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Grau C, Dasu A, Troost EGC, Haustermans K, Weber DC, Langendijk JA, Gregoire V, Orlandi E, Thariat J, Journy N, Chaikh A, Isambert A, Alicja Jereczek-Fossa B, Vaniqui A, Vitek P, Kopec R, Fijten R, Luetgendorf-Caucig C, Olko P. Towards a European prospective data registry for particle therapy. Radiother Oncol 2024; 196:110293. [PMID: 38653379 DOI: 10.1016/j.radonc.2024.110293] [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] [Subscribe] [Scholar Register] [Received: 03/23/2024] [Revised: 04/18/2024] [Accepted: 04/18/2024] [Indexed: 04/25/2024]
Abstract
The evidence for the value of particle therapy (PT) is still sparse. While randomized trials remain a cornerstone for robust comparisons with photon-based radiotherapy, data registries collecting real-world data can play a crucial role in building evidence for new developments. This Perspective describes how the European Particle Therapy Network (EPTN) is actively working on establishing a prospective data registry encompassing all patients undergoing PT in European centers. Several obstacles and hurdles are discussed, for instance harmonization of nomenclature and structure of technical and dosimetric data and data protection issues. A preferred approach is the adoption of a federated data registry model with transparent and agile governance to meet European requirements for data protection, transfer, and processing. Funding of the registry, especially for operation after the initial setup process, remains a major challenge.
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Affiliation(s)
- Cai Grau
- Danish Center for Particle Therapy, Aarhus University Hospital, Aarhus, Denmark.
| | - Alexandru Dasu
- The Skandion Clinic, Uppsala, Sweden; Department of Immunology, Genetics and Pathology, Uppsala University, Sweden.
| | - Esther G C Troost
- Department of Radiotherapy and Radiation Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany; OncoRay - National Center for Radiation Research in Oncology, Dresden, Germany; Helmholtz-Zentrum Dresden - Rossendorf, Institute of Radiooncology - OncoRay, Dresden, Germany.
| | - Karin Haustermans
- Department of Radiation Oncology, University Hospital, KU Leuven, Leuven, Belgium.
| | - Damien C Weber
- Proton Therapy Center, Paul Scherrer Institute, ETH Domain, Switzerland; Radiation Oncology Department, University Hospital Zürich, Switzerland; Department of Radiation Oncology, Inselspital, Bern University Hospital, University of Bern, Switzerland.
| | - Johannes A Langendijk
- Department of Radiation Oncology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
| | | | - Ester Orlandi
- Department of Clinical, Surgical, Diagnostic, and Pediatric Sciences, University of Pavia, Pavia, Italy; Clinical Department, National Center for Oncological Hadrontherapy (Fondazione CNAO), Pavia, Italy.
| | - Juliette Thariat
- Université de Caen Normandie, ENSICAEN, CNRS/IN2P3, LPC Caen UMR6534, F-14000, Centre François Baclesse, Caen, France
| | - Neige Journy
- National Institute of Health and Medical Research (INSERM) Unit 1018, Centre for Research in Epidemiology and Population Health, Paris Saclay University, Gustave Roussy, Villejuif, France.
| | - Abdulhamid Chaikh
- Institut de Radioprotection et de Sûreté Nucléaire IRSN/PSE-SANTE/SER/UEM, France.
| | - Aurelie Isambert
- Institut de Radioprotection et de Sûreté Nucléaire IRSN/PSE-SANTE/SER/UEM, France.
| | - Barbara Alicja Jereczek-Fossa
- Dept. of Oncology and Hemato-oncology, University of Milan, Milan, Italy; Dept. of Radiation Oncology, IEO European Institute of Oncology IRCCS, Milan, Italy.
| | - Ana Vaniqui
- Belgian Nuclear Research Center (SCK CEN), Mol, Belgium.
| | - Pavel Vitek
- Proton Therapy Center Czech, Prague, Czech Republic.
| | - Renata Kopec
- Institute of Nuclear Physics Polish Academy of Sciences, Kraków, Poland.
| | - Rianne Fijten
- Department of Radiation Oncology (Maastro), GROW School for Oncology and Reproduction, Maastricht University Medical Centre, Maastricht, the Netherlands.
| | | | - Pawel Olko
- Institute of Nuclear Physics Polish Academy of Sciences, Kraków, Poland.
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2
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Gilvin P, Caresana M, Bottollier-Depois JF, Chumak V, Clairand I, Eakins J, Ferrari P, Hupe O, Olko P, Röttger A, Tanner R, Vanhavere F, Bakhanova E, Bandalo V, Ekendahl D, Hödlmoser H, Matthiä D, Reitz G, Latocha M, Beck P, Thomas D, Behrens R. EURADOS project on the impact of the proposed ICRU operational dose quantities. Radiat Prot Dosimetry 2023; 199:1689-1695. [PMID: 37819353 DOI: 10.1093/rpd/ncac293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 12/05/2022] [Accepted: 12/08/2022] [Indexed: 10/13/2023]
Abstract
Following the publication of the joint The International Commissions on Radiation Units and Measurements (ICRU) and on Radiological Protection (ICRP) report on new operational quantities for radiation protection, the European Dosimetry Group (EURADOS) have carried out an initial evaluation. The EURADOS report analyses the impact that the new quantities will have on: radiation protection practice; calibration and reference fields; European and national regulation; international standards and, especially, dosemeter and instrument design. The task group included experienced scientists drawn from across the various EURADOS working groups.
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Affiliation(s)
- Phil Gilvin
- UK Health Security Agency, Chilton, Didcot, OXON OX11 0RQ, UK
| | - Marco Caresana
- Politecnico di Milano, Department of Energy, Via la Masa 34, Milano 20156, Italy
| | | | - Vadim Chumak
- Dosimetrica LLC, Division of Prospective Dosimetric Studies, PO Box 40, Kyiv 4119, Ukraine
| | - Isabelle Clairand
- Institute for Radiological Protection and Nuclear Safety, PSE-SANTE BP 17, Fontenay-aux-Roses 92262, France
| | - Jonathan Eakins
- UK Health Security Agency, Chilton, Didcot, OXON OX11 0RQ, UK
| | - Paolo Ferrari
- ENEA IRP - Radiation Protection Institute, 4 Via Martiri di Monte Sole, Bologna 40129, Italy
| | - Oliver Hupe
- Physikalisch-Technische Bundesanstalt, Bundesallee 100, Braunschweig 38116, Germany
| | - Pawel Olko
- Institute of Nuclear Physics PAN, Division of Applied Physics, Radzikowskiego 152, Kraków 31-342, Poland
| | - A Röttger
- Physikalisch-Technische Bundesanstalt, Bundesallee 100, Braunschweig 38116, Germany
| | - Rick Tanner
- UK Health Security Agency, Chilton, Didcot, OXON OX11 0RQ, UK
| | - Filip Vanhavere
- Belgian Nuclear Research Centre, Environment, Health and Safety, Boeretang 200, Mol 2400, Belgium
| | - Elena Bakhanova
- Dosimetrica LLC, Division of Prospective Dosimetric Studies, PO Box 40, Kyiv 4119, Ukraine
| | - Vedran Bandalo
- Mirion Technologies (AWST) GmbH, Otto-Hahn-Ring 6, Munich 81739, Germany
| | - Daniela Ekendahl
- National Radiation Protection Institute, Bartoškova 28, Prague 14000, Czech Republic
| | - Herbert Hödlmoser
- Mirion Technologies (AWST) GmbH, Otto-Hahn-Ring 6, Munich 81739, Germany
| | | | | | | | - Peter Beck
- Seibersdorf Labor GmbH, Seibersdorf 2444, Austria
| | - David Thomas
- National Physical Laboratory, Teddington, Middlesex TW11 0LW, UK
| | - Rolf Behrens
- Physikalisch-Technische Bundesanstalt, Bundesallee 100, Braunschweig 38116, Germany
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3
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Brzezinski KW, Baran J, Borys D, Gajewski J, Chug N, Coussat A, Czerwiński E, Dadgar M, Dulski K, Eliyan KV, Gajos A, Kacprzak K, Kapłon Ł, Klimaszewski K, Konieczka P, Kopec R, Korcyl G, Kozik T, Krzemień W, Kumar D, Lomax AJ, McNamara K, Niedźwiecki S, Olko P, Panek D, Parzych S, Perez Del Rio E, Raczyński L, Sharma S, Shivani S, Shopa RY, Skóra T, Skurzok M, Stasica P, Stępień EL, Tayefi Ardebili K, Tayefi F, Weber DC, Winterhalter C, Wiślicki W, Moskal P, Rucinski A. Detection of range shifts in proton beam therapy using the J-PET scanner: a patient simulation study. Phys Med Biol 2023. [PMID: 37295440 DOI: 10.1088/1361-6560/acdd4c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
OBJECTIVE The Jagiellonian PET (J-PET) technology, based on plastic scintillators, has been proposed as a cost effective tool for detecting range deviations during proton therapy. This study investigates the feasibility of using J-PET for range monitoring by means of a detailed Monte Carlo simulation study of 95 patients who underwent proton therapy at the Cyclotron Centre Bronowice (CCB) in Krakow, Poland. 
Approach: Discrepancies between prescribed and delivered treatments were artificially introduced in the simulations by means of shifts in patient positioning and in the Hounsfield unit to the relative proton stopping power calibration curve. A dual-layer, cylindrical J-PET geometry was simulated in an in-room monitoring scenario and a triple-layer, dual-head geometry in an in-beam protocol. The distribution of range shifts in reconstructed PET activity was visualised in the beam's eye view. Linear prediction models were constructed from all patients in the cohort, using the mean shift in reconstructed PET activity as a predictor of the mean proton range deviation. 
Main results: Maps of deviations in the range of reconstructed PET distributions showed agreement with those of deviations in dose range in most patients. The linear prediction model showed a good fit, with coefficient of determination r^2 = 0.84 (in-room) and 0.75 (in-beam). Residual standard error was below 1 mm: 0.33 mm (in-room) and 0.23 mm (in-beam). 
Significance: The precision of the proposed prediction models shows the sensitivity of the proposed J-PET scanners to shifts in proton range for a wide range of clinical treatment plans. Furthermore, it motivates the use of such models as a tool for predicting proton range deviations and opens up new prospects for investigations into the use of intra-treatment PET images for predicting clinical metrics that aid in the assessment of the quality of delivered treatment.
