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As radiações ionizantes são provenientes tanto de fontes naturais como de fontes antropogênicas. A radioterapia emergiu como uma das terapias mais comuns no combate ao câncer. Irradiadores de Co-60 (aceleradores lineares de cobalto- 60) são usados para tratamento de tumores malignos rotineiramente em hospitais de todo o mundo. Exposições às radiações ionizantes podem induzir alterações nas macromoléculas celulares e afetar suas funções, pois causam radiólise da molécula de água gerando espécies reativas do oxigênio, que podem causar danos a praticamente todas as organelas e constituintes da célula, conhecidos como danos oxidativos, que podem culminar no estresse oxidativo. O estresse oxidativo é a situação na qual foi rompido o equilíbrio entre oxidantes e antioxidantes, com excessiva produção de espécies reativas, não acompanhada do aumento da capacidade antioxidante, inviabilizando assim, a neutralização das mesmas. O selênio é um micronutriente considerado antioxidante e antiinflamatório, que poderia prevenir o câncer. No sistema biológico o selênio existe na forma de selenoproteínas. Até o presente momento, 25 selenoproteinas humanas já foram identificadas, entre elas a enzima Glutationa peroxidase, uma enzima antioxidante. Leveduras têm a capacidade de incorporar diversos metais tais como ferro, cádmio, zinco e selênio, assim como todos os organismos biológicos. A levedura Saccharomyces cerevisiae, ao contrário das células de mamíferos é desprovida de selenoproteínas, sendo considerada como um modelo prático para estudos de toxicidade do selênio, sem qualquer interferência do metabolismo de selenoproteínas. Além disso, células de leveduras proliferam-se por meio de da fermentação, o equivalente microbiano da glicólise aeróbia em mamíferos que é o processo utilizado por tumores. Vários relatos mostram que os efeitos pró-oxidantes e tóxicos induzidos por compostos de selênio ocorrem em doses mais baixas em células malignas quando comparadas às células normais dando ao selênio um grande potencial terapêutico no tratamento do câncer. Nosso objetivo foi verificar se o selênio desempenha função radiossenbilizadora em células de levedura ao serem desafiadas com radiação ionizante (60Co) . Para isso foi avaliado se o selênio causa danos oxidativos para a célula e morte celular. Em seguida foi avaliado se ocorre diferença nos danos oxidativos após as células serem tratadas com selênio e irradiação gama. Nossos resultados demonstraram que o selênio exerce função radiossensibilizadora e tem papel oxidante nas células de levedura. / Ionizing radiations are from both natural sources such as from anthropogenic sources. Recently, radiotherapy has emerged as one of the most common therapies against cancer. Co-60 irradiators (cobalt-60 linear accelerators) are used to treat of malignant tumors routinely in hospitals around the world. Exposure to ionizing radiation can induce changes in cellular macromolecules and affect its functions, because they cause radiolysis of the water molecule generating reactive oxygen species, which can cause damage to virtually all organelles and cell components known as oxidative damage that can culminate in oxidative stress. Oxidative stress is a situation in which the balance between oxidants and antioxidants is broken resulting in excessive production of reactive species, it is not accompanied by the increase in antioxidant capacity, making it impossible to neutralize them. Selenium is a micronutrient considered as antioxidant, antiinflammatory, which could prevent cancer. Selenium in biological system exists as selenoproteins. Nowdays, 25 human selenoproteins have been identified, including glutathione peroxidase, an antioxidant enzyme. Yeasts have the ability to incorporate various metals such as iron, cadmium, zinc and selenium, as well as all biological organisms. The yeast Saccharomyces cerevisiae, unlike mammalian cells is devoid of selenoproteins, being considered as a practical model for studies on the toxicity of selenium, without any interference from the metabolism of selenoproteins. Moreover, yeast cells proliferate through the fermentation, the microbial equivalent of aerobic glycolysis in mammals and the process is also used by tumors. Several reports show that the pro-oxidante effects and induced toxic selenium compounds occur at lower doses and in malignant cells compared with benign cells. Therefore selenium giving a great therapeutic potential in cancer treatment .Our objective was to determine whether selenium is capable to sensitize yeasts cells when they are challenged with ionizing radiation produced by 60Co. For this, we assessed whether selenium causes oxidative damage to cell and cell death. After that, we assessed whether differences in the oxidative damage occurs after the cells be treated with selenium and gama irradiation. Our results showed that selenium has a rdiosensitizing function playing a oxidant role in yeast cell.

