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De Simoni M, Baroni G, Battistoni G, Bisogni M, Cerello P, Ciocca M, Donetti M, Dong Y, Embriaco A, Ferrero V, Fiorina E, Fischetti M, Franciosini G, Giacchi G, Kraan A, Luongo C, Maggi M, Mancini Terracciano C, Marafini M, Malekzadeh E, Mattei I, Mazzoni E, Mirandola A, Morrocchi M, Muraro S, Patera V, Pennazio F, Schiavi A, Solfaroli-Camillucci E, Sportelli G, Tampellini S, Toppi M, Traini G, Trigilio A, Vischioni B, Vitolo V, Carlotti D, De Gregorio A, Sarti A. PD-0897 In vivo verification by detection of charged fragments in carbon ion therapy treatments at CNAO. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)02976-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Embriaco A, Attili A, Bellinzona EV, Dong Y, Grzanka L, Mattei I, Muraro S, Scifoni E, Tommasino F, Valle SM, Battistoni G. FLUKA simulation of target fragmentation in proton therapy. Phys Med 2020; 80:342-346. [PMID: 33271390 DOI: 10.1016/j.ejmp.2020.09.018] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2019] [Revised: 09/02/2020] [Accepted: 09/20/2020] [Indexed: 12/25/2022] Open
Abstract
In proton therapy, secondary fragments are created in nuclear interactions of the beam with the target nuclei. The secondary fragments have low kinetic energies and high atomic numbers as compared to primary protons. Fragments have a high LET and deposit all their energy close to the generation point. For their characteristics, secondary fragments can alter the dose distribution and lead to an increase of RBE for the same delivered physical dose. Moreover, the radiobiological impact of target fragmentation is significant mostly in the region before the Bragg peak, where generally healthy tissues are present, and immediately after Bragg peak. Considering the high biological impact of those particles, especially in the case of healthy tissues or organs at risk, the inclusion of target fragmentation processes in the dose calculation of a treatment planning system can be relevant to improve the treatment accuracy and for this reason it is one of the major tasks of the MoVe IT project. In this study, Monte Carlo simulations were employed to fully characterize the mixed radiation field generated by target fragmentation in proton therapy. The dose averaged LET has been evaluated in case of a Spread Out Bragg Peak (SOBP). Starting from LET distribution, RBE has been evaluated with two different phenomenological models. In order to characterize the mixed radiation field, the production cross section has been evaluated by means of the FLUKA code. The future development of present work is to generate a MC database of fragments fluence to be included in TPS.
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Affiliation(s)
- A Embriaco
- Istituto Nazionale di Fisica Nucleare, Sezione di Milano, Italy.
| | - A Attili
- Istituto Nazionale di Fisica Nucleare, Sezione di Roma Tre, Italy
| | - E V Bellinzona
- Universitá degli studi di Trento, Italy; TIFPA Trento Institute for Fundamental Physics and Application, Italy
| | - Y Dong
- Istituto Nazionale di Fisica Nucleare, Sezione di Milano, Italy; Universitá degli studi di Milano, Italy
| | - L Grzanka
- Institute of Nuclear Physics, Kraków, Poland
| | - I Mattei
- Istituto Nazionale di Fisica Nucleare, Sezione di Milano, Italy
| | - S Muraro
- Istituto Nazionale di Fisica Nucleare, Sezione di Milano, Italy
| | - E Scifoni
- TIFPA Trento Institute for Fundamental Physics and Application, Italy
| | - F Tommasino
- Universitá degli studi di Trento, Italy; TIFPA Trento Institute for Fundamental Physics and Application, Italy
| | - S M Valle
- Istituto Nazionale di Fisica Nucleare, Sezione di Milano, Italy
| | - G Battistoni
- Istituto Nazionale di Fisica Nucleare, Sezione di Milano, Italy; TIFPA Trento Institute for Fundamental Physics and Application, Italy
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3
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Fischetti M, Baroni G, Battistoni G, Bisogni G, Cerello P, Ciocca M, De Maria P, De Simoni M, Di Lullo B, Donetti M, Dong Y, Embriaco A, Ferrero V, Fiorina E, Franciosini G, Galante F, Kraan A, Luongo C, Magi M, Mancini-Terracciano C, Marafini M, Malekzadeh E, Mattei I, Mazzoni E, Mirabelli R, Mirandola A, Morrocchi M, Muraro S, Patera V, Pennazio F, Schiavi A, Sciubba A, Solfaroli Camillocci E, Sportelli G, Tampellini S, Toppi M, Traini G, Valle SM, Vischioni B, Vitolo V, Sarti A. Inter-fractional monitoring of [Formula: see text]C ions treatments: results from a clinical trial at the CNAO facility. Sci Rep 2020; 10:20735. [PMID: 33244102 PMCID: PMC7693236 DOI: 10.1038/s41598-020-77843-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Accepted: 11/13/2020] [Indexed: 12/26/2022] Open
Abstract
The high dose conformity and healthy tissue sparing achievable in Particle Therapy when using C ions calls for safety factors in treatment planning, to prevent the tumor under-dosage related to the possible occurrence of inter-fractional morphological changes during a treatment. This limitation could be overcome by a range monitor, still missing in clinical routine, capable of providing on-line feedback. The Dose Profiler (DP) is a detector developed within the INnovative Solution for In-beam Dosimetry in hadronthErapy (INSIDE) collaboration for the monitoring of carbon ion treatments at the CNAO facility (Centro Nazionale di Adroterapia Oncologica) exploiting the detection of charged secondary fragments that escape from the patient. The DP capability to detect inter-fractional changes is demonstrated by comparing the obtained fragment emission maps in different fractions of the treatments enrolled in the first ever clinical trial of such a monitoring system, performed at CNAO. The case of a CNAO patient that underwent a significant morphological change is presented in detail, focusing on the implications that can be drawn for the achievable inter-fractional monitoring DP sensitivity in real clinical conditions. The results have been cross-checked against a simulation study.
