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Wahabi JM, Wong JHD, Mahdiraji GA, Ung NM. Feasibility of determining external beam radiotherapy dose using LuSy dosimeter. J Appl Clin Med Phys 2024; 25:e14387. [PMID: 38778567 PMCID: PMC11163501 DOI: 10.1002/acm2.14387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 04/20/2024] [Accepted: 04/26/2024] [Indexed: 05/25/2024] Open
Abstract
INTRODUCTION Radiation dose measurement is an essential part of radiotherapy to verify the correct delivery of doses to patients and ensure patient safety. Recent advancements in radiotherapy technology have highlighted the need for fast and precise dosimeters. Technologies like FLASH radiotherapy and magnetic-resonance linear accelerators (MR-LINAC) demand dosimeters that can meet their unique requirements. One promising solution is the plastic scintillator-based dosimeter with high spatial resolution and real-time dose output. This study explores the feasibility of using the LuSy dosimeter, an in-house developed plastic scintillator dosimeter for dose verification across various radiotherapy techniques, including conformal radiotherapy (CRT), intensity-modulated radiation therapy (IMRT), volumetric-modulated arc therapy (VMAT), and stereotactic radiosurgery (SRS). MATERIALS AND METHODS A new dosimetry system, comprising a new plastic scintillator as the sensing material, was developed and characterized for radiotherapy beams. Treatment plans were created for conformal radiotherapy, IMRT, VMAT, and SRS and delivered to a phantom. LuSy dosimeter was used to measure the delivered dose for each plan on the surface of the phantom and inside the target volumes. Then, LuSy measurements were compared against an ionization chamber, MOSFET dosimeter, radiochromic films, and dose calculated using the treatment planning system (TPS). RESULTS For CRT, surface dose measurement by LuSy dosimeter showed a deviation of -5.5% and -5.4% for breast and abdomen treatment from the TPS, respectively. When measuring inside the target volume for IMRT, VMAT, and SRS, the LuSy dosimeter produced a mean deviation of -3.0% from the TPS. Surface dose measurement resulted in higher TPS discrepancies where the deviations for IMRT, VMAT, and SRS were -2.0%, -19.5%, and 16.1%, respectively. CONCLUSION The LuSy dosimeter was feasible for measuring radiotherapy doses for various treatment techniques. Treatment delivery verification enables early error detection, allowing for safe treatment delivery for radiotherapy patients.
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Affiliation(s)
- Janatul Madinah Wahabi
- Department of Biomedical ImagingFaculty of MedicineUniversiti MalayaKuala LumpurMalaysia
- Radiotherapy and Oncology DepartmentNational Cancer InstitutePutrajayaMalaysia
| | - Jeannie Hsiu Ding Wong
- Department of Biomedical ImagingFaculty of MedicineUniversiti MalayaKuala LumpurMalaysia
- Universiti Malaya Research Imaging Centre (UMRIC), Faculty of MedicineUniversiti MalayaKuala LumpurMalaysia
| | | | - Ngie Min Ung
- Clinical Oncology UnitFaculty of MedicineUniversiti MalayaKuala LumpurMalaysia
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Uijtewaal P, Borman P, Cote B, LeChasseur Y, Therriault-Proulx F, Flores R, Smith S, Koenig G, Raaymakers B, Fast M. Performance characterization of a novel hybrid dosimetry insert for simultaneous spatial, temporal, and motion-included dosimetry for MR-linac. Med Phys 2024; 51:2983-2997. [PMID: 38088939 DOI: 10.1002/mp.16870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 11/13/2023] [Accepted: 11/17/2023] [Indexed: 04/05/2024] Open
Abstract
BACKGROUND Several (online) adaptive radiotherapy procedures are available to maximize healthy tissue sparing in the presence of inter/intrafractional motion during stereotactic body radiotherapy (SBRT) on an MR-linac. The increased treatment complexity and the motion-delivery interplay during these treatments require MR-compatible motion phantoms with time-resolved dosimeters to validate end-to-end workflows. This is not possible with currently available phantoms. PURPOSE Here, we demonstrate a new commercial hybrid film-scintillator cassette, combining high spatial resolution radiochromic film with four time-resolved plastic scintillator dosimeters (PSDs) in an MRI-compatible motion phantom. METHODS First, the PSD's performance for consistency, dose linearity, and pulse repetition frequency (PRF) dependence was evaluated using an RW3 solid water slab phantom. We then demonstrated the MRI4D scintillator cassette's suitability for time-resolved and motion-included quality assurance for adapt-to-shape (ATS), trailing, gating, and multileaf collimator (MLC) tracking adaptations on a 1.5 T MR-linac. To do this, the cassette was inserted into the Quasar MRI4D phantom, which we used statically or programmed with artificial and patient-derived motion. Simultaneously with dose measurements, the beam-gating latency was estimated from the time difference between the target entering/leaving the gating window and the beam-on/off times derived from the time-resolved dose measurements. RESULTS Experiments revealed excellent detector consistency (standard deviation ≤ $\le$ 0.6%), dose linearity (R2 = 1), and only very low PRF dependence ( ≤ $\le$ 0.4%). The dosimetry cassette demonstrated a near-perfect agreement during an ATS workflow between the time-resolved PSD and treatment planning system (TPS) dose (0%-2%). The high spatial resolution film measurements confirmed this with a 1%/1-mm local gamma pass-rate of 90%. When trailing patient-derived prostate motion for a prostate SBRT delivery, the time-resolved cassette measurements demonstrated how trailing mitigated the motion-induced dose reductions from 1%-17% to 1%-2% compared to TPS dose. The cassette's simultaneously measured spatial dose distribution highlighted the dosimetric gain of trailing by improving the 3%/3-mm local gamma pass-rates from 80% to 97% compared to the static dose. Similarly, the cassette demonstrated the benefit of real-time adaptations when compensating patient-derived respiratory motion by showing how the TPS dose was restored from 2%-56% to 0%-12% (gating) and 1%-26% to 1%-7% (MLC tracking) differences. Larger differences are explainable by TPS-PSD coregistration uncertainty combined with a steep dose gradient outside the PTV. The cassette also demonstrated how the spatial dose distributions were drastically improved by the real-time adaptations with 1%/1-mm local gamma pass-rates that were increased from 8 to 79% (gating) and from 35 to 89% (MLC tracking). The cassette-determined beam-gating latency agreed within ≤ $\le$ 12 ms with the ground truth latency measurement. Film and PSD dose agreed well for most cases (differences relative to TPS dose < $<$ 4%), while film-PSD coregistration uncertainty caused relative differences of 5%-8%. CONCLUSIONS This study demonstrates the excellent suitability of a new commercial hybrid film-scintillator cassette for simultaneous spatial, temporal, and motion-included dosimetry.