Despite advances in technology and understanding of biological systems in the past two decades, modern drug discovery is still a lengthy, expensive, difficult and inefficient process with low rate of new therapeutic discovery. The search for new effective drugs remains a somewhat empirical process. There is compelling need for a more fundamental, mechanistic understanding of human cancers and anticancer drugs to design more appropriate drugs. Radiotherapy is still the major therapy of cancer. It uses high-energy ionizing radiation such as x-rays and charged particle beams to destroy cancer cells. DNA is well known to be the principal biological target of radiotherapy, but the molecular mechanism of ionizing radiation induced DNA damage was elusive. The conventional thought of the ???OH radical as the major origin for ionizing radiation induced DNA damage is questionable. Although various strategies and types of compounds have been designed and developed as potential radiosensitizers to enhance the radiosensitizing efficiency of radiotherapy, none of them have been approved for clinical use. The general outcomes of clinical trials have been disappointing. This thesis presents an innovative molecular-mechanism-based drug discovery project to develop novel drugs for effective radiotherapy of cancer through the emerging femtomedicine approach. Its ultimate goal is to develop more effective radiosensitizers, based on our unique molecular understandings of ionizing radiation induced DNA damage and halopyrimidines as a family of potential radiosensitizers. Direct, real-time observation of molecular reactions is of significant importance in diverse fields from chemistry and biology, environmental sciences to medicine. Femtosecond time-resolved laser spectroscopy (fs-TRLS) is a very powerful, direct technique for real-time observation of molecular reactions. Its key strength lies in short duration laser flashes of a time scale at which reactions actually happen - femtoseconds (fs) (1fs = 10???15 second). Since the late 1980s, its application to study chemical and biological systems led to the births of new subfields of science, called femtochemistry and femtobiology. Recently, femtomedicine has been proposed as a new transdisciplinary frontier to integrate ultrafast laser techniques with biomedical methods for advances in fundamental understandings and treatments of major human diseases. This the remarkable opportunity afforded through real-time observation of biochemical reactions at the molecular level. Femtomedicine holds the promise of advances in the radiotherapy of cancer. Several important findings were made in this thesis. First, our results of careful and high-quality fs-TRLS measurements have resolved the long existing controversies about the physical nature and lifetimes of a novel ultrashort-lived electron species (epre???) generated in radiolysis of water. These results have not only resolved the large discrepancies existing in the literature but provided new insights into electron hydration dynamics in bulk water. Such information is important for quantitative understanding and modeling of the role of non-equilibrium epre??? in electron-driven reactions in diverse environmental and biological systems, from radiation chemistry and radiation biology to atmospheric ozone depletion. Second, our fs-TRLS results have unraveled how epre??? plays a crucial role in ionizing radiation induced DNA damage. We found that among DNA bases, only T and especially G are vulnerable to a dissociative electron transfer (DET) reaction with epre??? leading to bond breaks, while the electron can be stably trapped at C and especially A to form stable anions. The results not only challenge the conventional notion that damage to the genome by ionizing radiation is mainly induced by the oxidizing ???OH radical, but provide a deeper fundamental understanding of the molecular mechanism of the DNA damage caused by a reductive agent (epre???). Our findings have led to a new molecular mechanism of reductive DNA damage. Third, halopyrimidines, especially BrdU and IdU, have passed Phase I to II clinical trials as potential hypoxic radiosensitizers, but the outcome of Phase III clinical trials was disappointing. Our results of fs-TRLS studies have provided a new molecular mechanism of action of halopyrimidines (XdUs, X=F, Cl, Br and I) in liquid water under ionizing radiation. We found that it is the ultrashort-lived epre???, rather than