Boron neutron-capture therapy (BNCT) for glioblastoma multiforme (GBM) using the epithermal neutron beam at the Brookhaven National Laboratory

OBJECTIVE: Boron neutron-capture therapy (BNCT) is a binary form of radiation therapy based on the nuclear reactions that occur when boron (10B) is exposed to thermal neutrons. Preclinical studies have demonstrated the therapeutic efficacy of p-boronophenylalanine (BPA)-based BNCT. The objectives of the Phase I/II trial were to study the feasibility and safety of single-fraction BNCT in patients with GBM. MATERIALS AND METHODS: The trial design required (a) a BPA biodistribution study performed at the time of craniotomy; and (b) BNCT within approximately 4 weeks of the biodistribution study. From September 1994 to July 1995, 10 patients were treated. For biodistribution, patients received a 2-hour intravenous (i.v.) infusion of BPA-fructose complex (BPA-F). Blood samples, taken during and after infusion, and multiple tissue samples collected during surgical debulking were analyzed for 10B concentration. For BNCT, all patients received a dose of 250 mg BPA/kg administered by a 2-hour i.v. infusion of BPA-F, followed by neutron beam irradiation at the Brookhaven Medical Research Reactor (BMRR). The average blood 10B concentrations measured before and during treatment were used to calculate the time of reactor irradiation that would deliver the prescribed dose. RESULTS: 10B concentrations in specimens of scalp and tumor were higher than in blood by factors of approximately 1.5 and approximately 3.5, respectively. The 10B concentration in the normal brain was < or = that in the blood; however, for purposes of estimating radiation doses to normal brain endothelium, it was always assumed to be equal to blood. BNCT doses are expressed as gray-equivalent (Gy-Eq), which is the sum of the various physical dose components multiplied to appropriate biologic effectiveness factors. The dose to a 1-cm3 volume where the thermal flux reached a maximum was 10.6 +/- 0.3 Gy-Eq in 9 patients and 13.8 Gy-Eq in 1 patient. The minimum dose in tumor ranged from 20 to 32.3 Gy-Eq. The minimum dose in the target volume (tumor plus 2 cm margin) ranged from 7.8 to 16.2 Gy-Eq. Dose to scalp ranged from 10 to 16 Gy-Eq. All patients experienced in-field alopecia. No CNS toxicity attributed to BNCT was observed. The median time to local disease progression following BNCT was 6 months (range 2.7 to 9.0). The median time to local disease progression was longer in patients who received a higher tumor dose. The median survival time from diagnosis was 13.5 months. CONCLUSION: It is feasible to safely deliver a single fraction of BPA-based BNCT. At the dose prescribed, the patients did not experience any morbidity. To further evaluate the therapeutic efficacy of BNCT, a dose-escalation study delivering a minimum target volume dose of 17 Gy-Eq is in progress.     

Influence of neutron irradiation on Eudragit coated tablets: validation of neutron activation II

Enteric coated dexchlorpheniramine maleate (DCPA) tablets and pellets with varying coating thickness were subjected to several in vitro tests after irradiation by thermal neutrons in a flux of 1. 1 x 10(13) n cm-2 s-1 for 2, 4 or 15 min. The appearance of the tablet formulation changed extensively after exposure of the tablets to pile radiation. The irradiation caused the film to loosen from the surface of the core, indicating the generation of gases during the irradiation process. Already after irradiating the tablets for 2 min the disintegration and dissolution behaviour were significantly changed. The extent of tablet damage increased with increasing time of exposure and increasing thickness of the coating. Compared with the tablet formulation, the cores could resist a larger amount of irradiation since dissolution behaviour of the cores was only affected after 15 min of irradiation. This indicates that the irradiation procedure initially affects the coating of the formulation. Although the dissolution behaviour of the pellet formulations changed significantly after the irradiation procedure, the changes were too small to be attributed exclusively to radiation damage.     

Improvements to the in vivo measurement of cadmium in the kidney by neutron activation analysis

The McMaster University in vivo cadmium measurement system has been upgraded. Two large surface area hyperpure germanium planar detectors (51 mm diameter x 21 mm depth) are now employed for the detection of the 559 keV gamma-ray signal from cadmium. Phantom studies indicate that the new detectors have significantly improved the system. The detection limit in kidney phantoms has been reduced from 8.9 to 3.8 mg for the same dose and measurement time.     

Determination of nanogram amounts of iodine in foods by radiochemical neutron activation analysis

Three different neutron activation analysis methods have been developed for the determination of ppb levels of iodine in food samples. The methods are based on the separation of iodine using (i) toluene extraction followed by bismuth sulfide coprecipitation; (ii) bismuth sulfide coprecipitation followed by radiochemical purification with palladium iodide; and (iii) radiochemical isolation by bismuth sulfide coprecipitation. The accuracy of these methods was evaluated by analysing replicate samples of reference materials. The measured values of iodine in A-11 Milk Powder, H-4 Animal Muscle and H-9 Mixed Human Diet from the International Atomic Energy Agency (IAEA) are statistically indistinguishable from the IAEA recommended values, and those for the Standard Reference Materials 1571 Orchard Leaves and 1577 Bovine Liver from the National Institute of Standards and Technology (NIST) are in good agreement with the NIST information values. The precision, in terms of relative standard deviation, is 5% at 50-100 ppb and 10% at 5-20 ppb levels of iodine. The absolute detection limits of these methods vary between 0.5 and 10 ng of iodine. All three methods were used to measure the iodine content of several food samples. The method involving bismuth sulfide coprecipitation followed by radiochemical purification provides the best detection limit and highest precision.     

