Publications Repository - Helmholtz-Zentrum Dresden-Rossendorf

Background and Aims

A prominent explanation of the FLASH effect is the oxygen depletion hypothesis, in which the radiolysis of water or cytoplasm produces radicals that react with the O2 dissolved in the water or cytoplasm. This would result in an oxygen depletion leading to a hypoxic target and hence radiation protection effect based on the Oxygen Enhancement Ratio. The presented study aims to investigate the impact of beam pulse structure on oxygen depletion and its correlation with biological endpoints.
Methods

O2 depletion was measured using 30 MeV electron irradiation on a sealed water target. Read-out was performed using TROXSP5 sensors. The beam pulse structure was altered to assess 4 different regimes of average and beam pulse dose rate.
At clinical doses, not enough O2 was consumed to explain a FLASH effect due to radiation-induced hypoxia. The amount of O2 depleted per dose depends on the dose rate, and slightly less O2 is removed at higher dose rates, suggesting radical-radical reactions as a possible mechanism of the FLASH effect. Furthermore, our results regarding the pulse structures showed that the average dose rate seems to dominate the pulse dose rate in terms of radical production and O2 depletion. The direct comparison of the depletion measurements presented here with biological experiments on zebrafish embryos from another study also showed that there was a strong correlation between O2 depletion and biological radiation response (FIG 1). The results emphasize that the FLASH effect in biological tissues is likely to be explained by decreased effective radical production at high dose rates.
Conclusions

In the tested beam parameters, the mean dose rate has the most pronounced effect on O2 depletion. Depletion measurements showed a clear correlation with biological data, from which FLASH effects can be largely explained by changes in radical production.