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Affiliation(s)
- Prescilla Uijtewaal
- Department of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Pim Borman
- Department of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands
| | | | | | | | | | | | | | | | - Martin Fast
- Department of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands
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Wahabi JM, Ung NM, Mahdiraji GA, Wong JHD. Development and characterisation of a plastic scintillator dosemeter in high-energy photon beams. RADIATION PROTECTION DOSIMETRY 2024; 200:264-273. [PMID: 38123475 DOI: 10.1093/rpd/ncad303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 10/22/2023] [Accepted: 11/15/2023] [Indexed: 12/23/2023]
Abstract
The radioluminescent (RL) dosemeter is excellent for real-time radiation measurement and can be used in various applications. A plastic scintillator is often the choice sensor because of its size and tissue equivalency. This study aims to characterise a novel plastic scintillator irradiated with high-energy photon beams. An RL dosimetry system was developed using the plastic scintillator. The RL dosimetry system was irradiated using a linear accelerator to characterise the dose linearity, dose rate, energy dependency and depth dose. The developed system showed a linear response toward the dose and dose rate. An energy dependency factor of 1.06 was observed. Depth dose measurement showed a mean deviation of 1.21% from the treatment planning system. The response and characteristics of the plastic scintillator show that it may be used as an alternative in an RL dosimetry system.
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Affiliation(s)
- Janatul M Wahabi
- Department of Biomedical Imaging, Faculty of Medicine, Universiti Malaya, Kuala Lumpur 50603, Malaysia
- Ministry of Health Malaysia, Putrajaya 62590, Malaysia
| | - N M Ung
- Clinical Oncology Unit, Faculty of Medicine, Universiti Malaya, Kuala Lumpur 50603, Malaysia
| | | | - Jeannie H D Wong
- Department of Biomedical Imaging, Faculty of Medicine, Universiti Malaya, Kuala Lumpur 50603, Malaysia
- Centre for Medical Radiation Physics, University of Wollongong, Wollongong, NSW 2522, Australia
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Oolbekkink S, van Asselen B, Woodings SJ, Wolthaus JWH, de Vries JHW, van Appeldoorn AA, Feijoo M, van den Dobbelsteen M, Raaymakers BW. Influence of magnetic field on a novel scintillation dosimeter in a 1.5 T MR-linac. J Appl Clin Med Phys 2024; 25:e14180. [PMID: 38011008 PMCID: PMC10795437 DOI: 10.1002/acm2.14180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 08/23/2023] [Accepted: 09/18/2023] [Indexed: 11/29/2023] Open
Abstract
For commissioning and quality assurance for adaptive workflows on the MR-linac, a dosimeter which can measure time-resolved dose during MR image acquisition is desired. The Blue Physics model 10 scintillation dosimeter is potentially an ideal detector for such measurements. However, some detectors can be influenced by the magnetic field of the MR-linac. To assess the calibration methods and magnetic field dependency of the Blue Physics scintillator in the 1.5 T MR-linac. Several calibration methods were assessed for robustness. Detector characteristics and the influence of the calibration methods were assessed based on dose reproducibility, dose linearity, dose rate dependency, relative output factor (ROF), percentage depth dose profile, axial rotation and the radial detector orientation with respect to the magnetic field. The potential application of time-resolved dynamic dose measurements during MRI acquisition was assessed. A variation of calibration factors was observed for different calibration methods. Dose reproducibility, dose linearity and dose rate stability were all found to be within tolerance and were not significantly affected by different calibration methods. Measurements with the detector showed good correspondence with reference chambers. The ROF and radial orientation dependence measurements were influenced by the calibration method used. Axial detector dependence was assessed and relative readout differences of up to 2.5% were observed. A maximum readout difference of 10.8% was obtained when rotating the detector with respect to the magnetic field. Importantly, measurements with and without MR image acquisition were consistent for both static and dynamic situations. The Blue Physics scintillation detector is suitable for relative dosimetry in the 1.5 T MR-linac when measurements are within or close to calibration conditions.
