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Published in: Journal of Radiation Oncology 1/2019

01-03-2019 | Rapid Communication

Reconstructed and real proton radiographs for image-guidance in proton beam therapy

Authors: Chelsea Miller, Basel Altoos, Ethan A. DeJongh, Mark Pankuch, Don F. DeJongh, Victor Rykalin, Caesar E. Ordoñez, Nicholas T. