BNCT treatments take place in VTT’s research reactor
17.08.2007

New results published in the Int. Journal of Radiation Oncology, Biology, Physics in August 2007 on BNCT (Boron Neutron Capture Therapy) treatments of patients, carried out in Finland, indicate that BNCT is an effective treatment for head and neck cancer. The treatments are carried out in cooperation between Boneca Oy, VTT and the Helsinki University Central Hospital’s Department of Oncology in a treatment station in VTT's research reactor in Espoo. The results of the treatments are presented in the web site of Boneca Oy.
VTT produces the neutron radiation required for the treatment by its research
reactor, FiR 1, which has been converted into a top level BNCT facility. Its
power output is 250 kW. VTT has developed FLUENTAL™ neutron moderator material
for the BNCT treatment station. The FLUENTAL carrier optimises the energy of
the neutrons to an efficient and safe level. The BNCT technology developed by
VTT as well as the FLUENTAL moderator are used also in other BNCT projects.
Story
of VTT’s research reactor: FROM RESEARCH AND TEACHING USE TO A BNCT TREATMENT
STATION
The history of VTT’s research reactor shows how
VTT adjusts its technologies with the changes of the markets.
1960s
Finland's first nuclear reactor was built in Espoo. It reached first
criticality on 27 March 1962. The FiR 1 reactor first served as a research and
teaching reactor in the field of nuclear technology. It was also used for
production of isotopes. The reactor's original thermal power output was raised
from 100 kW to 250 kW.
1970s
The FiR
1 reactor has belonged to and operated by VTT since 1972. Geological Survey of
Finland (GTK) utilised VTT's expertise in neutron activation analysis in its
survey of Finnish soils. Service analyses connected with ore prospecting were
offered to companies.
1980s
Radiopharmaceutical
expertise was developed for the treatment of rheumatism and bone marrow
cancer. This expertise gave rise to one of VTT's first spin-off companies: MAP
Medical Technologies (Tikkakoski). At first, MAP's radiopharmaceutical drugs
were used to treat patients; at present, the products are mainly connected
with diagnostic imaging of tissues and tumours. A time-of-flight
diffractometer device was developed for structural analysis (such as DNA).
The
main part of radioactive isotopes produced in the reactor are still used by
the industry; for example by one of VTT’s spin-off companies, Indmeas Oy.
1990s
VTT
developed the first low-power reactor operating at epithermal neutron energies
to be used for the treatment of intracranial tumours. Epithermal neutron beam
is able to penetrate bone and reach the cancerous tissue. VTT developed the
FLUENTAL™ carrier for BNCT, making highly effective neutron beams possible.
Dosimetric measurements, radiobiological examinations, radiation dose
calculations and development of the boron carrier took place in cooperation
with various research partners. Construction of a treatment station was
carried out and VTT's research reactor was converted into a BNCT treatment
station for the treatment of intracranial tumours. The preclinical research
phase (dosimetric measurements, measurement of radiation doses,
radiobiological research and development of the boron carrier) was carried
through in a project coordinated by the HYKS Institute together with different
research partners such as the University of Helsinki, the Helsinki University
Central Hospital and the Radiation and Nuclear Safety Authority STUK. Radtek
Oy was established to finance the technical realisation of the treatment
station. NC-Hoito Oy was established to organise the operation of the
treatment station. The Radiation and Nuclear Safety Authority authorised
NC-Hoito Oy to commence BNCT treatments, and the Helsinki University Central
Hospital's ethics committee and the National Agency for Medicines subsequently
approved the commencement of clinical research.
The first
patient was treated in 1999. The Finnish BNCT project was funded by VTT, the
Helsinki University Central Hospital, Clinical Research Institute Helsinki
University Central Hospital, University of Helsinki, the Academy of Finland,
the National Technology Agency Tekes and the European Union.
2000
and onwards
Boneca Oy signed framework agreements with
the Hospital District of Helsinki and Uusimaa HUS and VTT on the development
of BNCT treatments, and treatment collaboration with the Helsinki University
Central Hospital's Department of Oncology begins. Treatment was extended from
brain tumours to head and neck cancer as well. Clinical auditing of the
treatment operations were carried out in 2005. The first results of the
clinical research programme were published in August 2007.
BNCT
treatments as well as BNCT teaching and research activities are the most
important motive to keep up the reactor. The production of industrial isotopes
is significant nationally. The Technical University of Helsinki and the
Technical University of Lappeenranta use the FiR 1 reactor in teaching of
nuclear technique. It is also used for nuclear safety teaching in Finland,
Sweden and of IAEA.
Photo: BNCT
treatment station