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Affiliation(s)
- Stijn Oolbekkink
- Department of RadiotherapyUniversity Medical Center UtrechtUtrechtThe Netherlands
| | - Bram van Asselen
- Department of RadiotherapyUniversity Medical Center UtrechtUtrechtThe Netherlands
| | - Simon J. Woodings
- Department of RadiotherapyUniversity Medical Center UtrechtUtrechtThe Netherlands
| | | | | | | | | | | | - Bas W. Raaymakers
- Department of RadiotherapyUniversity Medical Center UtrechtUtrechtThe Netherlands
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Andersen CE. Magnetic field influence on the light yield from fiber-coupled BCF-60 plastic scintillators of relevance for output factor dosimetry in MR-linacs. Biomed Phys Eng Express 2023; 10:015016. [PMID: 38064731 DOI: 10.1088/2057-1976/ad13aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2023] [Accepted: 12/08/2023] [Indexed: 12/20/2023]
Abstract
Organic plastic scintillators are of interest for ionizing radiation dosimetry in megavoltage photon beams because plastic scintillators have a mass density very similar to that of water. This leads to insignificant perturbation of the electron fluence at the point of measurement in a water phantom. This feature is a benefit for dosimetry in strong magnetic fields (e.g., 1.5 T) as found in linacs with magnetic resonance imaging. The objective of this work was to quantify if the light yield per dose for the scintillating fiber BCF-60 material from Saint-Gobain Ceramics and Plastics Inc. is constant regardless of the magnetic flux density. This question is of importance for establishing traceable measurement in MR linacs using this detector type. Experiments were carried out using an accelerator combined with an electromagnet (max 0.7 T). Scintillator probes were read out using chromatic stem-removal techniques based on two optical channels or full spectral information. Reference dosimetry was carried out with PTW31010 and PTW31021 ionization chambers. TOPAS/GEANT4 was used for modelling. The light yield per dose for the BCF-60 was found to be strongly influenced by the magnitude of the magnetic field from about 1 mT to 0.7 T. The light yield per dose increased (1.3 ± 0.2)% (k = 1) from 1 mT to 10 mT and it increased (4.5 ± 0.9)% (k = 1) from 0 T to 0.7 T. Previous studies of the influence of magnetic fields on medical scintillator dosimetry have been unable to clearly identify if observed changes in scintillator response with magnetic field strength were related to changes in dose, stem signal removal, or scintillator light yield. In the current study of BCF-60, we see a clear change in light yield with magnetic field, and none of the other effects.
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Affiliation(s)
- Claus E Andersen
- DTU Health Tech, Technical University of Denmark, 4000 Roskilde, Denmark
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Uijtewaal P, Côté B, Foppen T, de Vries W, Woodings S, Borman P, Lambert-Girard S, Therriault-Proulx F, Raaymakers B, Fast M. Performance of the HYPERSCINT scintillation dosimetry research platform for the 1.5 T MR-linac. Phys Med Biol 2023; 68. [PMID: 36638536 DOI: 10.1088/1361-6560/acb30c] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Accepted: 01/13/2023] [Indexed: 01/15/2023]
Abstract
Objective.Adaptive radiotherapy techniques available on the MR-linac, such as daily plan adaptation, gating, and dynamic tracking, require versatile dosimetric detectors to validate end-to-end workflows. Plastic scintillator detectors (PSDs) offer great potential with features including: water equivalency, MRI-compatibility, and time-resolved dose measurements. Here, we characterize the performance of the HYPERSCINT RP-200 PSD (MedScint, Quebec, CA) in a 1.5 T MR-linac, and we demonstrate its suitability for dosimetry, including in a moving target.Approach.Standard techniques of detector testing were performed using a Beamscan water tank (PTW, Freiburg, DE) and compared to microDiamond (PTW, Freiburg, DE) readings. Orientation dependency was tested using the same phantom. An RW3 solid water phantom was used to evaluate detector consistency, dose linearity, and dose rate dependence. To determine the sensitivity to motion and to MRI scanning, the Quasar MRI4Dphantom (Modus, London, ON) was used statically or with sinusoidal motion (A= 10 mm,T= 4 s) to compare PSD and Semiflex ionization chamber (PTW, Freiburg, DE) readings. Conformal beams from gantry 0° and 90° were used as well as a 15-beam 8 × 7.5 Gy lung IMRT plan.Main results.Measured profiles, PDD curves and field-size dependence were consistent with the microDiamond readings with differences well within our clinical tolerances. The angular dependence gave variations up to 0.8% when not irradiating directly from behind the scintillation point. Experiments revealed excellent detector consistency between repeated measurements (SD = 0.06%), near-perfect dose linearity (R2= 1) and a dose rate dependence <0.3%. Dosimetric effects of MRI scanning (≤0.3%) and motion (≤1.3%) were minimal. Measurements were consistent with the Semiflex (differences ≤1%), and with the treatment planning system with differences of 0.8% and 0.4%, with and without motion.Significance.This study demonstrates the suitability of the HYPERSCINT PSD for accurate time-resolved dosimetry measurements in the 1.5 T MR-linac, including during MR scanning and target motion.
