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Analysis of oral mucositis onsets for Carbon-ion radiotherapy of head and neck cancer

Research Project

Project/Area Number 15K19769
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Radiation science
Research InstitutionGunma University

Principal Investigator

MUSHA ATSUSHI  群馬大学, 重粒子線医学推進機構, 助教 (60637122)

Project Period (FY) 2015-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2016: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2015: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords口腔粘膜炎 / 粒子線治療 / 放射線治療
Outline of Final Research Achievements

We applied a surface model using 3D treatment planning for Carbon-ion radiotherapy and Intensity-modulated radiation therapy of head and neck cancer. We analyzed the maximum and mean dose and dose-volume histogram associated with acute radiation mucositis in head and neck cancers patients. The location of the acute radiation mucositis coincided with the high-dose anatomical region in the Oral mucosal dose surface model. Using this model, there was a clear dose-response relationship between maximum and mean dose and acute radiation mucositis grade, as assessed by the RTOG criteria.
In addition, this model may facilitate early support for performing oral care when related toxicity can be predicted. This model is a useful tool for sharing information regarding radiation mucositis with both the entire medical staff and the patient, since it is a 3D image that is easy to interpret and predicts which patients are at a high risk for radiation mucositis in corresponding anatomical sub-regions.

Academic Significance and Societal Importance of the Research Achievements

頭頸部癌における放射線治療時の口腔粘膜の写真撮影により口腔粘膜炎の詳細な発症部位を記録し、考案した粘膜線量モデルと対比させ、照射された線量との関連や口腔粘膜炎発症時期が明らかになった。重粒子線治療だけでなく高度変調放射線治療(IMRT)においても発症線量が解明された。本研究により口腔粘膜炎の発症線量や発症時期が明らかになった為、患者指導や医療従事者への情報提供が可能である。社会への還元性を考慮すると、IMRTにおける頭頸部癌の対象疾患は、頭頸部癌患者の9割以上を占める扁平上皮癌が多くを占める為、比較的放射線感受性が低い疾患が対象となる重粒子線治療に比べて社会への貢献度は高いといえる。

Report

(5 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (26 results)

All 2019 2018 2017 2016 2015

All Journal Article (11 results) (of which Int'l Joint Research: 7 results,  Peer Reviewed: 11 results,  Open Access: 8 results) Presentation (14 results) (of which Int'l Joint Research: 7 results) Book (1 results)

  • [Journal Article] Tongue surface model can predict radiation tongue mucositis due to intensity-modulated radiation therapy for head and neck cancer2019

    • Author(s)
      Atsushi Musha, Kyohei Fukata, Jun-ichi Saitoh, Katsuyuki Shirai, Takanori Abe, Tatsuji Mizukami, Motohiro Kawashima, Satoshi Yokoo, Kazuaki Chikamatsu, Tatsuya Ohno, Takashi Nakano
    • Journal Title

      International Journal of Oral and Maxillofacial Surgery

      Volume: in press

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Granular cell tumors of the tongue: fibroma or schwannoma2018

    • Author(s)
      Musha Atsushi、Ogawa Masaru、Yokoo Satoshi
    • Journal Title

      Head & Face Medicine

      Volume: 14 Issue: 1 Pages: 1-7

    • DOI

      10.1186/s13005-017-0158-9

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Clinicopathological investigation of odontogenic fibroma in tuberous sclerosis complex2018

    • Author(s)
      Musha A.、Yokoo S.、Takayama Y.、Sato H.
    • Journal Title

      International Journal of Oral and Maxillofacial Surgery

      Volume: 47 Issue: 7 Pages: 918-922

    • DOI

      10.1016/j.ijom.2018.03.025

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Prophylactic Oral Management of a Patient with Tuberous Sclerosis Taking Oral Everolimus2018

    • Author(s)
      武者 篤、一戸 達也、新谷 誠康、布施 亜由美、鈴木 奈穂、福島 圭子、大串 圭太、五味 暁憲、黒田 真右、辻野 啓一郎、横尾 聡
    • Journal Title

      Journal of the Japanese Society for Disability and Oral Health

      Volume: 39 Issue: 2 Pages: 154-159

    • DOI

      10.14958/jjsdh.39.154

    • NAID

      130007502111

    • ISSN
      0913-1663, 2188-9708
    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] A Case of Temporomandibular Joint Luxation after Mandibulectomy that Presented During Mouth Opening in Computed Tomographic Planning for Radiotherapy2018

    • Author(s)
      武者 篤、菅野 勇樹、小川 将、横尾 聡、熊澤 琢也、吉本 由哉、阿部 孝憲、水上 達治、白井 克幸、齋藤 淳一、大野 達也、中野 隆史
    • Journal Title

