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Yamamoto S, Watabe H, Nakanishi K, Yabe T, Yamaguchi M, Kawachi N, Kamada K, Yoshikawa A, Miyake M, Tanaka KS, Kataoka J. A triple-imaging-modality system for simultaneous measurements of prompt gamma photons, prompt x-rays, and induced positrons during proton beam irradiation. Phys Med Biol 2024; 69:055012. [PMID: 38385258 DOI: 10.1088/1361-6560/ad25c6] [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: 06/19/2023] [Accepted: 02/01/2024] [Indexed: 02/23/2024]
Abstract
Objective. Prompt gamma photon, prompt x-ray, and induced positron imaging are possible methods for observing a proton beam's shape from outside the subject. However, since these three types of images have not been measured simultaneously nor compared using the same subject, their advantages and disadvantages remain unknown for imaging beam shapes in therapy. To clarify these points, we developed a triple-imaging-modality system to simultaneously measure prompt gamma photons, prompt x-rays, and induced positrons during proton beam irradiation to a phantom.Approach. The developed triple-imaging-modality system consists of a gamma camera, an x-ray camera, and a dual-head positron emission tomography (PET) system. During 80 MeV proton beam irradiation to a polymethyl methacrylate (PMMA) phantom, imaging of prompt gamma photons was conducted by the developed gamma camera from one side of the phantom. Imaging of prompt x-rays was conducted by the developed x-ray camera from the other side. Induced positrons were measured by the developed dual-head PET system set on the upper and lower sides of the phantom.Main results. With the proposed triple-imaging-modality system, we could simultaneously image the prompt gamma photons and prompt x-rays during proton beam irradiation. Induced positron distributions could be measured after the irradiation by the PET system and the gamma camera. Among these imaging modalities, image quality was the best for the induced positrons measured by PET. The estimated ranges were actually similar to those imaged with prompt gamma photons, prompt x-rays and induced positrons measured by PET.Significance. The developed triple-imaging-modality system made possible to simultaneously measure the three different beam images. The system will contribute to increasing the data available for imaging in therapy and will contribute to better estimating the shapes or ranges of proton beam.
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Affiliation(s)
| | - Hiroshi Watabe
- Cyclotron and Radioisotope Center, Tohoku University, Japan
| | - Kohei Nakanishi
- Department of Integrated Health Science, Nagoya University Graduate School of Medicine, Japan
| | - Takuya Yabe
- Takasaki Institute for Advanced Quantum Science, Foundational Quantum Technology Research Directorate, National Institutes for Quantum Science and Technology (QST), Japan
| | - Mitsutaka Yamaguchi
- Takasaki Institute for Advanced Quantum Science, Foundational Quantum Technology Research Directorate, National Institutes for Quantum Science and Technology (QST), Japan
| | - Naoki Kawachi
- Takasaki Institute for Advanced Quantum Science, Foundational Quantum Technology Research Directorate, National Institutes for Quantum Science and Technology (QST), Japan
| | - Kei Kamada
- New Industry Creation Hatchery Center (NICHe), Tohoku University, Japan
| | - Akira Yoshikawa
- New Industry Creation Hatchery Center (NICHe), Tohoku University, Japan
| | | | - Kazuo S Tanaka
- Faculty of Science and Engineering, Waseda University, Japan
| | - Jun Kataoka
- Faculty of Science and Engineering, Waseda University, Japan
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Rebolo L, Trigila C, Ellin J, Correia PMM, Silva AL, Veloso J, St James S, Roncali E, Ariño-Estrada G. Cherenkov Light Emission in Pure Cherenkov Emitters for Prompt Gamma Imaging. IEEE TRANSACTIONS ON RADIATION AND PLASMA MEDICAL SCIENCES 2024; 8:15-20. [PMID: 38173701 PMCID: PMC10764010 DOI: 10.1109/trpms.2023.3323838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2024]
Abstract
Proton range verification (PRV) in proton therapy by means of prompt-gamma detection is a promising but challenging approach. High count rates, energies ranging between 1 MeV and 7 MeV, and a strong background complicate the detection of such particles. In this work, the Cherenkov light generated by prompt-gammas in the pure Cherenkov emitters TlBr, TlCl and PbF2 was studied. Cherenkov light in these crystals can provide a very fast timing signal with the potential to achieve very high count rates and to discern between prompt-gammas and background signals. Crystals of 1×1 cm2 and thicknesses of 1 cm, 2 cm, 3 cm and 4 cm were simulated. Different photodetector configurations were studied for 2.3 MeV, 4.4 MeV, and 6.1 MeV prompt-gammas. TlCl achieved the greatest number of detected Cherenkov photons for all energies, detector dimensions, and photodetector efficiency modeling. For the highest prompt-gamma energy simulated, TlCl yielded approximately 250 Cherenkov detected photons, using a hypothetical high-performance photodetector. Results show the crystal blocks of 1 cm × 1 cm × 1 cm have greater prompt-gamma detection efficiency per volume and a comparable average number of detected Cherenkov photons per event.