the long-lived ehyd???, that is responsible for DET reactions of XdUs. This reaction leads to the formation of the reactive dU??? radical, which then causes DNA strand breaks and cancer cell death. Our results have challenged a long accepted mechanism that long-lived ehyd??? would be responsible for the radical formation from halogenated molecules. Furthermore, we found that the DET reaction efficacy leading to the formation of the reactive dU??? radical is in the order of FdU << CldU < BrdU < IdU. Thus, only BrdU and IdU could be explored as potential radiosensitizers, in agreement with the results of bioactivity tests and clinical trials. Fourth, our fs-TRLS studies have provided a molecular mechanism for the DNA sequence selectivity of BrdU and IdU in radiosensitization. We found the DET reactions of BrdU/ IdU with dAMP*??? and dGMP*??? formed by attachment of epre??? generated by radiolysis of water in aqueous BrdU-dAMP/dGMP and IdU-dAMP/dGMP complexes under ionizing radiation. This new mechanistic insight into the interaction of BrdU and IdU with DNA provides clues to improve the halogen familty as potential radiosensitizers and to develop more effective radiosensitizers for clinical applications. Fifth, based on our molecular mechanistic understandings of DNA damage induced by ionizing radiation and halopyrimidines as potential radiosensitizers, we develop more effective new radisensitizing drug candidates through the femtomedicine approach. We have performed a fs-TRLS study of the DET reaction of a candidate compound (RS-1) with epre???, and found that the DET reaction of epre??? with RS-1 is much stronger than that of IdU (and certainly BrdU and CldU). Moreover, we have tested the radiosensitizing effect of RS-1 against human cervical cancer (HeLa) cells exposed to various doses of x-ray irradiation through DNA damage measurements by gel electrophoresis and cell viability/death assays by MTT. Our results have confirmed that RS-1 can largely enhance the radiosensitivity of treated human cervical cancer (HeLa) cells to x-ray (ionizing) radiation. It is clearly demonstrated that RS-1 has a much better radiosensitizing effect than IdU. Although these are just preliminary results, our results have shown promise of developing more effective radiosensitizers. In summary, our studies have demonstrated the potential of femtomedicine as an exciting new frontier to bring breakthroughs in understanding fundamental biological processes and to provide an efficient and economical strategy for development of new anticancer drugs.

<div>Under the guidance of cancer treatment data, this thesis emphasizes the development of radiation-responsive nanomaterials for the effective implementation of localized, multimodal therapy for solid tumors. Evidence from decades of treatment outcomes underscores the benefits provided by employing multiple therapeutic agents in concert to improve prognoses for cancer patients. As a pillar of standard care in oncology, radiation therapy (RT) is a particularly appropriate choice as a component of combination therapies, acting as a localized tool for achieving long-term tumor control. By combing primary RT with radio-sensitizing, polymer-encapsulated formulations of crystalline calcium tungstate nanoparticles (CWO NPs), this work has shown significant improvements in efficacy in in vitro and murine xenograft models of primary human head and neck tumors as well as in spontaneous sarcoma in a clinical case study. Under X-ray radiation, CWO NPs emit long-wavelength ultraviolet (UV-A) and visible light, a property referred to as radioluminescence. This work focuses on utilizing these properties in combination with encapsulant functionalization strategies to further improve therapeutic outcomes through specific mechanistic enhancements.</div><div><br></div><div>Ordinarily used primarily to improve biocompatibility and colloidal stability, the polymeric materials used to encapsulate the CWO NPs were tailored to serve distinct functions in the overall combination therapy scheme. Approaches explored in this work include surface functionalization of these polymers with a cancer-specific ligand, folic acid, and the incorporation of photo-responsive/sensitizing bilirubin-polymer conjugates as an encapsulant. The predicted outcomes of surface functionalization and photo-active encapsulation were confirmed to significantly enhance radiotherapy efficacy. Finally, exploration of intratumoral NP distribution after dose administration was conducted to preliminarily evaluate strategies for dose homogeneity improvement. Mechanical agitation of the injection site somewhat improves distribution of NPs in tumor xenografts but requires future exploration for improved understanding and implementation.</div>