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Affiliation(s)
- M. Fischetti
- Dipartimento di Scienze di Base e Applicate per l’Ingegneria, Sapienza Università di Roma, Rome, Italy
- INFN Sezione di Roma I, Rome, Italy
| | - G. Baroni
- Dipartimento di Elettronica Informazione e Bioingegneria, Politecnico di Milano, Milan, Italy
| | | | - G. Bisogni
- INFN Sezione di Pisa, Pisa, Italy
- Dipartimento di Fisica “E. Fermi”, Università di Pisa, Pisa, Italy
| | | | - M. Ciocca
- CNAO Centro Nazionale di Adroterapia Oncologica, Pavia, Italy
| | - P. De Maria
- Scuola di Specializzazione di Fisica Medica, Sapienza Università di Roma, Rome, Italy
| | - M. De Simoni
- Dipartimento di Fisica, Sapienza Università di Roma, Rome, Italy
- INFN Sezione di Roma I, Rome, Italy
| | - B. Di Lullo
- Dipartimento di Scienze di Base e Applicate per l’Ingegneria, Sapienza Università di Roma, Rome, Italy
| | - M. Donetti
- CNAO Centro Nazionale di Adroterapia Oncologica, Pavia, Italy
| | - Y. Dong
- INFN Sezione di Milano, Milan, Italy
- Dipartimento di Fisica, Università degli Studi di Milano, Milan, Italy
| | | | | | - E. Fiorina
- INFN Sezione di Torino, Turin, Italy
- CNAO Centro Nazionale di Adroterapia Oncologica, Pavia, Italy
| | - G. Franciosini
- Dipartimento di Fisica, Sapienza Università di Roma, Rome, Italy
- INFN Sezione di Roma I, Rome, Italy
| | - F. Galante
- Dipartimento di Scienze di Base e Applicate per l’Ingegneria, Sapienza Università di Roma, Rome, Italy
| | - A. Kraan
- INFN Sezione di Pisa, Pisa, Italy
| | - C. Luongo
- INFN Sezione di Pisa, Pisa, Italy
- Dipartimento di Chimica e Chimica Industriale, Università di Pisa, Pisa, Italy
| | - M. Magi
- Dipartimento di Scienze di Base e Applicate per l’Ingegneria, Sapienza Università di Roma, Rome, Italy
| | - C. Mancini-Terracciano
- Dipartimento di Fisica, Sapienza Università di Roma, Rome, Italy
- INFN Sezione di Roma I, Rome, Italy
| | - M. Marafini
- INFN Sezione di Roma I, Rome, Italy
- Museo Storico della Fisica e Centro Studi e Ricerche “E. Fermi”, Rome, Italy
| | - E. Malekzadeh
- CNAO Centro Nazionale di Adroterapia Oncologica, Pavia, Italy
| | - I. Mattei
- INFN Sezione di Milano, Milan, Italy
| | | | - R. Mirabelli
- Dipartimento di Fisica, Sapienza Università di Roma, Rome, Italy
- INFN Sezione di Roma I, Rome, Italy
- Museo Storico della Fisica e Centro Studi e Ricerche “E. Fermi”, Rome, Italy
| | - A. Mirandola
- CNAO Centro Nazionale di Adroterapia Oncologica, Pavia, Italy
| | - M. Morrocchi
- INFN Sezione di Pisa, Pisa, Italy
- Dipartimento di Fisica “E. Fermi”, Università di Pisa, Pisa, Italy
| | - S. Muraro
- INFN Sezione di Milano, Milan, Italy
| | - V. Patera
- Dipartimento di Scienze di Base e Applicate per l’Ingegneria, Sapienza Università di Roma, Rome, Italy
- INFN Sezione di Roma I, Rome, Italy
- Museo Storico della Fisica e Centro Studi e Ricerche “E. Fermi”, Rome, Italy
| | | | - A. Schiavi
- Dipartimento di Scienze di Base e Applicate per l’Ingegneria, Sapienza Università di Roma, Rome, Italy
- INFN Sezione di Roma I, Rome, Italy
| | - A. Sciubba
- Dipartimento di Scienze di Base e Applicate per l’Ingegneria, Sapienza Università di Roma, Rome, Italy
- INFN Sezione dei Laboratori di Frascati, Rome, Italy
- Museo Storico della Fisica e Centro Studi e Ricerche “E. Fermi”, Rome, Italy
| | - E. Solfaroli Camillocci
- Dipartimento di Fisica, Sapienza Università di Roma, Rome, Italy
- INFN Sezione di Roma I, Rome, Italy
- Scuola di Specializzazione in Fisica Medica, Sapienza Università di Roma, Rome, Italy
| | - G. Sportelli
- INFN Sezione di Pisa, Pisa, Italy
- Dipartimento di Fisica “E. Fermi”, Università di Pisa, Pisa, Italy
| | - S. Tampellini
- CNAO Centro Nazionale di Adroterapia Oncologica, Pavia, Italy
| | - M. Toppi
- Dipartimento di Scienze di Base e Applicate per l’Ingegneria, Sapienza Università di Roma, Rome, Italy
- INFN Sezione dei Laboratori di Frascati, Rome, Italy
| | - G. Traini
- INFN Sezione di Roma I, Rome, Italy
- Museo Storico della Fisica e Centro Studi e Ricerche “E. Fermi”, Rome, Italy
| | | | - B. Vischioni
- CNAO Centro Nazionale di Adroterapia Oncologica, Pavia, Italy
| | - V. Vitolo
- CNAO Centro Nazionale di Adroterapia Oncologica, Pavia, Italy
