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Zhao L, Liu G, Souris K, Wuyckens S, Janssens G, Poels K, Delor A, Depuydt T, Deraniyagala R, Stevens C, Li X, Ding X. Machine-Specific Delivery Sequence Model of Compact Superconducting Synchrocyclotron Proton Therapy Systems – A Multi-Institutional Investigation. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.2156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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2
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de Jong B, Battinelli C, Engwall E, Janssens G, Langendijk J, Korevaar E, Both S. OC-0453 Proton arc therapy with optimized settings reduces toxicity for head and neck cancer patients. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)02589-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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3
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Nauta J, Maduro J, Bannink-Gawryszuk A, Bosma I, Bromberg J, Enting R, Fock A, Heesters M, Hoeben B, Hooimeijer L, Hoving E, Janssens G, Jeltema H, Matysiak W, Molenbuur B, Nuver J, Plasschaert S, Tissing W, van der Salm N, van Rij C, de Vos F, Walenkamp A, Langendijk H, van der Weide H. MO-0061 Centralized proton therapy for medulloblastoma; an evaluation of the care infrastructure. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)02294-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Janssens G. SP-0689 Against the motion. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)04012-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Cohilis M, Hong L, Janssens G, Rossomme S, Sterpin E, Lee JA, Souris K. Development and validation of an automatic commissioning tool for the Monte Carlo dose engine in myQA iON. Phys Med 2022; 95:1-8. [PMID: 35051680 DOI: 10.1016/j.ejmp.2022.01.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Revised: 01/07/2022] [Accepted: 01/08/2022] [Indexed: 12/14/2022] Open
Abstract
Independent dose verification with Monte Carlo (MC) simulations is an important feature of proton therapy quality assurance (QA). However, clinical integration of such tools often generates an additional and complex workload for medical physicists. The preparation of the necessary clinical inputs, such as the machine beam model, should therefore be automated. In this work, a methodology for automatic MC commissioning has been devised, validated, and developed into a MATLAB tool for the users of myQA iON, the recent QA platform of IBA Dosimetry. With this workflow, all necessary parameters can easily be tuned using dedicated optimization methods. For the geometrical beam parameters (phase space), the assumption of a single or double Gaussian is made. To model the energy spectrum, a Gaussian function is assumed and parameters are optimized using either MC simulations or a library of pre-computed Bragg peaks. For the absolute dose calibration, commissioning fields can be reproduced with the dose engine to retrieve the necessary parameters. We discuss in a first time the tool efficiency and show that one can optimize all parameters in less than 4 min per energy with excellent accuracy. We then validate a beam model obtained with the tool by simulating homogeneous spread-out Bragg peaks (SOBPs) and patient QA plans previously measured in water. An average range agreement of 0.29 ± 0.34 mm is achieved for the SOBPs while 3%/3 mm local gamma passing rates reach 99.3% on average over all 62 measured patient QA planes, which is well within clinical tolerances.
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Affiliation(s)
- M Cohilis
- Université catholique de Louvain, Institut de Recherche Expérimentale et Clinique (IREC), MIRO Lab, Brussels, Belgium
| | - L Hong
- University of Florida Proton Therapy Institute, Jacksonville, FL, USA
| | - G Janssens
- Ion Beam Applications, Louvain-la-Neuve, Belgium
| | - S Rossomme
- Ion Beam Applications, Louvain-la-Neuve, Belgium
| | - E Sterpin
- Université catholique de Louvain, Institut de Recherche Expérimentale et Clinique (IREC), MIRO Lab, Brussels, Belgium; KU Leuven, Department of Oncology, Laboratory of Experimental Radiotherapy, Leuven, Belgium
| | - J A Lee
- Université catholique de Louvain, Institut de Recherche Expérimentale et Clinique (IREC), MIRO Lab, Brussels, Belgium
| | - K Souris
- Université catholique de Louvain, Institut de Recherche Expérimentale et Clinique (IREC), MIRO Lab, Brussels, Belgium.
