Collimated and non-collimated proton minibeam irradiation using SIRMIO: a simulation study

Authors

DOI:

https://doi.org/10.2340/1651-226X.2025.44031

Keywords:

pMBRT, SIRMIO, PVDR

Abstract

Background and purpose: Successful clinical integration of pMBRT requires comprehensive investigations of the relationship between various pMBRT parameters and their associated biological effects. Such investigations are critically dependent on small animal models. Therefore, a state-of-the-art small animal irradiation platform like SIRMIO (Small Animal Proton Irradiator for Research in Molecular Image-guided Radiation-Oncology), capable of delivering precisely controlled spatially fractionated doses, is highly desirable for advancing preclinical pMBRT research.

Material and methods: This in silico study evaluates the SIRMIO beamline’s capability to deliver beams essential for pMBRT experiments. We used Geant4-based Monte Carlo simulations to investigate two configurations: one without a collimator, and one using a 30 mm thick brass multislit collimator (MSC). For both configurations, we examined center-to-center (CTC) of 3, 4, and 5 mm, with a constant 1 mm slit width when MSC is used.

Results: The SIRMIO beamline can effectively generate spatially fractionated dose profiles with varying CTC. Without a collimator, sufficient dose contrast for pMBRT can be achieved with CTC of 4 mm and above, as evidenced by peak-to-valley dose ratios (PVDR) of 3.44 and 6.57 for 4 and 5 mm CTC, respectively. MSC further enhances dose contrast, achieving PVDR of 11.3, 20.7, and 28.7 for 3, 4, and 5 mm CTC, respectively. Furthermore, we explored interlacing beams as a means of achieving a uniform target dose while preserving dose contrast in normal tissue, demonstrating the potential of this approach using the SIRMIO beamline.

Interpretation: The SIRMIO platform can be a viable option for pMBRT experiments.

Downloads

Download data is not yet available.

References

Delaney G, Jacob S, Featherstone C, Barton M. The role of radiotherapy in cancer treatment: estimating optimal utilization from a review of evidence‐based clinical guidelines. Cancer. 2005;104(6):1129–137.

https://doi.org/10.1002/cncr.21324 DOI: https://doi.org/10.1002/cncr.21324

Baskar R, Lee KA, Yeo R, Yeoh K‐W. Cancer and radiation therapy: current advances and future directions. Int J Med Sci. 2012;9:193–9.

https://doi.org/10.7150/ijms.3635 DOI: https://doi.org/10.7150/ijms.3635

Matuszak N, Suchorska WM, Milecki P, Kruszyna‐Mochalska M, Misiarz A, Pracz J, et al. FLasH radiotherapy: an emerging approach in radiation therapy. Rep Pract Oncol Radiother. 2022; 27(2):344–51.

https://doi.org/10.5603/RPOR.a2022.0038 DOI: https://doi.org/10.5603/RPOR.a2022.0038

Sørensen BS, Sitarz MK, Ankjærgaard C, Johansen JG, Andersen CE, Kanouta E, et al. Pencil beam scanning proton FlaSh maintains tumor control while normal tissue damage is reduced in a mouse model. Radiother Oncol. 2022;175:178–84.

https://doi.org/10.1016/j.radonc.2022.05.014 DOI: https://doi.org/10.1016/j.radonc.2022.05.014

Martínez‐Rovira I, Fois G, Prezado Y. Dosimetric evaluation of new approaches in GRID therapy using nonconventional radiation sources: dosimetric evaluation of new approaches in GRID therapy. Med Phys. 2015;42(2):685–93.

https://doi.org/10.1118/1.4905042 DOI: https://doi.org/10.1118/1.4905042

Choi J.I, Daniels J, Cohen D, Li Y, Ha CS, Eng TY. Clinical outcomes of spatially fractionated GRID radiotherapy in the treatment of Bulky tumors of the head and neck. Cureus. 2019;11(5):e4637. DOI: https://doi.org/10.7759/cureus.4637

