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Background and purpose: Recent observations in animal models show that ultra-high dose rate ("FLASH") radiation treatment significantly reduces normal tissue toxicity maintaining an equivalent tumor control. The dependence of this "FLASH"…

Biological Physics · Physics 2021-07-22 Daria Boscolo , Emanuele Scifoni , Marco Durante , Michael Krämer , Martina C. Fuss

Background: Experiments have reported low normal tissue toxicities during FLASH radiation, but the mechanism has not been elaborated. Several hypotheses have been proposed to explain the mechanism. The oxygen depletion hypothesis has been…

Medical Physics · Physics 2024-07-11 Ankang Hu , Rui Qiu , Zhen Wu , Chunyan Li , Hui Zhang , Junli Li

Recent results from animal irradiation studies have rekindled interest in the potential of ultra-high dose rate irradiation (also known as FLASH) for reducing normal tissue toxicity. However, despite mounting evidence of a "FLASH effect", a…

Medical Physics · Physics 2019-08-06 Guillem Pratx , Daniel S Kapp

FLASH radiation has been reported to efficiently suppress tumor growth while sparing normal tissue, however, the mechanism of the differential tissue sparing effect is still not known. Oxygen has long been known to profoundly impact…

Medical Physics · Physics 2022-12-29 Hongyu Zhu , Jan Schuemann , Qixian Zhang , Leo E Gerweck

It has been postulated that the delivery of radiotherapy at ultra-high dose rates ("FLASH") reduces normal tissue toxicities by depleting them of oxygen. The fraction of normal tissue and cancer cells surviving radiotherapy depends on dose…

Medical Physics · Physics 2022-05-18 Edward Taylor , Richard P. Hill , Daniel Letourneau

Purpose: Recent studies suggest ultra-high dose rate (FLASH) irradiation can spare normal tissues from radiotoxicity, while efficiently controlling the tumor, and this is known as the FLASH effect. This study performed theoretical analyses…

Medical Physics · Physics 2021-09-02 Hongyu Zhu , Junli Li , Xiaowu Deng , Rui Qiu , Zhen Wu , Hui Zhang

FLASH radiotherapy (FLASH-RT) is a new modality of radiotherapy by delivering doses with ultra-high dose rates. FLASH-RT has the ability to suppress tumor growth while sparing normal tissues, known as the FLASH effect. Although FLASH effect…

Objective: Radiolytic oxygen depletion (ROD) may play a role in the sparing of cells irradiated with ultra-high dose rates. Different methods have been used to quantify the effect of ROD during FLASH irradiation on cell survival, typically…

Medical Physics · Physics 2026-02-25 Juan Pardo-Montero , Isabel González-Crespo

Purpose: Our aim was to elucidate the critical factors responsible for inducing the FLASH effect, focusing on the role of free radicals through simulation and experimental approaches. Methods and Materials: The whole abdomen of C57BL/6 mice…

Purpose: This study aims to investigate the impact of the beam temporal profile on the radical dynamics and inter-track interactions of FLASH radiotherapy, supporting parameter optimization for the equipment development and clinical…

FLASH radiotherapy (FLASH-RT) achieves tumor control comparable to conventional dose-rate irradiation (CONV-RT) while significantly reducing radiation damage to normal tissues. However, the physical conditions triggering the FLASH sparing…

Objective: This study aims to investigate the influence of organ architecture (specifically the distinction between serial and parallel tissue) on the protective FLASH effect when organs are irradiated with inhomogeneous dose distributions.…

Medical Physics · Physics 2026-04-29 Juan Pardo-Montero

We present the newly-incorporated gray radiation hydrodynamics capabilities of the FLASH code based on a radiation flux-limiter aware hydrodynamics numerical implementation designed specifically for applications in astrophysical problems.…

Solar and Stellar Astrophysics · Physics 2019-08-27 Emmanouil Chatzopoulos , Klaus Weide

Radiation chemistry of model systems irradiated with ultra-high dose-rates (UHDR) is key to obtain a mechanistic understanding of the sparing of healthy tissue, which is called the FLASH effect. It is envisioned to be used for efficient…

Medical Physics · Physics 2025-11-03 Marc Benjamin Hahn

The FLASH effect refers to a lower normal tissue damage for an equivalent tumour response, potentially widening the therapeutic window for radiotherapy. Although this effect has been demonstrated in various experiments using different types…

Medical Physics · Physics 2025-01-29 Mathilde Toschini , Isabella Colizzi , Antony John Lomax , Serena Psoroulas

The mechanism responsible for the FLASH effect, normal tissue sparing by ultra-high dose rate (UHDR) irradiation with isoeffective tumor control compared to conventional dose rate (CDR) irradiation, remains undetermined. Here we investigate…

This study presents a mathematical model formulated as a system of first-order non-linear ordinary differential equations, aimed at examining the effects of different factors, classified as local and systemic factors on a wound healing…

Other Quantitative Biology · Quantitative Biology 2025-09-16 Alinafe Maenje , Joseph Malinzi

While spatial dose conformity delivered to a target volume has been pushed to its practical limits with advanced treatment planning and delivery, investigations in novel temporal dose delivery are unfolding new mechanisms. Recent advances…

Purpose: To investigate experimentally, if FLASH irradiation depletes oxygen within water for different radiation types such as photons, protons and carbon ions. Methods: This study presents measurements of the oxygen consumption in sealed,…

We present a first-principles molecular dynamics (MD) simulation and expound upon a mechanism of oxygen depletion hypothesis to explain the mitigation of normal tissue injury observed in ultra-high-dose-rate (UHDR) FLASH radiotherapy. We…

Medical Physics · Physics 2021-06-09 Ramin Abolfath , David Grosshans , Radhe Mohan
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