T-cell activation: interplay at the interface

Recent studies have shown that, when a T cell interacts with a cognate antigen-presenting cell, an organized adhesive contact is formed between the two cells by a process which involves the dynamic, three-dimensional redistribution of entire signaling assemblies.     

Determination of hydrogen in titanium alloys by cold neutron prompt gamma activation analysis

Cold neutron prompt gamma-ray activation analysis (CNPGAA) has proven useful for the analysis of hydrogen in titanium alloys. The analysis is nondestructive, measures the entire sample, and the results are independent of the chemical form of hydrogen present. We have used the technique to measure H mass fractions as low as 50 mg/kg in titanium-alloy jet-engine compressor blades and to measure hydrogen in standards for neutron tomography.     

Benchmarking the MCNP code for Monte Carlo modelling of an in vivo neutron activation analysis system

The Monte Carlo computer code MCNP (version 4A) has been used to develop a personal computer-based model of the Swansea in vivo neutron activation analysis (IVNAA) system. The model included specification of the neutron source (252Cf), collimators, reflectors and shielding. The MCNP model was 'benchmarked' against fast neutron and thermal neutron fluence data obtained experimentally from the IVNAA system. The Swansea system allows two irradiation geometries using 'short' and 'long' collimators, which provide alternative dose rates for IVNAA. The data presented here relate to the short collimator, although results of similar accuracy were obtained using the long collimator. The fast neutron fluence was measured in air at a series of depths inside the collimator. The measurements agreed with the MCNP simulation within the statistical uncertainty (5-10%) of the calculations. The thermal neutron fluence was measured and calculated inside the cuboidal water phantom. The depth of maximum thermal fluence was 3.2 cm (measured) and 3.0 cm (calculated). The width of the 50% thermal fluence level across the phantom at its mid-depth was found to be the same by both MCNP and experiment. This benchmarking exercise has given us a high degree of confidence in MCNP as a tool for the design of IVNAA systems.     

Measurements and analysis of neutron elastic scattering at 65 MeV

N-Acetylaspartylglutamate (NAAG), a prevalent peptide in the vertebrate nervous system, may be hydrolyzed by extracellular peptidase activity to produce glutamate and N-acetylaspartate. Hydrolysis can be viewed as both inactivating the peptide after synaptic release and increasing synaptic levels of ambient glutamate. To test the hypothesis that NAAG and the peptidase activity that hydrolyzes it coexist as a unique, two-stage system of chemical neurotransmission, 50 discrete regions of the rat CNS were microdissected for assay. In each microregion, the concentration of NAAG was determined by radioimmunoassay and the peptidase activity was assayed using tritiated peptide as substrate. The NAAG concentration ranged from 2.4 nmol/mg of soluble protein in median eminence to 64 in thoracic spinal cord. Peptidase activity against NAAG ranged from 54 pmol of glutamate produced per milligram of membrane protein per minute in median eminence to 148 in superior colliculus. A linear relationship was observed between NAAG peptidase and NAAG concentration in 46 of the 50 areas, with a slope of 2.26 and a correlation coefficient of 0.45. These data support the hypothesis that hydrolysis of NAAG to glutamate and N-acetylaspartate is a consistent aspect of the physiology and metabolism of this peptide after synaptic release. The ratio of peptide concentration to peptidase activity was > 0.3 in the following four areas: ventrolateral medulla and reticular formation where the peptide is concentrated in axons of passage, thoracic spinal cord, where NAAG is concentrated in ascending sensory tracts as well as motoneuron cell bodies, and ventroposterior thalamic nucleus.     

罩式炉国产化改造耐火材料应用新进展

本文介绍了罩式炉国产化改造过程中 ,以国产耐火材料替代进口高级耐火材料作炉衬的应用及进展。     

某生产准备区实验室供电系统设计改进

对某生产准备区实验室设计电气施工图纸进行审查后认为,供电系统选择不合理,经济性差,需重新设计。本文介绍了新的设计方案、母线槽的主要性能及优越性,分析了母线槽在实验室中的应用。     

管线钢冲击性能的实验研究

采用系列温度仪器化冲击实验的方法,对在特殊环境下使用的管线钢冲击断裂各阶段的能量变化情况及冲击断口的SEM形貌进行了研究.结果表明,该试验钢的抗塑性变形能力、抗裂扩展能力均随温度降低而降低.通过对各个实验温度下的特征值进行比较分析,掌据了材料微观断裂过程的变化情况,为采取相应措施,提高该钢种的低温冲击性能提供了依据.