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Affiliation(s)
- Karol Wiktor Brzezinski
- IRIS group, IFIC, Parque Científico, Catedrático José Beltrán, 2, Paterna, Valencia, 46071, SPAIN
| | - Jakub Baran
- Institute of Nuclear Physics Polish Academy of Sciences, Radzikowskiego 152, Cracow, 31-342, POLAND
| | - Damian Borys
- Institute of Automatic Control, Silesian University of Technology, ul. Akademicka 16, Gliwice, 44-100, POLAND
| | - Jan Gajewski
- Institute of Nuclear Physics Polish Academy of Science, Radzikowskiego 152, Krakow, Krakow, Malopolska, 31-342, POLAND
| | - Neha Chug
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, 30-348, POLAND
| | - Aurelien Coussat
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Eryk Czerwiński
- Institute of Physics, Jagiellonian University, Łojasiewicza 11, Cracow, 30-348, POLAND
| | - Meysam Dadgar
- Medical physics, Urmia University of Medical Sciences, No 11, Daneshgah, Urmia, Urmia, West Azarbayjan, +98, Iran (the Islamic Republic of)
| | - Kamil Dulski
- Institute of Physics, Jagiellonian University, Łojasiewicza 11, Cracow, 30-348, POLAND
| | - Kavya Valsan Eliyan
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Aleksander Gajos
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Krzysztof Kacprzak
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Kraków, 30-348, POLAND
| | - Łukasz Kapłon
- Faculty of Physics, Astronomy and Applied Computer Science, Jagiellonian University in Krakow, Lojasiewicza 11, Krakow, Malopolskie, 31-007, POLAND
| | - Konrad Klimaszewski
- Narodowe Centrum Badan Jadrowych, 7 Andrzeja Sołtana, Otwock, 05-400, POLAND
| | - Paweł Konieczka
- Department of Complex Systems, National Centre for Nuclear Research, 7 Andrzeja Sołtana str., Otwock, 05-400, POLAND
| | - Renata Kopec
- Institute of Nuclear Physics Polish Academy of Science, Radzikowskiego 152, Krakow, 31-342, POLAND
| | - Grzegorz Korcyl
- Institute of Physics, Jagiellonian University, Łojasiewicza 11, Cracow, 30-348, POLAND
| | - Tomasz Kozik
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Wojciech Krzemień
- National Centre for Nuclear Research, 7 Andrzeja Sołtana, Warsaw, 05-400, POLAND
| | - Deepak Kumar
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Antony John Lomax
- Department of Radiation Medicine, Paul Scherrer Institute, Villigen PSI, Villigen, CH-5232 , SWITZERLAND
| | - Keegan McNamara
- Center for Proton Therapy, Paul Scherrer Institute PSI, Forschungsstrasse 111, Villigen, Aargau, 5232, SWITZERLAND
| | - Szymon Niedźwiecki
- Institute of Physics, Jagiellonian University, Łojasiewicza 11, Cracow, 30-348, POLAND
| | - Pawel Olko
- PAN, Polish Academy of Sciences, ul Radzikowskiego 152, Krakow, Kraków, 31-342, POLAND
| | - Dominik Panek
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Szymon Parzych
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Kraków, 30-348, POLAND
| | - Elena Perez Del Rio
- Sapienza University of Rome, Piazzale Aldo Moro, 5, Roma, Lazio, 00185, ITALY
| | - Lech Raczyński
- National Centre for Nuclear Research, 7 Andrzeja Sołtana, Warsaw, 05-400, POLAND
| | - Sushil Sharma
- Uniwersytet Jagiellonski w Krakowie Wydzial Fizyki Astronomii i Informatyki Stosowanej, Łojasiewicza 11, Krakow, 30-348, POLAND
| | - Shivani Shivani
- Uniwersytet Jagiellonski w Krakowie Wydzial Fizyki Astronomii i Informatyki Stosowanej, Łojasiewicza 11, Krakow, 30-348, POLAND
| | - Roman Y Shopa
- Narodowe Centrum Badan Jadrowych, 7 Andrzeja Sołtana, Otwock, 05-400, POLAND
| | - Tomasz Skóra
- Krakow Branch, Department of Oncology, Maria Sklodowska-CurieMemorial Cancer Centre and Institute of Oncology, ul. Garncarska 11, Krakow, 31-115, POLAND
| | - Magdalena Skurzok
- UJ Marian Smoluchowski Institute of Physics, Uniwersytet Jagiellonski w Krakowie Wydzial Fizyki Astronomii i Informatyki Stosowanej, Łojasiewicza 11, Krakow, 30-348, POLAND
| | - Paulina Stasica
- Institute of Nuclear Physics Polish Academy of Science, Radzikowskiego 152, Krakow, PL 31-342, POLAND
| | - Ewa L Stępień
- UJ Marian Smoluchowski Institute of Physics, Uniwersytet Jagiellonski w Krakowie Wydzial Fizyki Astronomii i Informatyki Stosowanej, Łojasiewicza 11, Krakow, 30-348, POLAND
| | - Keyvan Tayefi Ardebili
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Faranak Tayefi
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Kraków, 30-348, POLAND
| | - Damien Charles Weber
- Center for Proton Therapy, Paul Scherrer Institute, PSI, Villigen, CH-5232 , SWITZERLAND
| | | | - Wojciech Wiślicki
- National Centre for Nuclear Research, 7 Andrzeja Sołtana, Warsaw, 05-400, POLAND
| | - Pawel Moskal
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, 30-348, POLAND
| | - Antoni Rucinski
- Institute of Nuclear Physics PAS, Radzikowskiego 152, Krakow, 31-342, POLAND
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Davídková M, Ankjærgaard C, Andersen C, Dasu A, De Angelis C, De Marzi L, De Saint-Hubert M, Ekendahl D, Henthorn N, Michaelidesová AJ, Knežević Ž, Krzempek D, Kukolowicz P, Liszka M, Lorentini S, Leite AM, Majer M, Navrátil M, Reniers B, Ślusarczyk-Kacprzyk W, Van Goethem MJ, Vestergaard A, Vilches-Freixas G, Vondráček V, Togno M, Stolarczyk L, Olko P. MAILED DOSIMETRY AUDIT OF ACTIVE SCANNING PROTON BEAMS IN TEN PROTON THERAPY CENTERS. Phys Med 2022. [DOI: 10.1016/s1120-1797(22)02370-5] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
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5
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Zorloni G, Bosmans G, Brall T, Caresana M, De Saint-Hubert M, Domingo C, Ferrante C, Ferrulli F, Kopec R, Leidner J, Mares V, Nabha R, Olko P, Caballero-Pacheco MA, Rühm W, Silari M, Stolarczyk L, Swakon J, Tisi M, Trinkl S, Van Hoey O, Vilches-Freixas G. EURADOS REM-COUNTER INTERCOMPARISON AT MAASTRO PROTON THERAPY CENTRE: COMPARISON WITH LITERATURE DATA. Radiat Prot Dosimetry 2022; 198:1471-1475. [PMID: 36138419 DOI: 10.1093/rpd/ncac189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 06/27/2022] [Accepted: 08/29/2022] [Indexed: 06/16/2023]
Abstract
The Maastro Proton Therapy Centre is the first European facility housing the Mevion S250i Hyperscan synchrocyclotron. The proximity of the accelerator to the patient, the presence of an active pencil beam delivery system downstream of a passive energy degrader and the pulsed structure of the beam make the Mevion stray neutron field unique amongst proton therapy facilities. This paper reviews the results of a rem-counter intercomparison experiment promoted by the European Radiation Dosimetry Group at Maastro and compares them with those at other proton therapy facilities. The Maastro neutron H*(10) in the room (100-200 μSv/Gy at about 2 m from the isocentre) is in line with accelerators using purely passive or wobbling beam delivery modalities, even though Maastro shows a dose gradient peaked near the accelerator. Unlike synchrotron- and cyclotron-based facilities, the pulsed beam at Maastro requires the employment of rem-counters specifically designed to withstand pulsed neutron fields.
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Affiliation(s)
| | - Geert Bosmans
- Department of Radiation Oncology (MAASTRO), GROW - School for Oncology, Maastricht University Medical Centre, Maastricht, The Netherlands
| | - Thomas Brall
- Helmholtz Zentrum München, Institute of Radiation Medicine, Ingolstädter Landstr. 1, 85764 Neuherberg, Germany
| | - Marco Caresana
- Department of Energy, Polytechnic of Milan, via Lambruschini 4, 20156 Milan, Italy
| | | | - Carles Domingo
- Departament de Física, Universitat Autònoma de Barcelona, E-08193 Bellaterra, Spain
| | - Christian Ferrante
- Department of Energy, Polytechnic of Milan, via Lambruschini 4, 20156 Milan, Italy
| | - Francesca Ferrulli
- CERN, 1211 Geneva 23, Switzerland
- University of Caen Normandy, 14032 Caen-5, France
| | - Renata Kopec
- Institute of Nuclear Physics PAN, Radzikowskiego 152, 31-342 Krakow, Poland
| | | | - Vladimir Mares
- Helmholtz Zentrum München, Institute of Radiation Medicine, Ingolstädter Landstr. 1, 85764 Neuherberg, Germany
| | - Racell Nabha
- Belgian Nuclear Research Center SCK CEN, 2400 Mol, Belgium
| | - Pawel Olko
- Institute of Nuclear Physics PAN, Radzikowskiego 152, 31-342 Krakow, Poland
| | | | - Werner Rühm
- Helmholtz Zentrum München, Institute of Radiation Medicine, Ingolstädter Landstr. 1, 85764 Neuherberg, Germany
| | | | - Liliana Stolarczyk
- Institute of Nuclear Physics PAN, Radzikowskiego 152, 31-342 Krakow, Poland
- The Danish Centre for Particle Therapy, Aarhus University Hospital, Palle Juul-Jensens Boulevard 25, DK-8200 Aarhus, Denmark
| | - Jan Swakon
- Institute of Nuclear Physics PAN, Radzikowskiego 152, 31-342 Krakow, Poland
| | - Marco Tisi
- Helmholtz Zentrum München, Institute of Radiation Medicine, Ingolstädter Landstr. 1, 85764 Neuherberg, Germany
| | - Sebastian Trinkl
- Federal Office for Radiation Protection, Medical and Occupational Radiation Protection, Ingolstädter Landstraße 1, 85764 Neuherberg, Germany
| | | | - Gloria Vilches-Freixas
- Department of Radiation Oncology (MAASTRO), GROW - School for Oncology, Maastricht University Medical Centre, Maastricht, The Netherlands
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6
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Borys D, Baran J, Brzezinski KW, Gajewski J, Chug N, Coussat A, Czerwiński E, Dadgar M, Dulski K, Eliyan KV, Gajos A, Kacprzak K, Kapłon Ł, Klimaszewski K, Konieczka P, Kopec R, Korcyl G, Kozik T, Krzemień W, Kumar D, Lomax AJ, McNamara K, Niedźwiecki S, Olko P, Panek D, Parzych S, Del Río EP, Raczyński L, Sharma S, Shivani S, Shopa RY, Skóra T, Skurzok M, Stasica P, Stępień E, Tayefi Ardebili K, Tayefi F, Weber DC, Winterhalter C, Wiślicki W, Moskal P, Rucinski A. ProTheRaMon - a GATE simulation framework for proton therapy range monitoring using PET imaging. Phys Med Biol 2022; 67:224002. [PMID: 36137551 DOI: 10.1088/1361-6560/ac944c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE This paper reports on the implementation and shows examples of the use of the ProTheRaMon framework for simulating the delivery of proton therapy treatment plans and range monitoring using positron emission tomography (PET). ProTheRaMon offers complete processing of proton therapy treatment plans, patient CT geometries, and intra-treatment PET imaging, taking into account therapy and imaging coordinate systems and activity decay during the PET imaging protocol specific to a given proton therapy facility. We present the ProTheRaMon framework and illustrate its potential use case and data processing steps for a patient treated at the Cyclotron Centre Bronowice (CCB) proton therapy center in Krakow, Poland. APPROACH The ProTheRaMon framework is based on GATE Monte Carlo software, the CASToR reconstruction package and in-house developed Python and bash scripts. The framework consists of five separated simulation and data processing steps, that can be further optimized according to the user's needs and specific settings of a given proton therapy facility and PET scanner design. MAIN RESULTS ProTheRaMon is presented using example data from a patient treated at CCB and the J-PET scanner to demonstrate the application of the framework for proton therapy range monitoring. The output of each simulation and data processing stage is described and visualized. SIGNIFICANCE We demonstrate that the ProTheRaMon simulation platform is a high-performance tool, capable of running on a computational cluster and suitable for multi-parameter studies, with databases consisting of large number of patients, as well as different PET scanner geometries and settings for range monitoring in a clinical environment. Due to its modular structure, the ProTheRaMon framework can be adjusted for different proton therapy centers and/or different PET detector geometries. It is available to the community via github.
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Affiliation(s)
- Damian Borys
- Department of Systems Biology and Engineering, Silesian University of Technology, ul. Akademicka 16, Gliwice, 44-100, POLAND
| | - Jakub Baran
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Karol W Brzezinski
- Institute of Nuclear Physics Polish Academy of Science, Radzikowskiego 152, Krakow, Krakow, Malopolska, 31-342, POLAND
| | - Jan Gajewski
- Institute of Nuclear Physics Polish Academy of Science, Radzikowskiego 152, Krakow, Krakow, Malopolska, 31-342, POLAND
| | - Neha Chug
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, 30-348, POLAND
| | - Aurelien Coussat
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Eryk Czerwiński
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Meysam Dadgar
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Kamil Dulski
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Kavya Valsan Eliyan
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Aleksander Gajos
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Krzysztof Kacprzak
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Łukasz Kapłon
- Faculty of Physics, Astronomy and Applied Computer Science, Jagiellonian University in Krakow, Lojasiewicza 11, Krakow, Malopolskie, 31-007, POLAND
| | - Konrad Klimaszewski
- National Centre for Nuclear Research, 7 Andrzeja Sołtana str., Otwock, 05-400, POLAND
| | - Paweł Konieczka
- Department of Complex Systems, National Centre for Nuclear Research, 7 Andrzeja Sołtana str., Otwock, 05-400, POLAND
| | - Renata Kopec
- Institute of Nuclear Physics Polish Academy of Science, Radzikowskiego 152, Krakow, 31-342, POLAND
| | - Grzegorz Korcyl
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Tomasz Kozik
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Wojciech Krzemień
- National Centre for Nuclear Research, 7 Andrzeja Sołtana str., Otwock, 05-400, POLAND
| | - Deepak Kumar
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Antony John Lomax
- Department of Radiation Medicine, Paul Scherrer Institute, CH-5232 Villigen PSI, Villigen, 5232, SWITZERLAND
| | - Keegan McNamara
- Center for Proton Therapy, Paul Scherrer Institute PSI, Forschungsstrasse 111, Villigen, Aargau, 5232, SWITZERLAND
| | - Szymon Niedźwiecki
- Institute of Physics, Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Pawel Olko
- PAN, Institute of Nuclear Physics Polish Academy of Science, ul Radzikowskiego 152, Krakow, Kraków, 31-342, POLAND
| | - Dominik Panek
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Szymon Parzych
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Elena Pérez Del Río
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Lech Raczyński
- National Centre for Nuclear Research, 7 Andrzeja Sołtana str., Otwock, 05-400, POLAND
| | - Sushil Sharma
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Shivani Shivani
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Roman Y Shopa
- National Centre for Nuclear Research, 7 Andrzeja Sołtana str., Otwock, 05-400, POLAND
| | - Tomasz Skóra
- Radiotherapy, Maria Sklodowska-Curie National Research Institute of Oncology in Warsaw, Krakow Branch, Walerego Eljasza, Radzikowskiego 152, Kraków, 31-342, POLAND
| | - Magdalena Skurzok
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Paulina Stasica
- Institute of Nuclear Physics Polish Academy of Science, Radzikowskiego 152, Krakow, PL 31-342, POLAND
| | - Ewa Stępień
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Keyvan Tayefi Ardebili
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Faranak Tayefi
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Damien Charles Weber
- Center for Proton Therapy, Paul Scherrer Institute, Forschungsstrasse 111, Villigen, 5232, SWITZERLAND
| | - Carla Winterhalter
- Paul Scherrer Institute PSI, Forschungsstrasse 111, Villigen, Aargau, 5232, SWITZERLAND
| | - Wojciech Wiślicki
- National Centre for Nuclear Research, 7 Andrzeja Sołtana str., Otwock, 05-400, POLAND
| | - Pawel Moskal
- Jagiellonian University in Krakow Faculty of Physics Astronomy and Applied Computer Science, Łojasiewicza 11, Krakow, Małopolskie, 30-348, POLAND
| | - Antoni Rucinski
- Institute of Nuclear Physics PAS, Radzikowskiego 152, Krakow, 31-342, POLAND
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7
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Van Hoey O, Stolarczyk L, Lillhök J, Eliasson L, Mojzeszek N, Liszka M, Alkhiat A, Mares V, Trompier F, Trinkl S, Martínez-Rovira I, Romero-Expósito M, Domingo C, Ploc O, Harrison R, Olko P. Simulation and experimental verification of ambient neutron doses in a pencil beam scanning proton therapy room as a function of treatment plan parameters. Front Oncol 2022; 12:903537. [PMID: 36158693 PMCID: PMC9494550 DOI: 10.3389/fonc.2022.903537] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Accepted: 07/07/2022] [Indexed: 11/23/2022] Open
Abstract
Out-of-field patient doses in proton therapy are dominated by neutrons. Currently, they are not taken into account by treatment planning systems. There is an increasing need to include out-of-field doses in the dose calculation, especially when treating children, pregnant patients, and patients with implants. In response to this demand, this work presents the first steps towards a tool for the prediction of out-of-field neutron doses in pencil beam scanning proton therapy facilities. As a first step, a general Monte Carlo radiation transport model for simulation of out-of-field neutron doses was set up and successfully verified by comparison of simulated and measured ambient neutron dose equivalent and neutron fluence energy spectra around a solid water phantom irradiated with a variation of different treatment plan parameters. Simulations with the verified model enabled a detailed study of the variation of the neutron ambient dose equivalent with field size, range, modulation width, use of a range shifter, and position inside the treatment room. For future work, it is planned to use this verified model to simulate out-of-field neutron doses inside the phantom and to verify the simulation results by comparison with previous in-phantom measurement campaigns. Eventually, these verified simulations will be used to build a library and a corresponding tool to allow assessment of out-of-field neutron doses at pencil beam scanning proton therapy facilities.