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Patch S, Nguyen C, Cohilis M, Lambert J, Souris K, Janssens G, Labarbe R, Ono S, Lynch T. Thermoacoustic Range Verification During Pencil Beam Delivery of a Clinical Plan to an Abdominal Imaging Phantom. Int J Radiat Oncol Biol Phys 2021. [DOI: 10.1016/j.ijrobp.2021.07.1407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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7
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Pietsch J, Khamfongkhruea C, Berthold J, Janssens G, Stützer K, Löck S, Richter C. OC-0204 Prompt-gamma-based verification in proton therapy: CNN-based classification of treatment deviations. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)06819-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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8
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Patch S, Nguyen C, Labarbe R, Janssens G, Lambert J, Cohilis M, Souris K, Ono S, Lynch T. OC-0205 Thermoacoustic Range Verification During Delivery of a Clinical Plan to a Abdominal Imaging Phantom. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)06820-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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9
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Wuyckens S, Janssens G, Sterpin E, Lee J, Souris K. OC-0421 Towards a new optimization algorithm for Arc Proton Therapy treatment planning. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)06908-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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10
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Demirkiran A, Hoeven N, Janssens G, Lemkes J, Everaars H, Ven P, Cauteren Y, Leeuwen M, Nap A, Bekkers S, Royen N, Smulders M, Rossum A, Robbers L, Nijveldt R. Infarct characteristics and outcome of patients with transient ST-segment elevation myocardial infarction compared to ST-segment and non-ST-segment elevation myocardial infarction. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.0195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Up to one out of four patients with signs of ST-segment elevation myocardial infarction (STEMI) express complete normalization of ST elevation before primary revascularization procedure. This condition is commonly referred to as “transient ST-segment elevation myocardial infarction” (TSTEMI) and recent data suggests that this group of patients may have favorable outcome compared to STEMI patients. However, it is currently unknown how these patients compare to both STEMI and non-ST-segment elevation myocardial infarction (NSTEMI) patients with respect to infarct size characteristics and outcome.
Objective
This study aims to explore cardiac magnetic resonance (CMR) derived scar tissue and 1-year outcome in patients with TSTEMI by comparison to STEMI and NSTEMI.
Methods
Patients with STEMI were enrolled from two prospective studies (n=170); the patients with TSTEMI were recruited from the TRANSIENT trial (n=141); the patients with NSTEMI were prospectively and consecutively collected from local registries of Amsterdam UMC (n=57) and Maastricht UMC (n=51). All patients underwent CMR examination 2–8 days after the index event. Cine imaging was done for volume and function assessment. Late gadolinium enhancement imaging was performed to identify infarct size (in grams) and the presence of microvascular obstruction (MVO). All CMR images were processed in a single core laboratory (Amsterdam UMC). Clinical outcome after 1 year was measured by the incidence of major adverse cardiac events (MACE), defined as recurrent myocardial infarction (MI), revascularization and all cause death.
Results
The TSTEMI group demonstrated the lowest end-systolic left ventricular volume and highest left ventricular ejection fraction across the groups (overall p<0.001). Although there was a remarkably lower infarct size in TSTEMI patients compared to STEMI (1.41g [0.00–3.91] vs 13.48g [5.31–26.81], p<0.001), there was only a trend towards lower infarct size compared to NSTEMI patients (1.41g [0.00–3.91] vs 2.13g [0.00–8.64], p=0.06). Whilst MVO was observed less frequently in TSTEMI compared to STEMI patients (5 (4%) vs 53 (31%), p<0.001), no significant difference was seen between TSTEMI and NSTEMI patients (5 (4%) vs 5 (5%), p=0.72). Multivariable linear regression analysis identified infarct type, smoking, peak troponin-T and pre-PCI TIMI flow as predictors for infarct size (p=0.03, p=0.03, p<0.001 and p<0.001, respectively). One-year mortality rate was low in all 3 MI types (TSTEMI 3 (2.2%), NSTEMI 3 (3.1%), 4 (2.4%), log-rank test p=0.91). However, there was a significant difference in MACE at 1 year across the 3 MI types (TSTEMI 18 (13.2%), NSTEMI 19 (19.4%), STEMI 11 (6.7%), overall p<0.01).
Conclusion
In comparison to NSTEMI and STEMI, TSTEMI yielded favorable cardiac left ventricular function and scar mass. However, this did not lead to benefit in short term (1-year) outcome; further studies are needed with longer follow-up.
