will be invaluable for FRCR (clinical oncology) and equivalent candidates, SpRs (and equivalent) in radiation oncology, practicing radiation oncologists and radiotherapists, as well as radiobiologists and radiotherapy physicists.
Basic clinical radiobiology
Learn all the fundamental principles of clinical radiobiology that underpin daily decisions about the best way to treat your patients. This vitally important knowledge provides the basis for everything you do in the clinic.
Basic Clinical Radiobiology is a concise but comprehensive textbook setting out the essentials of the science and clinical application of radiobiology for those seeking accreditation in radiation oncology, clinical radiation physics, and radiation technology.Fully revised and updated to keep abreast of current developments in radiation biology and radiation oncology, this fifth edition continues to present in an interesting way the biological basis of radiation therapy, discussing the basic principles and significant developments that underlie the latest attempts to improve the radiotherapeutic management of cancer.This new edition is highly illustrated with attractive 2-colour presentation and now includes new chapters on stem cells, tissue response and the convergence of radiotherapy, radiobiology, and physics. It will be invaluable for FRCR (clinical oncology) and equivalent candidates, SpRs (and equivalent) in radiation oncology, practicing radiation oncologists and radiotherapists, as well as radiobiologists and radiotherapy physicists.
Introduction: Concerns exist about the 1.1 RBE used in proton therapy, since it may lead to unintentional over- and under-dosage in patients and so lead to unexpected clinical outcomes. Late reacting normal tissues (with low α/β values), might be overdosed if RBE >1.1; very radiosensitive tumors (with high α/β), might be under-dosed if RBE
where D(x) is the local diffusion coefficient, being either Dg or Dw for x being in GM and WM respectively. In that model, Dw is assumed to be five times larger than Dg for high grade glioma, according to the clinical observations of Giese et al. [32, 33].
Indeed, simulating therapy can be performed by adjusting the proliferation term f(c) of the DRE, which reflects the rate of proliferating cells (B(c)) minus the dead cells due to treatment (T(c)). In order to simulate radiotherapy and chemotherapy, someone should adjust the treatment term T(t). Swanson et al. [35] predicted survival time after resection by estimating the net rates of proliferation and diffusion, and their ratio from pre-treatment gadolinium-enhanced T1-weighted and T2-weighted MR images. Rockne et al. [36] simulated radiotherapy by introducing the radiobiology parameters α and β into T(t), which are interpreted biologically as repairable single and lethal double-strand breaks to the cell's DNA, respectively [37]. Lastly, some important works have been proposed for non diffusive models of glioma, taking into account the biological mechanisms involved in tumor and normal tissue [38, 39].
where r is the dose per fraction and R = nr is the total dose for n fractions. In general, fast-proliferating cells, like GBM, have a high tissue response α/β. In our experiment, we use a constant ratio α/β = 10 that is widely used in clinical applications for highly developing cancer and has been extracted from empirical dose response data [36]. Thus, if (4b) is used for approximating cell proliferation, the overall proliferation term f(c) for (3) turns out to be the following:
I am the Director of Radiobiology in the Division of Radiation Oncology, Department of Oncology at WSU. I currently teach the Radiobiology course in the Graduate Program. I also provide radiobiology teaching to the Residency Program, the RT training program, and also teach at a number of national and international courses on radiation oncology. I am the course director for the international ESTRO Basic Clinical Radiobiology course and editor of the textbook Basic Clinical Radiobiology.
While my background is pure radiobiology, the overlap between models of radiation damage and the physics required to understand those models has generated a number of interesting research projects for me within the medical physics arena.
I do advise Master's student in their thesis work in the medical physics program. The research is usually biologically focused, including some lab work, with a heavy lean towards clinical applications of the outcomes and possible inclusion into the planning of hypofractionated treatment schedules.
He not only teaches clinical residents and medical physicists who go through the residency programs at WSU, he teaches radiation oncologists in training all over the world, from Paris to Russia to Australia. During the past 30 years or so, he has taught more than 6,000 students globally the basics of clinical radiobiology and racked up more than 1 million airline miles.
Dr. Joiner is the editor of the textbook "Basic Clinical Radiobiology," now in its fourth edition, with a fifth edition on its way. He also has received National Institutes of Health funding to develop an education program to address the declining number of scientists with expertise in the application of radiobiology to the clinical practice of radiation oncology.
Jay Burmeister, Ph.D., chief of Physics at Karmanos and professor of Oncology for the School of Medicine, has taught alongside Dr. Joiner for 15 years, and describes him as an "incredible asset" as one of the most recognizable radiobiologists in the world, providing clinical advice, and teaching WSU's graduate students and residents.
"What makes Mike a great teacher is his passion for education, specifically the translation of his science to clinical care," Dr. Burmeister said. "You can see it in his excitement to teach these applications, whether it is in the classroom or at conferences. So while his scientific expertise is a great resource for our radiation oncology program, his educational expertise is also a great resource for our educational infrastructure."
Annual Scientific Meetings (ASMs) provide an opportunity to learn about recent advances in the fields of clinical radiology and radiation oncology. They generally comprise a high-quality scientific program, social program and at some events, a trade exhibition and an award ceremony.
This four day course represents a unique and valuable opportunity for radiation oncology professionals to learn from an international faculty of expert radiobiologists and clinicians and addresses an unmet need in radiobiology education in Australia.
The College is committed to supporting the professions of clinical radiology and radiation oncology to contribute to equitable health outcomes for Māori, Aboriginal and Torres Strait Islander Peoples.
Microbeam radiotherapy (MRT) is the delivery of spatially fractionated beams that have the potential to offer significant improvements in the therapeutic ratio due to the delivery of micron-sized high dose and dose rate beams. They build on longstanding clinical experience of GRID radiotherapy and more recently lattice-based approaches. Here we briefly overview the preclinical evidence for MRT efficacy and highlight the challenges for bringing this to clinical utility. The biological mechanisms underpinning MRT efficacy are still unclear, but involve vascular, bystander, stem cell and potentially immune responses. There is probably significant overlap in the mechanisms underpinning MRT responses and FLASH radiotherapy that needs to be further defined.
N2 - Microbeam radiotherapy (MRT) is the delivery of spatially fractionated beams that have the potential to offer significant improvements in the therapeutic ratio due to the delivery of micron-sized high dose and dose rate beams. They build on longstanding clinical experience of GRID radiotherapy and more recently lattice-based approaches. Here we briefly overview the preclinical evidence for MRT efficacy and highlight the challenges for bringing this to clinical utility. The biological mechanisms underpinning MRT efficacy are still unclear, but involve vascular, bystander, stem cell and potentially immune responses. There is probably significant overlap in the mechanisms underpinning MRT responses and FLASH radiotherapy that needs to be further defined.
AB - Microbeam radiotherapy (MRT) is the delivery of spatially fractionated beams that have the potential to offer significant improvements in the therapeutic ratio due to the delivery of micron-sized high dose and dose rate beams. They build on longstanding clinical experience of GRID radiotherapy and more recently lattice-based approaches. Here we briefly overview the preclinical evidence for MRT efficacy and highlight the challenges for bringing this to clinical utility. The biological mechanisms underpinning MRT efficacy are still unclear, but involve vascular, bystander, stem cell and potentially immune responses. There is probably significant overlap in the mechanisms underpinning MRT responses and FLASH radiotherapy that needs to be further defined. 041b061a72