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Affiliation(s)
- Prescilla Uijtewaal
- Department of Radiotherapy, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands
| | - Benjamin Côté
- MedScint, 1405 Bd du Parc Technologique, Québec, QC G1P 4P5, Canada
| | - Thomas Foppen
- Department of Radiotherapy, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands
| | - Wilfred de Vries
- Department of Radiotherapy, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands
| | - Simon Woodings
- Department of Radiotherapy, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands
| | - Pim Borman
- Department of Radiotherapy, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands
| | | | | | - Bas Raaymakers
- Department of Radiotherapy, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands
| | - Martin Fast
- Department of Radiotherapy, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands
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Jean E, Lambert-Girard S, Therriault-Proulx F, Beaulieu L. External beam irradiation angle measurement using a hybrid Cerenkov-scintillation detector. Phys Med Biol 2022; 67. [DOI: 10.1088/1361-6560/ac6b79] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Accepted: 04/28/2022] [Indexed: 11/12/2022]
Abstract
Abstract
Objective. In this study, we propose a novel approach designed to take advantage of the Cerenkov light angular dependency to perform a direct measurement of an external beam irradiation angle. Approach. A Cerenkov probe composed of a 10 mm long filtered sensitive volume of clear PMMA optical fibre was built. Both filtered and raw Cerenkov signals from the transport fibre were collected through a single 1 mm diameter transport fibre. An independent plastic scintillation detector composed of 10 mm BCF12 scintillating fibre was also used for simultaneous dose measurements. A first series of measurements aimed at validating the ability to account for the Cerenkov electron energy spectrum dependency by simultaneously measuring the deposited dose, thus isolating signal variations resulting from the angular dependency. Angular calibration curve for fixed dose irradiations and incident angle measurements using electron and photon beams where also achieved. Main results. The beam nominal energy was found to have a significant impact on the shapes of the angular calibration curves. This can be linked to the electron energy spectrum dependency of the Cerenkov emission cone. Irradiation angle measurements exhibit an absolute mean error of 1.86° and 1.02° at 6 and 18 MV, respectively. Similar results were obtained with electron beams and the absolute mean error reaches 1.97°, 1.66°, 1.45° and 0.95° at 9, 12, 16 and 20 MeV, respectively. Reducing the numerical aperture of the Cerenkov probe leads to an increased angular dependency for the lowest energy while no major changes were observed at higher energy. This allowed irradiation angle measurements at 6 MeV with a mean absolute error of 4.82°. Significance. The detector offers promising perspectives as a potential tool for future quality assurance applications in radiotherapy, especially for stereotactic radiosurgery (SRS), magnetic resonance image-guided radiotherapy (MRgRT) and brachytherapy applications.
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8
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Time-resolved plastic scintillator dosimetry in MR linear accelerators without image distortion. RADIAT MEAS 2022. [DOI: 10.1016/j.radmeas.2022.106759] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Causer TJ, Rosenfeld AB, Metcalfe PE, Oborn BM. A portable magnet for radiation biology and dosimetry studies in magnetic fields. Med Phys 2022; 49:1924-1931. [PMID: 35023145 DOI: 10.1002/mp.15447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Revised: 11/01/2021] [Accepted: 12/14/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND AND PURPOSE In the current and rapidly evolving era of real-time MRI-guided radiotherapy, our radiation biology and dosimetry knowledge is being tested in a novel way. This paper presents the successful design and implementation of a portable device used to generate strong localized magnetic fields. These are ideally suited for small scale experiments that mimic the magnetic field environment inside an MRI-linac system, or more broadly MRI-guided particle therapy as well. MATERIALS AND METHODS A portable permanent magnet based device employing an adjustable steel yoke and magnetic field focusing cones has been designed, constructed and tested. The apparatus utilises two banks of Nd2 Fe14 B permanent magnets totalling around 50 kg in mass to generate a strong magnetic field throughout a small volume between two pole tips. The yoke design allows adjustment of the pole tip gap and exchanging of the focusing cones. Further to this, beam portal holes are present in the yoke and focusing cones, allowing for radiation beams of up to 5 x 5 cm2 to pass through the region of high magnetic field between the focusing cone tips. Finite element magnetic modelling was performed to design and characterise the performance of the device. Automated physical measurements of the magnetic field components at various locations were measured to confirm the performance. The adjustable pole gap and interchangeable cones allows rapid changing of the experimental set-up to allow different styles of measurements to be performed. RESULTS A mostly uniform magnetic field of 1.2 T can be achieved over a volume of at least 3 x 3 x 3 cm3 . This can be reduced in strength to 0.3 T but increased in volume to 10 x 10 x 10 cm3 via removal of the cone tips and/or adjustment of the steel yoke. Although small, these volumes are sufficient to house radiation detectors, cell culture dishes and various phantom arrangements targeted at examining small radiation field dosimetry inside magnetic field strengths that can be changed with ease. Most important is the ability to align the magnetic field both perpendicular to, or inline with the radiation beam. To date, the system has been successfully used to conduct published research in the areas of radiation detector performance, lung phantom dosimetry, and how small clinical electron beams behave in these strong magnetic fields. CONCLUSIONS A portable, relatively inexpensive, and simple to operate device has successfully been constructed and used for performing radiation oncology studies around the theme of MRI-guided radiotherapy. This can be in either inline and perpendicular magnetic fields of up to 1.2 T with x-ray and particle beams.