Funding Acknowledgement
Type of funding source: Other. Main funding source(s): European Association of Cardiovascular Imaging (EACVI) Research Grant
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Affiliation(s)
- A Demirkiran
- Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Cardiovascular Sciences, Cardiology, Amsterdam, Netherlands (The)
| | - N Hoeven
- Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Cardiovascular Sciences, Cardiology, Amsterdam, Netherlands (The)
| | - G Janssens
- Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Cardiovascular Sciences, Cardiology, Amsterdam, Netherlands (The)
| | - J Lemkes
- Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Cardiovascular Sciences, Cardiology, Amsterdam, Netherlands (The)
| | - H Everaars
- Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Cardiovascular Sciences, Cardiology, Amsterdam, Netherlands (The)
| | - P Ven
- Amsterdam UMC - Location VUmc, Epidemiology and biostatistics, Amsterdam, Netherlands (The)
| | - Y Cauteren
- Maastricht University Medical Centre (MUMC), Cardiology, Maastricht, Netherlands (The)
| | - M Leeuwen
- Isala Hospital, Cardiology, Zwolle, Netherlands (The)
| | - A Nap
- Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Cardiovascular Sciences, Cardiology, Amsterdam, Netherlands (The)
| | - S Bekkers
- Maastricht University Medical Centre (MUMC), Cardiology, Maastricht, Netherlands (The)
| | - N Royen
- Radboud University Medical Centre, Cardiology, Nijmegen, Netherlands (The)
| | - M Smulders
- Maastricht University Medical Centre (MUMC), Cardiology, Maastricht, Netherlands (The)
| | - A Rossum
- Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Cardiovascular Sciences, Cardiology, Amsterdam, Netherlands (The)
| | - L Robbers
- Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Cardiovascular Sciences, Cardiology, Amsterdam, Netherlands (The)
| | - R Nijveldt
- Radboud University Medical Centre, Cardiology, Nijmegen, Netherlands (The)
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Berthold J, Jost A, Khamfongkhruea C, Petzoldt J, Thiele J, Hölscher T, Wohlfahrt P, Pausch G, Janssens G, Smeets J, Richter C. OC-0443: First systematic clinical study on detection of anatomical changes in PT using prompt-gamma imaging. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)00465-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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12
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Berthold J, Khamfongkhruea C, Jost A, Petzoldt J, Thiele J, Hölscher T, Wohlfahrt P, Hofmann C, Pausch G, Janssens G, Julien S, Richter C. OC-0698: First-in-man validation of CT-based stopping-power prediction using prompt-gamma range verification. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)00720-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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13
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Li X, Ding X, Zheng W, Liu G, Janssens G, Souris K, Barragán Montero A, Yan D, Stevens C, Kabolizadeh P. A Novel Linear Energy Transfer Integrated Spot-Scanning Proton Arc Therapy Algorithm: Feasibility Study and Clinical Potential. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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14
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Souris K, Barragan A, Buti G, Cohilis M, Janssens G, Sterpin E, Lee J. OC-0216: Efficient optimization of Monte Carlo based proton therapy plans using a beamlet-free algorithm. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)00240-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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15
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Meijers A, Marmitt G, Pin A, Janssens G, Langendijk J, Knopf A, Both S. Implementation of Automated Patient QA for Intensity-Modulated Proton Therapy. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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16
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Li X, Liu G, Janssens G, De Wilde O, Bossier V, Lerot X, Pouppez A, Yan D, Stevens C, Kabolizadeh P, Ding X. The First Prototype of Spot-Scanning Proton Arc Treatment Delivery. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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17
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Toscano S, Souris K, Gomà C, Barragán-Montero A, Puydupin S, Stappen FV, Janssens G, Matic A, Geets X, Sterpin E. Impact of machine log-files uncertainties on the quality assurance of proton pencil beam scanning treatment delivery. Phys Med Biol 2019; 64:095021. [PMID: 30897559 DOI: 10.1088/1361-6560/ab120c] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Irradiation log-files store useful information about the plan delivery, and together with independent Monte Carlo dose engine calculations can be used to reduce the time needed for patient-specific quality assurance (PSQA). Nonetheless, machine log-files carry an uncertainty associated to the measurement of the spot position and intensity that can influence the correct evaluation of the quality of the treatment delivery. This work addresses the problem of the inclusion of these uncertainties for the final verification of the treatment delivery. Dedicated measurements performed in an IBA Proteus Plus gantry with a pencil beam scanning (PBS) dedicated nozzle have been carried out to build a 'room-dependent' model of the spot position uncertainties. The model has been obtained through interpolation of the look-up tables describing the systematic and random uncertainties, and it has been tested for a clinical case of a brain cancer patient irradiated in a dry-run. The delivered dose has been compared with the planned dose with the inclusion of the errors obtained applying the model. Our results suggest that the accuracy of the treatment delivery is higher than the spot position uncertainties obtained from the log-file records. The comparison in terms of DVHs shows that the log-reconstructed dose is compatible with the planned dose within the 95% confidence interval obtained applying our model. The initial mean dose difference between the calculated dose to the patient based on the plan and recorded data is around 1%. The difference is essentially due to the log-file uncertainties and it can be removed with a correct treatment of these errors. In conclusion our new PSQA protocol allows for a fast verification of the dose delivered after every treatment fraction through the use of machine log-files and an independent Monte Carlo dose engine. Moreover, the inclusion of log-file uncertainties in the dose calculation allows for a correct evaluation of the quality of the treatment plan delivery.