Yan W, Khan MK, Wu X, Simone CB, Fan J, Gressen E, et al. Spatially fractionated radiation therapy: history, present and the future. Clin Transl Radiat Oncol. 2020;20:30–38.

https://doi.org/10.1016/j.ctro.2019.10.004 DOI: https://doi.org/10.1016/j.ctro.2019.10.004

Snider J, Molitoris J, Shyu S, Diwanji T, Rice S, Kowalski E, et al. Spatially fractionated radiotherapy (GRID) prior to standard neoadjuvant conventionally fractionated radiotherapy for bulky, high‐risk soft tissue and osteosarcomas: feasibility, safety, and promising pathologic response rates. Radiat Res. 2020;194:707–714.

https://doi.org/10.1667/RADE-20-00100.1 DOI: https://doi.org/10.1667/RADE-20-00100.1

Amendola B, Perez NC, Mayr N, Wu X, Amendola MA. Spatially fractionated radiation therapy with lattice radiation in far‐advanced bulky cervical cancer: a clinical and molecular imaging outcome study. Radiat Res. 2020;194(6), 724-736.

https://doi.org/10.1667/RADE-20-00038.1 DOI: https://doi.org/10.1667/RADE-20-00038.1

Prezado Y. Divide and conquer: spatially fractionated radiation therapy. Expert Rev Mol Med. 2022;24:e3.

https://doi.org/10.1017/erm.2021.34 DOI: https://doi.org/10.1017/erm.2021.34

Bertho A, Ortiz R, Juchaux M, Gilbert C, Lamirault C, Pouzoulet F, et al. First evaluation of temporal and spatial fractionation in proton minibeam radiation therapy of glioma‐bearing rats. Cancers. 2021;13(19):4865.

https://doi.org/10.3390/cancers13194865 DOI: https://doi.org/10.3390/cancers13194865

Billena C, Khan AJ. A current review of spatial fractionation: back to the future? Int J Radiat Oncol Biol Phys. 2019;104(1):177–87.

https://doi.org/10.1016/j.ijrobp.2019.01.073 DOI: https://doi.org/10.1016/j.ijrobp.2019.01.073

Fontanella AN, Boss M-K, Hadsell M, Zhang J, Schroeder T, Berman KG, et al. Effects of high‐dose microbeam irradiation on tumor microvascular function and angiogenesis. Radiat Res. 2015;183(2):147–58.

https://doi.org/10.1667/RR13712.1 DOI: https://doi.org/10.1667/RR13712.1

Bouchet A, Serduc R, Laissue JA, Djonov V. Effects of microbeam radiation therapy on normal and tumoral blood vessels. Phys Med. 2015;31(6):634–41.

https://doi.org/10.1016/j.ejmp.2015.04.014 DOI: https://doi.org/10.1016/j.ejmp.2015.04.014

Kanagavelu S, Gupta S, Wu X, Philip S, Wattenberg MM, Hodge JW, et al. In vivo effects of lattice radiation therapy on local and distant lung cancer: potential role of immunomodulation. Radiat Res. 2014;182(2):149–62.

https://doi.org/10.1667/RR3819.1 DOI: https://doi.org/10.1667/RR3819.1

Asur RS, Sharma S, Chang C-W, Penagaricano J, Kommuru IM, Moros EG, et al. Spatially fractionated radiation induces cytotoxicity and changes in gene expression in bystander and radiation adjacent murine carcinoma cells. Radiat Res. 2012;177(6):751–65. DOI: https://doi.org/10.1667/RR2780.1

Lomax AJ, Bortfeld T, Goitein G, Debus J, Dykstra C, Tercier PA, et al. A treatment planning inter‐comparison of proton and intensity modulated photon radiotherapy. Radiother Oncol. 1999;51(3):257–71.

https://doi.org/10.1016/S0167-8140(99)00036-5 DOI: https://doi.org/10.1016/S0167-8140(99)00036-5