Radiossensibilizadores são definidos como agentes químicos que aumentam a sensibilidade das células hipóxicas à radiação, visando o aumento da eficácia da radioterapia no tratamento do câncer. Alguns Carboxilatos de Rh (II) e compostos nitroimidazólicos têm sido testados como radiossensibilizadores em doses elevadas de radiação, obtendo-se resultados significativos. Neste trabalho, foram sintetizados vários carboxilatos e um amidato de Rh (II): propionato, butirato, trifluoroacetato, citrato e trifluoroacetamidato, assim como os seus respectivos adutos com metronidazol, de fórmula geral: [Rh2(RCOO)4metro2] (R = CH3, C2H5, C3H7, C5 H7O5, e CF3) para o caso dos carboxilatos e [Rh2(CF3CONH) 4 metro2] para o aduto de trifluoroacetamidato. Os compostos foram caracterizados por análise elementar, espectroscopia eletrônica, infravermelho e de ressonância magnética nuclear de próton. O resultado desta caracterização permitiu estabelecer as rotas de síntese confirmando a formação dos carboxilatos tipo ponte e a presença do metronidazol nas posições axiais, numa relação 1:2. O efeito radiossensibilizador desses complexos de Rh (II) foi testado in vitro, irradiando-se, em atmosfera hipóxica, células de ovário de hamster chinês (CHO k1), na presença dos complexos, utilizando-se raios gama provenientes de uma fonte de 60Co, com doses de 2,7 e 4,3 Gy. Foi realizado teste de citotoxicidade para determinar as concentrações atóxicas de cada composto, eliminando a possibilidade de morte celular devido ao efeito tóxico dos mesmos. Na dose 2,7 Gy não houve nenhum efeito interessante; já com a dose de 4,3 Gy o [Rh2(CH3 COO)4] mostrou uma atividade radiossensibilizadora maior do que nos demais complexos. Os resultados foram semelhantes aos obtidos na literatura com doses de radiação até 10 vezes maiores. Devido à ausência de mudanças significativas no efeito radiossensibilizador entre os carboxilatos e amidato e seus respectivos adutos com metronidazol, foi determinada a constante de formação destes últimos, demonstrando que os mesmos sofrem decomposição quando em solução aquosa diluída. / Radiosensitizers are chemical agents that enhance the radiation sensitivity of hipoxic tumor cells aiming to better radiotherapy efficacy in the treatment of cancer. Some Rhodium (II) carboxylates and its adducts with nitroimidazole derivatives, have been tested as radiosensitizers in high doses of radiation, being obtained significant results. In this work, several Rhodium carboxylates and one Rhodium amidate previously described were synthesized: propionate, trifluoroacetate, citrate and , trifluoroacetamidate, as well as their respective adducts with nitroimidazole of general formula [Rh2(RCOO)4metro2] for the carboxylates and [Rh2(CF3CONH)4metro2] for the trifluoroacetamidate adduct. The compositions where characterized by elementary analysis, electronic and infrared spectroscopy and proton nuclear magnetic resonance. The results of that characterization allowed us to establish the synthesis routes and confirm the bridge type structure of the Rodhium compounds, beyond the presence of the metronidazole at the axial positions in the proportions of 1:2. The radiosensitizing effects of these Rh (II) complexes were tested in vitro by irradiation of Chinese hamster (CHO k1) cells under hipoxic atmosphere in the presence of the complexes, using gamma rays from a 60Co source and doses of 2,7 and 4,3 Gy. A cytotoxicity test has been performed to determinate the non-toxic concentrations of these compounds, in order to rule out the possibility of cellular death induced by the complexe´s cytotoxicity. A 2,7 Gy dose showed no interesting effects but under a 4,3 Gy dose, the complex Rh2(CH3 COO)4 showed a higher radiosensitizing effect than the order compounds and close to previously reported effects which required high radiation doses. As there was not a significant change in the radiosensitizing effect between the carboxylate and the amidate and their respective metronidazole adducts it was performed the measurement of the formation constant of that adducts. The results of that measurements gave evidence of adduct decomposition when in dilute aqueous solution.