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Affiliation(s)
- L Rebolo
- Department of Biomedical Engineering at the University of California, Davis, Davis, California, USA
| | - C Trigila
- Department of Biomedical Engineering at the University of California, Davis, Davis, California, USA
| | - J Ellin
- Department of Biomedical Engineering at the University of California, Davis, Davis, California, USA
| | | | - A L Silva
- I3N-Physics Department of the University of Aveiro, Aveiro, Portugal
| | - J Veloso
- I3N-Physics Department of the University of Aveiro, Aveiro, Portugal
| | - S St James
- Huntsman Cancer Center in the University of Utah, Salt Lake City, Utah, USA
| | - E Roncali
- Department of Biomedical Engineering at the University of California, Davis, Davis, California, USA
- Department of Radiology at UC Davis
| | - G Ariño-Estrada
- Department of Biomedical Engineering at the University of California, Davis, Davis, California, USA
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3
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Kazemi Kozani M, Magiera A. Machine learning-based event recognition in SiFi Compton camera imaging for proton therapy monitoring. Phys Med Biol 2022; 67. [DOI: 10.1088/1361-6560/ac71f2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Accepted: 05/20/2022] [Indexed: 11/11/2022]
Abstract
Abstract
Objective. Online monitoring of dose distribution in proton therapy is currently being investigated with the detection of prompt gamma (PG) radiation emitted from a patient during irradiation. The SiPM and scintillation Fiber based Compton Camera (SiFi-CC) setup is being developed for this aim. Approach. A machine learning approach to recognize Compton events is proposed, reconstructing the PG emission profile during proton therapy. The proposed method was verified on pseudo-data generated by a Geant4 simulation for a single proton beam impinging on a polymethyl methacrylate (PMMA) phantom. Three different models including the boosted decision tree (BDT), multilayer perception (MLP) neural network, and k-nearest neighbour (k-NN) were trained using 10-fold cross-validation and then their performances were assessed using the receiver operating characteristic (ROI) curves. Subsequently, after event selection by the most robust model, a software based on the List-Mode Maximum Likelihood Estimation Maximization (LM-MLEM) algorithm was applied for the reconstruction of the PG emission distribution profile. Main results. It was demonstrated that the BDT model excels in signal/background separation compared to the other two. Furthermore, the reconstructed PG vertex distribution after event selection showed a significant improvement in distal falloff position determination. Significance. A highly satisfactory agreement between the reconstructed distal edge position and that of the simulated Compton events was achieved. It was also shown that a position resolution of 3.5 mm full width at half maximum (FWHM) in distal edge position determination is feasible with the proposed setup.
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4
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Cramér–Rao Bound Evaluations of Compton Imager Designs for Proton Beam Range Verification. IEEE TRANSACTIONS ON RADIATION AND PLASMA MEDICAL SCIENCES 2022. [DOI: 10.1109/trpms.2021.3116118] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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5
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Maliszewska-Olejniczak K, Kaniowski D, Araszkiewicz M, Tymińska K, Korgul A. Molecular Mechanisms of Specific Cellular DNA Damage Response and Repair Induced by the Mixed Radiation Field During Boron Neutron Capture Therapy. Front Oncol 2021; 11:676575. [PMID: 34094980 PMCID: PMC8170402 DOI: 10.3389/fonc.2021.676575] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Accepted: 04/28/2021] [Indexed: 01/04/2023] Open
Abstract
The impact of a mixed neutron-gamma beam on the activation of DNA damage response (DDR) proteins and non-coding RNAs (ncRNAs) is poorly understood. Ionizing radiation is characterized by its biological effectiveness and is related to linear energy transfer (LET). Neutron-gamma mixed beam used in boron neutron capture therapy (BNCT) can induce another type of DNA damage such as clustered DNA or multiple damaged sites, as indicated for high LET particles, such as alpha particles, carbon ions, and protons. We speculate that after exposure to a mixed radiation field, the repair capacity might reduce, leading to unrepaired complex DNA damage for a long period and may promote genome instability and cell death. This review will focus on the poorly studied impact of neutron-gamma mixed beams with an emphasis on DNA damage and molecular mechanisms of repair. In case of BNCT, it is not clear which repair pathway is involved, and recent experimental work will be presented. Further understanding of BNCT-induced DDR mechanisms may lead to improved therapeutic efficiency against different tumors.