Oermann EK, Kress M‐AS, Todd JV, Collins BT, Hoffman R, Chaudhry H, et al. The impact of radiosurgery fractionation and tumor radiobiology on the local control of brain metastases: clinical article. J Neurosurg. 2013;119(5):1131–8.

https://doi.org/10.3171/2013.8.JNS122177 DOI: https://doi.org/10.3171/2013.8.JNS122177

Trakul N, Harris JP, Le Q-T, Hara WY, Maxim PG, Loo BW, et al. Stereotactic ablative radiotherapy for reirradiation of locally recurrent lung tumors. J Thorac Oncol. 2012;7(9):1462–65. DOI: https://doi.org/10.1097/JTO.0b013e31825f22ce

Sato K, Nitta N, Aoki I, Imai T, Shimokawa T. Repeated photon and C‐ion irradiations in vivo have different impact on alteration of tumor characteristics. Sci Rep. 2018;8(1):1458.

https://doi.org/10.1038/s41598-018-19422-x DOI: https://doi.org/10.1038/s41598-018-19422-x

Wu P, Liu J, Sun X, Li X, Xing L, Yu J. Enhanced radiosensitizing by sodium glycididazole in a recurrent esophageal carcinoma tumor model. Oncotarget. 2017;8(38):63871–80.

https://doi.org/10.18632/oncotarget.19151 DOI: https://doi.org/10.18632/oncotarget.19151

Dionisi F, Croci S, Giacomelli I, Cianchetti M, Caldara A, Bertolin M, et al. Clinical results of proton therapy reirradiation for recurrent nasopharyngeal carcinoma. Acta Oncol. 2019;58(9):1238–45. DOI: https://doi.org/10.1080/0284186X.2019.1622772

Tajaldeen A, Kheiralla OAM, Alghamdi SS, Alsleem H, Al‐Othman A, Abuelhia E, et al. Evaluation of pediatric imaging modalities practices of radiologists and technologists: a survey‐based study. J Multidiscip Healthc. 2022;15:443–53. DOI: https://doi.org/10.2147/JMDH.S351696

Aurumskjöld M-L, Söderberg M, Stålhammar F, von Steyern KV, Tingberg A, Ydström K. Evaluation of an iterative model‐based reconstruction of pediatric abdominal CT with regard to image quality and radiation dose. Acta Radiol. 2018;59(6):740–7.

https://doi.org/10.1177/0284185117728415 DOI: https://doi.org/10.1177/0284185117728415

Wolden SL. Protons for craniospinal radiation: are clinical data important? Int J Radiat Oncol Biol Phys. 2013;87(2):231–32.

https://doi.org/10.1016/j.ijrobp.2013.05.036 DOI: https://doi.org/10.1016/j.ijrobp.2013.05.036

Prezado Y, Jouvion G, Patriarca A, Nauraye C, Guardiola C, Juchaux M, et al. Proton minibeam radiation therapy widens the therapeutic index for high‐grade gliomas. Sci Rep. 2018;8(1):16479.

https://doi.org/10.1038/s41598-018-34796-8 DOI: https://doi.org/10.1038/s41598-018-34796-8

Prezado Y, Jouvion G, Guardiola C, Gonzalez W, Juchaux M, Bergs J, et al. Tumor control in RG2 glioma‐bearing rats: a comparison between proton minibeam therapy and standard proton therapy. Int J Radiat Oncol Biol Phys. 2019;104(2):266–71.

https://doi.org/10.1016/j.ijrobp.2019.01.080 DOI: https://doi.org/10.1016/j.ijrobp.2019.01.080

Mohiuddin M, Lynch C, Gao M, Hartsell W. Early clinical results of proton spatially fractionated GRID radiation therapy (SFGRT). Br J Radiol. 2020;93(1107):20190572.

