Summary of recent BNCT Polish programme and future plans.
In this work we present Polish achievements on the ground of BNCT research. Starting from preliminary built therapeutic stand at MARIA reactor going through designing of unique detectors for in-phantom and in-beam measurements for mixed radiation fields and finally coming to boron carriers synthesizing and examination in cellular and animal models. Now it is planned to restart research on boron compounds in specially designed BIMA line, to set up epithermal neutron irradiation facility for BNCT research and education and to improve recombination detectors for neutron beams characterisation.
BNCT research facility at MARIA reactor - Numerical models and preliminary measurements.
In NCBJ, Poland a new laboratory for BNCT research is being constructed at MARIA reactor. In the first phase it will provide a thermal neutron beam for experiments with cellular samples and small animals. In the next step, a converter will be mounted to provide fast neutron beam. Beam shaping assembly will moderate the beam to epithermal energies allowing for irradiation human phantoms. The laboratory infrastructure as well as radiation shielding of the laboratory are being designed using MCNP6 software.
Improved treatment planning for boron neutron capture therapy for glioblastoma multiforme using fluorine-18 labeled boronophenylalanine and positron emission tomography.
Boron neutron capture therapy (BNCT) is a cancer brachytherapy based upon the thermal neutron reaction: 10B(n,alpha)7Li. The efficacy of the treatment depends primarily upon two conditions being met: (a) the preferential concentration of a boronated compound in the neoplasm and (b) an adequate fluence of thermal neutrons delivered to the neoplasm. The boronated amino acid, para-boronophenylalanine (BPA), is the agent widely used in clinical trials to deliver 10B to the malignancy. Positron emission tomography (PET) can be used to generate in vivo boron distribution maps by labeling BPA with the positron emitting nuclide fluorine-18. The incorporation of the PET-derived boron distribution maps into current treatment planning protocols is shown to provide improved treatment plans. Using previously established protocols, six patients with glioblastoma had 18BPA PET scans. The PET distribution maps obtained were used in the conventional BNCT treatment codes. The isodose curves derived from the PET data are shown to differ both qualitatively and quantitatively from the conventional isodose curves that were derived from calculations based upon the assumption of uniform uptake of the pharmaceutical in tumor and normal brain regions. The clinical course of each of the patients who eventually received BNCT (five of the six patients) was compared using both sets of isodose calculations. The isodose contours based upon PET derived distribution data appear to be more consistent with the patients' clinical course.