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Affiliation(s)
| | - Damian Kaniowski
- Centre of Molecular and Macromolecular Studies, Polish Academy of Sciences, Lodz, Poland
| | - Martyna Araszkiewicz
- Faculty of Physics, University of Warsaw, Warsaw, Poland.,Nuclear Facilities Operations Department, National Centre for Nuclear Research, Otwock, Poland
| | - Katarzyna Tymińska
- Nuclear Facilities Operations Department, National Centre for Nuclear Research, Otwock, Poland
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6
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Conte V, Agosteo S, Bianchi A, Bolst D, Bortot D, Catalano R, Cirrone GAP, Colautti P, Cuttone G, Guatelli S, James B, Mazzucconi D, Rosenfeld AB, Selva A, Tran L, Petringa G. Microdosimetry of a therapeutic proton beam with a mini-TEPC and a MicroPlus-Bridge detector for RBE assessment. Phys Med Biol 2020; 65:245018. [PMID: 33086208 DOI: 10.1088/1361-6560/abc368] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Proton beams are widely used worldwide to treat localized tumours, the lower entrance dose and no exit dose, thus sparing surrounding normal tissues, being the main advantage of this treatment modality compared to conventional photon techniques. Clinical proton beam therapy treatment planning is based on the use of a general relative biological effectiveness (RBE) of 1.1 along the whole beam penetration depth, without taking into account the documented increase in RBE at the end of the depth dose profile, in the Bragg peak and beyond. However, an inaccurate estimation of the RBE can cause both underdose or overdose, in particular it can cause the unfavourable situation of underdosing the tumour and overdosing the normal tissue just beyond the tumour, which limits the treatment success and increases the risk of complications. In view of a more precise dose delivery that takes into account the variation of RBE, experimental microdosimetry offers valuable tools for the quality assurance of LET or RBE-based treatment planning systems. The purpose of this work is to compare the response of two different microdosimetry systems: the mini-TEPC and the MicroPlus-Bridge detector. Microdosimetric spectra were measured across the 62 MeV spread out Bragg peak of CATANA with the mini-TEPC and with the Bridge microdosimeter. The frequency and dose distributions of lineal energy were compared and the different contributions to the spectra were analysed, discussing the effects of different site sizes and chord length distributions. The shape of the lineal energy distributions measured with the two detectors are markedly different, due to the different water-equivalent sizes of the sensitive volumes: 0.85 μm for the TEPC and 17.3 μm for the silicon detector. When the Loncol's biological weighting function is applied to calculate the microdosimetric assessment of the RBE, both detectors lead to results that are consistent with biological survival data for glioma U87 cells. Both the mini-TEPC and the MicroPlus-Bridge detector can be used to assess the RBE variation of a 62 MeV modulated proton beam along its penetration depth. The microdosimetric assessment of the RBE based on the Loncol's weighting function is in good agreement with radiobiological results when the 10% biological uncertainty is taken into account.
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Affiliation(s)
- V Conte
- INFN Laboratori Nazionali di Legnaro, viale dell'Università 2 35020 Legnaro, Italy
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7
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Farr JB, Moyers MF, Allgower CE, Bues M, Hsi WC, Jin H, Mihailidis DN, Lu HM, Newhauser WD, Sahoo N, Slopsema R, Yeung D, Zhu XR. Clinical commissioning of intensity-modulated proton therapy systems: Report of AAPM Task Group 185. Med Phys 2020; 48:e1-e30. [PMID: 33078858 DOI: 10.1002/mp.14546] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2020] [Revised: 08/17/2020] [Accepted: 08/18/2020] [Indexed: 02/06/2023] Open
Abstract
Proton therapy is an expanding radiotherapy modality in the United States and worldwide. With the number of proton therapy centers treating patients increasing, so does the need for consistent, high-quality clinical commissioning practices. Clinical commissioning encompasses the entire proton therapy system's multiple components, including the treatment delivery system, the patient positioning system, and the image-guided radiotherapy components. Also included in the commissioning process are the x-ray computed tomography scanner calibration for proton stopping power, the radiotherapy treatment planning system, and corresponding portions of the treatment management system. This commissioning report focuses exclusively on intensity-modulated scanning systems, presenting details of how to perform the commissioning of the proton therapy and ancillary systems, including the required proton beam measurements, treatment planning system dose modeling, and the equipment needed.