| | - A. Sarti
- Dipartimento di Scienze di Base e Applicate per l’Ingegneria, Sapienza Università di Roma, Rome, Italy
- INFN Sezione di Roma I, Rome, Italy
- Museo Storico della Fisica e Centro Studi e Ricerche “E. Fermi”, Rome, Italy
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Mattei I, Alexandrov A, Alunni Solestizi L, Ambrosi G, Argiro S, Bartosik N, Battistoni G, Belcari N, Biondi S, Bisogni MG, Bruni G, Camarlinghi N, Carra P, Catanzani E, Ciarrocchi E, Cerello P, Clozza A, Colombi S, De Lellis G, Del Guerra A, De Simoni M, Di Crescenzo A, Donetti M, Dong Y, Durante M, Embriaco A, Emde M, Faccini R, Ferrero V, Ferroni F, Fiandrini E, Finck C, Fiorina E, Fischetti M, Francesconi M, Franchini M, Galli L, Gentile V, Hetzel R, Hild S, Iarocci E, Ionica M, Kanxheri K, Kraan AC, Lante V, Lauria A, La Tessa C, Lopez Torres E, Massimi C, Marafini M, Mengarelli A, Mirabelli R, Montesi MC, Morone MC, Morrocchi M, Muraro S, Narici L, Pastore A, Pastrone N, Patera V, Pennazio F, Placidi P, Pullia M, Ramello L, Ridolfi R, Rosso V, Rovituso M, Sanelli C, Sartorelli G, Sato O, Savazzi S, Scavarda L, Schiavi A, Schuy C, Scifoni E, Sciubba A, Secher A, Selvi M, Servoli L, Silvestre G, Sitta M, Spighi R, Spiriti E, Sportelli G, Stahl A, Tomassini S, Tommasino F, Traini G, Toppi M, Valeri T, Valle SM, Vanstalle M, Villa M, Weber U, Zoccoli A, Sarti A. Measurement of 12C Fragmentation Cross Sections on C, O, and H in the Energy Range of Interest for Particle Therapy Applications. IEEE Trans Radiat Plasma Med Sci 2020. [DOI: 10.1109/trpms.2020.2972197] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Muraro S, Jazouli Z. Indices de complexité : une nouvelle approche pour limiter les contrôles avant les traitements. Cancer Radiother 2019. [DOI: 10.1016/j.canrad.2019.07.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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6
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Rucinski A, Traini G, Roldan AB, Battistoni G, De Simoni M, Dong Y, Fischetti M, Frallicciardi PM, Gioscio E, Mancini-Terracciano C, Marafini M, Mattei I, Mirabelli R, Muraro S, Sarti A, Schiavi A, Sciubba A, Solfaroli Camillocci E, Valle SM, Patera V. Secondary radiation measurements for particle therapy applications: Charged secondaries produced by 16O ion beams in a PMMA target at large angles. Phys Med 2019; 64:45-53. [PMID: 31515035 DOI: 10.1016/j.ejmp.2019.06.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [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: 12/24/2018] [Revised: 05/23/2019] [Accepted: 06/07/2019] [Indexed: 11/27/2022] Open
Abstract
Particle therapy is a therapy technique that exploits protons or light ions to irradiate tumor targets with high accuracy. Protons and 12C ions are already used for irradiation in clinical routine, while new ions like 4He and 16O are currently being considered. Despite the indisputable physical and biological advantages of such ion beams, the planning of charged particle therapy treatments is challenged by range uncertainties, i.e. the uncertainty on the position of the maximal dose release (Bragg Peak - BP), during the treatment. To ensure correct 'in-treatment' dose deposition, range monitoring techniques, currently missing in light ion treatment techniques, are eagerly needed. The results presented in this manuscript indicate that charged secondary particles, mainly protons, produced by an 16O beam during target irradiation can be considered as candidates for 16O beam range monitoring. Hereafter, we report on the first yield measurements of protons, deuterons and tritons produced in the interaction of an 16O beam impinging on a PMMA target, as a function of detected energy and particle production position. Charged particles were detected at 90° and 60° with respect to incoming beam direction, and homogeneous and heterogeneous PMMA targets were used to probe the sensitivity of the technique to target inhomogeneities. The reported secondary particle yields provide essential information needed to assess the accuracy and resolution achievable in clinical conditions by range monitoring techniques based on secondary charged radiation.