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Affiliation(s)
- Olivier Van Hoey
- Belgian Nuclear Research Center (SCK CEN), Institute for Environment, Health and Safety (EHS), Mol, Belgium
- *Correspondence: Olivier Van Hoey,
| | - Liliana Stolarczyk
- Danish Centre for Particle Therapy, Aarhus University Hospital (AUH), Aarhus, Denmark
- Institute of Nuclear Physics, Polish Academy of Sciences, (IFJ PAN), Krakow, Poland
- The Skandion Clinic, Uppsala, Sweden
| | - Jan Lillhök
- Swedish Radiation Safety Authority, Solna, Sweden
| | - Linda Eliasson
- Department of Physics, Royal Institute of Technology (KTH), Stockholm, Sweden
| | - Natalia Mojzeszek
- Institute of Nuclear Physics, Polish Academy of Sciences, (IFJ PAN), Krakow, Poland
| | - Malgorzata Liszka
- Institute of Nuclear Physics, Polish Academy of Sciences, (IFJ PAN), Krakow, Poland
- The Skandion Clinic, Uppsala, Sweden
| | - Ali Alkhiat
- The Skandion Clinic, Uppsala, Sweden
- Department of Medical Radiation Physics and Nuclear Medicine, Karolinska University Hospital, Stockholm, Sweden
| | - Vladimir Mares
- Helmholtz Zentrum München, Institute of Radiation Medicine, Neuherberg, Germany
| | - François Trompier
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), PSE-Santé, Fontenay-aux-Roses, France
| | - Sebastian Trinkl
- Helmholtz Zentrum München, Institute of Radiation Medicine, Neuherberg, Germany
- Federal Office for Radiation Protection, Neuherberg, Germany
| | | | | | - Carles Domingo
- Departament de Física, Universitat Autònoma de Barcelona, Bellaterra, Spain
| | - Ondrej Ploc
- Department of Radiation Dosimetry, Nuclear Physics Institute of the Czech Academy of Sciences (CAS), Prague, Czechia
| | - Roger Harrison
- Faculty of Medical Sciences, University of Newcastle upon Tyne, Newcastle Upon Tyne, United Kingdom
| | - Pawel Olko
- Institute of Nuclear Physics, Polish Academy of Sciences, (IFJ PAN), Krakow, Poland
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8
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Mares V, Farah J, De Saint-Hubert M, Domański S, Domingo C, Dommert M, Kłodowska M, Krzempek K, Kuć M, Martínez-Rovira I, Michaś E, Mojżeszek N, Murawski Ł, Ploc O, Romero-Expósito M, Tisi M, Trompier F, Van Hoey O, Van Ryckeghem L, Wielunski M, Harrison RM, Stolarczyk L, Olko P. Neutron Radiation Dose Measurements in a Scanning Proton Therapy Room: Can Parents Remain Near Their Children During Treatment? Front Oncol 2022; 12:903706. [PMID: 35912238 PMCID: PMC9330633 DOI: 10.3389/fonc.2022.903706] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Accepted: 05/16/2022] [Indexed: 11/15/2022] Open
Abstract
Purpose This study aims to characterize the neutron radiation field inside a scanning proton therapy treatment room including the impact of different pediatric patient sizes. Materials and Methods Working Group 9 of the European Radiation Dosimetry Group (EURADOS) has performed a comprehensive measurement campaign to measure neutron ambient dose equivalent, H*(10), at eight different positions around 1-, 5-, and 10-year-old pediatric anthropomorphic phantoms irradiated with a simulated brain tumor treatment. Several active detector systems were used. Results The neutron dose mapping within the gantry room showed that H*(10) values significantly decreased with distance and angular deviation with respect to the beam axis. A maximum value of about 19.5 µSv/Gy was measured along the beam axis at 1 m from the isocenter for a 10-year-old pediatric phantom at 270° gantry angle. A minimum value of 0.1 µSv/Gy was measured at a distance of 2.25 m perpendicular to the beam axis for a 1-year-old pediatric phantom at 140° gantry angle. The H*(10) dependence on the size of the pediatric patient was observed. At 270° gantry position, the measured neutron H*(10) values for the 10-year-old pediatric phantom were up to 20% higher than those measured for the 5-year-old and up to 410% higher than for the 1-year-old phantom, respectively. Conclusions Using active neutron detectors, secondary neutron mapping was performed to characterize the neutron field generated during proton therapy of pediatric patients. It is shown that the neutron ambient dose equivalent H*(10) significantly decreases with distance and angle with respect to the beam axis. It is reported that the total neutron exposure of a person staying at a position perpendicular to the beam axis at a distance greater than 2 m from the isocenter remains well below the dose limit of 1 mSv per year for the general public (recommended by the International Commission on Radiological Protection) during the entire treatment course with a target dose of up to 60 Gy. This comprehensive analysis is key for general neutron shielding issues, for example, the safe operation of anesthetic equipment. However, it also enables the evaluation of whether it is safe for parents to remain near their children during treatment to bring them comfort. Currently, radiation protection protocols prohibit the occupancy of the treatment room during beam delivery.
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Affiliation(s)
- Vladimir Mares
- Helmholtz Zentrum München, Institute of Radiation Medicine, Neuherberg, Germany
- *Correspondence: Vladimir Mares,
| | - Jad Farah
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), PSE-Santé, Fontenay-aux-Roses, France
| | - Marijke De Saint-Hubert
- Belgian Nuclear Research Center, (SCK CEN), Institute for Environment, Health and Safety (EHS), Mol, Belgium
| | - Szymon Domański
- National Centre for Nuclear Research, Radiological Metrology and Biomedical Physics Division, Otwock-Świerk, Poland
| | - Carles Domingo
- Departament de Física, Universitat Autònoma de Barcelona, Bellaterra, Spain
| | - Martin Dommert
- Helmholtz Zentrum München, Institute of Radiation Medicine, Neuherberg, Germany
| | - Magdalena Kłodowska
- Cambridge University Hospital National Health Service (NHS) Trust, Medical Physics, Cambridge, United Kingdom
| | - Katarzyna Krzempek
- Institute of Nuclear Physics, Polish Academy of Sciences, (IFJ PAN), Krakow, Poland
| | - Michał Kuć
- National Centre for Nuclear Research, Radiological Metrology and Biomedical Physics Division, Otwock-Świerk, Poland
| | | | - Edyta Michaś
- National Centre for Nuclear Research, Radiological Metrology and Biomedical Physics Division, Otwock-Świerk, Poland
| | - Natalia Mojżeszek
- Institute of Nuclear Physics, Polish Academy of Sciences, (IFJ PAN), Krakow, Poland
| | - Łukasz Murawski
- National Centre for Nuclear Research, Radiological Metrology and Biomedical Physics Division, Otwock-Świerk, Poland
| | - Ondrej Ploc
- Department of Radiation Dosimetry, Nuclear Physics Institute of the Czech Academy of Sciences (CAS), Prague, Czechia
| | | | - Marco Tisi
- Helmholtz Zentrum München, Institute of Radiation Medicine, Neuherberg, Germany
| | - François Trompier
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), PSE-Santé, Fontenay-aux-Roses, France
| | - Olivier Van Hoey
- Belgian Nuclear Research Center, (SCK CEN), Institute for Environment, Health and Safety (EHS), Mol, Belgium
| | - Laurent Van Ryckeghem
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), PSE-Santé, Fontenay-aux-Roses, France
| | - Marek Wielunski
- Helmholtz Zentrum München, Institute of Radiation Medicine, Neuherberg, Germany
| | - Roger M. Harrison
- Faculty of Medical Sciences, University of Newcastle upon Tyne, Newcastle upon Tyne, United Kingdom
| | - Liliana Stolarczyk
- Institute of Nuclear Physics, Polish Academy of Sciences, (IFJ PAN), Krakow, Poland
- Danish Centre for Particle Therapy, Aarhus University Hospital (AUH), Aarhus, Denmark
| | - Pawel Olko
- Institute of Nuclear Physics, Polish Academy of Sciences, (IFJ PAN), Krakow, Poland
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9
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Zorloni G, Bosmans G, Brall T, Caresana M, De Saint-Hubert M, Domingo C, Ferrante C, Ferrulli F, Kopec R, Leidner J, Mares V, Nabha R, Olko P, Caballero-Pacheco MÁ, Ruehm W, Silari M, Stolarczyk L, Swakon J, Tisi M, Trinkl S, Van Hoey O, Vilches-Freixas G. Joint EURADOS WG9-WG11 rem-counter intercomparison in a Mevion S250i proton therapy facility with Hyperscan pulsed synchrocyclotron. Phys Med Biol 2022; 67:075005. [PMID: 35259730 DOI: 10.1088/1361-6560/ac5b9c] [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] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Objective Proton therapy is gaining popularity because of the improved dose delivery over conventional radiation therapy. The secondary dose to healthy tissues is dominated by secondary neutrons. Commercial rem-counters are valuable instruments for the on-line assessment of neutron ambient dose equivalent (H*(10)). In general, however, a priori knowledge of the type of facility and of the radiation field is required for the proper choice of any survey meter. The novel Mevion S250i Hyperscan synchrocyclotron mounts the accelerator directly on the gantry. It provides a scanned 227 MeV proton beam, delivered in pulses with a pulse width of 10 µs at 750 Hz frequency, which is afterwards degraded in energy by a range shifter modulator system. This environment is particularly challenging for commercial rem-counters; therefore, we tested the reliability of some of the most widespread rem-counters to understand their limits in the Mevion S250i stray neutron field. Approach This work, promoted by the European Radiation Dosimetry Group (EURADOS), describes a rem-counter intercomparison at the Maastro Proton Therapy centre in the Netherlands, which houses the novel Mevion S250i Hyperscan system. Several rem-counters were employed in the intercomparison (LUPIN, LINUS, WENDI-II, LB6411, NM2B-458, NM2B-495Pb), which included simulation of a patient treatment protocol employing a water tank phantom. The outcomes of the experiment were compared with models and data from the literature. Main results We found that only the LUPIN allowed for a correct assessment of H*(10) within a 20% uncertainty. All other rem-counters underestimated the reference H*(10) by factors from 2 to more than 10, depending on the detector model and on the neutron dose per pulse. In pulsed fields, the neutron dose per pulse is a fundamental parameter, while the average neutron dose rate is a secondary quantity. An average 150-200 µSv/GyRBE neutron H*(10) at various positions around the phantom and at distances between 186 cm and 300 cm from it was measured per unit therapeutic dose delivered to the target. Significance Our results are partially in line with results obtained at similar Mevion facilities employing passive energy modulation. Comparisons with facilities employing active energy modulation confirmed that the neutron H*(10) can increase up to more than a factor of 10 when passive energy modulation is employed. The challenging environment of the Mevion stray neutron field requires the use of specific rem-counters sensitive to high-energy neutrons (up to a few hundred MeV) and specifically designed to withstand pulsed neutron fields.
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Affiliation(s)
| | - Geert Bosmans
- Maastricht University Medical Centre+ Oncology Centre, P. Debyelaan 25, Maastricht, Limburg, 6229, NETHERLANDS
| | - Thomas Brall
- Helmotz Zentrum Munchen, Ingolstädter Landstr. 1, Neuherberg, 85764, GERMANY
| | - Marco Caresana
- Energy, Politecnico di Milano, via Lambruschini 4, Milano, 20133, ITALY
| | - Marijke De Saint-Hubert
- Radiation protection Dosimetry and Calibration Expert Group, Belgian Nuclear Research Centre (SCK•CEN), Boeretang 200, Mol, 2400, BELGIUM
| | - Carles Domingo
- Departament de Fisica, Universidad Autonoma de Barcelona, Plaça Cívica, Bellaterra, 08193 , SPAIN
| | | | | | - Renata Kopec
- Institute of Nuclear Physics Polish Academy of Science, Walerego Eljasza Radzikowskiego 152, Krakow, 31-342, POLAND
| | | | - Vladimir Mares
- Helmholtz Zentrum Muenchen Deutsche Forschungszentrum fuer Gesundheit und Umwelt, D-85758 Neuherberg, Neuherberg, 85764 , GERMANY
| | - Racell Nabha
- Radiation protection Dosimetry and Calibration Expert Group, Belgian Nuclear Research Centre (SCK•CEN), Boeretang 200, Mol, 2400, BELGIUM
| | - Pawel Olko
- PAN, Polish Academy of Sciences, ul Radzikowskiego 152, PL 31-342, Krakow, Kraków, 31-342, POLAND
| | | | - Werner Ruehm
- Helmholtz Center Munich, Ingolstädter Landstr. 1, Neuherberg, 85764 , GERMANY
| | - Marco Silari
- CERN, Esplanade des Particules 1, Geneve, 1211, SWITZERLAND
| | - Liliana Stolarczyk
- Dansk Center for Partikelterapi, Aarhus University Hospital Skejby, Palle Juul-Jensens Boulevard 25, Aarhus, 8200, DENMARK
| | - Jan Swakon
- Institute of Nuclear Physics, Polish Academy of Sciences, Radzikowskiego 152, Krakow, 31-342, POLAND
| | - Marco Tisi
- Helmholtz Center Munich German Research Center for Environmental Health, Ingolstädter Landstr. 1, Neuherberg, Bayern, 85764, GERMANY
| | - Sebastian Trinkl
- Bundesamt fur Strahlenschutz Neuherberg, Ingolstädter Landstraße 1, Neuherberg, 85764, GERMANY
| | - Olivier Van Hoey
- Studiecentrum voor Kernenergie, Boeretang 200, Mol, 2400, BELGIUM
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10
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Davídková M, Dasu A, De Angelis C, De Marzi L, De Saint-Hubert M, Ekendahl D, Michaelidesová AJ, Knežević Ž, Kukolowicz P, Liszka M, Lorentini S, Leite AM, Majer M, Michalec B, Navrátil M, Reniers B, Van Goethem M, Vestergaard A, Vilches-Freixas G, Vondráček V, Stolarczyk L, Olko P. FLASH Modalities Track (Oral Presentations) PRELIMINARY RESULTS OF DOSIMETRY AUDIT OF ACTIVE SCANNING PROTON BEAMS. Phys Med 2022. [DOI: 10.1016/s1120-1797(22)01562-9] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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11
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Toboła-Galus A, Olko P, Swakoń J. Spacial Fractionation SPATIALLY FRACTIONATED PROTON THERAPY OF EYE CANCER: FEASIBILITY STUDIES. Phys Med 2022. [DOI: 10.1016/s1120-1797(22)01545-9] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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12
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Parisi A, Olko P, Swakon J, Horwacik T, Jablonski H, Malinowski L, Nowak T, Struelens L, Vanhavere F. Microdosimetric characterization of a clinical proton therapy beam: comparison between simulated lineal energy distributions in spherical water targets and experimental measurements with a silicon detector. Phys Med Biol 2021; 67. [PMID: 34933289 DOI: 10.1088/1361-6560/ac4563] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Accepted: 12/21/2021] [Indexed: 11/12/2022]
Abstract
Objective Treatment planning based on computer simulations were proposed to account for the increase in the relative biological effectiveness (RBE) of proton radiotherapy beams near to the edges of the irradiated volume. Since silicon detectors could be used to validate the results of these simulations, it is important to explore the limitations of this comparison. Approach Microdosimetric measurements with a MicroPlus Bridge V2 silicon detector (thickness = 10 µm) were performed along the Bragg peak of a clinical proton beam. The lineal energy distributions, the dose mean values, and the RBE calculated with a biological weighting function were compared with simulations with PHITS (microdosimetric target = 1 µm water sphere), and published clonogenic survival in vitro RBE data for the V79 cell line. The effect of the silicon-to-water conversion was also investigated by comparing three different methodologies (conversion based on a single value, novel bin-to-bin conversions based on SRIM and PSTAR). Main results Mainly due to differences in the microdosimetric targets, the experimental dose-mean lineal energy and RBE values at the distal edge were respectively up to 53% and 28% lower than the simulated ones. Furthermore, the methodology chosen for the silicon-to-water conversion was proven to affect the dose mean lineal energy and the RBE10 up to 32% and 11% respectively. The best methodology to compensate for this underestimation was the bin-to-bin silicon-to-water conversion based on PSTAR. Significance This work represents the first comparison between PHITS-simulated lineal energy distributions in water targets and corresponding experimental spectra measured with silicon detectors. Furthermore, the effect of the silicon-to-water conversion on the RBE was explored for the first time. The proposed methodology based on the PSTAR bin-to-bin conversion appears to provide superior results with respect to commonly used single scaling factors and is recommended for future studies.