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Affiliation(s)
- Jonathan B Farr
- Department of Medical Physics, Applications of Detectors and Accelerators to Medicine, Meyrin, 1217, Switzerland
| | | | - Chris E Allgower
- Richard L. Roudebush VA Medical Center, Indianapolis, IN, 46202, USA
| | - Martin Bues
- Department of Radiation Oncology, Mayo Clinic, Scottsdale, AZ, 85259, USA
| | - Wen-Chien Hsi
- University of Florida Proton Therapy Institute, University of Florida, Jacksonville, FL, 32206, USA
| | - Hosang Jin
- Department of Radiation Oncology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, 73104, USA
| | - Dimitris N Mihailidis
- Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, 19104, USA
| | - Hsiao-Ming Lu
- Department of Radiation Oncology, Hefei Ion Medical Center, 1700 Changning Avenue, Gaoxin District, Hefei, Anhui, 230088, China
| | - Wayne D Newhauser
- Department of Physics & Astronomy, Louisiana State University, Baton Rouge, LA, 70803, USA.,Mary Bird Perkins Cancer Center, Baton Rouge, LA, 70809, USA
| | - Narayan Sahoo
- Department of Radiation Physics, University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA
| | - Roelf Slopsema
- Department of Radiation Oncology, Emory Proton Therapy Center, Emory University, Atlanta, GA, 30322, USA
| | - Daniel Yeung
- Saudi Proton Therapy Center, King Fahad Medical City, Riyadh, Riyadh Province, 11525, Saudi Arabia
| | - X Ronald Zhu
- Department of Radiation Physics, University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA
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8
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The SiFi-CC project – Feasibility study of a scintillation-fiber-based Compton camera for proton therapy monitoring. Phys Med 2020; 76:317-325. [DOI: 10.1016/j.ejmp.2020.07.013] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2020] [Revised: 06/19/2020] [Accepted: 07/09/2020] [Indexed: 11/15/2022] Open
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9
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Scatter-to-primary ratio in cone beam computed tomography with extended source to image-receptor distance for image-guided proton beam therapy system. Radiat Phys Chem Oxf Engl 1993 2020. [DOI: 10.1016/j.radphyschem.2019.108667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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10
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PIBS: Proton and ion beam spectroscopy for in vivo measurements of oxygen, carbon, and calcium concentrations in the human body. Sci Rep 2020; 10:7007. [PMID: 32332815 PMCID: PMC7181859 DOI: 10.1038/s41598-020-63215-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2019] [Accepted: 03/25/2020] [Indexed: 12/03/2022] Open
Abstract
Proton and ion beam therapy has proven to benefit tumour control with lower side-effects, mostly in paediatrics. Here we demonstrate a feasible technique for proton and ion beam spectroscopy (PIBS) capable of determining the elemental compositions of the irradiated tissues during particle therapy. This follows the developments in prompt gamma imaging for online range verification and the inheritance from prompt gamma neutron activation analysis. Samples of water solutions were prepared to emulate varying oxygen and carbon concentrations. The irradiation of those samples and other tissue surrogate inserts by protons and ion beams under clinical conditions clearly showed a logarithmic relationship between the target elemental composition and the prompt gamma production. This finding is in line with the known logarithmic dependence of the pH with the proton molar concentration. Elemental concentration changes of 1% for calcium and 2% for oxygen in adipose, brain, breast, liver, muscle and bone-related tissue surrogates were clearly identified. Real-time in vivo measurements of oxygen, carbon and calcium concentrations will be evaluated in a pre-clinical and clinical environment. This technique should have an important impact in the assessment of tumour hypoxia over the course of several treatment fractions and the tracking of calcifications in brain metastases.