      Shika Hoshasen

      Volume: 58 Issue: 1 Pages: 15-18

    • DOI

      10.11242/dentalradiology.58.15

    • NAID

      130007491439

    • ISSN
      0389-9705, 2185-6311
    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Customized mouthpieces designed to reduce tongue mucositis in carbon-ion radiotherapy for tumors of the nasal and paranasal sinuses2017

    • Author(s)
      Musha Atsushi、Saitoh Jun-ichi、Shirai Katsuyuki、Kubota Yoshiki、Shimada Hirofumi、Abe Takanori、Komatsu Yuka、Komatsu Shuichiro、Ohno Tatsuya、Nakano Takashi、Yokoo Satoshi
    • Journal Title

      Physics and Imaging in Radiation Oncology

      Volume: 3 Pages: 1-4

    • DOI

      10.1016/j.phro.2017.07.003

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Clinical Outcomes of Definitive and Postoperative Radiotherapy for Stage I-IVB Hypopharyngeal Cancer.2016

    • Author(s)
      Shirai K, Saitoh JI, Musha A, Abe T, Kobayashi D, Takakusagi Y, Takaysu Y, Shino M, Toyoda M, Takahashi K, Chikamatsu K, Ohno T, Nakano T.
    • Journal Title

      Anti Cancer Research

      Volume: 36 Issue: 12 Pages: 6571-6578

    • DOI

      10.21873/anticanres.11261

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Oral mucosal melanoma treated with carbon ion radiotherapy: a case report2016

    • Author(s)
      Musha A, Saitoh JI, Shirai K, Yokoo S, Ohno T, Nakano T
    • Journal Title

      Journal of Medical Case Reports

      Volume: 10(1) Issue: 1 Pages: 284-284

    • DOI

      10.1186/s13256-016-1071-8

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 口腔癌術後の化学放射線療法直後に発症した急性呼吸促迫症候群 (Acute Respiratory Distress Syndrome: ARDS) の1例.2016

    • Author(s)
      武者 篤, 白井 克幸, 齋藤 淳一, 渋谷 圭, 大野 達也, 中野 隆史, 高山 優, 横尾 聡.
    • Journal Title

      歯科放射線

      Volume: 56 Pages: 39-41

    • NAID

      130005249487

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Prediction of acute radiation mucositis using an oral mucosal dose surface model in carbon ion radiotherapy for head and neck tumors.2015

    • Author(s)
      Musha A, Shimada H, Shirai K, Saitoh J, Yokoo S, Chikamatsu K, Ohno T, Nakano T.
    • Journal Title

      PLoS ONE

      Volume: 10 Issue: 10 Pages: e0141734-e0141734

    • DOI

      10.1371/journal.pone.0141734

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Evaluation of therapeutic gain for fractionated carbon-ion radiotherapy using the tumor growth delay and crypt survival assays.2015

    • Author(s)
      Yoshida Y, Ando K, Ando K, Murata K, Yoshimoto Y, Musha A, Kubo N, Kawamura H, Koike S, Uzawa A, Takahashi T, Ohno T, Nakano T.
    • Journal Title

      Radiother Oncol.

      Volume: 117 Issue: 2 Pages: 315-317

    • DOI

      10.1016/j.radonc.2015.09.027

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Presentation] 口腔粘膜表面線量モデルを利用したマウスピースによる口腔粘膜炎発症予防2018

    • Author(s)
      武者 篤, 横尾 聡
    • Organizer
      第36回日本口腔腫瘍学会総会・学術大会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 強度変調放射線治療における口腔粘膜炎発症線量の予測2017

    • Author(s)
      武者 篤, 横尾 聡
    • Organizer
      第35回日本口腔腫瘍学会総会・学術大会
    • Related Report
      2017 Research-status Report
  • [Presentation] Prediction of acute radiation mucositis using an oral mucosal dose surface model in intensity modulated radiation therapy for head and neck tumors2017

    • Author(s)
      Atsushi Musha,Kyohei Fukata,Hirofumi Shimada,Katsuyuki Shirai,Jun-ichi Saitoh,Takanori Abe,Yuka Shigeta,Satoshi Yokoo,Tatsuya Ohno,Takashi Nakano.
    • Organizer
      The 7th International Society of Radiation Neurobiology Conference
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Prediction of acute radiation mucositis using an oral mucosal dose surface model in Intensity Modulated Radiation Therapy for head and neck tumors2017

    • Author(s)
      A. Musha, S. Yokoo
    • Organizer
      23rd International Conference on Oral and Maxillofacial Surgery
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Customized mouthpiece in reducing tongue mucositis in carbon-ion radiotherapy for nasal tumors; technical report2017

    • Author(s)
      Atsushi Musha, Jun-ichi Saitoh, Katsuyuki Shirai, Yoshiki Kubota, Hirofumi Shimada, Takanori Abe, Satoshi Yokoo, Tatsuya Ohno, Takashi Nakano
    • Organizer
      56th Annual Meeting of Particle Therapy Co-Operative Group
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 強度変調放射線治療における口腔粘膜炎発症線量の検討2017