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Affiliation(s)
| | - Pawel Olko
- IFJ PAN, Walerego Eljasza Radzikowskiego 152, Krakow, 31-342, POLAND
| | - Jan Swakon
- IFJ PAN, Walerego Eljasza Radzikowskiego 152, Krakow, 31-342, POLAND
| | - Tomasz Horwacik
- IF PAN, Walerego Eljasza Radzikowskiego 152, Krakow, Kraków, 31-342, POLAND
| | - Hubert Jablonski
- IFJ PAN, Walerego Eljasza Radzikowskiego 152, Krakow, 31-342, POLAND
| | - Leszek Malinowski
- IFJ PAN, Walerego Eljasza Radzikowskiego 152, Krakow, 31-342, POLAND
| | - Tomasz Nowak
- IFJ PAN, Walerego Eljasza Radzikowskiego 152, Krakow, 31-342, POLAND
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13
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Parisi A, Olko P, Bilski P, Biderman S, Oster L, Horowitz Y. Microdosimetric modeling of the relative efficiency of the optical absorption of LiF:Mg,Ti (TLD-100) detectors exposed to 1H and 4He ions. RADIAT MEAS 2021. [DOI: 10.1016/j.radmeas.2021.106594] [Citation(s) in RCA: 1] [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: 11/29/2022]
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14
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Harrison RM, Ainsbury E, Alves J, Bottollier-Depois JF, Breustedt B, Caresana M, Clairand I, Fantuzzi E, Fattibene P, Gilvin P, Hupe O, Knežević Ž, Lopez MA, Olko P, Olšovcová V, Rabus H, Rühm W, Silari M, Stolarczyk L, Tanner R, Vanhavere F, Vargas A, Woda C. EURADOS STRATEGIC RESEARCH AGENDA 2020: VISION FOR THE DOSIMETRY OF IONISING RADIATION. Radiat Prot Dosimetry 2021; 194:42-56. [PMID: 33989429 PMCID: PMC8165425 DOI: 10.1093/rpd/ncab063] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 02/28/2021] [Accepted: 04/06/2021] [Indexed: 05/02/2023]
Abstract
Since 2012, the European Radiation Dosimetry Group (EURADOS) has developed its Strategic Research Agenda (SRA), which contributes to the identification of future research needs in radiation dosimetry in Europe. Continued scientific developments in this field necessitate regular updates and, consequently, this paper summarises the latest revision of the SRA, with input regarding the state of the art and vision for the future contributed by EURADOS Working Groups and through a stakeholder workshop. Five visions define key issues in dosimetry research that are considered important over at least the next decade. They include scientific objectives and developments in (i) updated fundamental dose concepts and quantities, (ii) improved radiation risk estimates deduced from epidemiological cohorts, (iii) efficient dose assessment for radiological emergencies, (iv) integrated personalised dosimetry in medical applications and (v) improved radiation protection of workers and the public. This SRA will be used as a guideline for future activities of EURADOS Working Groups but can also be used as guidance for research in radiation dosimetry by the wider community. It will also be used as input for a general European research roadmap for radiation protection, following similar previous contributions to the European Joint Programme for the Integration of Radiation Protection Research, under the Horizon 2020 programme (CONCERT). The full version of the SRA is available as a EURADOS report (www.eurados.org).
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Affiliation(s)
| | - E Ainsbury
- Public Health England, Chilton, Didcot, UK
| | - J Alves
- Instituto Superior Técnico (IST), CTN, Lisboa, Portugal
| | - J-F Bottollier-Depois
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Fontenay-aux-Roses Cedex, France
| | - B Breustedt
- Karlsruhe Institute of Technology (KIT), Karlsruhe, Germany
| | | | - I Clairand
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Fontenay-aux-Roses Cedex, France
| | - E Fantuzzi
- ENEA - Radiation Protection Institute, Bologna, Italy
| | - P Fattibene
- Istituto Superiore di Sanità (ISS), Rome, Italy
| | - P Gilvin
- Public Health England, Chilton, Didcot, UK
| | - O Hupe
- Physikalisch Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - Ž Knežević
- Ruđer Bošković Institute (RBI), Zagreb, Croatia
| | - M A Lopez
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), Madrid, Spain
| | - P Olko
- Instytut Fizyki Jądrowej Polskiej Akademii Nauk (IFJ PAN), Kraków, Poland
| | - V Olšovcová
- ELI Beamlines, Institute of Physics, Czech Academy of Sciences, Dolní Břežany, Czech Republic
| | - H Rabus
- Physikalisch Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany
| | - W Rühm
- Helmholtz Zentrum München, Institute of Radiation Medicine, Neuherberg, Germany
| | - M Silari
- CERN, 1211 Geneva 23, Switzerland
| | - L Stolarczyk
- Danish Centre for Particle Therapy, Aarhus, Denmark
- Instytut Fizyki Jądrowej Polskiej Akademii Nauk (IFJ PAN), Kraków, Poland
| | - R Tanner
- Public Health England, Chilton, Didcot, UK
| | - F Vanhavere
- Belgian Nuclear Research Centre (SCK-CEN), Mol, Belgium
| | - A Vargas
- Institute of Energy Technologies, Universitat Politecnica de Catalunya, Barcelona, Spain
| | - C Woda
- Helmholtz Zentrum München, Institute of Radiation Medicine, Neuherberg, Germany
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De Saint-Hubert M, De Angelis C, Knežević Ž, Michalec B, Reniers B, Pyszka E, Stolarczyk L, Swakon J, Foltynska G, Wochnik A, Parisi A, Majer M, Harrison RM, Kopec R, Vanhavere F, Olko P. Characterization of passive dosimeters in proton pencil beam scanning - A EURADOS intercomparison for mailed dosimetry audits in proton therapy centres. Phys Med 2021; 82:134-143. [PMID: 33611050 DOI: 10.1016/j.ejmp.2021.01.073] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [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: 10/08/2020] [Revised: 12/18/2020] [Accepted: 01/15/2021] [Indexed: 11/27/2022] Open
Abstract
The lack of mailed dosimetry audits of proton therapy centres in Europe has encouraged researchers of EURADOS Working Group 9 (WG9) to compare response of several existing passive detector systems in therapeutic pencil beam scanning. Alanine Electron Paramagnetic Resonance dosimetry systems from 3 different institutes (ISS, Italy; UH, Belgium and IFJ PAN, Poland), natLiF:Mg, Ti (MTS-N) and natLiF:Mg, Cu, P (MCP-N) thermoluminescent dosimeters (TLDs), GD-352M radiophotoluminescent glass dosimeters (RPLGDs) and Al2O3:C optically stimulated dosimeters (OSLDs) were evaluate. Dosimeter repeatability, batch reproducibility and response in therapeutic Pencil Beam Scanning were verified for implementation as mail auditing system. Alanine detectors demonstrated the lowest linear energy transfer (LET) dependence with an agreement between measured and treatment planning system (TPS) dose below 1%. The OSLDs measured on average a 6.3% lower dose compared to TPS calculation, with no significant difference between varying modulations and ranges. Both GD-352M and MCP-N measured a lower dose than the TPS and luminescent response was dependent on the LET of the therapeutic proton beam. Thermoluminescent response of MTS-N was also found to be dependent on the LET and a higher dose than TPS was measured with the most pronounced increase of 11%. As alanine detectors are characterized by the lowest energy dependence for different parameters of therapeutic pencil beam scanning they are suitable candidates for mail auditing in proton therapy. The response of luminescence detector systems have shown promises even though more careful calibration and corrections are needed for its implementation as part of a mailed dosimetry audit system.
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Affiliation(s)
- M De Saint-Hubert
- Belgian Nuclear Research Centre (SCK CEN), Boeretang 200, BE-2400 Mol, Belgium.
| | - C De Angelis
- Istituto Superiore di Sanità (ISS), Viale Regina Elena 299, 00161 Rome, Italy
| | - Ž Knežević
- Ruđer Bošković Institute (RBI), Bijenička 54, Zagreb, Croatia
| | - B Michalec
- Institute of Nuclear Physics Polish Academy of Sciences (IFJ PAN), Radzikowskiego 152, 31-342 Krakow, Poland
| | - B Reniers
- Research Group NuTeC, University Hasselt (UH), Agoralaan Gebouw H, B-3590 Diepenbeek, Belgium
| | - E Pyszka
- Institute of Nuclear Physics Polish Academy of Sciences (IFJ PAN), Radzikowskiego 152, 31-342 Krakow, Poland
| | - L Stolarczyk
- Institute of Nuclear Physics Polish Academy of Sciences (IFJ PAN), Radzikowskiego 152, 31-342 Krakow, Poland
| | - J Swakon
- Institute of Nuclear Physics Polish Academy of Sciences (IFJ PAN), Radzikowskiego 152, 31-342 Krakow, Poland
| | - G Foltynska
- Institute of Nuclear Physics Polish Academy of Sciences (IFJ PAN), Radzikowskiego 152, 31-342 Krakow, Poland
| | - A Wochnik
- Institute of Nuclear Physics Polish Academy of Sciences (IFJ PAN), Radzikowskiego 152, 31-342 Krakow, Poland
| | - A Parisi
- Belgian Nuclear Research Centre (SCK CEN), Boeretang 200, BE-2400 Mol, Belgium
| | - M Majer
- Ruđer Bošković Institute (RBI), Bijenička 54, Zagreb, Croatia
| | - R M Harrison
- University of Newcastle, Newcastle Upon Tyne NE2 4HH, UK
| | - R Kopec
- Institute of Nuclear Physics Polish Academy of Sciences (IFJ PAN), Radzikowskiego 152, 31-342 Krakow, Poland
| | - F Vanhavere
- Belgian Nuclear Research Centre (SCK CEN), Boeretang 200, BE-2400 Mol, Belgium
| | - P Olko
- Institute of Nuclear Physics Polish Academy of Sciences (IFJ PAN), Radzikowskiego 152, 31-342 Krakow, Poland
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16
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Wochnik A, Stolarczyk L, Ambrožová I, Davídková M, De Saint-Hubert M, Domański S, Domingo C, Knežević Ž, Kopeć R, Kuć M, Majer M, Mojżeszek N, Mares V, Martínez-Rovira I, Caballero-Pacheco MÁ, Pyszka E, Swakoń J, Trinkl S, Tisi M, Harrison R, Olko P. Out-of-field doses for scanning proton radiotherapy of shallowly located paediatric tumours-a comparison of range shifter and 3D printed compensator. Phys Med Biol 2021; 66:035012. [PMID: 33202399 DOI: 10.1088/1361-6560/abcb1f] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The lowest possible energy of proton scanning beam in cyclotron proton therapy facilities is typically between 60 and 100 MeV. Treatment of superficial lesions requires a pre-absorber to deliver doses to shallower volumes. In most of the cases a range shifter (RS) is used, but as an alternative solution, a patient-specific 3D printed proton beam compensator (BC) can be applied. A BC enables further reduction of the air gap and consequently reduction of beam scattering. Such pre-absorbers are additional sources of secondary radiation. The aim of this work was the comparison of RS and BC with respect to out-of-field doses for a simulated treatment of superficial paediatric brain tumours. EURADOS WG9 performed comparative measurements of scattered radiation in the Proteus C-235 IBA facility (Cyclotron Centre Bronowice at the Institute of Nuclear Physics, CCB IFJ PAN, Kraków, Poland) using two anthropomorphic phantoms-5 and 10 yr old-for a superficial target in the brain. Both active detectors located inside the therapy room, and passive detectors placed inside the phantoms were used. Measurements were supplemented by Monte Carlo simulation of the radiation transport. For the applied 3D printed pre-absorbers, out-of-field doses from both secondary photons and neutrons were lower than for RS. Measurements with active environmental dosimeters at five positions inside the therapy room indicated that the RS/BC ratio of the out-of-field dose was also higher than one, with a maximum of 1.7. Photon dose inside phantoms leads to higher out-of-field doses for RS than BC to almost all organs with the highest RS/BC ratio 12.5 and 13.2 for breasts for 5 and 10 yr old phantoms, respectively. For organs closest to the isocentre such as the thyroid, neutron doses were lower for BC than RS due to neutrons moderation in the target volume, but for more distant organs like bladder-conversely-lower doses for RS than BC were observed. The use of 3D printed BC as the pre-absorber placed in the near vicinity of patient in the treatment of superficial tumours does not result in the increase of secondary radiation compared to the treatment with RS, placed far from the patient.