https://doi.org/10.1259/bjr.20190572 DOI: https://doi.org/10.1259/bjr.20190572

Girst S, Greubel C, Reindl J, Siebenwirth C, Zlobinskaya O, Walsh DWM, et al. Proton minibeam radiation therapy reduces side effects in an in vivo mouse ear model. Int J Radiat Oncol Biol Phys. 2016;95(1):234–41.

https://doi.org/10.1016/j.ijrobp.2015.10.020 DOI: https://doi.org/10.1016/j.ijrobp.2015.10.020

Prezado Y. Proton minibeam radiation therapy: a promising therapeutic approach for radioresistant tumors. Comptes Rendus Biologies. 2021;344(4):409–20. DOI: https://doi.org/10.5802/crbiol.71

Lamirault C, Doyère V, Juchaux M, Pouzoulet F, Labiod D, Dendale R,et al. Short and long‐term evaluation of the impact of proton minibeam radiation therapy on motor, emotional and cognitive functions. Sci Rep. 2020;10:13511. DOI: https://doi.org/10.1038/s41598-020-70371-w

Fernandez‐Palomo C, Chang S, Prezado Y. Should peak dose be used to prescribe spatially fractionated radiation therapy? A review of preclinical studies. Cancers. 2022;14(15):3625.

https://doi.org/10.3390/cancers14153625 DOI: https://doi.org/10.3390/cancers14153625

Chang S. A journey to understand SFRT. Med Phys. 2023;50(Suppl 1):40–44.

https://doi.org/10.1002/mp.16314 DOI: https://doi.org/10.1002/mp.16314

Parodi K, Assmann W, Belka C, Bortfeldt J, Clevert D‐A, Dedes G, et al. Towards a novel small animal proton irradiation platform: the SIRMIO project. Acta Oncol. 2019;58(10):1470–75. DOI: https://doi.org/10.1080/0284186X.2019.1630752

Ortiz R, De Marzi L, Prezado Y. Preclinical dosimetry in proton minibeam radiation therapy: robustness analysis and guidelines. Med Phys. 2022;49(8):5551–61.

https://doi.org/10.1002/mp.15780 DOI: https://doi.org/10.1002/mp.15780

Gerlach S, Pinto M, Kurichiyanil N, Grau C, Hérault J, Hillbrand M, et al. Beam characterization and feasibility study for a small animal irradiation platform at clinical proton therapy facilities. Phys Med Biol. 2020;65(24):245045.

https://doi.org/10.1088/1361-6560/abc832 DOI: https://doi.org/10.1088/1361-6560/abc832

Kurichiyanil N, Pinto M, Parodi K. Design and in silico evaluation of a novel beamline for precision small animal pencil beam scanning delivery at clinical proton therapy facilities. Phys Med Biol. 2025;70:145007.

https://doi.org/10.1088/1361-6560/adea08 DOI: https://doi.org/10.1088/1361-6560/adea08

Huang Z, Bortfeldt J, Kurichiyanil N, Schnürle K, Englbrecht FS, Rösch T, et al. P136: Monte Carlo simulation model of the SIRMIO Int J Part Ther. 2023 Nov 3;10(2):118-396.

https://doi.org/10.14338/IJPT-23-PTCOG61-10.2 DOI: https://doi.org/10.14338/IJPT-23-PTCOG61-10.2

Allison J, Amako K, Apostolakis J, Araujo H, Arce P, Asai M, et al. Geant4 developments and applications. IEEE Trans Nuclear Sci. 2006;53:270–78.

https://doi.org/10.1109/TNS.2006.869826 DOI: https://doi.org/10.1109/TNS.2006.869826

Winterhalter C, Taylor M, Boersma D, Elia A, Guatelli S, Mackay R, et al. Evaluation of GATE-rTion (GATE/Geant4) Monte Carlo simulation settings for proton pencil beam scanning quality assurance. Med Phys. 2020;47(11):5817–28.