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Affiliation(s)
- Trent J Causer
- Illawarra Cancer Care Centre, Wollongong, NSW, 2500, Australia.,Centre for Medical Radiation Physics, University of Wollongong, Wollongong, NSW, 2500, Australia
| | | | - Peter E Metcalfe
- Illawarra Cancer Care Centre, Wollongong, NSW, 2500, Australia.,Ingham Institute for Applied Medical Research, Liverpool, NSW, 2170, Australia
| | - Bradley M Oborn
- Illawarra Cancer Care Centre, Wollongong, NSW, 2500, Australia.,Centre for Medical Radiation Physics, University of Wollongong, Wollongong, NSW, 2500, Australia
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Cloutier E, Archambault L, Beaulieu L. Deformable scintillation dosimeter I: challenges and implementation using computer vision techniques. Phys Med Biol 2021; 66. [PMID: 34380116 DOI: 10.1088/1361-6560/ac1ca1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Accepted: 08/11/2021] [Indexed: 01/18/2023]
Abstract
Plastic scintillation detectors are increasingly used to measure dose distributions in the context of radiotherapy treatments. Their water-equivalence, real-time response and high spatial resolution distinguish them from traditional detectors, especially in complex irradiation geometries. Their range of applications could be further extended by embedding scintillators in a deformable matrix mimicking anatomical changes. In this work, we characterized signal variations arising from the translation and rotation of scintillating fibers with respect to a camera. Corrections are proposed using stereo vision techniques and two sCMOS complementing a CCD camera. The study was extended to the case of a prototype real-time deformable dosimeter comprising an array of 19 scintillating fibers. The signal to angle relationship follows a gaussian distribution (FWHM = 52°) whereas the intensity variation from radial displacement follows the inverse square law. Tracking the position and angle of the fibers enabled the correction of these spatial dependencies. The detecting system provides an accuracy and precision of respectively 0.08 mm and 0.3 mm on the position detection. This resulted in an uncertainty of 2° on the angle measurement. Displacing the dosimeter by ±3 cm in depth resulted in relative intensities of 100 ± 10% (mean ± standard deviation) to the reference position. Applying corrections reduced the variations thus resulting in relative intensities of 100 ± 1%. Similarly, for lateral displacements of ±3 cm, intensities went from 98 ± 3% to 100 ± 1% after the correction. Therefore, accurate correction of the signal collected by a camera imaging the output of scintillating elements in a 3D volume is possible. This work paves the way to the development of real-time scintillator-based deformable dosimeters.
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Affiliation(s)
- E Cloutier
- Service de physique médicale et Axe Oncologie du Centre de recherche, CHU de Québec-Université Laval, Canada.,Département de physique, de génie physique et d'optique, et Centre de recherche sur le cancer, Université Laval, Québec, Canada
| | - L Archambault
- Service de physique médicale et Axe Oncologie du Centre de recherche, CHU de Québec-Université Laval, Canada.,Département de physique, de génie physique et d'optique, et Centre de recherche sur le cancer, Université Laval, Québec, Canada
| | - L Beaulieu
- Service de physique médicale et Axe Oncologie du Centre de recherche, CHU de Québec-Université Laval, Canada.,Département de physique, de génie physique et d'optique, et Centre de recherche sur le cancer, Université Laval, Québec, Canada
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Huang Z, Qiao J, Yang C, Liu M, Wang J, Han X, Hu W. Quality Assurance for Small-Field VMAT SRS and Conventional-Field IMRT Using the Exradin W1 Scintillator. Technol Cancer Res Treat 2021; 20:15330338211036542. [PMID: 34328800 PMCID: PMC8327019 DOI: 10.1177/15330338211036542] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Plastic scintillator detector (PSD) Exradin W1 has shown promising performance in small field dosimetry due to its water equivalence and small sensitive volume. However, few studies reported its capability in measuring fields of conventional sizes. Therefore, the purpose of this study is to assess the performance of W1 in measuring point dose of both conventional IMRT plans and VMAT SRS plans. METHODS Forty-seven clinical plans (including 29 IMRT plans and 18 VMAT SRS plans with PTV volume less than 8 cm3) from our hospital were included in this study. W1 and Farmer-Type ionization chamber Exradin A19 were used in measuring IMRT plans, and W1 and microchamber Exradin A16 were used in measuring SRS plans. The agreement between the results of different types of detectors and TPS was evaluated. RESULTS For IMRT plans, the average differences between measurements and TPS in high-dose regions were 0.27% ± 1.66% and 0.90% ± 1.78% (P = 0.056), and were -0.76% ± 1.47% and 0.37% ± 1.34% in low-dose regions (P = 0.000), for W1 and A19, respectively. For VMAT SRS plans, the average differences between measurements and TPS were -0.19% ± 0.96% and -0.59% ± 1.49% for W1 and A16 with no statistical difference (P = 0.231). CONCLUSION W1 showed comparable performance with application-dedicated detectors in point dose measurements for both conventional IMRT and VMAT SRS techniques. It is a potential one-stop solution for general radiotherapy platforms that deliver both IMRT and SRS plans.