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Affiliation(s)
- A Wochnik
- Institute of Nuclear Physics PAN, Radzikowskiego 152, Krakow 31-342, Poland
| | - L Stolarczyk
- Institute of Nuclear Physics PAN, Radzikowskiego 152, Krakow 31-342, Poland.,Skandionkliniken, von Kraemers Allé 26, Uppsala 752 37, Sweden.,Dansk Center for Partikelterapi, Palle Juul-Jensens Boulevard 25, 8200 Aarhus N, Denmark
| | - I Ambrožová
- Department of Radiation Dosimetry, Nuclear Physics Institute Czech Academy of Sciences, Prague CZ-250 68 Řež, Czech Republic
| | - M Davídková
- Department of Radiation Dosimetry, Nuclear Physics Institute Czech Academy of Sciences, Prague CZ-250 68 Řež, Czech Republic
| | - M De Saint-Hubert
- Belgium Nuclear Research Centre (SCK CEN), Boeretang 200, Mol BE-2400, Belgium
| | - S Domański
- National Centre for Nuclear Research, Otwock-Świerk 05-400, Poland
| | - C Domingo
- Departament de Física, Universitat Autònoma de Barcelona (UAB), Bellaterra E-08193, Spain
| | - Ž Knežević
- Ruđer Bošković Institute, Bijenička c. 54, Zagreb 10000, Croatia
| | - R Kopeć
- Institute of Nuclear Physics PAN, Radzikowskiego 152, Krakow 31-342, Poland
| | - M Kuć
- National Centre for Nuclear Research, Otwock-Świerk 05-400, Poland
| | - M Majer
- Ruđer Bošković Institute, Bijenička c. 54, Zagreb 10000, Croatia
| | - N Mojżeszek
- Institute of Nuclear Physics PAN, Radzikowskiego 152, Krakow 31-342, Poland
| | - V Mares
- Helmholtz Zentrum München, Institute of Radiation Medicine, Ingolstädter Landstraße 1, Neuherberg 85764, Germany
| | - I Martínez-Rovira
- Departament de Física, Universitat Autònoma de Barcelona (UAB), Bellaterra E-08193, Spain
| | - M Á Caballero-Pacheco
- Departament de Física, Universitat Autònoma de Barcelona (UAB), Bellaterra E-08193, Spain
| | - E Pyszka
- Institute of Nuclear Physics PAN, Radzikowskiego 152, Krakow 31-342, Poland
| | - J Swakoń
- Institute of Nuclear Physics PAN, Radzikowskiego 152, Krakow 31-342, Poland
| | - S Trinkl
- Helmholtz Zentrum München, Institute of Radiation Medicine, Ingolstädter Landstraße 1, Neuherberg 85764, Germany.,Technische Universität München, Physik-Department, Garching 85748, Germany
| | - M Tisi
- Helmholtz Zentrum München, Institute of Radiation Medicine, Ingolstädter Landstraße 1, Neuherberg 85764, Germany
| | - R Harrison
- University of Newcastle upon Tyne, Tyne and Wear, Newcastle upon Tyne NE1 7RU, United Kingdom
| | - P Olko
- Institute of Nuclear Physics PAN, Radzikowskiego 152, Krakow 31-342, Poland
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17
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Parisi A, Sato T, Matsuya Y, Kase Y, Magrin G, Verona C, Tran L, Rosenfeld A, Bianchi A, Olko P, Struelens L, Vanhavere F. Development of a new microdosimetric biological weighting function for the RBE 10 assessment in case of the V79 cell line exposed to ions from 1H to 238U. Phys Med Biol 2020; 65:235010. [PMID: 33274727 DOI: 10.1088/1361-6560/abbf96] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
An improved biological weighting function (IBWF) is proposed to phenomenologically relate microdosimetric lineal energy probability density distributions with the relative biological effectiveness (RBE) for the in vitro clonogenic cell survival (surviving fraction = 10%) of the most commonly used mammalian cell line, i.e. the Chinese hamster lung fibroblasts (V79). The IBWF, intended as a simple and robust tool for a fast RBE assessment to compare different exposure conditions in particle therapy beams, was determined through an iterative global-fitting process aimed to minimize the average relative deviation between RBE calculations and literature in vitro data in case of exposure to various types of ions from 1H to 238U. By using a single particle- and energy- independent function, it was possible to establish an univocal correlation between lineal energy and clonogenic cell survival for particles spanning over an unrestricted linear energy transfer range of almost five orders of magnitude (0.2 keV µm-1 to 15 000 keV µm-1 in liquid water). The average deviation between IBWF-derived RBE values and the published in vitro data was ∼14%. The IBWF results were also compared with corresponding calculations (in vitro RBE10 for the V79 cell line) performed using the modified microdosimetric kinetic model (modified MKM). Furthermore, RBE values computed with the reference biological weighting function (BWF) for the in vivo early intestine tolerance in mice were included for comparison and to further explore potential correlations between the BWF results and the in vitro RBE as reported in previous studies. The results suggest that the modified MKM possess limitations in reproducing the experimental in vitro RBE10 for the V79 cell line in case of ions heavier than 20Ne. Furthermore, due to the different modelled endpoint, marked deviations were found between the RBE values assessed using the reference BWF and the IBWF for ions heavier than 2H. Finally, the IBWF was unchangingly applied to calculate RBE values by processing lineal energy density distributions experimentally measured with eight different microdosimeters in 19 1H and 12C beams at ten different facilities (eight clinical and two research ones). Despite the differences between the detectors, irradiation facilities, beam profiles (pristine or spread out Bragg peak), maximum beam energy, beam delivery (passive or active scanning), energy degradation system (water, PMMA, polyamide or low-density polyethylene), the obtained IBWF-based RBE trends were found to be in good agreement with the corresponding ones in case of computer-simulated microdosimetric spectra (average relative deviation equal to 0.8% and 5.7% for 1H and 12C ions respectively).
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18
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Winczura P, Czerska K, Wejs-Maternik J, Blukis A, Mężykowski R, Olko P, Kopeć R, Badzio A. PO-1472: Cardiac dose reduction in proton vs. photon DIBH breast and regional lymph nodes radiotherapy. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)01490-0] [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: 10/22/2022]
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19
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Garbacz M, Schulte R, Bashkirov V, Gao M, Pankuch M, Sarosiek C, Johnson R, Ramos Mendez J, Rucinski A, Olko P. PO-1615: Detection and analysis of scattered protons for verification of FLASH lung tumor proton therapy. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)01633-9] [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: 11/27/2022]
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20
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Nielsen S, Bassler N, Grzanka L, Swakon J, Olko P, Horsman MR, Sørensen BS. Proton scanning and X-ray beam irradiation induce distinct regulation of inflammatory cytokines in a preclinical mouse model. Int J Radiat Biol 2020; 96:1238-1244. [PMID: 32780616 DOI: 10.1080/09553002.2020.1807644] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
PURPOSE Conventional X-ray radiotherapy induces a pro-inflammatory response mediated by altered expression of inflammation-regulating cytokines. Proton scanning and X-ray irradiation produce distinct changes to cytokine gene expression in vitro suggesting that proton beam therapy may induce an inflammatory response dissimilar to that of X-ray radiation. The purpose of the present study was to determine whether proton scanning beam radiation and conventional X-ray photon radiation would induce differential regulation of circulating cytokines in vivo. MATERIALS AND METHODS Female CDF1 mice were irradiated locally at the right hind leg using proton pencil beam scanning or X-ray photons. Blood samples were obtained from two separate mice groups. Samples from one group were drawn by retro-orbital puncture 16 months post irradiation, while samples from the other group were drawn 5 and 30 days post irradiation. Concentration of the cytokines IL-6, IL-1β, IL-10, IL-17A, IFN-γ, and TNFα was measured in plasma using bead-based immunoassays. RESULTS The cytokines IL-6, IL-1β, IL-10, IFN-γ, and TNFα were expressed at lower levels in plasma samples from proton-irradiated mice compared with X-ray-irradiated mice 16 months post irradiation. The same cytokines were downregulated in proton-irradiated mice 5 days post irradiation when compared to controls, while at day 30 expression had increased to the same level or higher. X-ray radiation did not markedly change expression levels at days 5 and 30. CONCLUSIONS The inflammatory response to proton and X-ray irradiation seem to be distinct as the principal pro-inflammatory cytokines are differentially regulated short- and long-term following irradiation. Both the development of normal tissue damage and efficacy of immunotherapy could be influenced by an altered inflammatory response to irradiation.
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Affiliation(s)
- Steffen Nielsen
- Experimental Clinical Oncology, Department of Oncology, Aarhus University Hospital, Aarhus, Denmark
| | - Niels Bassler
- Medical Radiation Physics, Department of Physics, Stockholm University, Stockholm, Sweden
| | - Leszek Grzanka
- Proton Radiotherapy Group, Institute of Nuclear Physics, Polish Academy of Sciences, Krakow, Poland
| | - Jan Swakon
- Proton Radiotherapy Group, Institute of Nuclear Physics, Polish Academy of Sciences, Krakow, Poland
| | - Pawel Olko
- Proton Radiotherapy Group, Institute of Nuclear Physics, Polish Academy of Sciences, Krakow, Poland
| | - Michael R Horsman
- Experimental Clinical Oncology, Department of Oncology, Aarhus University Hospital, Aarhus, Denmark
| | - Brita Singers Sørensen
- Experimental Clinical Oncology, Department of Oncology, Aarhus University Hospital, Aarhus, Denmark
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21
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Rühm W, Ainsbury E, Breustedt B, Caresana M, Gilvin P, Knežević Ž, Rabus H, Stolarczyk L, Vargas A, Bottollier-Depois J, Harrison R, Lopez M, Stadtmann H, Tanner R, Vanhavere F, Woda C, Clairand I, Fantuzzi E, Fattibene P, Hupe O, Olko P, Olšovcová V, Schuhmacher H, Alves J, Miljanic S. The European radiation dosimetry group – Review of recent scientific achievements. Radiat Phys Chem Oxf Engl 1993 2020. [DOI: 10.1016/j.radphyschem.2019.108514] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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22
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Parisi A, Olko P, Swakoń J, Horwacik T, Jabłoński H, Malinowski L, Nowak T, Struelens L, Vanhavere F. Modeling the radiation-induced cell death in a therapeutic proton beam using thermoluminescent detectors and radiation transport simulations. ACTA ACUST UNITED AC 2020; 65:015008. [DOI: 10.1088/1361-6560/ab491f] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
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23
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Alves JG, Fantuzzi E, Rühm W, Gilvin P, Vargas A, Tanner R, Rabus H, Lopez MA, Breustedt B, Harrison R, Stolarczyk L, Fattibene P, Woda C, Caresana M, Knežević Ž, Bottollier-Depois JF, Clairand I, Mayer S, Miljanic S, Olko P, Schuhmacher H, Stadtmann H, Vanhavere F. EURADOS education and training activities. J Radiol Prot 2019; 39:R37-R50. [PMID: 31307030 DOI: 10.1088/1361-6498/ab3256] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
This paper provides a summary of the Education and Training (E&T) activities that have been developed and organised by the European Radiation Dosimetry Group (EURADOS) in recent years and in the case of Training Courses over the last decade. These E&T actions include short duration Training Courses on well-established topics organised within the activity of EURADOS Working Groups (WGs), or one-day events integrated in the EURADOS Annual Meeting (workshops, winter schools, the intercomparison participants' sessions and the learning network, among others). Moreover, EURADOS has recently established a Young Scientist Grant and a Young Scientist Award. The Grant supports young scientists by encouraging them to perform research projects at other laboratories of the EURADOS network. The Award is given in recognition of excellent work developed within the WGs' work programme. Additionally, EURADOS supports the dissemination of knowledge in radiation dosimetry by promoting and endorsing conferences such as the individual monitoring (IM) series, the neutron and ion dosimetry symposia (NEUDOS) and contributions to E&T sessions at specific events.