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Affiliation(s)
- S Toscano
- Laboratory of Experimental Radiotherapy, Department of Oncology, KU Leuven, Leuven, Belgium. Current address: Université Libre de Bruxelles, Avenue Franklin Roosevelt 50, 1050 Bruxelles, Belgium. Author to whom any correspondence should be addressed
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Khamfongkhruea C, Janssens G, Petzoldt J, Smeets J, Pausch G, Richter C. OC-0566 Range verification in proton therapy: Can prompt-gamma imaging identify the source of deviation? Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)30986-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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19
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Boon-Keng T, Xie Y, O’Grady F, Lalonde A, Petzoldt J, Smeets J, Janssens G. OC-0187 Comparison of proton range predictions between Single- and Dual-Energy CT using prompt gamma imaging. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)30607-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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20
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Huang S, Souris K, Li S, Kang M, Janssens G, Lin A, Garver E, Ainsley C, Xiao Y, Lin L. Assessment of Clinical Impact of Analytical Dose Calculation in TPS for Proton PBS Treatment Using Fast Monte Carlo Simulation. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.06.165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Dumont D, Ribeiro C, Janssens G, Geets X, Knopf A, Sterpin E, Meijers A. EP-1951: Evaluation of repainting for moving targets treated with continuous or pulsed scanned proton beams. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)32260-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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22
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Toscano S, Souris K, Sterpin E, Janssens G, Petzoldt J, Vander Stappen F, Smeets J, Geets X, Teo K. OC-0081: From range measurements to dose: in-vivo dosimetry using the prompt gamma camera. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)30391-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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23
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Xie Y, Petzoldt J, Janssens G, Yin L, Bentefour E, Smeets J, Prieels D, Lustig R, Lin A, Teo B. EP-1801: Prompt gamma imaging for the identification of proton range deviations due to anatomical change. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)32110-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Demoor-Goldschmidt C, Carrie C, Whitfield G, Meijinders P, Dieckmann K, Timmermann B, Zaletel L, Banovic P, Mekic MS, Lassen Y, Alexopoulou K, Giralt J, Vizkeleti J, Jarusevicius L, Ondrova B, Daly P, Brandal P, Janssens G, Ricardi U, Dieter-Kortmann R. Paediatric radiation therapy across Europe: A European questionnaire survey supported by the SIOPe, ESTRO, PROS and several national paediatric hematology-oncology societies (NAPHOS). Ann Oncol 2017. [DOI: 10.1093/annonc/mdx440.067] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Ribeiro C, Meijers A, Janssens G, Widder J, Langendijk J, Korevaar E, Knopf A. EP-1625: Comprehensive prospective evaluation tool for treatments of thoracic tumours with scanned protons. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)32060-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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26
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Di Perri D, Colot A, Barragan A, Janssens G, Lacroix V, Matte P, Souris K, Geets X. PO-0670: CPAP ventilation might allow better sparing of normal lung tissue during lung cancer radiotherapy. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)31107-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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27
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Kaanders J, Bots W, Terhaard C, Vergeer M, Doornaert P, Bijl H, Van den Ende P, De Jong M, Janssens G, Span P. SP-013: Update on the ARCON study. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)30294-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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28
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Priegnitz M, Barczyk S, Nenoff L, Golnik C, Keitz I, Werner T, Mein S, Smeets J, Vander Stappen F, Janssens G, Hotoiu L, Fiedler F, Prieels D, Enghardt W, Pausch G, Richter C. Towards clinical application: prompt gamma imaging of passively scattered proton fields with a knife-edge slit camera. Phys Med Biol 2016; 61:7881-7905. [PMID: 27779120 DOI: 10.1088/0031-9155/61/22/7881] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Prompt γ-ray imaging with a knife-edge shaped slit camera provides the possibility of verifying proton beam range in tumor therapy. Dedicated experiments regarding the characterization of the camera system have been performed previously. Now, we aim at implementing the prototype into clinical application of monitoring patient treatments. Focused on this goal of translation into clinical operation, we systematically addressed remaining challenges and questions. We developed a robust energy calibration routine and corresponding quality assurance protocols. Furthermore, with dedicated experiments, we determined the positioning precision of the system to 1.1 mm (2σ). For the first time, we demonstrated the application of the slit camera, which was intentionally developed for pencil beam scanning, to double scattered proton beams. Systematic experiments with increasing complexity were performed. It was possible to visualize proton range shifts of 2-5 mm with the camera system in phantom experiments in passive scattered fields. Moreover, prompt γ-ray profiles for single iso-energy layers were acquired by synchronizing time resolved measurements to the rotation of the range modulator wheel of the treatment system. Thus, a mapping of the acquired profiles to different anatomical regions along the beam path is feasible and additional information on the source of potential range shifts can be obtained. With the work presented here, we show that an application of the slit camera in clinical treatments is possible and of potential benefit.