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11
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Hueso-González F, Bortfeld T. Compact Method for Proton Range Verification Based on Coaxial Prompt Gamma-Ray Monitoring: a Theoretical Study. IEEE TRANSACTIONS ON RADIATION AND PLASMA MEDICAL SCIENCES 2020; 4:170-183. [PMID: 32258856 PMCID: PMC7111431 DOI: 10.1109/trpms.2019.2930362] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Range uncertainties in proton therapy hamper treatment precision. Prompt gamma-rays were suggested 16 years ago for real-time range verification, and have already shown promising results in clinical studies with collimated cameras. Simultaneously, alternative imaging concepts without collimation are investigated to reduce the footprint and price of current prototypes. In this manuscript, a compact range verification method is presented. It monitors prompt gamma-rays with a single scintillation detector positioned coaxially to the beam and behind the patient. Thanks to the solid angle effect, proton range deviations can be derived from changes in the number of gamma-rays detected per proton, provided that the number of incident protons is well known. A theoretical background is formulated and the requirements for a future proof-of-principle experiment are identified. The potential benefits and disadvantages of the method are discussed, and the prospects and potential obstacles for its use during patient treatments are assessed. The final milestone is to monitor proton range differences in clinical cases with a statistical precision of 1 mm, a material cost of 25000 USD and a weight below 10 kg. This technique could facilitate the widespread application of in vivo range verification in proton therapy and eventually the improvement of treatment quality.
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Affiliation(s)
- F Hueso-González
- Department of Radiation Oncology, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, United States of America
| | - T Bortfeld
- Department of Radiation Oncology, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, United States of America
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12
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Ytre-Hauge KS, Skjerdal K, Mattingly J, Meric I. A Monte Carlo feasibility study for neutron based real-time range verification in proton therapy. Sci Rep 2019; 9:2011. [PMID: 30765808 PMCID: PMC6376014 DOI: 10.1038/s41598-019-38611-w] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2018] [Accepted: 12/27/2018] [Indexed: 01/16/2023] Open
Abstract
Uncertainties in the proton range in tissue during proton therapy limit the precision in treatment delivery. These uncertainties result in expanded treatment margins, thereby increasing radiation dose to healthy tissue. Real-time range verification techniques aim to reduce these uncertainties in order to take full advantage of the finite range of the primary protons. In this paper, we propose a novel concept for real-time range verification based on detection of secondary neutrons produced in nuclear interactions during proton therapy. The proposed detector concept is simple; consisting of a hydrogen-rich converter material followed by two charged particle tracking detectors, mimicking a proton recoil telescopic arrangement. Neutrons incident on the converter material are converted into protons through elastic and inelastic (n,p) interactions. The protons are subsequently detected in the tracking detectors. The information on the direction and position of these protons is then utilized in a new reconstruction algorithm to estimate the depth distribution of neutron production by the proton beam, which in turn is correlated with the primary proton range. In this paper, we present the results of a Monte Carlo feasibility study and show that the proposed concept could be used for real-time range verification with millimetric precision in proton therapy.
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Affiliation(s)
| | - Kyrre Skjerdal
- Department of Computing, Mathematics and Physics, Western Norway University of Applied Sciences, P.O. Box 7030, 5020, Bergen, Norway
| | - John Mattingly
- Department of Nuclear Engineering, North Carolina State University, Raleigh, NC, 27695-7909, USA
| | - Ilker Meric
- Department of Nuclear Engineering, North Carolina State University, Raleigh, NC, 27695-7909, USA.,Department of Electrical Engineering, Western Norway University of Applied Sciences, P.O. Box 7030, 5020, Bergen, Norway
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13
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Landry G, Hua CH. Current state and future applications of radiological image guidance for particle therapy. Med Phys 2018; 45:e1086-e1095. [PMID: 30421805 DOI: 10.1002/mp.12744] [Citation(s) in RCA: 75] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2017] [Revised: 10/25/2017] [Accepted: 11/30/2017] [Indexed: 12/27/2022] Open
Abstract
In this review paper, we first give a short overview of radiological image guidance in photon radiotherapy, placing emphasis on the fact that linac based radiotherapy has outpaced particle therapy in the adoption of volumetric image guidance. While cone beam computed tomography (CBCT) has been an established technique in linac treatment rooms for almost two decades, the widespread adoption of volumetric image guidance in particle therapy, whether by means of CBCT or in-room CT imaging, is recent. This lag may be attributable to the bespoke nature and lower number of particle therapy installations, as well as the differences in geometry between those installations and linac treatment rooms. In addition, for particle therapy the so called shift invariance of the dose distribution rarely applies. An overview of the different volumetric image guidance solutions found at modern particle therapy facilities is provided, covering gantry, nozzle, C-arm, and couch-mounted CBCT as well different in-room CT configurations. A summary of the use of in-room volumetric imaging data beyond anatomy-based positioning is also presented as well as the necessary corrections to CBCT images for accurate water equivalent thickness calculation. Finally, the use of non-ionizing imaging modalities is discussed.