Radiossensibilizadores são definidos como agentes químicos que aumentam a sensibilidade das células hipóxicas à radiação, visando o aumento da eficácia da radioterapia no tratamento do câncer. Alguns Carboxilatos de Rh (II) e compostos nitroimidazólicos têm sido testados como radiossensibilizadores em doses elevadas de radiação, obtendo-se resultados significativos. Neste trabalho, foram sintetizados vários carboxilatos e um amidato de Rh (II): propionato, butirato, trifluoroacetato, citrato e trifluoroacetamidato, assim como os seus respectivos adutos com metronidazol, de fórmula geral: [Rh2(RCOO)4metro2] (R = CH3, C2H5, C3H7, C5 H7O5, e CF3) para o caso dos carboxilatos e [Rh2(CF3CONH) 4 metro2] para o aduto de trifluoroacetamidato. Os compostos foram caracterizados por análise elementar, espectroscopia eletrônica, infravermelho e de ressonância magnética nuclear de próton. O resultado desta caracterização permitiu estabelecer as rotas de síntese confirmando a formação dos carboxilatos tipo ponte e a presença do metronidazol nas posições axiais, numa relação 1:2. O efeito radiossensibilizador desses complexos de Rh (II) foi testado in vitro, irradiando-se, em atmosfera hipóxica, células de ovário de hamster chinês (CHO k1), na presença dos complexos, utilizando-se raios gama provenientes de uma fonte de 60Co, com doses de 2,7 e 4,3 Gy. Foi realizado teste de citotoxicidade para determinar as concentrações atóxicas de cada composto, eliminando a possibilidade de morte celular devido ao efeito tóxico dos mesmos. Na dose 2,7 Gy não houve nenhum efeito interessante; já com a dose de 4,3 Gy o [Rh2(CH3 COO)4] mostrou uma atividade radiossensibilizadora maior do que nos demais complexos. Os resultados foram semelhantes aos obtidos na literatura com doses de radiação até 10 vezes maiores. Devido à ausência de mudanças significativas no efeito radiossensibilizador entre os carboxilatos e amidato e seus respectivos adutos com metronidazol, foi determinada a constante de formação destes últimos, demonstrando que os mesmos sofrem decomposição quando em solução aquosa diluída. / Radiosensitizers are chemical agents that enhance the radiation sensitivity of hipoxic tumor cells aiming to better radiotherapy efficacy in the treatment of cancer. Some Rhodium (II) carboxylates and its adducts with nitroimidazole derivatives, have been tested as radiosensitizers in high doses of radiation, being obtained significant results. In this work, several Rhodium carboxylates and one Rhodium amidate previously described were synthesized: propionate, trifluoroacetate, citrate and , trifluoroacetamidate, as well as their respective adducts with nitroimidazole of general formula [Rh2(RCOO)4metro2] for the carboxylates and [Rh2(CF3CONH)4metro2] for the trifluoroacetamidate adduct. The compositions where characterized by elementary analysis, electronic and infrared spectroscopy and proton nuclear magnetic resonance. The results of that characterization allowed us to establish the synthesis routes and confirm the bridge type structure of the Rodhium compounds, beyond the presence of the metronidazole at the axial positions in the proportions of 1:2. The radiosensitizing effects of these Rh (II) complexes were tested in vitro by irradiation of Chinese hamster (CHO k1) cells under hipoxic atmosphere in the presence of the complexes, using gamma rays from a 60Co source and doses of 2,7 and 4,3 Gy. A cytotoxicity test has been performed to determinate the non-toxic concentrations of these compounds, in order to rule out the possibility of cellular death induced by the complexe´s cytotoxicity. A 2,7 Gy dose showed no interesting effects but under a 4,3 Gy dose, the complex Rh2(CH3 COO)4 showed a higher radiosensitizing effect than the order compounds and close to previously reported effects which required high radiation doses. As there was not a significant change in the radiosensitizing effect between the carboxylate and the amidate and their respective metronidazole adducts it was performed the measurement of the formation constant of that adducts. The results of that measurements gave evidence of adduct decomposition when in dilute aqueous solution.

Cette thèse est consacrée à l'étude de l'interaction d'ions multichargés avec des particules métalliques de taille nanométrique. Ce travail a eu pour but d'étudier les processus fondamentaux ainsi que d'éclairer leur rôle comme radio-sensibilisants dans le traitement de cancer par hadronthérapie. Le nouveau dispositif développé dans ce cadre consiste en une source d'agrégats de type magnétron, d'une chambre de dépôt afin de permettre la caractérisation de la taille des nanoparticules neutres par analyse microscopique, et d'un spectromètre de masse par temps de vol capable de détecter des systèmes positivement chargés jusqu'à une masse de 50 000 ua. Les études de collisions ont été réalisées avec des agrégats de Bi (2 nm ; 200 atomes) et de Ag (6 nm ; 5000 atomes). Dans le deux cas, le processus de capture multiélectronique crée un système multichargé. Dans le cas du Bi, une grande partie fragmente par la fission asymétrique émettant des petits fragments. Dans le cas des particules plus grandes (Ag), les systèmes multichargés ne fragmentent pas, par contre des petits fragments sont aussi observés mais ils sont le produit de la pulvérisation de la nano-surface lors de collisions pénétrantes. En perspective, des expériences seront réalisées avec des nanoparticules métalliques fonctionnalisées ainsi que le comptage des électrons émis lors de la collision. / This thesis presents a study of the interaction of multiply charged ions with metallic nano-sized particles both in the context of fundamental processes and possible applications as radiosensitizers in nanoparticle-enhanced hadrontherapy. For this purpose a new experimental set-up has been constructed based on a magnetron-discharge cluster source, a deposition chamber for analyzing the size of neutral nanoparticles with AFM and TEM techniques and a time-of-flight mass spectrometer able to detect positively charged particles with masses up to 50 000 amu. Collision studies were performed with Bi clusters of 2nm in diameter, containing 200 atoms, as well as Ag nanoparticles (6 nm, 5000 atoms). In both cases multi-electron capture leads to the formation of multiply charged systems. In the Bi case a large fraction fragments by asymmetric fission emitting small singly charged fragments. In the case of large Ag nanoparticles multiply charged systems are stable. However, small size fragments are formed due to sputtering of the nano-surface in penetrating collisions. Future experiments will be performed with functionalized metal nanoparticles, aiming to count the number of electrons emitted after ion collisions.