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Affiliation(s)
- M Priegnitz
- Helmholtz-Zentrum Dresden-Rossendorf, Institute of Radiation Physics, Bautzner Landstraße 400, 01328 Dresden, Germany
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Reniers B, Janssens G, Orban de Xivry J, Landry G, Verhaegen F. Dose distribution for gynecological brachytherapy with dose accumulation between insertions: Feasibility study. Brachytherapy 2016; 15:504-513. [DOI: 10.1016/j.brachy.2016.03.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2016] [Revised: 03/14/2016] [Accepted: 03/14/2016] [Indexed: 10/21/2022]
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30
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Guerreiro F, Janssens G, Seravalli E, Raaymakers B. SU-F-J-63: Abdominal Diameter Changes in Children During Volumetric Modulated Arc Therapy (VMAT): Is Re-Planning Needed? Med Phys 2016. [DOI: 10.1118/1.4955971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Xing Y, Macq B, Janssens G, Bondar L. SU-F-J-208: Prompt Gamma Imaging-Based Prediction of Bragg Peak Position for Realistic Treatment Error Scenarios. Med Phys 2016. [DOI: 10.1118/1.4956116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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32
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Teng C, Ainsley C, Teo B, Burgdorf B, Janssens G, Berman A, Levin W, Xiao Y, Lin L, Simone C, Solberg T. SU-F-J-64: Comparison of Dosimetric Robustness Between Proton Therapy and IMRT Plans Following Tumor Regression for Locally Advanced Non-Small Cell Lung Cancer (NSCLC). Med Phys 2016. [DOI: 10.1118/1.4955972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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33
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Teng C, Janssens G, Ainsley C, Teo B, Valdes G, Burgdorf B, Berman A, Levin W, Xiao Y, Lin L, Gabriel P, Simone C, Solberg T. TU-H-CAMPUS-JeP3-04: Factors Predicting a Need for Treatment Replanning with Proton Radiotherapy for Lung Cancer. Med Phys 2016. [DOI: 10.1118/1.4957702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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34
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Souris K, Glick A, Kang M, Janssens G, Sterpin E, Lin H, McDonough J, Simone C, Solberg T, Ben-Josef E, Lee J, Lin L. SU-F-T-121: Abdominal Compression Effectively Reduces the Interplay Effect and Enables Pencil Beam Scanning Proton Therapy of Liver Tumors. Med Phys 2016. [DOI: 10.1118/1.4956257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Xie Y, Bentefour E, Janssens G, Smeets J, Dolney D, Yin L, Hotoiu L, Vander Stappen F, Avery S, O'Grady F, Prieels D, McDonough J, Solberg T, Lin A, Teo B. MO-FG-CAMPUS-JeP1-02: Proton Range Verification of Scanned Pencil Beams Using Prompt Gamma Imaging. Med Phys 2016. [DOI: 10.1118/1.4957339] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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36
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Yin L, Janssens G, Lin A, Ahn P, Solberg T, McDonough J, Teo B. SU-F-J-199: Predictive Models for Cone Beam CT-Based Online Verification of Pencil Beam Scanning Proton Therapy. Med Phys 2016. [DOI: 10.1118/1.4956107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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37
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Lucconi G, Bentefour E, Deepak S, Janssens G, Weaver K, Moteabbed M, Lu HM. SU-F-T-218: Validation of An In-Vivo Proton Range Verification Method for Reducing the Risk of Permanent Alopecia in the Treatment of Pediatric Medulloblastoma. Med Phys 2016. [DOI: 10.1118/1.4956357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Kok J, Teepen J, Van der Pal H, Dolsma W, Van Dulmen-den Broeder E, Van den Heuvel-Eibrink M, Loonen J, Tissing W, Bresters D, Versluys B, Neggers S, Van der Heiden-van der Loo M, Van Leeuwen F, Caron H, Oldenburger F, Janssens G, Maduro J, Tersteeg R, Van Rij C, Daniels L, Haasbeek C, Gijsbers-Bruggink A, Kremer L, Ronckers C. OC-0542: Benign tumours among long-term childhood cancer survivors: a DCOG LATER record linkage study. