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Development of binary technologies of radiotherapy of malignant neoplasms: condition and problems

https://doi.org/10.20538/1682-0363-2017-3-192-209

Abstract

The review is devoted to the problems of the development of binary technologies of radiation therapy - neutron and photon-capture therapy of malignant neoplasms. These technologies are based on the principle of “biological” targeting: irradiation of a tumor with pre-delivered special preparations increasing energy release and the relative biological efficiency of primary radiation. The basis of methods, characteristics of sources of external irradiation and used preparations, and stages of development of technologies are described. The development and implementation of binary technologies attract a great number of researchers but are restrained by the shortage of operating sources of epithermal neutrons (reactors, neutron generators based on accelerators) and the lack of accurate radiation dosimetry planning systems that takes into account the dynamics and accumulation of drugs in tumors.

About the Authors

Igor N. Sheino
A.I. Burnazian Federal Medical Biophysical Center
Russian Federation
PhD, Head of Laboratory, A.I. Burnazian Federal Medical Biophysical Center, Moscow, Russian Federation


Pavel V. Izhevskij
A.I. Burnazian Federal Medical Biophysical Center
Russian Federation
PhD, Leading Researcher, A.I. Burnazian Federal Medical Biophysical Center, Moscow, Russian Federation.


Alexey A. Lipengolts
A.I. Burnazian Federal Medical Biophysical Center
Russian Federation
PhD, Senior Researcher, A.I. Burnazian Federal Medical Biophysical Center, Moscow, Russian Federation


Victor N. Kulakov
A.I. Burnazian Federal Medical Biophysical Center
Russian Federation
DChSc, Leading Researcher, A.I. Burnazian Federal Medical Biophysical Center, Moscow, Russian Federation.


Alexander A. Wagner
National Research Tomsk Polytechnic University
Russian Federation
PhD, Head of Laboratory, National Research Tomsk Polytechnic University, Russian Federation


Evgeniya S. Sukhikh
National Research Tomsk Polytechnic University; Tomsk Regional Oncology Center
Russian Federation
PhD, Tomsk Regional Oncology Center, Medical Physicist; Senior Lecturer, National Research Tomsk Polytechnic University, Russian Federation


Valery A. Varlachev
National Research Tomsk Polytechnic University
Russian Federation
DTSc, Professor, Head of Laboratory, National Research Tomsk Polytechnic University, Russian Federation.


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Sheino I.N., Izhevskij P.V., Lipengolts A.A., Kulakov V.N., Wagner A.A., Sukhikh E.S., Varlachev V.A. Development of binary technologies of radiotherapy of malignant neoplasms: condition and problems. Bulletin of Siberian Medicine. 2017;16(3):192-209. (In Russ.) https://doi.org/10.20538/1682-0363-2017-3-192-209

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