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Affiliation(s)
- Guillaume Landry
- Faculty of Physics, Department of Medical Physics, Ludwig-Maximilians-Universität München (LMU Munich), 85748, Garching b. München, Germany
| | - Chia-Ho Hua
- Department of Radiation Oncology, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA
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14
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Patch SK, Hoff DE, Webb TB, Sobotka LG, Zhao T. Two-stage ionoacoustic range verification leveraging Monte Carlo and acoustic simulations to stably account for tissue inhomogeneity and accelerator-specific time structure - A simulation study. Med Phys 2017; 45:783-793. [DOI: 10.1002/mp.12681] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2017] [Revised: 10/06/2017] [Accepted: 10/31/2017] [Indexed: 11/06/2022] Open
Affiliation(s)
- Sarah K. Patch
- Department of Physics; University of Wisconsin-Milwaukee; Milwaukee WI USA
| | - Daniel E.M. Hoff
- Departments of Chemistry and Physics; Washington University; St. Louis MO USA
| | - Tyler B. Webb
- Departments of Chemistry and Physics; Washington University; St. Louis MO USA
| | - Lee G. Sobotka
- Departments of Chemistry and Physics; Washington University; St. Louis MO USA
| | - Tianyu Zhao
- Department of Radiation Oncology; Washington University; St. Louis MO USA
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15
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Jan ML, Hsiao IT, Huang HM. Use of a LYSO-based Compton camera for prompt gamma range verification in proton therapy. Med Phys 2017; 44:6261-6269. [PMID: 29031024 DOI: 10.1002/mp.12626] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2017] [Revised: 09/19/2017] [Accepted: 10/05/2017] [Indexed: 11/10/2022] Open
Abstract
PURPOSE A Compton camera (CC), which measures prompt gammas (PGs) emitted during proton therapy, is a potentially useful imaging device for proton range verification. The aim of this study was to evaluate how well the reconstructed PG images obtained from various two-stage CC configurations reproduce the distal falloff of the PG emission. METHODS We conducted Monte Carlo simulations to evaluate different two-stage CCs positioned orthogonal to a proton pencil beam irradiating a water phantom. The results were compared with those obtained for a three-stage CC. In particular, all detectors were made of lutetium-yttrium orthosilicate (LYSO) crystals. RESULTS We found that: (a) the position resolution of the detector led to more uncertainty in predicting the depth of maximum emission and distal falloff positions than did the energy resolution of the detector; (b) reducing the thickness of the absorber detector reduces the effect of position resolution on the quality of reconstructed images and improves falloff position estimates; (c) incomplete absorption of PGs can be filtered by restricting incident gamma energies to known PG energy spectral peaks; and (d) there is greater bias and less accuracy in predicting distal falloff positions with the three-stage CC compared with the two-stage CC. CONCLUSIONS This study demonstrates the feasibility of using various CC designs and event selection methods to improve the imaging of PG rays. In our designed two-stage CCs, the thin LYSO-based absorber can provide better predictions of the distal falloff positions than the thick one. Compared to three-stage CCs, two-stage CCs are less biased and provide more accurate range verification.
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Affiliation(s)
- Meei-Ling Jan
- Medical Physics Research Center, Institute for Radiological Research, Chang Gung University and Chang Gung Memorial Hospital, Kwei-Shan, Taiwan.,Department of Radiation Oncology, Chang Gung Memorial Hospital, Kwei-Shan, Taiwan
| | - Ing-Tsung Hsiao
- Department of Nuclear Medicine and Neuroscience Research Center, Chang Gung Memorial Hospital, Kwei-Shan, Taiwan.,Department of Medical Imaging and Radiological Sciences and Healthy Aging Research Center, College of Medicine, Chang Gung University, Kwei-Shan, Taiwan
| | - Hsuan-Ming Huang
- Institute of Medical Device and Imaging, College of Medicine, National Taiwan University, Taipei City, Taiwan
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16
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Berndt B, Landry G, Schwarz F, Tessonnier T, Kamp F, Dedes G, Thieke C, Würl M, Kurz C, Ganswindt U, Verhaegen F, Debus J, Belka C, Sommer W, Reiser M, Bauer J, Parodi K. Application of single- and dual-energy CT brain tissue segmentation to PET monitoring of proton therapy. Phys Med Biol 2017; 62:2427-2448. [DOI: 10.1088/1361-6560/aa5f9f] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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17