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)31792-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Di Perri D, Lee J, Bol A, Differding S, Janssens G, Labar D, Robert A, Hanin F, Geets X. PO-0685: Is PET imaging a reliable target for dose painting by numbers in lung cancer? Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)31935-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Jones K, Vander Stappen F, Bawiec C, Janssens G, Lewin P, Prieels D, Solberg T, Sehgal C, Avery S. Measurement of Acoustic Emissions Generated by a Pulsed Proton Beam from a Hospital-Based Clinical Cyclotron. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)30114-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Priegnitz M, Barczyk S, Keitz I, Mein S, Stappen F, Janssens G, Hotoiu L, Smeets J, Fiedler F, Prieels D, Enghardt W, Pausch G, Richter C. Prompt gamma imaging of passively shaped proton fields with a knife-edge slit camera. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)30177-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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42
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Priegnitz M, Helmbrecht S, Janssens G, Perali I, Smeets J, Vander Stappen F, Sterpin E, Fiedler F. Detection of mixed-range proton pencil beams with a prompt gamma slit camera. Phys Med Biol 2016; 61:855-71. [DOI: 10.1088/0031-9155/61/2/855] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Barragán AM, Differding S, Janssens G, Lee JA, Sterpin E. Feasibility and robustness of dose painting by numbers in proton therapy with contour-driven plan optimization. Med Phys 2015; 42:2006-17. [PMID: 25832091 DOI: 10.1118/1.4915082] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
PURPOSE To prove the ability of protons to reproduce a dose gradient that matches a dose painting by numbers (DPBN) prescription in the presence of setup and range errors, by using contours and structure-based optimization in a commercial treatment planning system. METHODS For two patients with head and neck cancer, voxel-by-voxel prescription to the target volume (GTVPET) was calculated from (18)FDG-PET images and approximated with several discrete prescription subcontours. Treatments were planned with proton pencil beam scanning. In order to determine the optimal plan parameters to approach the DPBN prescription, the effects of the scanning pattern, number of fields, number of subcontours, and use of range shifter were separately tested on each patient. Different constant scanning grids (i.e., spot spacing = Δx = Δy = 3.5, 4, and 5 mm) and uniform energy layer separation [4 and 5 mm WED (water equivalent distance)] were analyzed versus a dynamic and automatic selection of the spots grid. The number of subcontours was increased from 3 to 11 while the number of beams was set to 3, 5, or 7. Conventional PTV-based and robust clinical target volumes (CTV)-based optimization strategies were considered and their robustness against range and setup errors assessed. Because of the nonuniform prescription, ensuring robustness for coverage of GTVPET inevitably leads to overdosing, which was compared for both optimization schemes. RESULTS The optimal number of subcontours ranged from 5 to 7 for both patients. All considered scanning grids achieved accurate dose painting (1% average difference between the prescribed and planned doses). PTV-based plans led to nonrobust target coverage while robust-optimized plans improved it considerably (differences between worst-case CTV dose and the clinical constraint was up to 3 Gy for PTV-based plans and did not exceed 1 Gy for robust CTV-based plans). Also, only 15% of the points in the GTVPET (worst case) were above 5% of DPBN prescription for robust-optimized plans, while they were more than 50% for PTV plans. Low dose to organs at risk (OARs) could be achieved for both PTV and robust-optimized plans. CONCLUSIONS DPBN in proton therapy is feasible with the use of a sufficient number subcontours, automatically generated scanning patterns, and no more than three beams are needed. Robust optimization ensured the required target coverage and minimal overdosing, while PTV-approach led to nonrobust plans with excessive overdose. Low dose to OARs can be achieved even in the presence of a high-dose escalation as in DPBN.
