Monitoring of blood-10b concentration for boron neutron capture therapy using prompt gamma-ray analysis

Cornelis P.J. Raaijmakers*, Mark W. Konijnenberg, Luc Dewit, Dietrich Haritz, Rene Huiskamp, Katharina Philipp, Axel Siefert, Finn Stecher-Rasmussen, Ben J. Mijnheer

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

33 Citations (Scopus)

Abstract

The aim of the present study was to monitor the blood-10B concentration of laboratory dogs receiving boron neutron capture therapy, in order to obtain optimal agreement between prescribed and actual dose. A prompt gamma-ray analysis system was developed for this purpose at the High Flux Reactor in Petten. The technique was compared with inductively coupled plasma-atomic emission spectrometry and showed good agreement. A substantial variation in 10B clearance pattern after administration of borocaptate sodium was found between the different dogs. Consequently, the irradiation commencement was adjusted to the individually determined boron elimination curve. Mean blood-10B concentrations during irradiation of 25.8 ± 2.2 μg/g (1 SD, n = 18) and 49.3 ± 5.3 μg/g (1 SD, n = 17) were obtained for intended concentrations of 25 μg/g and 50 μg/g, respectively. These variations are a factor of two smaller than irradiations performed at a uniform post-infusion irradiation starting time. Such a careful blood-10B monitoring procedure is a prerequisite for accurately obtaining such steep dose-response curves as observed during the dog study.

Original languageEnglish
Pages (from-to)517-523
Number of pages7
JournalActa Oncologica
Volume34
Issue number4
DOIs
Publication statusPublished - 1995
Externally publishedYes

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