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Affiliation(s)
- J G Alves
- EURADOS, EURADOS e.V. Postfach 1129, D-85758 Neuherberg, Germany. Universidade de Lisboa (UL), Instituto Superior Técnico (IST), Laboratório de Proteção e Segurança Radiológica (LPSR), Estrada Nacional 10, 2695-066 Bobadela LRS, Portugal. Departamento de Engenharia e Ciências Nucleares (DECN), Centro de Ciências e Tecnologias Nucleares (C2TN), do IST, Portugal
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Stock M, Gora J, Perpar A, Georg P, Kragl G, Hug E, Vondracek V, Kubes J, Algranati C, Cianchetti M, Amichetti M, Kajdrowicz T, Kopec R, Olko P, Skowronska K, Sowa U, Gora E, Kisielewicz K, Sas-Korczynska B, Skora T, Bäck A, Gustafsson M, Sooaru M, Nyström PW, Eriksson TB. PO-0943 Harmonization of proton planning for head and neck cancer using PBS: First report of the IPACS collaboration. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)31363-5] [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: 12/01/2022]
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25
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Nielsen S, Bassler N, Grzanka L, Laursen L, Swakon J, Olko P, Andreassen CN, Alsner J, Singers Sørensen B. Comparison of Coding Transcriptomes in Fibroblasts Irradiated With Low and High LET Proton Beams and Cobalt-60 Photons. Int J Radiat Oncol Biol Phys 2018; 103:1203-1211. [PMID: 30529373 DOI: 10.1016/j.ijrobp.2018.11.065] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Revised: 10/27/2018] [Accepted: 11/29/2018] [Indexed: 10/27/2022]
Abstract
PURPOSE To identify differential cellular responses after proton and photon irradiation by comparing transcriptomes of primary fibroblasts irradiated with either radiation type. METHODS AND MATERIALS A panel of primary dermal fibroblast cultures was irradiated with low and higher linear energy transfer (LET) proton beams. Cobalt-60 photon irradiation was used as reference. Dose was delivered in 3 fractions of 3.5 Gy (relative biological effectiveness) using a relative biological effectiveness of 1.1 for proton doses. Cells were harvested 2 hours after the final fraction was delivered, and RNA was purified. RNA sequencing was performed using Illumina NextSeq 500 with high-output kit. The edgeR package in R was used for differential gene expression analysis. RESULTS Pairwise comparisons of the transcriptomes in the 3 treatment groups showed that there were 84 and 56 differentially expressed genes in the low LET group compared with the Cobalt-60 group and the higher LET group, respectively. The higher LET proton group and the Cobalt-60 group had the most distinct transcriptome profiles, with 725 differentially regulated genes. Differentially regulated canonical pathways and various regulatory factors involved in regulation of biological mechanisms such as inflammation, carcinogenesis, and cell cycle control were identified. CONCLUSIONS Inflammatory regulators associated with the development of normal tissue complications and malignant transformation factors seem to be differentially regulated by higher LET proton and Cobalt-60 photon irradiation. The reported transcriptome differences could therefore influence the progression of adverse effects and the risk of developing secondary cancers.
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Affiliation(s)
- Steffen Nielsen
- Department of Experimental Clinical Oncology, Aarhus University Hospital, Aarhus, Denmark.
| | - Niels Bassler
- Medical Radiation Physics, Department of Physics, Stockholm University, Stockholm, Sweden
| | - Leszek Grzanka
- Proton Radiotherapy Group, Institute of Nuclear Physics Polish Academy of Sciences, Krakow, Poland
| | - Louise Laursen
- Department of Experimental Clinical Oncology, Aarhus University Hospital, Aarhus, Denmark
| | - Jan Swakon
- Proton Radiotherapy Group, Institute of Nuclear Physics Polish Academy of Sciences, Krakow, Poland
| | - Pawel Olko
- Proton Radiotherapy Group, Institute of Nuclear Physics Polish Academy of Sciences, Krakow, Poland
| | | | - Jan Alsner
- Department of Experimental Clinical Oncology, Aarhus University Hospital, Aarhus, Denmark
| | - Brita Singers Sørensen
- Department of Experimental Clinical Oncology, Aarhus University Hospital, Aarhus, Denmark
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26
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Nielsen S, Bassler N, Grzanka L, Swakon J, Olko P, Andreassen CN, Alsner J, Sørensen BS. Optimal reference genes for normalization of qPCR gene expression data from proton and photon irradiated dermal fibroblasts. Sci Rep 2018; 8:12688. [PMID: 30139945 PMCID: PMC6107545 DOI: 10.1038/s41598-018-30946-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2018] [Accepted: 08/08/2018] [Indexed: 12/29/2022] Open
Abstract
The transcriptional response of cells exposed to proton radiation is not equivalent to the response induced by traditional photon beams. Changes in cellular signalling is most commonly studied using the method Quantitative polymerase chain reaction (qPCR). Stable reference genes must be used to accurately quantify target transcript expression. The study aim was to identify suitable reference genes for normalisation of gene expression levels in normal dermal fibroblasts irradiated with either proton or photon beams. The online tool RefFinder was used to analyse and identify the most stably expressed genes from a panel of 22 gene candidates. To assess the reliability of the identified reference genes, a selection of the most and least stable reference genes was used to normalise target transcripts of interest. Fold change levels varied considerably depending on the used reference gene. The top ranked genes IPO8, PUM1, MRPL19 and PSMC4 produced highly similar target gene expression, while expression using the worst ranked genes, TFRC and HPRT1, was clearly modified due to reference gene instability.
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Affiliation(s)
- Steffen Nielsen
- Department of Experimental Clinical Oncology, Aarhus University Hospital, Aarhus, Denmark.
| | - Niels Bassler
- Medical Radiation Physics, Department of Physics, Stockholm University, Stockholm, Sweden
| | - Leszek Grzanka
- Proton Radiotherapy Group, Institute of Nuclear Physics Polish Academy of Sciences, Krakow, Poland
| | - Jan Swakon
- Proton Radiotherapy Group, Institute of Nuclear Physics Polish Academy of Sciences, Krakow, Poland
| | - Pawel Olko
- Proton Radiotherapy Group, Institute of Nuclear Physics Polish Academy of Sciences, Krakow, Poland
| | | | - Jan Alsner
- Department of Experimental Clinical Oncology, Aarhus University Hospital, Aarhus, Denmark
| | - Brita Singers Sørensen
- Department of Experimental Clinical Oncology, Aarhus University Hospital, Aarhus, Denmark
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Krzempek D, Mianowska G, Bassler N, Stolarczyk L, Kopec R, Sas-Korczynska B, Olko P. CALIBRATION OF GAFCHROMIC EBT3 FILM FOR DOSIMETRY OF SCANNING PROTON PENCIL BEAM (PBS). Radiat Prot Dosimetry 2018; 180:324-328. [PMID: 29351653 DOI: 10.1093/rpd/ncx304] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2017] [Accepted: 12/21/2017] [Indexed: 06/07/2023]
Abstract
Gafchromic EBT3 films are applied in proton radiotherapy for 2D dose mapping because they demonstrate spatial resolution well below 1 mm. However, the film response must be corrected in order to reach the accuracy of dose measurements required for the clinical use. The in-house developed AnalyseGafchromic software allows to analyze and correct the measured response using triple channel dose calibration, statistical scan-to-scan fluctuations as well as experimentally determined dose and LET dependence. Finally, the optimized protocol for evaluation of response of Gafchromic EBT3 films was applied to determine 30 × 40 cm2 dose profiles of the scanning therapy unit at the Cyclotron Centre Bronowice, CCB in Krakow, Poland.
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Affiliation(s)
- D Krzempek
- Institute of Nuclear Physics Polish Academy of Sciences, Krakow, Poland
| | - G Mianowska
- AGH University of Science and Technology, Krakow, Poland
| | - N Bassler
- Medical Radiation Physics, Department of Physics, Stockholm University, Stockholm, Sweden
| | - L Stolarczyk
- Institute of Nuclear Physics Polish Academy of Sciences, Krakow, Poland
| | - R Kopec
- Institute of Nuclear Physics Polish Academy of Sciences, Krakow, Poland
| | - B Sas-Korczynska
- Centre of Oncology, Maria Sklodowska-Curie Memorial Institute, Krakow, Poland
| | - P Olko
- Institute of Nuclear Physics Polish Academy of Sciences, Krakow, Poland
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Mojzeszek N, Klodowska M, Komenda W, Stolarczyk L, Kopec R, Olko P. GEOMETRICAL EFFICIENCY OF PLANE-PARALLEL IONIZATION CHAMBERS IN PROTON SCANNING BEAM. Radiat Prot Dosimetry 2018; 180:334-337. [PMID: 29040734 DOI: 10.1093/rpd/ncx206] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2017] [Accepted: 09/11/2017] [Indexed: 06/07/2023]
Abstract
For commissioning of a proton therapy unit depth dose distributions must be determined and introduced into the Treatment Planning System. In pencil beam scanning (PBS) technique, integral depth dose (IDD) acquisition should be performed with detector large enough to ensure entire beam laterally broadened by scattered and secondary contributions. The purpose of this article is to quantify, using measurements and Monte Carlo transport calculations, the ionization chamber's (IC) geometrical efficiency versus the chamber radius and proton beam energy. The geometrical efficiency of 0.99 was determined for energies up to 160 and 190 MeV for 4.08 and 6 cm radius IC. Much lower geometrical efficiency was obtained for the energy of 226.08 MeV and results in charge loss of 5.8 and 3.6%, respectively. Relative IDD differences between IC 4.08 and 6 cm in radius increase with proton energy and reach 2.4% at the mid-range depth for 226.08 MeV.
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Affiliation(s)
- N Mojzeszek
- Institute of Nuclear Physics PAN (IFJ PAN), Radzikowskiego 152, Kraków, Poland
| | - M Klodowska
- Institute of Nuclear Physics PAN (IFJ PAN), Radzikowskiego 152, Kraków, Poland
| | - W Komenda
- Institute of Nuclear Physics PAN (IFJ PAN), Radzikowskiego 152, Kraków, Poland
| | - L Stolarczyk
- Institute of Nuclear Physics PAN (IFJ PAN), Radzikowskiego 152, Kraków, Poland
| | - R Kopec
- Institute of Nuclear Physics PAN (IFJ PAN), Radzikowskiego 152, Kraków, Poland
| | - P Olko
- Institute of Nuclear Physics PAN (IFJ PAN), Radzikowskiego 152, Kraków, Poland
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29
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Kneževic Ž, Ambrozova I, Domingo C, De Saint-Hubert M, Majer M, Martínez-Rovira I, Miljanic S, Mojzeszek N, Porwol P, Ploc O, Romero-Expósito M, Stolarczyk L, Trinkl S, Harrison RM, Olko P. COMPARISON OF RESPONSE OF PASSIVE DOSIMETRY SYSTEMS IN SCANNING PROTON RADIOTHERAPY-A STUDY USING PAEDIATRIC ANTHROPOMORPHIC PHANTOMS. Radiat Prot Dosimetry 2018; 180:256-260. [PMID: 29165619 DOI: 10.1093/rpd/ncx254] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Proton beam therapy has advantages in comparison to conventional photon radiotherapy due to the physical properties of proton beams (e.g. sharp distal fall off, adjustable range and modulation). In proton therapy, there is the possibility of sparing healthy tissue close to the target volume. This is especially important when tumours are located next to critical organs and while treating cancer in paediatric patients. On the other hand, the interactions of protons with matter result in the production of secondary radiation, mostly neutrons and gamma radiation, which deposit their energy at a distance from the target. The aim of this study was to compare the response of different passive dosimetry systems in mixed radiation field induced by proton pencil beam inside anthropomorphic phantoms representing 5 and 10 years old children. Doses were measured in different organs with thermoluminescent (MTS-7, MTS-6 and MCP-N), radiophotoluminescent (GD-352 M and GD-302M), bubble and poly-allyl-diglycol carbonate (PADC) track detectors. Results show that RPL detectors are the less sensitive for neutrons than LiF TLDs and can be applied for in-phantom dosimetry of gamma component. Neutron doses determined using track detectors, bubble detectors and pairs of MTS-7/MTS-6 are consistent within the uncertainty range. This is the first study dealing with measurements on child anthropomorphic phantoms irradiated by a pencil scanning beam technique.
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Affiliation(s)
- Ž Kneževic
- Ruder Boškovic Institute, Bijenicka cesta 54, Zagreb, Croatia
| | - I Ambrozova
- Nuclear Physics Institute of the CAS, Department of Radiation Dosimetry, Na Truhlárce 39/64, Praha, Czech Republic
| | - C Domingo
- Departament de Física, Universitat Autònoma de Barcelona, Bellaterra, Spain
| | - M De Saint-Hubert
- Belgium Nuclear Research Center (SCK-CEN), Boeretang 200, Mol, Belgium
| | - M Majer
- Ruder Boškovic Institute, Bijenicka cesta 54, Zagreb, Croatia
| | - I Martínez-Rovira
- Departament de Física, Universitat Autònoma de Barcelona, Bellaterra, Spain
| | - S Miljanic
- Ruder Boškovic Institute, Bijenicka cesta 54, Zagreb, Croatia
| | - N Mojzeszek
- Cyclotron Centre Bronowice, Institute of Nuclear Physics, PAN (IFJPAN), Radzikowskiego 152, Krakow, Poland
| | - P Porwol
- Radiology therapeutic Center Poland SP. Z O.O., Centrum Radioterapii Amethyst w Krakowie, Zlotej Jesieni 1, Krakow, Poland
| | - O Ploc
- Nuclear Physics Institute of the CAS, Department of Radiation Dosimetry, Na Truhlárce 39/64, Praha, Czech Republic
| | - M Romero-Expósito
- Departament de Física, Universitat Autònoma de Barcelona, Bellaterra, Spain
| | - L Stolarczyk
- Cyclotron Centre Bronowice, Institute of Nuclear Physics, PAN (IFJPAN), Radzikowskiego 152, Krakow, Poland
| | - S Trinkl
- Helmholtz Zentrum München, Institute of Radiation Protection, Ingolstädter Landstraße 1, Neuherberg, Germany
- Technische Universität München, Physik-Department, James-Franck-Str. 1, Garching bei München, Germany
| | - R M Harrison
- University of Newcastle upon Tyne, Tyne and Wear, Newcastle upon Tyne, UK
| | - P Olko
- Cyclotron Centre Bronowice, Institute of Nuclear Physics, PAN (IFJPAN), Radzikowskiego 152, Krakow, Poland
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Olko P, Bilski P, Kopec R. THE 13TH SYMPOSIUM ON NEUTRON AND ION DOSIMETRY NEUDOS-13. Radiat Prot Dosimetry 2018; 180:1-2. [PMID: 29873788 DOI: 10.1093/rpd/ncy087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- P Olko
- Institute of Nuclear Physics Polish Academy of Sciences (IFJ PAN), Kraków, Poland
| | - P Bilski
- Institute of Nuclear Physics Polish Academy of Sciences (IFJ PAN), Kraków, Poland
| | - R Kopec
- Institute of Nuclear Physics Polish Academy of Sciences (IFJ PAN), Kraków, Poland
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Stolarczyk L, Trinkl S, Romero-Expósito M, Mojżeszek N, Ambrozova I, Domingo C, Davídková M, Farah J, Kłodowska M, Knežević Ž, Liszka M, Majer M, Miljanić S, Ploc O, Schwarz M, Harrison RM, Olko P. Dose distribution of secondary radiation in a water phantom for a proton pencil beam-EURADOS WG9 intercomparison exercise. Phys Med Biol 2018; 63:085017. [PMID: 29509148 DOI: 10.1088/1361-6560/aab469] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Systematic 3D mapping of out-of-field doses induced by a therapeutic proton pencil scanning beam in a 300 × 300 × 600 mm3 water phantom was performed using a set of thermoluminescence detectors (TLDs): MTS-7 (7LiF:Mg,Ti), MTS-6 (6LiF:Mg,Ti), MTS-N (natLiF:Mg,Ti) and TLD-700 (7LiF:Mg,Ti), radiophotoluminescent (RPL) detectors GD-352M and GD-302M, and polyallyldiglycol carbonate (PADC)-based (C12H18O7) track-etched detectors. Neutron and gamma-ray doses, as well as linear energy transfer distributions, were experimentally determined at 200 points within the phantom. In parallel, the Geant4 Monte Carlo code was applied to calculate neutron and gamma radiation spectra at the position of each detector. For the cubic proton target volume of 100 × 100 × 100 mm3 (spread out Bragg peak with a modulation of 100 mm) the scattered photon doses along the main axis of the phantom perpendicular to the primary beam were approximately 0.5 mGy Gy-1 at a distance of 100 mm and 0.02 mGy Gy-1 at 300 mm from the center of the target. For the neutrons, the corresponding values of dose equivalent were found to be ~0.7 and ~0.06 mSv Gy-1, respectively. The measured neutron doses were comparable with the out-of-field neutron doses from a similar experiment with 20 MV x-rays, whereas photon doses for the scanning proton beam were up to three orders of magnitude lower.
