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The article deals with the development of the noise-reduction algorithm based on anisotropic nonlinear data filtering of computed tomography (CT). Analysis of domestic and foreign literature has shown that the most effective algorithms for noise reduction of CT data use complex methods for analyzing and processing data, such as bilateral, adaptive, three-dimensional and other types of filtrations. However, a combination of such techniques is rarely used in practice due to long processing time per slice. In this regard, it was decided to develop an efficient and fast algorithm for noise-reduction based on simplified bilateral filtration method with three-dimensional data accumulation. The algorithm was developed on C ++11 programming language in Microsoft Visual Studio 2015. The main difference of the developed noise reduction algorithm is the use an improved mathematical model of CT noise, based on the distribution of Poisson and Gauss from the logarithmic value, developed earlier by our team. This allows a more accurate determination of the noise level and, thus, the threshold of data processing. As the result of the noise reduction algorithm, processed CT data with lower noise level were obtained. Visual evaluation of the data showed the increased information content of the processed data, compared to original data, the clarity of the mapping of homogeneous regions, and a significant reduction in noise in processing areas. Assessing the numerical results of the algorithm showed a decrease in the standard deviation (SD) level by more than 6 times in the processed areas, and high rates of the determination coefficient showed that the data were not distorted and changed only due to the removal of noise. Usage of newly developed context dynamic threshold made it possible to decrease SD level on every area of data. The main difference of the developed threshold is its simplicity and speed, achieved by preliminary estimation of the data array and derivation of the threshold values that are put in correspondence with each pixel of the CT. The principle of its work is based on threshold criteria, which fits well both into the developed noise reduction algorithm based on anisotropic nonlinear filtration, and another algorithm of noise-reduction. The algorithm successfully functions as part of the MultiVox workstation and is being prepared for implementation in a single radiological network of the city of Moscow.

Optimization of antitumor radiotherapy represents an urgent issue, as approximately half of the patients diagnosed with cancer undergo radiotherapy during their treatment. Proton therapy is potentially more efficient than traditional X-ray radiotherapy due to fundamental differences in physics of dose deposition, leading to better targeting of tumors and less collateral damage to healthy tissue. There is increasing interest in the use of non-radioactive radiosensitizing tumor-specific nanoparticles the use of which can boost the performance of proton therapy. Such nanoparticles are small volumes of a sensitizer, such as boron-10 or various metal oxides, enclosed in a polymer layer containing tumor-specific antibodies, which allows for their targeted delivery to malignant cells. Furthermore, a combination of proton therapy with antiangiogenic therapy that normalizes tumor-associated microvasculature may yield further synergistic increase in overall treatment efficacy.

We have developed a spatially distributed mathematical model simulating the growth of a non-invasive tumor undergoing treatment by fractionated proton therapy with nanosensitizers and antiangiogenic therapy. The modeling results suggest that the most effective way to combine these treatment modalities should strongly depend on the tumor cells’ proliferation rate and their intrinsic radiosensitivity. Namely, a combination of antiangiogenic therapy with proton therapy, regardless of whether radiosensitizing nanoparticles are used, benefits treatment efficacy of rapidly growing tumors as well as radioresistant tumors with moderate growth rate. In these cases, administration of proton therapy simultaneously with antiangiogenic drugs after the initial single injection of nanosensitizers is the most effective option among those analyzed. Conversely, for slowly growing tumors, maximization of the number of nanosensitizer injections without antiangiogenic therapy proves to be a more efficient option, with enhancement in treatment efficacy growing with the increase of tumor radiosensitivity. However, the results also show that the overall efficacy of proton therapy is likely to increase only modestly with the addition of nanosensitizers and antiangiogenic drugs.

Here we demonstrate the results of kinetic modeilng of DNA double-strand breaks induction and repair and phosphorilated histone H2AX ($\gamma$-H2AX) and Rad51 foci formation in primary human fibroblasts exposed to low-LET ionizing radiation (IR). The model describes two major paths of DNA double-strand breaks repair: non-homologous end joining (NHEJ) and homologous recombination (HR) and considers interactions between DNA and several repair proteins (DNA-PKcs, ATM, Ku70/80, XRCC1, XRCC4, Rad51, RPA, etc.) using mass action equations and Michaelis–Menten kinetics. Experimental data on DNA rejoining kinetics and $\gamma$-H2AX and Rad51 foci formation in vicinity of double strand breaks in primary human fibroblasts exposed to low-LET IR with various dose rates and exposure times was utilized for training and statistical validation of the model.