Beam pulse structure affects the magnitude of Flash effect in zebrafish embryo

Purpose/Objective
In a previous experiment at the HZDR research electron accelerator ELBE high mean dose rates of 105 Gy/s in combination with partial oxygen pressure below 5 mmHg protect zebrafish embryo from radiation damage compared to continuous reference irradiation (mean dose rate of 0.11 Gy/s) and higher oxygen pressure (Pawelke et al. Radiother Oncol 2021). However, the influence of beam pulse structure on the radiation response remains unanswered and should be resolved in an upcoming experiment.
Material/Methods
In addition to the Flash and the reference regime, the ELBE accelerator was used to mimic the pulse structure of a clinical electron linac delivering a dose of 28 Gy by 5 pulses at a frequency of 250 Hz. For comparison, a fourth regime of similar mean dose rate, but continuous beam (280 Gy/s) mimicking FLASH irradiation at a isochronous proton cyclotron (Beyreuther et al. Radiother Oncol 2019) was applied. Wild type zebrafish embryo (24 hpf) were irradiated and the radiation induced malformation were studied during the four day follow up for all four regimes. Zebrafish embryo irradiation was performed under low oxygen pressure and the depletion of depletion during irradiation was measured online.
Results
Compared to the reference regime a protecting Flash effect was found the three other pulse regimes for endpoints, except embryo survival. Analysing the radiation induced malformation more detailed significant correlations to mean and pulse dose rate are revealed. Surprisingly, the beam delivery in macro pulses (Linac regime) reduces the Flash effect relative to delivery at the same pulse dose rate but in a single pulse.
Conclusion.
The ELBE electron accelerator can be applied to study the influence of beam dose rate and pulse structure on the Flash effect by varying both parameters over several orders of magnitude. Hence, ELBE is an ideal tool for systematic studies on optimal electron beam parameters for Flash, including pulse structures that are relevant for clinical application.