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Affiliation(s)
- A Rucinski
- INFN - Sezione di Roma 1, Italy; Institute of Nuclear Physics PAN, Krakow, Poland
| | - G Traini
- Dipartimento di Fisica, Sapienza Università di Roma, Roma, Italy; INFN - Sezione di Roma 1, Italy; Museo Storico della Fisica e Centro Studi e Ricerche "E. Fermi", Roma, Italy.
| | | | | | - M De Simoni
- Dipartimento di Fisica, Sapienza Università di Roma, Roma, Italy; INFN - Sezione di Roma 1, Italy
| | - Y Dong
- INFN - Sezione di Milano, Italy; Dipartimento di Fisica, Università di Milano, Milano, Italy
| | - M Fischetti
- Dipartimento di Scienze di Base e Applicate per Ingegneria, Sapienza Università di Roma, Roma, Italy; INFN - Sezione di Roma 1, Italy
| | - P M Frallicciardi
- Azienda Ospedaliero-Universitaria 'Ospedali Riuniti di Foggia', Foggia, Italy; Museo Storico della Fisica e Centro Studi e Ricerche "E. Fermi", Roma, Italy
| | - E Gioscio
- Museo Storico della Fisica e Centro Studi e Ricerche "E. Fermi", Roma, Italy
| | - C Mancini-Terracciano
- INFN - Sezione di Roma 1, Italy; Dipartimento di Fisica, Sapienza Università di Roma, Roma, Italy
| | - M Marafini
- Museo Storico della Fisica e Centro Studi e Ricerche "E. Fermi", Roma, Italy; INFN - Sezione di Roma 1, Italy
| | | | - R Mirabelli
- Dipartimento di Fisica, Sapienza Università di Roma, Roma, Italy; INFN - Sezione di Roma 1, Italy; Museo Storico della Fisica e Centro Studi e Ricerche "E. Fermi", Roma, Italy
| | | | - A Sarti
- Dipartimento di Scienze di Base e Applicate per Ingegneria, Sapienza Università di Roma, Roma, Italy; Laboratori Nazionali di Frascati dell'INFN, Frascati, Italy; Museo Storico della Fisica e Centro Studi e Ricerche "E. Fermi", Roma, Italy
| | - A Schiavi
- Dipartimento di Scienze di Base e Applicate per Ingegneria, Sapienza Università di Roma, Roma, Italy; INFN - Sezione di Roma 1, Italy
| | - A Sciubba
- Dipartimento di Scienze di Base e Applicate per Ingegneria, Sapienza Università di Roma, Roma, Italy; INFN - Sezione di Roma 1, Italy; Museo Storico della Fisica e Centro Studi e Ricerche "E. Fermi", Roma, Italy
| | - E Solfaroli Camillocci
- INFN - Sezione di Roma 1, Italy; Dipartimento di Fisica, Sapienza Università di Roma, Roma, Italy; Scuola di Specializzazione in Fisica Medica, Sapienza Università di Roma, Roma, Italy
| | - S M Valle
- INFN - Sezione di Milano, Italy; Dipartimento di Fisica, Università di Milano, Milano, Italy
| | - V Patera
- Dipartimento di Scienze di Base e Applicate per Ingegneria, Sapienza Università di Roma, Roma, Italy; INFN - Sezione di Roma 1, Italy; Museo Storico della Fisica e Centro Studi e Ricerche "E. Fermi", Roma, Italy
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Traini G, Mattei I, Battistoni G, Bisogni MG, De Simoni M, Dong Y, Embriaco A, Fischetti M, Magi M, Mancini-Terracciano C, Marafini M, Mirabelli R, Muraro S, Patera V, Schiavi A, Sciubba A, Solfaroli Camillocci E, Valle SM, Sarti A. Review and performance of the Dose Profiler, a particle therapy treatments online monitor. Phys Med 2019; 65:84-93. [PMID: 31437603 DOI: 10.1016/j.ejmp.2019.07.010] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [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: 02/06/2019] [Revised: 06/24/2019] [Accepted: 07/14/2019] [Indexed: 11/27/2022] Open
Abstract
Particle therapy (PT) can exploit heavy ions (such as He, C or O) to enhance the treatment efficacy, profiting from the increased Relative Biological Effectiveness and Oxygen Enhancement Ratio of these projectiles with respect to proton beams. To maximise the gain in tumor control probability a precise online monitoring of the dose release is needed, avoiding unnecessary large safety margins surroundings the tumor volume accounting for possible patient mispositioning or morphological changes with respect to the initial CT scan. The Dose Profiler (DP) detector, presented in this manuscript, is a scintillating fibres tracker of charged secondary particles (mainly protons) that will be operating during the treatment, allowing for an online range monitoring. Such monitoring technique is particularly promising in the context of heavy ions PT, in which the precision achievable by other techniques based on secondary photons detection is limited by the environmental background during the beam delivery. Developed and built at the SBAI department of "La Sapienza", within the INSIDE collaboration and as part of a Centro Fermi flagship project, the DP is a tracker detector specifically designed and planned for clinical applications inside a PT treatment room. The DP operation in clinical like conditions has been tested with the proton and carbon ions beams of Trento proton-therapy center and of the CNAO facility. In this contribution the detector performances are presented, in the context of the carbon ions monitoring clinical trial that is about to start at the CNAO centre.
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Affiliation(s)
- G Traini
- Dipartimento di Fisica, Sapienza Università di Roma, Italy; INFN Sezione di Roma, Italy; Museo Storico della Fisica e Centro Studi e Ricerche "E. Fermi", Roma, Italy
| | | | | | - M G Bisogni
- INFN Sezione di Pisa, Italy; Dipartimento di Fisica "E. Fermi", Università di Pisa, Pisa, Italy.
| | - M De Simoni
- Dipartimento di Fisica, Sapienza Università di Roma, Italy; INFN Sezione di Roma, Italy
| | - Y Dong
- INFN Sezione di Milano, Italy; Dipartimento di Fisica, Università degli Studi di Milano, Italy
| | | | - M Fischetti
- Dipartimento di Scienze di Base e Applicate per l'Ingegneria, Sapienza Università di Roma, Italy; INFN Sezione di Roma, Italy
| | - M Magi
- Dipartimento di Scienze di Base e Applicate per l'Ingegneria, Sapienza Università di Roma, Italy; INFN Sezione di Roma, Italy
| | - C Mancini-Terracciano
- Dipartimento di Fisica, Sapienza Università di Roma, Italy; INFN Sezione di Roma, Italy
| | - M Marafini
- Museo Storico della Fisica e Centro Studi e Ricerche "E. Fermi", Roma, Italy; INFN Sezione di Roma, Italy
| | - R Mirabelli
- Dipartimento di Fisica, Sapienza Università di Roma, Italy; INFN Sezione di Roma, Italy
| | | | - V Patera
- Dipartimento di Scienze di Base e Applicate per l'Ingegneria, Sapienza Università di Roma, Italy; INFN Sezione di Roma, Italy; Museo Storico della Fisica e Centro Studi e Ricerche "E. Fermi", Roma, Italy
| | - A Schiavi
- Dipartimento di Scienze di Base e Applicate per l'Ingegneria, Sapienza Università di Roma, Italy; INFN Sezione di Roma, Italy
| | - A Sciubba
- Dipartimento di Scienze di Base e Applicate per l'Ingegneria, Sapienza Università di Roma, Italy; INFN Sezione di Roma, Italy; Museo Storico della Fisica e Centro Studi e Ricerche "E. Fermi", Roma, Italy
| | - E Solfaroli Camillocci
- Dipartimento di Fisica, Sapienza Università di Roma, Italy; INFN Sezione di Roma, Italy; Scuola di Specializzazione in Fisica Medica, Sapienza Università di Roma, Roma, Italy
| | | | - A Sarti
- Dipartimento di Scienze di Base e Applicate per l'Ingegneria, Sapienza Università di Roma, Italy; INFN Sezione dei Laboratori di Frascati, Roma, Italy; Museo Storico della Fisica e Centro Studi e Ricerche "E. Fermi", Roma, Italy
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Julian D, Muraro S, Lauche O, Moustamia A, Serre K. OC-0304 Dosimetric impacts of VMAT FFF large-field on standard dose fractionation. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)30724-8] [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: 11/16/2022]
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Moustamia A, Muraro S, Julian D. 25 Dosimetric impacts of FFF large-field beams for lung cancer VMAT treatment. Phys Med 2018. [DOI: 10.1016/j.ejmp.2018.09.107] [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: 11/30/2022] Open
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Muraro S, Trauchessec D. EP-1769: First PDIP validation for stereotactic treatment control using FFF beams and EPID aS1000 on Clinac. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)32078-4] [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: 11/26/2022]
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Rucinski A, Battistoni G, Collamati F, De Lucia E, Faccini R, Frallicciardi PM, Mancini-Terracciano C, Marafini M, Mattei I, Muraro S, Paramatti R, Piersanti L, Pinci D, Russomando A, Sarti A, Sciubba A, Solfaroli Camillocci E, Toppi M, Traini G, Voena C, Patera V. Secondary radiation measurements for particle therapy applications: charged particles produced by 4He and 12C ion beams in a PMMA target at large angle. Phys Med Biol 2018; 63:055018. [PMID: 29265011 DOI: 10.1088/1361-6560/aaa36a] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Proton and carbon ion beams are used in the clinical practice for external radiotherapy treatments achieving, for selected indications, promising and superior clinical results with respect to x-ray based radiotherapy. Other ions, like [Formula: see text] have recently been considered as projectiles in particle therapy centres and might represent a good compromise between the linear energy transfer and the radiobiological effectiveness of [Formula: see text] ion and proton beams, allowing improved tumour control probability and minimising normal tissue complication probability. All the currently used p, [Formula: see text] and [Formula: see text] ion beams allow achieving sharp dose gradients on the boundary of the target volume, however the accurate dose delivery is sensitive to the patient positioning and to anatomical variations with respect to photon therapy. This requires beam range and/or dose release measurement during patient irradiation and therefore the development of dedicated monitoring techniques. All the proposed methods make use of the secondary radiation created by the beam interaction with the patient and, in particular, in the case of [Formula: see text] ion beams are also able to exploit the significant charged radiation component. Measurements performed to characterise the charged secondary radiation created by [Formula: see text] and [Formula: see text] particle therapy beams are reported. Charged secondary yields, energy spectra and emission profiles produced in a poly-methyl methacrylate (PMMA) target by [Formula: see text] and [Formula: see text] beams of different therapeutic energies were measured at 60° and 90° with respect to the primary beam direction. The secondary yield of protons produced along the primary beam path in a PMMA target was obtained. The energy spectra of charged secondaries were obtained from time-of-flight information, whereas the emission profiles were reconstructed exploiting tracking detector information. The obtained measurements are in agreement with results reported in the literature and suggests the feasibility of range monitoring based on charged secondary particle detection: the implications for particle therapy monitoring applications are also discussed.