    • Author(s)
      武者 篤,白井克幸,齋藤淳一,阿部孝憲,横尾 聡,近松一朗,大野達也,中野隆史
    • Organizer
      第41回日本頭頸部癌学会
    • Related Report
      2017 Research-status Report
  • [Presentation] Forecast accuracy of mucositis using an oral mucosal dose model in intensity modulated radiation therapy for head and neck.2017

    • Author(s)
      Atsushi Musha, Katsuyuki Shirai, Jun-ichi Saitoh, Takanori Abe, Satoshi Yokoo, Kazuaki Chikamatsu, Tatsuya Ohno, Takashi Nakano
    • Organizer
      ASTRO’S 59th Annual Meeting
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 重粒子線治療を受けた頭頸部腫瘍患者におけるQOLの定量的評価2016

    • Author(s)
      小此木みなみ, 武者 篤, 中村真美, 白井克幸, 齋藤淳一, 柳沢雅江, 今井裕子, 大野達也, 中野隆史
    • Organizer
      日本放射線腫瘍学会第29回学術大会
    • Place of Presentation
      京都
    • Year and Date
      2016-11-25
    • Related Report
      2016 Research-status Report
  • [Presentation] 強度変調放射線治療における口腔粘膜炎発症線量の予測2016

    • Author(s)
      武者 篤, 深田恭平, 島田博文, 白井克幸, 齋藤淳一, 阿部孝憲, 重田有香, 横尾 聡, 大野達也, 中野隆史
    • Organizer
      第61回日本口腔外科学会総会・学術大会
    • Place of Presentation
      千葉
    • Year and Date
      2016-11-25
    • Related Report
      2016 Research-status Report
  • [Presentation] 頭頸部重粒子線治療時の口腔粘膜表面線量モデルによる急性期口腔粘膜炎の推移2016

    • Author(s)
      武者 篤, 島田博文, 白井克幸, 齋藤淳一, 阿部孝憲, 小林大二郎, 横尾 聡, 近松一朗,大野達也, 中野隆史
    • Organizer
      第54回日本癌治療学会
    • Place of Presentation
      横浜
    • Year and Date
      2016-10-20
    • Related Report
      2016 Research-status Report
  • [Presentation] Temporal pattern of acute radiation mucositis by Oral Mucosal Dose Surface Model in Head and Neck Cancers Treated by Carbon Ion Radiotherapy2016

    • Author(s)
      Atsushi Musha, Hirofumi Shimada, Katsuyuki Shirai, Jun-ichi Saitoh, Takanori Abe, Daijiro Kobayashi, Satoshi Yokoo, Kazuaki Chikamatsu, Tatsuya Ohno, Takashi Nakano
    • Organizer
      ASTRO’S 58th Annual Meeting
    • Place of Presentation
      Boston
    • Year and Date
      2016-09-25
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Prediction of acute radiation mucositis using an oral mucosal dose surface model in carbon ion radiotherapy for head and neck tumors2015

    • Author(s)
      Atsushi Musha, Hirofumi Shimada, Katsuyuki Shirai, Jun-ichi Saitoh, Satoshi Yokoo, Kazuaki Chikamatsu, Tatsuya Ohno, Takashi Nakano
    • Organizer
      The 28th annual meeting of the Japanese society for radiation oncology
    • Place of Presentation
      Gunma
    • Year and Date
      2015-11-19
    • Related Report
      2015 Research-status Report
  • [Presentation] Carbon Ion Radiotherapy for Oral Mucosal Melanoma2015

    • Author(s)
      A.Musha, K. Shirai, J. Saitoh, S. Yokoo, T. Ohno, T. Nakano
    • Organizer
      22nd International Conference on Oral and Maxillofacial Surgery
    • Place of Presentation
      Melbourne
    • Year and Date
      2015-10-27
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] Acute Radiation Mucositis Evaluated by Oral Mucosal Dose Surface Model in Head and Neck Tumors Treated by Carbon Ion Radiotherapy2015

    • Author(s)
      Atsushi Musha, Hirofumi Shimada, Katsuyuki Shirai, Jun-ichi Saitoh, Satoshi Yokoo, Kazuaki Chikamatsu, Tatsuya Ohno, Takashi Nakano
    • Organizer
      15th International Congress of Radiation Research
    • Place of Presentation
      kyoto
    • Year and Date
      2015-05-25
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Book] 患者さんと家族のための放射線治療Q&A 2015年版 日本放射線腫瘍学会編2015

    • Author(s)
      武者 篤,他
    • Total Pages
      184
    • Publisher
      金原出版
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2020-03-30  

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