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Affiliation(s)
- Zike Huang
- Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.,Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
| | - Jian Qiao
- Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.,Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
| | - Cui Yang
- Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.,Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
| | - Ming Liu
- Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.,Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
| | - Jiazhou Wang
- Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.,Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
| | - Xu Han
- Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.,Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
| | - Weigang Hu
- Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.,Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
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Simiele E, Viscariello N, DeWerd L. Monte Carlo modeling of the influence of strong magnetic fields on the stem-effect in plastic scintillation detectors used in radiotherapy dosimetry. Med Phys 2021; 48:1381-1394. [PMID: 33283279 DOI: 10.1002/mp.14637] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Revised: 10/03/2020] [Accepted: 11/23/2020] [Indexed: 11/07/2022] Open
Abstract
PURPOSE To investigate the impact of strong magnetic fields on the stem-effect in plastic scintillation detectors (PSDs) using Monte Carlo methods. METHODS Prior to building the light guide model, the properties of the Čerenkov process in GEANT4 were investigated by simulating depth-dose and depth-Čerenkov emission profiles in water as functions of Čerenkov process input parameters. In addition, profile simulations were performed for magnetic field strengths ranging from 0 T to 1.5 T. A PMMA light guide was constructed in GEANT4 using data from the manufacturer and literature. Simulations were performed with the model as functions of depth and fiber-beam angle where the simulated stem-effect spectrum and the Čerenkov light ratio (CLR) were scored and compared to measured data in the literature. The light guide optical properties were iteratively adjusted until agreement between the simulated and measured data was achieved. Simulations were performed with the validated model as functions of depth and magnetic field strength and the simulated data were compared to measured data in the literature. The model was also used to evaluate the sensitivity of the CLR to the various optical properties of the light guide in different irradiation conditions. RESULTS No significant changes in the depth-dose or depth-Čerenkov emission profiles were observed with step-size restrictions imposed by the Čerenkov process input parameters, which was attributed to the condensed history algorithm and transport parameters used in this work. Similar changes in the depth-dose and depth-Čerenkov emission profiles were observed with increasing magnetic field strength, which indicates the Čerenkov process is not adversely impacted by the presence of the magnetic field. Following optimization of the light guide optical properties, agreement within two standard deviations was observed between the simulated and measured optical data for all validation geometries considered. Agreement within one standard deviation was observed between the simulated and measured data for all depths and field strengths ≥0 T whereas discrepancies were observed for magnetic field strengths <-0.35 T. These significant differences were attributed to insufficient measurement data for this irradiation configuration during model validation. Of the light guide optical properties investigated, the fluorescence signal had the greatest impact on the CLR sensitivity to the magnetic field. CONCLUSIONS No significant change in the Čerenkov emission per dose in water was observed for magnetic field strengths up to 1.5 T. The nominal fiber fluorescence signal was found to have a significant impact on the CLR sensitivity to varying irradiation conditions where changes up to 11.7% were observed whereas the mirror reflectivity and fiber attenuation had a modest impact with maximum CLR changes of 2.6% and 1.2% relative to 0 T, respectively. The results of this work suggest light guides with low fiber fluorescence should be used with PSDs for dosimetry measurements in magnetic fields to minimize the impact of the magnetic field on the CLR correction.
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Affiliation(s)
- E Simiele
- Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, 53705, USA
| | - N Viscariello
- Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, 53705, USA
| | - L DeWerd
- Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, 53705, USA
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Cusumano D, Placidi L, D'Agostino E, Boldrini L, Menna S, Valentini V, De Spirito M, Azario L. Characterization of an inorganic scintillator for small-field dosimetry in MR-guided radiotherapy. J Appl Clin Med Phys 2020; 21:244-251. [PMID: 32841500 PMCID: PMC7497936 DOI: 10.1002/acm2.13012] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2020] [Revised: 04/04/2020] [Accepted: 07/27/2020] [Indexed: 11/11/2022] Open
Abstract
INTRODUCTION Aim of this study is to dosimetrically characterize a new inorganic scintillator designed for magnetic resonance-guided radiotherapy (MRgRT) in the presence of 0.35 tesla magnetic field (B). METHODS The detector was characterized in terms of signal to noise ratio (SNR), reproducibility, dose linearity, angular response, and dependence by energy, field size, and B orientation using a 6 MV magnetic resonance (MR)-Linac and a water tank. Field size dependence was investigated by measuring the output factor (OF) at 1.5 cm. The results were compared with those measured using other detectors (ion chamber and synthetic diamond) and those calculated using a Monte Carlo (MC) algorithm. Energy dependence was investigated by acquiring a percentage depth dose (PDD) curve at two field sizes (3.32 × 3.32 and 9.96 × 9.96 cm2 ) and repeating the OF measurements at 5 and 10 cm depths. RESULTS The mean SNR was 116.3 ± 0.6. Detector repeatability was within 1%, angular dependence was <2% and its response variation based on the orientation with respect to the B lines was <1%. The detector has a temporal resolution of 10 Hz and it showed a linear response (R2 = 1) in the dose range investigated. All the OF values measured at 1.5 cm depth using the scintillator are in accordance within 1% with those measured with other detectors and are calculated using the MC algorithm. PDD values are in accordance with MC algorithm only for 3.32 × 3.32 cm2 field. Numerical models can be applied to compensate for energy dependence in case of larger fields. CONCLUSION The inorganic scintillator in the present form can represent a valuable detector for small-field dosimetry and periodic quality controls at MR-Linacs such as dose stability, OFs, and dose linearity. In particular, the detector can be effectively used for small-field dosimetry at 1.5 cm depth and for PDD measurements if the field dimension of 3.32 × 3.32 cm2 is not exceeded.
