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Izairi-Bexheti R, Fejzulahi-Izairi M, Ristova M. Uncertainty in the range of the protons and C-ions in particle therapy due to a hydration level of a human body model. Appl Radiat Isot 2023; 200:110951. [PMID: 37487427 DOI: 10.1016/j.apradiso.2023.110951] [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: 02/20/2023] [Revised: 07/14/2023] [Accepted: 07/17/2023] [Indexed: 07/26/2023]
Abstract
Cancer treatment with protons and carbon ions relies on the property of the accelerated charged particles to deposit most of their energy in the vicinity of their range (around the Bragg peak). The level of hydration in a cancer patient's body may vary within hours. Some patients may be heavy to moderately dehydrated, and some may be well and even excessively hydrated. In this research, we aim to estimate the uncertainty of the protons and C-ion ranges because of the different hydration levels of the human body. For the study of the impact of body hydration level on the particle's ranges, we have designed a new phantom model - a homogeneous mixture of an Average HUuman BOdy constituting elements (AHUBO) in three states of hydration: normal (n), dehydrated (d), and excessively hydrated (e) by applying corresponding recalibration in the "atomic-stoichiometry model" due to the water sufficiency/deficiency. The purpose of the study is to estimate the shift in the ranges depending on the hydration level, possibly suggest particle beam energy adjustments to overcome the range uncertainties, to deliver the prescribed dose to the tumour while sparing the healthy tissue. Herein we present the results of the FLUKA-Flair simulations of the therapeutic range of energies of protons (50-105 MeV) and C-ions (30-210 MeV) respectively, into an AHUBO head phantom model at three levels of hydration (normal, dehydrated, and excessively hydrated). The range uncertainty was estimated via the shifts of the Bragg-peaks position for the three different hydration levels. The estimations showed that the range uncertainty (ΔR) due to body hydration for the maximum energy in the range for protons at 105 MeV is about 0.04 mm and for C-ions at 190 MeV/u is about 0.06 mm.
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Affiliation(s)
- Redona Izairi-Bexheti
- Physics Department, Faculty of Natural Sciences and Mathematics, University Ss Cyril and Methodius, Arhimedova St. 3, Skopje, Macedonia
| | - Mimoza Fejzulahi-Izairi
- Physics Department, Faculty of Natural Sciences and Mathematics, University Ss Cyril and Methodius, Arhimedova St. 3, Skopje, Macedonia
| | - Mimoza Ristova
- Physics Department, Faculty of Natural Sciences and Mathematics, University Ss Cyril and Methodius, Arhimedova St. 3, Skopje, Macedonia; SEEIIST, Southeast European International Institute for Sustainable Technologies, Geneva, Switzerland.
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Joya M, Nedaie HA, Geraily G, Rezaei H, Bromand A, Ghorbani M, Sheikhzadeh P. Investigation of TG-43 Dosimetric Parameters for 192Ir Brachytherapy Source Using GATE Monte Carlo Code. J Med Phys 2023; 48:268-273. [PMID: 37969149 PMCID: PMC10642593 DOI: 10.4103/jmp.jmp_41_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Revised: 05/29/2023] [Accepted: 06/21/2023] [Indexed: 11/17/2023] Open
Abstract
Purpose According to the revised Task Group number 43 recommendations, a brachytherapy source must be validated against a similar or identical source before its clinical application. The purpose of this investigation is to verify the dosimetric data of the high dose rate (HDR) BEBIG 192Ir source (Ir2.A85-2). Materials and Methods The HDR 192Ir encapsulated seed was simulated and its main dosimetric data were calculated using Geant4 Application for Tomographic Emission (GATE) simulation code. Cubic cells were used for the calculation of dose rate constant and radial dose function while for anisotropy function ring cells were used. DoseActors were simulated and attached to the respective cells to obtain the required data. Results The dose rate constant was obtained as 1.098 ± 0.003 cGy.h - 1.U - 1, differing by 1.0% from the reference value reported by Granero et al. Similarly, the calculated values for radial dose and anisotropy functions presented good agreement with the results obtained by Granero et al. Conclusion The results of this study suggest that the GATE Monte Carlo code is a valid toolkit for benchmarking brachytherapy sources and can be used for brachytherapy simulation-based studies and verification of brachytherapy treatment planning systems.
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Affiliation(s)
- Musa Joya
- Department of Medical Physics and Biomedical Engineering, Faculty of Medicine, Tehran, Iran
- Department of Radiology, Kabul University of Medical Sciences, Kabul, Afghanistan
| | - Hassan Ali Nedaie
- Department of Medical Physics and Biomedical Engineering, Faculty of Medicine, Tehran, Iran
| | - Ghazale Geraily
- Department of Medical Physics and Biomedical Engineering, Faculty of Medicine, Tehran, Iran
| | - Hadi Rezaei
- Department of Medical Physics and Biomedical Engineering, Faculty of Medicine, Tehran, Iran
- Research Center for Molecular and Cellular Imaging, Tehran University of Medical Sciences, Tehran, Iran
| | - Awaz Bromand
- Department of Physics, Ghor Institute of Higher Education, Ghor, Afghanistan
| | - Mahdi Ghorbani
- Department of Biomedical Engineering and Medical Physics, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Peyman Sheikhzadeh
- Department of Medical Physics and Biomedical Engineering, Faculty of Medicine, Tehran, Iran
- Department of Nuclear Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
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Monte-Carlo techniques for radiotherapy applications I: introduction and overview of the different Monte-Carlo codes. JOURNAL OF RADIOTHERAPY IN PRACTICE 2023. [DOI: 10.1017/s1460396923000079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
Abstract
Abstract
Introduction:
The dose calculation plays a crucial role in many aspects of contemporary clinical radiotherapy treatment planning process. It therefore goes without saying that the accuracy of the dose calculation is of very high importance. The gold standard for absorbed dose calculation is the Monte-Carlo algorithm.
