Scientists capture for first time, light flashes from human eye during radiotherapy

"Overall, the idea of imaging light emission from humans undergoing radiotherapy is novel and was also first suggested and developed at Dartmouth," says Tendler. "Our newest data is exciting because for the first time, light emission from the eye of a patient undergoing radiotherapy was captured. This data is also the first instance of evidence directly supporting that there is enough light produced inside the eye to cause a visual sensation and that this light resembles Cherenkov emission."

Light emission from the eye is very subtle, hard to detect, and likely why no one has been able to record evidence of this phenomenon. To accomplish this, the team leveraged special technology called the CDose camera imaging system, an engineering innovation manufactured by Dartmouth spin-off company, DoseOptics, LLC. The camera provides live views of light emission from biological systems (animal and human) during radiotherapy. "As the radiation beam passes through the eye, light is generated within the vitreous fluid. Our real-time data rigorously showed that the amount of light produced is sufficient to elicit a visual sensation -- a topic that has been debated in the literature," explains Tendler. "By analyzing the spectral composition, we also show that this emission can be classified as Cherenkov light -- again, another contested point in the literature."

The benefits of the team's finding to cancer treatment are several-fold:

• The imaging technique could be used to monitor light emission from the eye during radiotherapy and directly determine whether radiation transects the eye. "In the case that the eye is a target, the method could provide confirmation of beam delivery; in the case that this is unintentional, it can provide evidence of an error or near miss -- as a safety check," says Tendler.
• The ability to provide the patient with a valid explanation of this phenomenon can help relieve treatment-related anxiety.
• "Published work has shown that if a patient doesn't see light flashes during radiotherapy, there is a higher chance of expecting vision loss after irradiation," says Tendler. The method could help determine if any light was actually generated to potentially relate this to predicted vision loss as well as provide information about long-term visual outcome following radiotherapy.

The team's next steps are to correlate how recorded ocular Cherenkov light and delivered dose can provide information about long-term visual outcome, and to develop the tool to use in prediction and measurement of eye dose.