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Affiliation(s)
- A Rucinski
- INFN-Sezione di Roma, Italy. Dipartimento di Scienze di Base e Applicate per l'Ingegneria, Sapienza Università di Roma, Roma, Italy. Institute of Nuclear Physics Polish Academy of Sciences, PL-31342 Krakow, Poland
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Trauchessec D, Muraro S, Julian D. 22. Feasibility study for the implementation of aS1000 EPID controls of RapidArc® treatments using FFF photon beams. Phys Med 2017. [DOI: 10.1016/j.ejmp.2017.10.102] [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: 11/24/2022] Open
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Muraro S, Battistoni G, De Lucia E, Mancini-Terracciano C, Marafini M, Mattei I, Mirabelli R, Sarti A, Sciubba A, Solfaroli Camillocci E, Toppi M, Traini G, Valle S, Voena C, Patera V. Abstract ID: 67 MC codes and range monitoring in particle therapy: The case of secondary charged particles. Phys Med 2017. [DOI: 10.1016/j.ejmp.2017.09.143] [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: 10/18/2022] Open
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Marafini M, Paramatti R, Pinci D, Battistoni G, Collamati F, De Lucia E, Faccini R, Frallicciardi PM, Mancini-Terracciano C, Mattei I, Muraro S, Piersanti L, Rovituso M, Rucinski A, Russomando A, Sarti A, Sciubba A, Solfaroli Camillocci E, Toppi M, Traini G, Voena C, Patera V. Secondary radiation measurements for particle therapy applications: nuclear fragmentation produced by4He ion beams in a PMMA target. Phys Med Biol 2017; 62:1291-1309. [DOI: 10.1088/1361-6560/aa5307] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
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Mattei I, Bini F, Collamati F, De Lucia E, Frallicciardi PM, Iarocci E, Mancini-Terracciano C, Marafini M, Muraro S, Paramatti R, Patera V, Piersanti L, Pinci D, Rucinski A, Russomando A, Sarti A, Sciubba A, Solfaroli Camillocci E, Toppi M, Traini G, Voena C, Battistoni G. Secondary radiation measurements for particle therapy applications: prompt photons produced by 4He, 12C and 16O ion beams in a PMMA target. Phys Med Biol 2017; 62:1438-1455. [PMID: 28114112 DOI: 10.1088/1361-6560/62/4/1438] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
Charged particle beams are used in particle therapy (PT) to treat oncological patients due to their selective dose deposition in tissues with respect to the photons and electrons used in conventional radiotherapy. Heavy (Z > 1) PT beams can additionally be exploited for their high biological effectiveness in killing cancer cells. Nowadays, protons and carbon ions are used in PT clinical routines. Recently, interest in the potential application of helium and oxygen beams has been growing. With respect to protons, such beams are characterized by their reduced multiple scattering inside the body, increased linear energy transfer, relative biological effectiveness and oxygen enhancement ratio. The precision of PT demands online dose monitoring techniques, crucial to improving the quality assurance of any treatment: possible patient mis-positioning and biological tissue changes with respect to the planning CT scan could negatively affect the outcome of the therapy. The beam range confined in the irradiated target can be monitored thanks to the neutral or charged secondary radiation emitted by the interactions of hadron beams with matter. Among these secondary products, prompt photons are produced by nuclear de-excitation processes, and at present, different dose monitoring and beam range verification techniques based on prompt-γ detection are being proposed. It is hence of importance to perform γ yield measurement in therapeutic-like conditions. In this paper we report on the yields of prompt photons produced by the interaction of helium, carbon and oxygen ion beams with a poly-methyl methacrylate (PMMA) beam stopping target. The measurements were performed at the Heidelberg Ion-Beam Therapy Center (HIT) with beams of different energies. An LYSO scintillator, placed at [Formula: see text] and [Formula: see text] with respect to the beam direction, was used as the photon detector. The obtained γ yields for the carbon ion beams are compared with results from the literature, while no other results from helium and oxygen beams have been published yet. A discussion on the expected resolution of a slit camera detector is presented, demonstrating the feasibility of a prompt-γ-based monitoring technique for PT treatments using helium, carbon and oxygen ion beams.
