放射性イオンビームによる新たながん治療法を初めて小動物で実証(New approaches for cancer therapy: First tumor treatment with radioactive ion beams)

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2025-08-19 ミュンヘン大学(LMU)

LMUミュンヘンの研究チームは、GSIやFAIRと連携するERC支援プロジェクト「BARB」において、小動物を対象に放射性イオンビーム(RIB)による初の腫瘍治療を実施し成功した。『Nature Physics』に発表された成果では、半減期約20分の放射性炭素11ビームを用いてマウス骨肉腫に20グレイを精密照射し、神経障害を伴わず完全な腫瘍制御を達成した。RIBは治療と同時にPETイメージングが可能で、従来の粒子線治療の課題であった線量到達範囲の不確実性を大幅に低減できる点が革新的である。研究チームは小動物用の高解像度PET検出器を用い、リアルタイムでビーム追跡に成功。本成果は安全かつ正確な粒子治療の新時代を切り拓くもので、転移性腫瘍や重要臓器付近の腫瘍、さらには心疾患治療など幅広い応用が期待される。

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放射性イオンビームを用いたマウス腫瘍の画像誘導治療 Image-guided treatment of mouse tumours with radioactive ion beams

Daria Boscolo,Giulio Lovatti,Olga Sokol,Tamara Vitacchio,Martina Moglioni,Francesco Evangelista,Emma Haettner,Walter Tinganelli,Christian Graeff,Uli Weber,Christoph Schuy,Munetaka Nitta,Daria Kostyleva,Sivaji Purushothaman,Peter G. Thirolf,Andreas Bückner,Jonathan Bortfeldt,Christoph Scheidenberger,Katia Parodi & Marco Durante
Nature Physics  Published:19 August 2025
DOI:https://doi.org/10.1038/s41567-025-02993-8

放射性イオンビームによる新たながん治療法を初めて小動物で実証(New approaches for cancer therapy: First tumor treatment with radioactive ion beams)

Abstract

Charged particle therapy with protons or heavier ions is one of the most effective radiotherapy techniques, but uncertainties in the beam range can limit its efficacy. Radioactive ion beams are ideal for image-guided particle therapy because isotopes that undergo β+ decay can be visualized with positron emission tomography. This allows spatial localization of the particle distribution in vivo, which can be correlated with the expected dose deposition for online beam range verification. Here we report the successful treatment of a mouse osteosarcoma using a radioactive 11C-ion beam. The tumour was located in the neck, close to the spinal cord, where deviations of even a few millimetres in the beam range could lead to unintended dose deposition in the spine and radiation-induced myelopathy, an injury to the spinal cord. We achieved complete tumour control with the highest dose of 20 Gy while avoiding paralysis. Low-grade neurological side effects were correlated to the activity measured by positron emission tomography in the spine. The biological washout of the activity from the tumour volume was dependent on the dose, indicating a potential component of vascular damage at high doses. This experiment marks a step towards future clinical applications of radioactive ion beams.

医療・健康
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