Boron Neutron Capture Therapy (BNCT) can be considered as a targeted radiation therapy (biologically and physically targeted) that selectively destroys cancer cells. Cancer cells take in specific compounds that contain an explosive – the Boron-10. When the boron-10 irradiates with thermal neutrons, it captures a neutron and explodes. The range of the explosion is so small that only the cancer cell itself gets damaged, sparing the normal cells nearby.
The patient is injected with a compound containing boron-10, such as boric acid (BA).
These compounds are selectively taken up by cancer cells due to their high metabolic rate or other biological specificities (such as antibody-antigen reaction).
The tumor region is exposed to a beam of thermal neutrons, which causes the boron-10 atoms to capture the neutrons and release high-energy particles - alpha particles and lithium ions.
The high-energy particles released by the neutron capture reaction caused damages inside the cancer cells, while sparing healthy tissue.
After treatment, cancer cells disappeared, and normal cells remained .
BNCT has several advantages over other cancer treatments. It is a targeted therapy, meaning it selectively destroys cancer cells while minimizing damage to healthy tissue. It also has the potential to treat tumors that are resistant to conventional radiation therapy or chemotherapy.
BNCT is an internal targeted therapy, which is based on the specific accumulation of the boron drug in tumor cells. If the boron drug can be concentrated in the tumor and then exposed to thermal neutrons, the tumor would selectively receive a higher dose compared to normal tissues. Unlike most other radiation therapies (that can only treat tumors or cancer cells that is visible via PET or MRI image), BNCT therapy also kills cancer cells that are undetected (the cell cluster is too small to be seen under existing imaging technology). This feature may reduce cancer recurrence rate.
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