Submitted by Marco Antonio Oliveira da Silva (maosilva@ipen.br) on 2017-11-08T16:29:11Z No. of bitstreams: 0 / Made available in DSpace on 2017-11-08T16:29:11Z (GMT). No. of bitstreams: 0 / Nesse trabalho foram produzidas nanopartículas (NPs) de Gd2O3 e Er2O3 para aplicação como radiossensibilizadores em feixes de radioterapia. Elas foram sintetizadas no Laboratório de Interações Hiperfinas do IPEN pelo método da decomposição térmica e caracterizadas utilizando difração de raios-X, para verificar a estrutura cristalina, microscopia eletrônica de transmissão, para obter informações sobre forma, tamanho e distribuição de tamanho, análise por ativação neutrônica, por meio da qual foi possível determinar a pureza das amostras e calcular a concentração de gadolínio e érbio. Medições de magnetização e de espectroscopia de correlação angular &gamma;-&gamma; perturbada (PAC) foram realizadas a fim de estudar o comportamento magnético e a interação quadrupolar das partículas, respectivamente. Os resultados da caracterização mostram a formação de uma estrutura cristalina do tipo bixbyite, com aproximadamente 5 nm de diâmetro e estreita distribuição de tamanho, para as amostras pós-síntese. A determinação da massa de terra-rara em cada amostra foi importante para realizar a normalização nas medições de susceptibilidade magnética, tornando possível a visualização de um grande aumento na magnetização abaixo de 30 K, nas amostras pós-síntese, o que não é observado em partículas maiores, além de um aumento no momento magnético efetivo das NPs em relação aos respectivos bulks e uma mudança na temperatura de ordenamento antiferromagnético para o Er2O3. Os resultados da espectroscopia PAC evidenciam possíveis efeitos de superfície. A falta de uma frequência bem definida nas amostras de 5 nm indicam que a quantidade de 111In(111Cd) na superfície da partícula é maior do que no interior da mesma, fazendo com que a interação hiperfina do núcleo de prova com o host não seja evidente. Já a união da técnica de difração de raios-X com a espectroscopia PAC foi fundamental para o entendimento do dano causado às partículas pela irradiação com 60Co. Quanto às medições de radiossensibilização a dosimetria Fricke gel foi fundamental para a verificação de um fator de aumento de dose (DEF) de até 1,67 e 1,09 para NPs de Gd2O3 irradiadas com 60Co e 6MV, respectivamente. Nas mesmas condições, para as amostras de Er2O3, foram encontrados valores de DEF de até 1,37 e 1,06. Isso comprova os efeitos radiossensibilizadores dessas NPs. Os resultados alcançados nesse trabalho não apenas fornecem dados importantes para o estudo de NPs de terra-rara na área de física da matéria condensada como também uma base sólida para a aplicação desses elementos como radiossensibilizadores em feixes de radioterapia, possibilitando a utilização da imagem por ressonância magnética para localizar e obter a concentração dessas NPs dentro do paciente, aumentando assim a eficiência do tratamento do câncer. / Tese (Doutorado em Tecnologia Nuclear) / IPEN/T / Instituto de Pesquisas Energéticas e Nucleares - IPEN-CNEN/SP