https://doi.org/10.1002/mp.14481 DOI: https://doi.org/10.1002/mp.14481

Lamirault C, Brisebard E, Patriarca A, Juchaux M, Crepin D, Labiod D, et al. Spatially modulated proton minibeams results in the same increase of lifespan as a uniform target dose coverage in F98-glioma-bearing rats. Radiat Res. 2020;194(6):715–23.

https://doi.org/10.1667/RADE-19-00013.1 DOI: https://doi.org/10.1667/RADE-19-00013.1

Prezado Y, Jouvion G, Hardy D, Patriarca A, Nauraye C, Bergs J, et al. Proton minibeam radiation therapy spares normal rat brain: long-term clinical, radiological and histopathological analysis. Sci Rep. 2017;7(1):14403.

https://doi.org/10.1038/s41598-017-14786-y DOI: https://doi.org/10.1038/s41598-017-14786-y

Sammer M, Zahnbrecher E, Dobiasch S, Girst S, Greubel C, Ilicic K, et al. Proton pencil minibeam irradiation of an in vivo mouse ear model spares healthy tissue dependent on beam dize. PLoS One. 2019;14:e0224873. DOI: https://doi.org/10.1371/journal.pone.0224873

Bertho A, Ortiz R, Maurin M, Juchaux M, Gilbert C, Espenon J, et al. Thoracic proton minibeam radiation therapy: tissue preservation and survival advantage over conventional proton therapy. Int J Radiat Oncol Biol Phys. 2024;120(2):579–92.

https://doi.org/10.1016/j.ijrobp.2024.04.011 DOI: https://doi.org/10.1016/j.ijrobp.2024.04.011

Prezado Y, Grams M, Jouglar E, Martínez‐Rovira I, Ortiz R, Seco J, et al. Spatially fractionated radiation therapy: a critical review on current status of clinical and preclinical studies and knowledge gaps. Phys Med Biol. 2024;69(10):10TR02. DOI: https://doi.org/10.1088/1361-6560/ad4192

https://doi.org/10.1088/1361-6560/a

Lin Y, Li W, Wang A, Johnson D, Gan GN, Gao H. Comprehensive dosimetric commissioning of proton minibeam radiotherapy on a single gantry proton system. Front Oncol. 2024;14.

https://doi.org/10.3389/fonc.2024.1421869 DOI: https://doi.org/10.3389/fonc.2024.1421869

Sammer M, Greubel C, Girst S, Dollinger G. Optimization of beam arrangements in proton minibeam radiotherapy by cell survival simulations. Med Phys. 2017;44(11):6096–104.

https://doi.org/10.1002/mp.12566 DOI: https://doi.org/10.1002/mp.12566

Datzmann G, Sammer M, Girst S, Mayerhofer M, Dollinger G, Reindl J. Preclinical challenges in proton minibeam radiotherapy: physics and biomedical aspects. Front Phys. 2020;8.

https://doi.org/10.3389/fphy.2020.568206 DOI: https://doi.org/10.3389/fphy.2020.568206

Schneider T, De Marzi L, Patriarca A, Prezado Y. Advancing proton minibeam radiation therapy: magnetically focused proton minibeams at a clinical centre. Sci Rep. 2020;10(1):1384.

https://doi.org/10.1038/s41598-020-58052-0 DOI: https://doi.org/10.1038/s41598-020-58052-0

Henry T, Bassler N, Ureba A, Tsubouchi T, Valdman A, Siegbahn A. Development of an interlaced‐crossfiring geometry for proton GRID therapy. Acta Oncol. 2017;56(11):1437–43.

https://doi.org/10.1080/0284186X.2017.1350287 DOI: https://doi.org/10.1080/0284186X.2017.1350287

Published

2025-11-02

How to Cite

Reaz, F., Huang, Z., Pinto, M., Bortfeldt, J., Bassler , N., & Parodi , K. (2025). Collimated and non-collimated proton minibeam irradiation using SIRMIO: a simulation study. Acta Oncologica, 64, 1506–1514. https://doi.org/10.2340/1651-226X.2025.44031

Issue

Section

Original article

Categories