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Affiliation(s)
- Davide Cusumano
- Fondazione Policlinico Universitario A. Gemelli IRCCSRomeItaly
| | - Lorenzo Placidi
- Fondazione Policlinico Universitario A. Gemelli IRCCSRomeItaly
| | | | - Luca Boldrini
- Fondazione Policlinico Universitario A. Gemelli IRCCSRomeItaly
| | | | | | | | - Luigi Azario
- Fondazione Policlinico Universitario A. Gemelli IRCCSRomeItaly
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Alexander DA, Zhang R, Brůža P, Pogue BW, Gladstone DJ. Scintillation imaging as a high‐resolution, remote, versatile 2D detection system for MR‐linac quality assurance. Med Phys 2020; 47:3861-3869. [PMID: 32583484 PMCID: PMC10363284 DOI: 10.1002/mp.14353] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Revised: 05/31/2020] [Accepted: 06/11/2020] [Indexed: 02/04/2023] Open
Abstract
PURPOSE To demonstrate the potential benefits of remote camera-based scintillation imaging for routine quality assurance (QA) measurements for magnetic resonance guided radiotherapy (MRgRT) linear accelerators. METHODS A wall-mounted CMOS camera with a time-synchronized intensifier was used to image photons produced from a scintillation screen in response to dose deposition from a 6 MV FFF x-ray beam produced by a 0.35 T MR-linac. The oblique angle of the field of view was corrected using a projective transform from a checkerboard calibration target. Output sensitivity and constancy was measured using the scintillator and benchmarked against an A28 ion chamber. Field cross-plane and in-plane profiles were measured for field sizes ranging from 1.68 × 1.66 cm2 to 20.02 × 19.92 cm2 with both scintillation imaging and using an IC profiler. Multileaf collimator (MLC) shifts were introduced to test sensitivity of the scintillation imaging system to small spatial deviations. A picket fence test and star-shot were delivered to both the scintillator and EBT3 film to compare accuracy in measuring MLC positions and isocenter size. RESULTS The scintillation imaging system showed comparable sensitivity and linearity to the ion chamber in response to changes in machine output down to 0.5 MU (R2 = 0.99). Cross-plane profiles show strong agreement with defined field sizes using full width half maximum (FWHM) measurement of <2 mm for field sizes below 15 cm, but the oblique viewing angle was the limiting factor in accuracy of in-plane profile widths. However, the system provided high-resolution profiles in both directions for constancy measurements. Small shifts in the field position down to 0.5 mm were detectable with <0.1 mm accuracy. Multileaf collimator positions as measured with both scintillation imaging and EBT3 film were measured within ± 1 mm tolerance and both detection systems produced similar isocenter sizes from the star-shot analysis (0.81 and 0.83 mm radii). CONCLUSIONS Remote scintillation imaging of a two-dimensional screen provided a rapid, versatile, MR-compatible solution to many routine quality assurance procedures including output constancy, profile flatness and symmetry constancy, MLC position verification and isocenter size. This method is high-resolution, does not require post-irradiation readout, and provides simple, instantaneous data acquisition. Full automation of the readout and processing could make this a very simple but effective QA tool, and is adaptable to all medical accelerators.
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Affiliation(s)
| | - Rongxiao Zhang
- Thayer School of Engineering and Geisel School of Medicine Dartmouth College Hanover NH03755USA
- Norris Cotton Cancer Center Dartmouth‐Hitchcock Medical Center Lebanon NH03756USA
| | - Petr Brůža
- Thayer School of Engineering Dartmouth College Hanover NH03755USA
| | - Brian W. Pogue
- Thayer School of Engineering and Geisel School of Medicine Dartmouth College Hanover NH03755USA
- Norris Cotton Cancer Center Dartmouth‐Hitchcock Medical Center Lebanon NH03756USA
| | - David J. Gladstone
- Thayer School of Engineering and Geisel School of Medicine Dartmouth College Hanover NH03755USA
- Norris Cotton Cancer Center Dartmouth‐Hitchcock Medical Center Lebanon NH03756USA
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Simiele E, Kapsch RP, Ankerhold U, Culberson W, DeWerd L. Technical note: characterization of spectral changes with measurement geometry and magnetic field strength in light guides used for scintillation dosimetry. ACTA ACUST UNITED AC 2020; 65:11NT01. [DOI: 10.1088/1361-6560/ab8afa] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Madden L, Archer J, Li E, Jelen U, Dong B, Holloway L, Rosenfeld A. MRI-LINAC beam profile measurements using a plastic scintillation dosimeter. Phys Med 2020; 73:111-116. [PMID: 32361155 DOI: 10.1016/j.ejmp.2020.04.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Revised: 04/14/2020] [Accepted: 04/16/2020] [Indexed: 10/24/2022] Open
Abstract
Plastic scintillation dosimeters (PSDs) possess many desirable qualities for dosimetry with LINACs. These qualities are expected to make PSDs effective for MRI-LINAC dosimetry, however little research has been conducted investigating their dosimetric performance with MRI-LINACs. In this work, an in-house PSD was used to measure 8 beam profiles with an in-line MRI-LINAC, compared with film measurements. One dimensional global gamma indices (γ) and corresponding γ pass rates were calculated to compare PSD and film profiles for the 1%/1 mm, 2%/2 mm and 3%/3 mm criterion. The mean global pass rates were 85.8%, 97.5% and 99.4% for the 1%/1 mm, 2%/2 mm and 3%/3 mm criteria, respectively. The majority of the γ failures occurred in the penumbral regions. Penumbra widths were measured to be slightly narrower with the PSD compared to film, however, the uncertainties in the measured penumbra widths brought the PSD and film penumbra widths into agreement. Differences in dose were calculated between the PSD and film, and remained within 2.2% global agreement for the central regions and 1.5% global agreement for out of field regions. These values for range of agreement were similar to the those reported in the literature for other dosimeters which are trusted for relative MRI-LINAC dosimetry.