Methods:
This first of two papers gives an overview of the main openly available and supported codes that have been widely used for radiotherapy simulations.
Results:
The paper aims to provide an overview of Monte-Carlo in the field of radiotherapy and point the reader in the right direction of work that could help them get started or develop their existing understanding and use of Monte-Carlo algorithms in their practice.
Conclusions:
It also serves as a useful companion to a curated collection of papers on Monte-Carlo that have been published in this journal.
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Monte-Carlo techniques for radiotherapy applications II: equipment and source modelling, dose calculations and radiobiology. JOURNAL OF RADIOTHERAPY IN PRACTICE 2023. [DOI: 10.1017/s1460396923000080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/05/2023]
Abstract
Abstract
Introduction:
This is the second of two papers giving an overview of the use of Monte-Carlo techniques for radiotherapy applications.
Methods:
The first paper gave an introduction and introduced some of the codes that are available to the user wishing to model the different aspects of radiotherapy treatment. It also aims to serve as a useful companion to a curated collection of papers on Monte-Carlo that have been published in this journal.
Results and Conclusions:
This paper focuses on the application of Monte-Carlo to specific problems in radiotherapy. These include radiotherapy and imaging beam production, brachytherapy, phantom and patient dosimetry, detector modelling and track structure calculations for micro-dosimetry, nano-dosimetry and radiobiology.
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Toumia Y, Pullia M, Domenici F, Facoetti A, Ferrarini M, Heymans SV, Carlier B, Van Den Abeele K, Sterpin E, D'hooge J, D'Agostino E, Paradossi G. Ultrasound-assisted carbon ion dosimetry and range measurement using injectable polymer-shelled phase-change nanodroplets: in vitro study. Sci Rep 2022; 12:8012. [PMID: 35568710 PMCID: PMC9107472 DOI: 10.1038/s41598-022-11524-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Accepted: 04/20/2022] [Indexed: 11/09/2022] Open
Abstract
Methods allowing for in situ dosimetry and range verification are essential in radiotherapy to reduce the safety margins required to account for uncertainties introduced in the entire treatment workflow. This study suggests a non-invasive dosimetry concept for carbon ion radiotherapy based on phase-change ultrasound contrast agents. Injectable nanodroplets made of a metastable perfluorobutane (PFB) liquid core, stabilized with a crosslinked poly(vinylalcohol) shell, are vaporized at physiological temperature when exposed to carbon ion radiation (C-ions), converting them into echogenic microbubbles. Nanodroplets, embedded in tissue-mimicking phantoms, are exposed at 37 °C to a 312 MeV/u clinical C-ions beam at different doses between 0.1 and 4 Gy. The evaluation of the contrast enhancement from ultrasound imaging of the phantoms, pre- and post-irradiation, reveals a significant radiation-triggered nanodroplets vaporization occurring at the C-ions Bragg peak with sub-millimeter shift reproducibility and dose dependency. The specific response of the nanodroplets to C-ions is further confirmed by varying the phantom position, the beam range, and by performing spread-out Bragg peak irradiation. The nanodroplets' response to C-ions is influenced by their concentration and is dose rate independent. These early findings show the ground-breaking potential of polymer-shelled PFB nanodroplets to enable in vivo carbon ion dosimetry and range verification.
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Affiliation(s)
- Yosra Toumia
- Department of Chemical Science and Technologies, University of Rome Tor Vergata, 00133, Rome, Italy.
- National Institute for Nuclear Physics, INFN Sez. Roma Tor Vergata, 00133, Rome, Italy.
| | - Marco Pullia
- Fondazione CNAO, The National Center of Oncological Hadrontherapy, 27100, Pavia, Italy
| | - Fabio Domenici
- Department of Chemical Science and Technologies, University of Rome Tor Vergata, 00133, Rome, Italy
- National Institute for Nuclear Physics, INFN Sez. Roma Tor Vergata, 00133, Rome, Italy
| | - Angelica Facoetti
- Fondazione CNAO, The National Center of Oncological Hadrontherapy, 27100, Pavia, Italy
| | - Michele Ferrarini
- Fondazione CNAO, The National Center of Oncological Hadrontherapy, 27100, Pavia, Italy
| | - Sophie V Heymans
- Department of Physics, KU Leuven Campus Kulak, Kortrijk, Belgium
- Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium
- Biomedical Engineering, Department of Cardiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands
| | - Bram Carlier
- Department of Oncology, KU Leuven, Leuven, Belgium
| | | | | | - Jan D'hooge
- Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium
| | | | - Gaio Paradossi
- Department of Chemical Science and Technologies, University of Rome Tor Vergata, 00133, Rome, Italy
- National Institute for Nuclear Physics, INFN Sez. Roma Tor Vergata, 00133, Rome, Italy
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