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Galliano G, Muraro S, Julian D, Daviau P. P11. Hounsfield CT-values correction with iMAR, impact on dosimetrics calculation for radiation therapy. Phys Med 2016. [DOI: 10.1016/j.ejmp.2016.11.023] [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: 10/20/2022] Open
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Rucinski A, Battistoni G, Collamati F, Collini F, De Lucia E, Faccini R, Frallicciardi P, Mancini-Terracciano C, Marafini M, Muraro S, Paramatti R, Patera V, Piersanti L, Pinci D, Russomando A, Sarti A, Sciubba A, Camillocci ES, Toppi M, Traini G, Voena C. SU-F-J-202: Secondary Radiation Measurements for Charged Particle Therapy Monitoring: Fragmentation of Therapeutic He, C and O Ion Beams Impinging On a PMMA Target. Med Phys 2016. [DOI: 10.1118/1.4956110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Rucinski A, Battistoni G, Collamati F, Collini F, De Lucia E, Faccini R, Frallicciardi P, Mancini-Terracciano C, Marafini M, Muraro S, Paramatti R, Patera V, Piersanti L, Pinci D, Russomando A, Sarti A, Sciubba A, Camillocci ES, Toppi M, Traini G, Voena C, Rucinski A. SU-G-JeP1-13: Innovative Tracking Detector for Dose Monitoring in Hadron Therapy: Realization and Monte Carlo Simulations. Med Phys 2016. [DOI: 10.1118/1.4956988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Toppi M, Battistoni G, Bellini F, Collamati F, De Lucia E, Durante M, Faccini R, Frallicciardi P, Marafini M, Mattei I, Morganti S, Muraro S, Paramatti R, Patera V, Pinci D, Piersanti L, Rucinski A, Russomando A, Sarti A, Sciubba A, Senzacqua M, Solfaroli Camillocci E, Traini G, Voena C. Measurement of secondary particle production induced by particle therapy ion beams impinging on a PMMA target. EPJ Web of Conferences 2016. [DOI: 10.1051/epjconf/201611705007] [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: 11/14/2022] Open
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Battistoni G, Collamati F, De Lucia E, Faccini R, Marafini M, Mattei I, Muraro S, Paramatti R, Patera V, Pinci D, Rucinski A, Russomando A, Sarti A, Sciubba A, Solfaroli Camillocci E, Toppi M, Traini G, Voena C. Realization of an innovative Dose Profiler for online range monitoring in particle therapy treatments. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)30212-2] [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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Russo G, Attili A, Battistoni G, Bertrand D, Bourhaleb F, Cappucci F, Ciocca M, Mairani A, Milian FM, Molinelli S, Morone MC, Muraro S, Orts T, Patera V, Sala P, Schmitt E, Vivaldo G, Marchetto F. A novel algorithm for the calculation of physical and biological irradiation quantities in scanned ion beam therapy: the beamlet superposition approach. Phys Med Biol 2015; 61:183-214. [DOI: 10.1088/0031-9155/61/1/183] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Agodi C, Battistoni G, Bellini F, Cirrone GAP, Collamati F, Cuttone G, De Lucia E, De Napoli M, Di Domenico A, Faccini R, Ferroni F, Fiore S, Gauzzi P, Iarocci E, Marafini M, Mattei I, Muraro S, Paoloni A, Patera V, Piersanti L, Romano F, Sarti A, Sciubba A, Vitale E, Voena C. Corrigendum: Charged particles flux measurement from PMMA irradiated by 80 MeV u−1carbon ion beam (Phys. Med. Biol.57 5667). Phys Med Biol 2014. [DOI: 10.1088/0031-9155/59/23/7563] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Cerello P, Battistoni G, Belcari N, Bisogni M, Camarlinghi N, Cicirello F, Cirrone G, Coli S, Corsi F, Cuttone G, De Lucia E, Del Guerra A, Delogu P, Faccini R, Ferretti S, Fiorina E, Giraudo G, Kraan A, Licciulli F, Liu B, Marino N, Marzocca C, Mataresse G, Morone C, Morrocchi M, Muraro S, Nicoloni R, Pennazio F, Peroni C, Piersanti L, Piliero M, Pirrone G, Rivetti A, Romano F, Rosso V, Sal P, Sarti A, Sciubba A, Sportelli G, Wheadon R. 44: Simulation of Hadrontherapy In-beam monitoring at CNAO with the INSIDE detector. Radiother Oncol 2014. [DOI: 10.1016/s0167-8140(15)34065-2] [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: 11/30/2022]
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Patera V, Battistoni G, Belcari N, Bisogni M, Camarlinghi N, Cerello P, Ciciriello F, Cirrone G, Coli S, Corsi F, Cuttone G, De Lucia E, Del Guerra A, Delogu P, Faccini R, Ferretti S, Fiorina E, Giraudo G, Kraan A, Licciulli F, Liu B, Marino N, Marzocca C, Matarrese G, Morone C, Morrocchi M, Muraro S, Nicolini R, Peroni C, Piersanti L, Piliero M, Pirrone G, Rivetti A, Romano F, Rosso V, Sala P, Sarti A, Sciubba A, Sportelli G, Wheadon R. 152: An integrated monitoring system for the on-line assessment of particle therapy treatment accuracy. Radiother Oncol 2014. [DOI: 10.1016/s0167-8140(15)34173-6] [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: 10/23/2022]
