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Flash Proton Therapy Reduces Toxicity in Healthy Tissues

By MedImaging International staff writers
Posted on 23 Apr 2019

A non-invasive therapy for cancer that delivers high doses of radiation at ultra-high-speeds could represent a major breakthrough in the treatment of cancer.

Researchers at Varian Medical Systems (Varian, Palo Alto, CA, USA), the University of Maryland, and Maryland Proton Treatment Center divided study mice into groups who were sham-irradiated or exposed to a single-dose of 15, 17.5, and 20 Gy at conventional (1Gy/sec) or Flash (40 Gy/sec) proton radiation therapy (RT) speeds through whole thorax irradiation. The mice were sampled at 8, 16, 24, and 34 weeks post-irradiation for evaluation of complications and histopathological analysis of lung fibrosis.

The researchers observed up to a 30% reduction in lung fibrosis in the Flash-treated mice, as well as a 35% reduced incidence of skin dermatitis and improved overall survival. An evaluation of the molecular mechanism underlying the Flash effect was also performed through genome wide microarray analysis, which revealed that the major pathways differentially regulated between the two treatments regarding activation of DNA damage and repair, inflammation, and immune modulation. The study was presented at the American Association for Cancer Research (AACR) annual meeting, held during March-April 2019 in Atlanta (GA, USA).

“Strategies that would reduce normal tissue toxicity while maintaining potent tumor cell killing would enhance the therapeutic ratio and make radiotherapy more effective,” said Professor William Regine, MD, executive director of the Maryland Proton Treatment Center. “Partnering with Varian’s Global Translational Science team on the first proton Flash pre-clinical study is a significant step in building a foundation of research and bridging the gap to patient benefits in this potentially game-changing therapy.”

Proton therapy is a precise form of RT that uses charged particles instead of x-rays. It can be a more effective form of treatment than conventional radiotherapy as it is more precise, with minimal damage to surrounding tissue. Evidence is growing that protons can be effective in treating a number of cancers, in particular children and young people with brain tumors, for whom it appears to produce fewer side effects such as secondary cancers, growth deformity, hearing loss, and learning difficulties.

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69 (32.901763916016): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=213 ORDER BY `ordering`

70 (311.85150146484): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777725 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (233.88862609863): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777725 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (37.908554077148): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (69.141387939453): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (47.922134399414): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777725 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (27.894973754883): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777725 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (30.994415283203): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

105 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

106 (51.975250244141): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294777725 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (45.061111450195): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294777725 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

109 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

110 (47.922134399414): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294777725 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (425.81558227539): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294777725 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (609.8747253418): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (390.05279541016): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

115 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

116 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

117 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

118 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

119 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

120 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

121 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

122 (396.9669342041): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777725 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777725 AND type='deeppockets_item' AND published='1' LIMIT 1

123 (!!!!! 588187.93296814): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

124 (71.048736572266): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

125 (365.01884460449): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

126 (43.153762817383): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

127 (238.18016052246): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

128 (35.04753112793): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

129 (200.98686218262): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

130 (43.869018554688): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

131 (586.03286743164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

132 (478.98292541504): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

133 (277.04238891602): SELECT name FROM jos_deeppockets WHERE id=213

134 (40.054321289062): SELECT name FROM jos_deeppockets WHERE id=213

135 (655.17425537109): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

136 (513.07678222656): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

137 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

138 (277.04238891602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

139 (373.12507629395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (60.796737670898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

142 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

143 (!!!!! 1127.0046234131): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

144 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

145 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

146 (46.014785766602): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777725 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777725 AND type='deeppockets_item' AND published='1' LIMIT 1

147 (34.093856811523): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

148 (31.948089599609): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

149 (46.014785766602): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

150 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

151 (55.789947509766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777725 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777725 AND published='1' LIMIT 1

152 (162.83988952637): select jos_twitters.link from jos_twitters where cat=10

153 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

154 (29.087066650391): select jos_google_plus.link from jos_google_plus where cat=10

155 (27.179718017578): select jos_linkedin.link from jos_linkedin where cat=10

156 (352.14424133301): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

157 (!!!!! 8545.8755493164): insert into jos_banners_delta values (14615,'2025-04-30 07:33:56','3.147.68.89','view'),(14202,'2025-04-30 07:33:56','3.147.68.89','view'),(14203,'2025-04-30 07:33:56','3.147.68.89','view')

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