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Affiliation(s)
- A M Barragán
- Center of Molecular Imaging, Radiotherapy and Oncology, Institut de Recherche Expérimentale et Clinique, Université catholique de Louvain, Brussels B-1200, Belgium
| | - S Differding
- Center of Molecular Imaging, Radiotherapy and Oncology, Institut de Recherche Expérimentale et Clinique, Université catholique de Louvain, Brussels B-1200, Belgium
| | - G Janssens
- Ion Beam Applications S.A., Louvain-la-Neuve 1348, Belgium
| | - J A Lee
- Center of Molecular Imaging, Radiotherapy and Oncology, Institut de Recherche Expérimentale et Clinique, Université catholique de Louvain, Brussels B-1200, Belgium
| | - E Sterpin
- Center of Molecular Imaging, Radiotherapy and Oncology, Institut de Recherche Expérimentale et Clinique, Université catholique de Louvain, Brussels B-1200, Belgium
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Sterpin E, Janssens G, Smeets J, Stappen FV, Prieels D, Priegnitz M, Perali I, Vynckier S. Analytical computation of prompt gamma ray emission and detection for proton range verification. Phys Med Biol 2015; 60:4915-46. [DOI: 10.1088/0031-9155/60/12/4915] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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45
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Priegnitz M, Helmbrecht S, Janssens G, Perali I, Smeets J, Vander Stappen F, Sterpin E, Fiedler F. Measurement of prompt gamma profiles in inhomogeneous targets with a knife-edge slit camera during proton irradiation. Phys Med Biol 2015; 60:4849-71. [DOI: 10.1088/0031-9155/60/12/4849] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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46
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Sterpin E, Janssens G, Smeets J, Stappen FV, Priegnitz M, Perali I, Prieels D, Vynckier S. TH-CD-BRA-03: Experimental Validation of An Analytical Model for Prompt Gamma Imaging. Med Phys 2015. [DOI: 10.1118/1.4926228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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47
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Sterpin E, Janssens G, Smeets J, Vander Stappen F, Prieels D, Vynckier S. OC-0557: Implementation and validation of an analytical model for prompt gamma imaging in scanned beam proton therapy. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)40552-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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48
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Perali I, Celani A, Bombelli L, Fiorini C, Camera F, Clementel E, Henrotin S, Janssens G, Prieels D, Roellinghoff F, Smeets J, Stichelbaut F, Stappen FV. Prompt gamma imaging of proton pencil beams at clinical dose rate. Phys Med Biol 2014; 59:5849-71. [DOI: 10.1088/0031-9155/59/19/5849] [Citation(s) in RCA: 96] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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49
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Storms G, Janssens G, Grauwels M, Dubielzig RR. Unusual presentation of a mesenchymal eyelid hamartoma and an update of the incidence of periocular hamartomas in dogs. VLAAMS DIERGEN TIJDS 2014. [DOI: 10.21825/vdt.v83i4.16643] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
A mesenchymal hamartoma in the dorsomedial eyelid of a Staffordshire bull terrier and the incidence and histological features of twenty-two canine mesenchymal periocular hamartoma cases are reported. The archives of the “Comparative Ocular Pathology Laboratory” of Wisconsin (USA) were searched for canine mesenchymal periocular hamartoma. Signalment, clinical appearance, location and histological findings are summarized for twenty-two dogs, containing fourteen different breeds, between four and fourteen years old. Fifteen hamartomas were located at the lateral canthus. Histologically, they consisted of fully differentiated fibrous tissue interspersed with adipose tissue, with bundles of skeletal/smooth muscle in ten cases, and peripheral nerve tissue in two cases. No mitotic figures were noted. Mesenchymal hamartomas may present as a subcutaneous, subconjunctival or orbital mass. Although they have a predisposition to occur at the lateral canthus, they may be located elsewhere on the eyelids or in the orbit.
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Samuel D, Testa M, Schneider R, Park Y, Janssens G, Orban de Xivry J, Moteabbed M, Prieels D, Lu H, Bentefour E. SU-E-T-435: Development and Commissioning of a Complete System for In-Vivo Dosimetry and Range Verification in Proton Therapy. Med Phys 2014. [DOI: 10.1118/1.4888768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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