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Affiliation(s)
- Levi Madden
- Centre for Medical Radiation Physics, University of Wollongong, NSW 2522, Australia; Ingham Institute for Applied Medical Research, Liverpool, NSW 2170, Australia
| | - James Archer
- Centre for Medical Radiation Physics, University of Wollongong, NSW 2522, Australia
| | - Enbang Li
- Centre for Medical Radiation Physics, University of Wollongong, NSW 2522, Australia.
| | - Urszula Jelen
- Ingham Institute for Applied Medical Research, Liverpool, NSW 2170, Australia
| | - Bin Dong
- Ingham Institute for Applied Medical Research, Liverpool, NSW 2170, Australia
| | - Lois Holloway
- Ingham Institute for Applied Medical Research, Liverpool, NSW 2170, Australia
| | - Anatoly Rosenfeld
- Centre for Medical Radiation Physics, University of Wollongong, NSW 2522, Australia; Illawarra Medical and Health Research Institute, University of Wollongong, NSW 2522, Australia
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Madden L, Archer J, Li E, Jelen U, Dong B, Roberts N, Holloway L, Rosenfeld A. First measurements with a plastic scintillation dosimeter at the Australian MRI-LINAC. ACTA ACUST UNITED AC 2019; 64:175015. [DOI: 10.1088/1361-6560/ab324b] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Yoon J, Kim JI, Choi CH, Park JM. Characteristics of the Exradin W1 scintillator in the magnetic field. J Appl Clin Med Phys 2019; 20:149-156. [PMID: 31460702 PMCID: PMC6753729 DOI: 10.1002/acm2.12707] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2019] [Revised: 04/29/2019] [Accepted: 08/06/2019] [Indexed: 11/12/2022] Open
Abstract
To investigate the angular dependency of the W1 scintillator with and without a magnetic field, the beam incidence angles to the detector varied from 0° to 360° at intervals of 30° when the detector was pointed in both the craniocaudal and right‐to‐left directions. The beam incidence angles also varied from 0° to 360° at intervals of 45° when the W1 scintillator was in the anterior‐to‐posterior direction. To investigate the field size dependency of the W1 scintillator with and without a magnetic field, the doses by an identical beam‐on time were measured at various square field sizes and the measured doses were normalized to the dose at the field of 10.5 cm × 10.5 cm (FS10.5). With and without a magnetic field, the deviations of the doses to the dose at the beam incident angle of 0° were always less than 1% regardless of the dosimeter positioning relative to the magnetic field direction. When the field sizes were equal to or less than FS10.5, the differences in the output factors with and without a magnetic field were less than 0.7%. However, those were larger than 1% at fields larger than FS10.5, and up to 3.1%. The W1 scintillator showed no angular dependency to the magnetic field. Differences larger than 1% in the output factors with and without a magnetic field were observed at field sizes larger than 10.5 cm × 10.5 cm.
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Affiliation(s)
- Jeongmin Yoon
- Department of Radiation Oncology, Seoul National University Hospital, Seoul, Korea.,Institute of Radiation Medicine, Seoul National University Medical Research Center, Seoul, Korea.,Biomedical Research Institute, Seoul National University College of Medicine, Seoul, Korea
| | - Jung-In Kim
- Department of Radiation Oncology, Seoul National University Hospital, Seoul, Korea.,Institute of Radiation Medicine, Seoul National University Medical Research Center, Seoul, Korea.,Biomedical Research Institute, Seoul National University College of Medicine, Seoul, Korea
| | - Chang Heon Choi
- Department of Radiation Oncology, Seoul National University Hospital, Seoul, Korea.,Institute of Radiation Medicine, Seoul National University Medical Research Center, Seoul, Korea.,Biomedical Research Institute, Seoul National University College of Medicine, Seoul, Korea
| | - Jong Min Park
- Department of Radiation Oncology, Seoul National University Hospital, Seoul, Korea.,Institute of Radiation Medicine, Seoul National University Medical Research Center, Seoul, Korea.,Biomedical Research Institute, Seoul National University College of Medicine, Seoul, Korea.,Robotics Research Laboratory for Extreme Environments, Advanced Institutes of Convergence Technology, Suwon, Korea
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