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Agodi C, Battistoni G, Bellini F, Cirrone GAP, Collamati F, Cuttone G, De Lucia E, De Napoli M, Domenico AD, Faccini R, Ferroni F, Fiore S, Gauzzi P, Iarocci E, Marafini M, Mattei I, Muraro S, Paoloni A, Patera V, Piersanti L, Romano F, Sarti A, Sciubba A, Vitale E, Voena C. Charged particle's flux measurement from PMMA irradiated by 80 MeV/u carbon ion beam. Phys Med Biol 2012; 57:5667-78. [PMID: 22935644 DOI: 10.1088/0031-9155/57/18/5667] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.0] [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
Hadrontherapy is an emerging technique in cancer therapy that uses beams of charged particles. To meet the improved capability of hadrontherapy in matching the dose release with the cancer position, new dose-monitoring techniques need to be developed and introduced into clinical use. The measurement of the fluxes of the secondary particles produced by the hadron beam is of fundamental importance in the design of any dose-monitoring device and is eagerly needed to tune Monte Carlo simulations. We report the measurements carried out with charged secondary particles produced from the interaction of a 80 MeV/u fully stripped carbon ion beam at the INFN Laboratori Nazionali del Sud, Catania, with a poly-methyl methacrylate target. Charged secondary particles, produced at 90° with respect to the beam axis, have been tracked with a drift chamber, while their energy and time of flight have been measured by means of a LYSO scintillator. Secondary protons have been identified exploiting the energy and time-of-flight information, and their emission region has been reconstructed backtracking from the drift chamber to the target. Moreover, a position scan of the target indicates that the reconstructed emission region follows the movement of the expected Bragg peak position. Exploiting the reconstruction of the emission region, an accuracy on the Bragg peak determination in the submillimeter range has been obtained. The measured differential production rate for protons produced with E(Prod)(kin) > 83 MeV and emitted at 90° with respect to the beam line is dN(P)/(dN(C)dΩ) (E(Prod)(kin) > 83 MeV, θ = 90°) = (2.69 ± 0.08(stat) ± 0.12(sys)) × 10⁻⁴ sr⁻¹.
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Affiliation(s)
- C Agodi
- Laboratori Nazionali del Sud dell'INFN, Catania, Italy
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Battistoni G, Cerutti F, Empl A, Fassò A, Ferrari A, Gadioli E, Garzelli M, Muraro S, Pelliccioni M, Pinsky L, Ranft J, Roesler S, Sala P, Villari R. Hadronic models for cosmic ray physics: the FLUKA code. ACTA ACUST UNITED AC 2008. [DOI: 10.1016/j.nuclphysbps.2007.10.013] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [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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Battistoni G, Cerutti F, Fassò A, Ferrari A, Muraro S, Ranft J, Roesler S, Sala PR. The FLUKA code: description and benchmarking. ACTA ACUST UNITED AC 2007. [DOI: 10.1063/1.2720455] [Citation(s) in RCA: 603] [Impact Index Per Article: 35.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Beteille D, Setzkom R, Prévost H, Dusseau L, Fesquet J, Gasiot J, Muraro S, Delard R, Dubois JB, Ailleres N, Missous O. Laser heating of thermoluminescent plates: application to intraoperative radiotherapy. Med Phys 1996; 23:1421-4. [PMID: 8873040 DOI: 10.1118/1.597725] [Citation(s) in RCA: 5] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
A new system of radiation dose mapping based on laser heating of thermoluminescent dosimetric plates (TLDP) has been developed. Application of this technique to intraoperative radiotherapy (IORT) has been investigated. Preliminary results show that TLDP are a possible alternative to radiological films and ionization chambers since they provide some advantages such as 2D dose measurements with digital storage, large dynamic dose range, and easy processing.
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Beteille D, Vigmolo C, Muraro S, Setzkorn R, Fesouet J, Gasiot J, Ailleres M, Delard R, Dubois J. Laser heating of thermoluminescent plates: Application to intraoperative irradiation measurements. Radiother Oncol 1995. [DOI: 10.1016/0167-8140(96)80685-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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