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Zheng Y, Kang Y, Zeidan O, Schreuder N. An end-to-end assessment of range uncertainty in proton therapy using animal tissues. Phys Med Biol 2016; 61:8010-8024. [DOI: 10.1088/0031-9155/61/22/8010] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Thirolf P, Aldawood S, Böhmer M, Bortfeldt J, Castelhano I, Dedes G, Fiedler F, Gernhäuser R, Golnik C, Helmbrecht S, Hueso-González F, Kolff HV, Kormoll T, Lang C, Liprandi S, Lutter R, Marinšek T, Maier L, Pausch G, Petzoldt J, Römer K, Schaart D, Parodi K. A Compton camera prototype for prompt gamma medical imaging. EPJ WEB OF CONFERENCES 2016. [DOI: 10.1051/epjconf/201611705005] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Pinto M, Dauvergne D, Freud N, Krimmer J, Létang JM, Testa E. Assessment of Geant4 Prompt-Gamma Emission Yields in the Context of Proton Therapy Monitoring. Front Oncol 2016; 6:10. [PMID: 26858937 PMCID: PMC4729887 DOI: 10.3389/fonc.2016.00010] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2015] [Accepted: 01/11/2016] [Indexed: 11/13/2022] Open
Abstract
Monte Carlo tools have been long used to assist the research and development of solutions for proton therapy monitoring. The present work focuses on the prompt-gamma emission yields by comparing experimental data with the outcomes of the current version of Geant4 using all applicable proton inelastic models. For the case in study and using the binary cascade model, it was found that Geant4 overestimates the prompt-gamma emission yields by 40.2 ± 0.3%, even though it predicts the prompt-gamma profile length of the experimental profile accurately. In addition, the default implementations of all proton inelastic models show an overestimation in the number of prompt gammas emitted. Finally, a set of built-in options and physically sound Geant4 source code changes have been tested in order to try to improve the discrepancy observed. A satisfactory agreement was found when using the QMD model with a wave packet width equal to 1.3 fm2.
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Affiliation(s)
- Marco Pinto
- CNRS/IN2P3 UMR 5822, IPNL, Université de Lyon, Université Lyon 1 , Villeurbanne , France
| | - Denis Dauvergne
- CNRS/IN2P3 UMR 5822, IPNL, Université de Lyon, Université Lyon 1 , Villeurbanne , France
| | - Nicolas Freud
- CREATIS, CNRS UMR 5220, INSERM U1044, INSA-Lyon, Centre Léon Bérard, Université de Lyon, Université Lyon 1 , Lyon , France
| | - Jochen Krimmer
- CNRS/IN2P3 UMR 5822, IPNL, Université de Lyon, Université Lyon 1 , Villeurbanne , France
| | - Jean M Létang
- CREATIS, CNRS UMR 5220, INSERM U1044, INSA-Lyon, Centre Léon Bérard, Université de Lyon, Université Lyon 1 , Lyon , France
| | - Etienne Testa
- CNRS/IN2P3 UMR 5822, IPNL, Université de Lyon, Université Lyon 1 , Villeurbanne , France
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Polf JC, Avery S, Mackin DS, Beddar S. Imaging of prompt gamma rays emitted during delivery of clinical proton beams with a Compton camera: feasibility studies for range verification. Phys Med Biol 2015; 60:7085-99. [DOI: 10.1088/0031-9155/60/18/7085] [Citation(s) in RCA: 91] [Impact Index Per Article: 10.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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21
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Kraan AC. Range Verification Methods in Particle Therapy: Underlying Physics and Monte Carlo Modeling. Front Oncol 2015; 5:150. [PMID: 26217586 PMCID: PMC4493660 DOI: 10.3389/fonc.2015.00150] [Citation(s) in RCA: 77] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2015] [Accepted: 06/17/2015] [Indexed: 01/27/2023] Open
Abstract
Hadron therapy allows for highly conformal dose distributions and better sparing of organs-at-risk, thanks to the characteristic dose deposition as function of depth. However, the quality of hadron therapy treatments is closely connected with the ability to predict and achieve a given beam range in the patient. Currently, uncertainties in particle range lead to the employment of safety margins, at the expense of treatment quality. Much research in particle therapy is therefore aimed at developing methods to verify the particle range in patients. Non-invasive in vivo monitoring of the particle range can be performed by detecting secondary radiation, emitted from the patient as a result of nuclear interactions of charged hadrons with tissue, including β (+) emitters, prompt photons, and charged fragments. The correctness of the dose delivery can be verified by comparing measured and pre-calculated distributions of the secondary particles. The reliability of Monte Carlo (MC) predictions is a key issue. Correctly modeling the production of secondaries is a non-trivial task, because it involves nuclear physics interactions at energies, where no rigorous theories exist to describe them. The goal of this review is to provide a comprehensive overview of various aspects in modeling the physics processes for range verification with secondary particles produced in proton, carbon, and heavier ion irradiation. We discuss electromagnetic and nuclear interactions of charged hadrons in matter, which is followed by a summary of some widely used MC codes in hadron therapy. Then, we describe selected examples of how these codes have been validated and used in three range verification techniques: PET, prompt gamma, and charged particle detection. We include research studies and clinically applied methods. For each of the techniques, we point out advantages and disadvantages, as well as clinical challenges still to be addressed, focusing on MC simulation aspects.
