Lab for RadBio Modeling and Dosimetry for Radiopharmaceutical Therapy at Mass General Hospital & Harvard Medical School

Boston, MA
Joined August 2022
The B-Lab in Summer 2025 at the Ether Dome @MassGeneral @harvardmed #science #radonc #radiopharmaceuticals #medphys #biomedeng – at Boston, MA
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Bertolet Lab / b-lab retweeted
Are Radiopharmaceutical Therapy Trials Designed to Undertreat? Co-authored by @alebertolet. Read the full article. bit.ly/4fI3ing
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New in @JCO_ASCO (doi.org/10.1200/JCO-26-00796): we traced where the three numbers that shape almost every radiopharmaceutical therapy trial actually came from. 23 Gy to the kidney, 2 Gy to the marrow, 200 mCi per cycle. None came from the drugs they now limit. A thread.
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These borrowed limits can push trials to underdose. In one prospective cohort, patients taken up to the kidney limit lived 29 months longer (54 vs 25). Trials can look negative just because they tested too low a dose.
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The fix is the one every other kind of radiotherapy already uses: measure the dose that actually reaches each patient's tumor, and prescribe to that. The FDA's Aug 2025 draft guidance agrees these old limits have "lessened applicability" to RPT.
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What do radiation therapy and gazpacho have in common? 🍲 🔬 Besides both requiring careful preparation, they are also important parts of the story of Carlos Huesa-Berral, PhD, from @bertoletlab the latest researcher featured in our Researchers Unplugged series! Learn more here: mgriblog.org/2026/06/25/rese…
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“Same absorbed dose” can mean very different biology in α-therapy. In our TOPAS-RPT work with ²¹¹At-PARPi, space + time-resolved, cell-by-cell transport shows how targeting shifts LET and damage per Gy. Paper here: doi.org/10.1016/j.ijrobp.202…
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