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Affiliation(s)
- L Stolarczyk
- Institute of Nuclear Physics PAN, Radzikowskiego 152, 31-342 Krakow, Poland. Skandionkliniken, von Kraemers Allé 26, 752 37 Uppsala, Sweden. Author to whom any correspondence should be addressed
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Nielsen S, Bassler N, Grzanka L, Swakoń J, Olko P, Andreassen C, Overgaard J, Alsner J, Sørensen B. PV-0571: Transcriptomic changes in fibroblasts irradiated with proton beam scanning or Co-60 gamma rays. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)30881-8] [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: 11/27/2022]
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33
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Kunst J, Kopeć R, Kukołowicz P, Mojżeszek N, Sadowski B, Stolarczyk L, Ślusarczyk-Kacprzyk W, Toboła A, Olko P. Mailed dosimetric audit of therapeutic proton beams using thermoluminescence MTS-N (LiF:Mg,Ti) powder – First results. RADIAT MEAS 2017. [DOI: 10.1016/j.radmeas.2017.03.031] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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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34
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Nielsen S, Bassler N, Grzanka L, Swakon J, Olko P, Andreassen CN, Overgaard J, Alsner J, Sørensen BS. Differential gene expression in primary fibroblasts induced by proton and cobalt-60 beam irradiation. Acta Oncol 2017; 56:1406-1412. [PMID: 28885067 DOI: 10.1080/0284186x.2017.1351623] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
INTRODUCTION Proton beam therapy delivers a more conformal dose distribution than conventional radiotherapy, thus improving normal tissue sparring. Increasing linear energy transfer (LET) along the proton track increases the relative biological effectiveness (RBE) near the distal edge of the Spread-out Bragg peak (SOBP). The severity of normal tissue side effects following photon beam radiotherapy vary considerably between patients. AIM The dual study aim was to identify gene expression patterns specific to radiation type and proton beam position, and to assess whether individual radiation sensitivity influences gene expression levels in fibroblast cultures irradiated in vitro. METHODS The study includes 30 primary fibroblast cell cultures from patients previously classified as either radiosensitive or radioresistant. Cells were irradiated at three different positions in the proton beam profile: entrance, mid-SOBP and at the SOBP distal edge. Dose was delivered in three fractions × 3.5 Gy(RBE) (RBE 1.1). Cobalt-60 (Co-60) irradiation was used as reference. Real-time qPCR was performed to determine gene expression levels for 17 genes associated with inflammation response, fibrosis and angiogenesis. RESULTS Differences in median gene expression levels were observed for multiple genes such as IL6, IL8 and CXCL12. Median IL6 expression was 30%, 24% and 47% lower in entrance, mid-SOBP and SOBP distal edge groups than in Co-60 irradiated cells. No genes were found to be oppositely regulated by different radiation qualities. Radiosensitive patient samples had the strongest regulation of gene expression; irrespective of radiation type. CONCLUSIONS Our findings indicate that the increased LET at the SOBP distal edge position did not generally lead to increased transcriptive response in primary fibroblast cultures. Inflammatory factors were generally less extensively upregulated by proton irradiation compared with Co-60 photon irradiation. These effects may possibly influence the development of normal tissue damage in patients treated with proton beam therapy.
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Affiliation(s)
- Steffen Nielsen
- Department of Experimental Clinical Oncology, Aarhus University Hospital, Aarhus, Denmark
| | - Niels Bassler
- Medical Radiation Physics, Department of Physics, Stockholm University, Stockholm, Sweden
| | - Leszek Grzanka
- Proton Radiotherapy Group, Institute of Nuclear Physics Polish Academy of Sciences, Krakow, Poland
| | - Jan Swakon
- Proton Radiotherapy Group, Institute of Nuclear Physics Polish Academy of Sciences, Krakow, Poland
| | - Pawel Olko
- Proton Radiotherapy Group, Institute of Nuclear Physics Polish Academy of Sciences, Krakow, Poland
| | | | - Jens Overgaard
- Department of Experimental Clinical Oncology, Aarhus University Hospital, Aarhus, Denmark
| | - Jan Alsner
- Department of Experimental Clinical Oncology, Aarhus University Hospital, Aarhus, Denmark
| | - Brita Singers Sørensen
- Department of Experimental Clinical Oncology, Aarhus University Hospital, Aarhus, Denmark
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Romanowska Dixon B, Jasinska-Konior K, Sarna M, Urbanska K, Olko P, Elas M. Motile activity and cytoskeleton changes in uveal melanoma after proton beam radiation. Acta Ophthalmol 2017. [DOI: 10.1111/j.1755-3768.2017.0f010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
| | - K. Jasinska-Konior
- Faculty of Biochemistry- Biophysics and Biotechnology; Jagiellonian University; Krakow Poland
| | - M. Sarna
- Faculty of Biochemistry- Biophysics and Biotechnology; Jagiellonian University; Krakow Poland
| | - K. Urbanska
- Faculty of Biochemistry- Biophysics and Biotechnology; Jagiellonian University; Krakow Poland
| | - P. Olko
- Polish Academy of Science; Institute of Nuclear Physics; Krakow Poland
| | - M. Elas
- Faculty of Biochemistry- Biophysics and Biotechnology; Jagiellonian University; Krakow Poland
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Taasti VT, Høye EM, Hansen DC, Muren LP, Thygesen J, Skyt PS, Balling P, Bassler N, Grau C, Mierzwińska G, Rydygier M, Swakoń J, Olko P, Petersen JBB. Technical Note: Improving proton stopping power ratio determination for a deformable silicone-based 3D dosimeter using dual energy CT. Med Phys 2017; 43:2780-2784. [PMID: 27277025 DOI: 10.1118/1.4948677] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [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 The aim of this study was to investigate whether the stopping power ratio (SPR) of a deformable, silicone-based 3D dosimeter could be determined more accurately using dual energy (DE) CT compared to using conventional methods based on single energy (SE) CT. The use of SECT combined with the stoichiometric calibration method was therefore compared to DECT-based determination. METHODS The SPR of the dosimeter was estimated based on its Hounsfield units (HUs) in both a SECT image and a DECT image set. The stoichiometric calibration method was used for converting the HU in the SECT image to a SPR value for the dosimeter while two published SPR calibration methods for dual energy were applied on the DECT images. Finally, the SPR of the dosimeter was measured in a 60 MeV proton by quantifying the range difference with and without the dosimeter in the beam path. RESULTS The SPR determined from SECT and the stoichiometric method was 1.10, compared to 1.01 with both DECT calibration methods. The measured SPR for the dosimeter material was 0.97. CONCLUSIONS The SPR of the dosimeter was overestimated by 13% using the stoichiometric method and by 3% when using DECT. If the stoichiometric method should be applied for the dosimeter, the HU of the dosimeter must be manually changed in the treatment planning system in order to give a correct SPR estimate. Using a wrong SPR value will cause differences between the calculated and the delivered treatment plans.
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Affiliation(s)
- Vicki Trier Taasti
- Department of Medical Physics, Aarhus University/Aarhus University Hospital, Aarhus 8000, Denmark
| | - Ellen Marie Høye
- Department of Medical Physics, Aarhus University/Aarhus University Hospital, Aarhus 8000, Denmark
| | - David Christoffer Hansen
- Department of Medical Physics, Aarhus University/Aarhus University Hospital, Aarhus 8000, Denmark
| | - Ludvig Paul Muren
- Department of Medical Physics, Aarhus University/Aarhus University Hospital, Aarhus 8000, Denmark
| | - Jesper Thygesen
- Department of Clinical Engineering and Department of Radiology, Aarhus University/Aarhus University Hospital, Aarhus 8000, Denmark
| | - Peter Sandegaard Skyt
- Department of Medical Physics, Aarhus University/Aarhus University Hospital, Aarhus 8000, Denmark
| | - Peter Balling
- Department of Physics and Astronomy, Aarhus University, Aarhus 8000, Denmark
| | - Niels Bassler
- Department of Physics and Astronomy, Aarhus University, Aarhus 8000, Denmark
| | - Cai Grau
- Department of Oncology, Aarhus University/Aarhus University Hospital, Aarhus 8000, Denmark
| | | | | | - Jan Swakoń
- Institute of Nuclear Physics PAN, Krakow 31-342, Poland
| | - Pawel Olko
- Institute of Nuclear Physics PAN, Krakow 31-342, Poland
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Farah J, De Saint-Hubert M, Mojżeszek N, Chiriotti S, Gryzinski M, Ploc O, Trompier F, Turek K, Vanhavere F, Olko P. Performance tests and comparison of microdosimetric measurements with four tissue-equivalent proportional counters in scanning proton therapy. RADIAT MEAS 2017. [DOI: 10.1016/j.radmeas.2016.12.005] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [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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Jasińska K, Pochylczuk K, Czajka E, Michalik M, Sarna M, Olko P, Romanowska-Dixon B, Urbańska K, Elas M. Cellular motility inhibition by proton beam irradiation. Eur J Cancer 2016. [DOI: 10.1016/s0959-8049(16)61557-5] [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: 11/28/2022]
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Mares V, Romero-Expósito M, Farah J, Trinkl S, Domingo C, Dommert M, Stolarczyk L, Van Ryckeghem L, Wielunski M, Olko P, Harrison RM. A comprehensive spectrometry study of a stray neutron radiation field in scanning proton therapy. Phys Med Biol 2016; 61:4127-40. [PMID: 27171358 DOI: 10.1088/0031-9155/61/11/4127] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
The purpose of this study is to characterize the stray neutron radiation field in scanning proton therapy considering a pediatric anthropomorphic phantom and a clinically-relevant beam condition. Using two extended-range Bonner sphere spectrometry systems (ERBSS), Working Group 9 of the European Radiation Dosimetry Group measured neutron spectra at ten different positions around a pediatric anthropomorphic phantom irradiated for a brain tumor with a scanning proton beam. This study compares the different systems and unfolding codes as well as neutron spectra measured in similar conditions around a water tank phantom. The ten spectra measured with two ERBSS systems show a generally similar thermal component regardless of the position around the phantom while high energy neutrons (above 20 MeV) were only registered at positions near the beam axis (at 0°, 329° and 355°). Neutron spectra, fluence and ambient dose equivalent, H (*)(10), values of both systems were in good agreement (<15%) while the unfolding code proved to have a limited effect. The highest H (*)(10) value of 2.7 μSv Gy(-1) was measured at 329° to the beam axis and 1.63 m from the isocenter where high-energy neutrons (E ⩾ 20 MeV) contribute with about 53%. The neutron mapping within the gantry room showed that H (*)(10) values significantly decreased with distance and angular position with respect to the beam axis dropping to 0.52 μSv Gy(-1) at 90° and 3.35 m. Spectra at angles of 45° and 135° with respect to the beam axis measured here with an anthropomorphic phantom showed a similar peak structure at the thermal, fast and high energy range as in the previous water-tank experiments. Meanwhile, at 90°, small differences at the high-energy range were observed. Using ERBSS systems, neutron spectra mapping was performed to characterize the exposure of scanning proton therapy patients. The ten measured spectra provide precise information about the exposure of healthy organs to thermal, epithermal, evaporation and intra-nuclear cascade neutrons. This comprehensive spectrometry analysis can also help in understanding the tremendous literature data based rem-counters while also being of great value for general neutron shielding and radiation safety studies.