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Affiliation(s)
- Aafke Christine Kraan
- Department of Physics, National Institute for Nuclear Physics (INFN), University of Pisa, Pisa, Italy
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22
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Pinto M, Bajard M, Brons S, Chevallier M, Dauvergne D, Dedes G, De Rydt M, Freud N, Krimmer J, La Tessa C, Létang JM, Parodi K, Pleskač R, Prieels D, Ray C, Rinaldi I, Roellinghoff F, Schardt D, Testa E, Testa M. Absolute prompt-gamma yield measurements for ion beam therapy monitoring. Phys Med Biol 2014; 60:565-94. [DOI: 10.1088/0031-9155/60/2/565] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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23
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Lee E, Polf JC, Mackin DS, Beddar S, Dolney D, Ainsley C, Kassaee A, Avery S. Study of the Angular Dependence of a Prompt Gamma Detector Response during Proton Radiation Therapy. Int J Part Ther 2014. [DOI: 10.14338/ijpt-14-00012.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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24
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Knopf A, Nill S, Yohannes I, Graeff C, Dowdell S, Kurz C, Sonke JJ, Biegun AK, Lang S, McClelland J, Champion B, Fast M, Wölfelschneider J, Gianoli C, Rucinski A, Baroni G, Richter C, van de Water S, Grassberger C, Weber D, Poulsen P, Shimizu S, Bert C. Challenges of radiotherapy: report on the 4D treatment planning workshop 2013. Phys Med 2014; 30:809-15. [PMID: 25172392 DOI: 10.1016/j.ejmp.2014.07.341] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2014] [Revised: 07/23/2014] [Accepted: 07/28/2014] [Indexed: 01/27/2023] Open
Abstract
This report, compiled by experts on the treatment of mobile targets with advanced radiotherapy, summarizes the main conclusions and innovations achieved during the 4D treatment planning workshop 2013. This annual workshop focuses on research aiming to advance 4D radiotherapy treatments, including all critical aspects of time resolved delivery, such as in-room imaging, motion detection, motion managing, beam application, and quality assurance techniques. The report aims to revise achievements in the field and to discuss remaining challenges and potential solutions. As main achievements advances in the development of a standardized 4D phantom and in the area of 4D-treatment plan optimization were identified. Furthermore, it was noticed that MR imaging gains importance and high interest for sequential 4DCT/MR data sets was expressed, which represents a general trend of the field towards data covering a longer time period of motion. A new point of attention was work related to dose reconstructions, which may play a major role in verification of 4D treatment deliveries. The experimental validation of results achieved by 4D treatment planning and the systematic evaluation of different deformable image registration methods especially for inter-modality fusions were identified as major remaining challenges. A challenge that was also suggested as focus for future 4D workshops was the adaptation of image guidance approaches from conventional radiotherapy into particle therapy. Besides summarizing the last workshop, the authors also want to point out new evolving demands and give an outlook on the focus of the next workshop.
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Affiliation(s)
| | | | | | | | | | | | | | - Aleksandra K Biegun
- KVI-Center for Advanced Radiation Technology, University of Groningen, Netherlands
| | | | | | | | | | | | - Chiara Gianoli
- Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Italy; Department of Radiation Oncology, Heidelberg University Hospital, Germany
| | - Antoni Rucinski
- Radiation Oncology Department, SLK-Klinik Heilbronn, Germany
| | - Guido Baroni
- Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano and Bioengineering Unit, CNAO Foundation, Pavia, Italy
| | - Christian Richter
- Oncoray - National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital C.G. Carus, TU Dresden, Helmholtz-Zentrum Dresden-Rossendorf, DKTK, Dresden, Germany
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