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Affiliation(s)
- Vladimir Mares
- Helmholtz Zentrum München, Institute of Radiation Protection, Ingolstädter Landstraße 1, 85764 Neuherberg, Germany
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Taasti V, Høye E, Hansen D, Muren L, Thygesen J, Skyt P, Balling P, Bassler N, Grau C, Mierzwińska G, Rydygier M, Swakoń J, Olko P, Petersen J. EP-1833: Improved proton stopping power ratio estimation for a deformable 3D dosimeter using Dual Energy CT. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)33084-5] [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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Taasti V, Høye EM, Hansen DC, Muren LP, Thygesen J, Skyt PS, Balling P, Bassler N, Grau C, Mierzwińska G, Rydygier M, Swakoń J, Olko P, Petersen JBB. Improved proton stopping power ratio estimation for a deformable 3D dosimeter using Dual Energy CT. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)30205-5] [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: 11/29/2022]
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Jasińska K, Michalik M, Sarna M, Olko P, Romanowska-Dixon B, Urbańska K, Madeja Z, Elas M. Proton beam irradiation inhibits cellular motility in vitro. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)30079-2] [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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Jasińska K, Berniak K, Olko P, Romanowska-Dixon B, Urbańska K, Dobrucki J, Elas M. Radiation induced DNA damage in human uveal melanoma cells. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)30108-6] [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: 10/22/2022]
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Rühm W, Fantuzzi E, Harrison R, Schuhmacher H, Vanhavere F, Alves J, Bottollier Depois JF, Fattibene P, Knežević Ž, Lopez MA, Mayer S, Miljanić S, Neumaier S, Olko P, Stadtmann H, Tanner R, Woda C. EURADOS strategic research agenda: vision for dosimetry of ionising radiation. Radiat Prot Dosimetry 2016; 168:223-34. [PMID: 25752758 PMCID: PMC4884873 DOI: 10.1093/rpd/ncv018] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/03/2014] [Revised: 02/05/2015] [Accepted: 02/06/2015] [Indexed: 05/04/2023]
Abstract
Since autumn 2012, the European Radiation Dosimetry Group (EURADOS) has been developing its Strategic Research Agenda (SRA), which is intended to contribute to the identification of future research needs in radiation dosimetry in Europe. The present article summarises-based on input from EURADOS Working Groups (WGs) and Voting Members-five visions in dosimetry and defines key issues in dosimetry research that are considered important for the next decades. The five visions include scientific developments required towards (a) updated fundamental dose concepts and quantities, (b) improved radiation risk estimates deduced from epidemiological cohorts, (c) efficient dose assessment for radiological emergencies, (d) integrated personalised dosimetry in medical applications and (e) improved radiation protection of workers and the public. The SRA of EURADOS will be used as a guideline for future activities of the EURADOS WGs. A detailed version of the SRA can be downloaded as a EURADOS report from the EURADOS website (www.eurados.org).
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Affiliation(s)
- W Rühm
- Helmholtz Center Munich, Institute of Radiation Protection, Neuherberg, Germany
| | - E Fantuzzi
- Radiation Protection Institute, ENEA, Bologna, Italy
| | | | - H Schuhmacher
- Physikalisch Technische Bundesanstalt (PTB), Braunschweig, Germany
| | - F Vanhavere
- Belgian Nuclear Research Centre (SCK-CEN), Mol, Belgium
| | - J Alves
- Instituto Superior Técnico (IST), CTN, Lisboa, Portugal
| | - J F Bottollier Depois
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Fontenay-aux-Roses Cedex, France
| | - P Fattibene
- Istituto Superiore di Sanità (ISS), Rome, Italy
| | - Ž Knežević
- Ruđer Bošković Institute (RBI), Zagreb, Croatia
| | - M A Lopez
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), Madrid, Spain
| | - S Mayer
- Paul Scherer Institut (PSI), Villigen, Switzerland
| | - S Miljanić
- Ruđer Bošković Institute (RBI), Zagreb, Croatia
| | - S Neumaier
- Physikalisch Technische Bundesanstalt (PTB), Braunschweig, Germany
| | - P Olko
- Instytut Fizyki Jądrowej (IFJ), Krakow, Poland
| | - H Stadtmann
- Seibersdorf Labor GmbH, Seibersdorf, Austria
| | - R Tanner
- Public Health England, Chilton, Didcot, UK
| | - C Woda
- Helmholtz Center Munich, Institute of Radiation Protection, Neuherberg, Germany
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Bräuer-Krisch E, Adam JF, Alagoz E, Bartzsch S, Crosbie J, DeWagter C, Dipuglia A, Donzelli M, Doran S, Fournier P, Kalef-Ezra J, Kock A, Lerch M, McErlean C, Oelfke U, Olko P, Petasecca M, Povoli M, Rosenfeld A, Siegbahn EA, Sporea D, Stugu B. Medical physics aspects of the synchrotron radiation therapies: Microbeam radiation therapy (MRT) and synchrotron stereotactic radiotherapy (SSRT). Phys Med 2015; 31:568-83. [PMID: 26043881 DOI: 10.1016/j.ejmp.2015.04.016] [Citation(s) in RCA: 75] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2014] [Revised: 04/27/2015] [Accepted: 04/28/2015] [Indexed: 11/19/2022] Open
Abstract
Stereotactic Synchrotron Radiotherapy (SSRT) and Microbeam Radiation Therapy (MRT) are both novel approaches to treat brain tumor and potentially other tumors using synchrotron radiation. Although the techniques differ by their principles, SSRT and MRT share certain common aspects with the possibility of combining their advantages in the future. For MRT, the technique uses highly collimated, quasi-parallel arrays of X-ray microbeams between 50 and 600 keV. Important features of highly brilliant Synchrotron sources are a very small beam divergence and an extremely high dose rate. The minimal beam divergence allows the insertion of so called Multi Slit Collimators (MSC) to produce spatially fractionated beams of typically ∼25-75 micron-wide microplanar beams separated by wider (100-400 microns center-to-center(ctc)) spaces with a very sharp penumbra. Peak entrance doses of several hundreds of Gy are extremely well tolerated by normal tissues and at the same time provide a higher therapeutic index for various tumor models in rodents. The hypothesis of a selective radio-vulnerability of the tumor vasculature versus normal blood vessels by MRT was recently more solidified. SSRT (Synchrotron Stereotactic Radiotherapy) is based on a local drug uptake of high-Z elements in tumors followed by stereotactic irradiation with 80 keV photons to enhance the dose deposition only within the tumor. With SSRT already in its clinical trial stage at the ESRF, most medical physics problems are already solved and the implemented solutions are briefly described, while the medical physics aspects in MRT will be discussed in more detail in this paper.
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Affiliation(s)
- Elke Bräuer-Krisch
- ESRF-The European Synchrotron, 71, Avenue des Martyrs, Grenoble, France.
| | | | - Enver Alagoz
- University of Bergen Department of Physics and Technology, PB 7803 5020, Norway
| | - Stefan Bartzsch
- The Institute of Cancer Research, 15 Cotswold Rd, Sutton SM2 5NG, United Kingdom
| | - Jeff Crosbie
- RMIT University, Melbourne, VIC, 3001, Australia
| | | | - Andrew Dipuglia
- Centre for Medical Radiation Physics, University of Wollongong, Northfields Ave, NSW, Australia
| | - Mattia Donzelli
- ESRF-The European Synchrotron, 71, Avenue des Martyrs, Grenoble, France
| | - Simon Doran
- CRUK Cancer Imaging Centre, Institute of Cancer Research, 15 Cotswold Rd, Sutton Surrey, UK
| | - Pauline Fournier
- ESRF-The European Synchrotron, 71, Avenue des Martyrs, Grenoble, France; Centre for Medical Radiation Physics, University of Wollongong, Northfields Ave, NSW, Australia
| | - John Kalef-Ezra
- Medical Physics Laboratory, University of Ioannina, 451.10, Ioannina, Greece
| | - Angela Kock
- Sintef Minalab, Gaustadalléen 23C, 0373, Oslo, Norway
| | - Michael Lerch
- Centre for Medical Radiation Physics, University of Wollongong, Northfields Ave, NSW, Australia
| | - Ciara McErlean
- CRUK Cancer Imaging Centre, Institute of Cancer Research, 15 Cotswold Rd, Sutton Surrey, UK
| | - Uwe Oelfke
- The Institute of Cancer Research, 15 Cotswold Rd, Sutton SM2 5NG, United Kingdom
| | - Pawel Olko
- Institute of Nuclear Physics PAN, Radzikowskiego 152, 31-342, Krawkow, Poland
| | - Marco Petasecca
- Centre for Medical Radiation Physics, University of Wollongong, Northfields Ave, NSW, Australia
| | - Marco Povoli
- University of Oslo, Department of Physics, 0316, Oslo, Norway
| | - Anatoly Rosenfeld
- Centre for Medical Radiation Physics, University of Wollongong, Northfields Ave, NSW, Australia
| | - Erik A Siegbahn
- Department of Oncolgy-Pathology, Karolinska Institutet, S-177176, Stockholm, Sweden
| | - Dan Sporea
- National Institute for Laser, Plasma and Radiation Physics, Magurele, RO-077125, Romania
| | - Bjarne Stugu
- University of Bergen, Department of Physics and Technology, PB 7803, 5020, Bergen, Norway
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Grzanka L, Korcyl M, Olko P, Waligorski MPR. A numerical method to optimise the spatial dose distribution in carbon ion radiotherapy planning. Radiat Prot Dosimetry 2015; 166:351-355. [PMID: 25948835 DOI: 10.1093/rpd/ncv195] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The authors describe a numerical algorithm to optimise the entrance spectra of a composition of pristine carbon ion beams which delivers a pre-assumed dose-depth profile over a given depth range within the spread-out Bragg peak. The physical beam transport model is based on tabularised data generated using the SHIELD-HIT10A Monte-Carlo code. Depth-dose profile optimisation is achieved by minimising the deviation from the pre-assumed profile evaluated on a regular grid of points over a given depth range. This multi-dimensional minimisation problem is solved using the L-BFGS-B algorithm, with parallel processing support. Another multi-dimensional interpolation algorithm is used to calculate at given beam depths the cumulative energy-fluence spectra for primary and secondary ions in the optimised beam composition. Knowledge of such energy-fluence spectra for each ion is required by the mixed-field calculation of Katz's cellular Track Structure Theory (TST) that predicts the resulting depth-survival profile. The optimisation algorithm and the TST mixed-field calculation are essential tools in the development of a one-dimensional kernel of a carbon ion therapy planning system. All codes used in the work are generally accessible within the libamtrack open source platform.
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Affiliation(s)
- L Grzanka
- Institute of Nuclear Physics PAN, Krakow, Poland
| | - M Korcyl
- Institute of Nuclear Physics PAN, Krakow, Poland
| | - P Olko
- Institute of Nuclear Physics PAN, Krakow, Poland
| | - M P R Waligorski
- Institute of Nuclear Physics PAN, Krakow, Poland The Marie Skłodowska-Curie Centre of Oncology, Krakow Division, Krakow, Poland
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48
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Waligórski MPR, Grzanka L, Korcyl M, Olko P. A TPS kernel for calculating survival vs. depth: distributions in a carbon radiotherapy beam, based on Katz's cellular Track Structure Theory. Radiat Prot Dosimetry 2015; 166:347-350. [PMID: 25911403 DOI: 10.1093/rpd/ncv202] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
An algorithm was developed of a treatment planning system (TPS) kernel for carbon radiotherapy in which Katz's Track Structure Theory of cellular survival (TST) is applied as its radiobiology component. The physical beam model is based on available tabularised data, prepared by Monte Carlo simulations of a set of pristine carbon beams of different input energies. An optimisation tool developed for this purpose is used to find the composition of pristine carbon beams of input energies and fluences which delivers a pre-selected depth-dose distribution profile over the spread-out Bragg peak (SOBP) region. Using an extrapolation algorithm, energy-fluence spectra of the primary carbon ions and of all their secondary fragments are obtained over regular steps of beam depths. To obtain survival vs. depth distributions, the TST calculation is applied to the energy-fluence spectra of the mixed field of primary ions and of their secondary products at the given beam depths. Katz's TST offers a unique analytical and quantitative prediction of cell survival in such mixed ion fields. By optimising the pristine beam composition to a published depth-dose profile over the SOBP region of a carbon beam and using TST model parameters representing the survival of CHO (Chinese Hamster Ovary) cells in vitro, it was possible to satisfactorily reproduce a published data set of CHO cell survival vs. depth measurements after carbon ion irradiation. The authors also show by a TST calculation that 'biological dose' is neither linear nor additive.
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Affiliation(s)
- M P R Waligórski
- Institute of Nuclear Physics, Polish Academy of Sciences, Radzikowskiego 152, 31-342 Kraków, Poland The Marie-Skłodowska-Curie Centre of Oncology, Kraków Division, Garncarska 11, 31-115 Kraków, Poland
| | - L Grzanka
- Institute of Nuclear Physics, Polish Academy of Sciences, Radzikowskiego 152, 31-342 Kraków, Poland
| | - M Korcyl
- Institute of Nuclear Physics, Polish Academy of Sciences, Radzikowskiego 152, 31-342 Kraków, Poland
| | - P Olko
- Institute of Nuclear Physics, Polish Academy of Sciences, Radzikowskiego 152, 31-342 Kraków, Poland
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49
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Abstract
Microbeam radiation therapy (MRT) is an irradiation modality for therapeutic purposes which uses arrays of collimated quasi parallel microbeams, each up to 100 μm wide, to deliver high radiation doses. Several studies have reported the extraordinary tolerance of normal tissues to MRT irradiation; conversely, MRT has been shown to be highly efficient on tumor growth control. The original and most widely developed application of MRT, yet in the preclinical phase, consists in using spatially fractionated X-ray beams issued from a synchrotron radiation source in the treatment of brain tumors. More recently, MRT has been tested in successful pioneering assays to reduce or interrupt seizures in preclinical models of epilepsy. The MRT concept has also been extended to proton therapy. The development of MRT towards its clinical implementation is presently driven by an EU-supported consortium of laboratories from 16 countries within the COST Action TD1205 (SYRA3). The results of the first SYRA3 workshop on "Radiation Therapy with Synchrotron Radiation: Achievements and Challenges" held in Krakow (Poland) during March 25-26 2014 are summarized in this issue with an overview presented in this paper. The papers reflect the multidisciplinary international activities of SYRA3. The topics covered in this focus issue include medical physics aspects, pre-clinical studies, clinical applications, and an industrial perspective; finally an outlook towards future prospects of compact sources and proton microbeams.
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Affiliation(s)
- Alberto Bravin
- European Synchrotron Radiation Facility, 38043 Grenoble Cedex, France.
| | - Pawel Olko
- Institute of Nuclear Physics, PAS, Kraków, Poland.
| | - Elisabeth Schültke
- Department of Radiation Oncology, University Medicine Rostock, Rostock, Germany.
| | - Jan J Wilkens
- Department of Radiation Oncology, Technische Universität München, Klinikum rechts der Isar, Munich, Germany.
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50
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Farah J, Mares V, Romero-Expósito M, Trinkl S, Domingo C, Dufek V, Klodowska M, Kubancak J, Knežević Ž, Liszka M, Majer M, Miljanić S, Ploc O, Schinner K, Stolarczyk L, Trompier F, Wielunski M, Olko P, Harrison RM. Measurement of stray radiation within a scanning proton therapy facility: EURADOS WG9 intercomparison exercise of active dosimetry systems. Med Phys 2015; 42:2572-84. [DOI: 10.1118/1.4916667] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
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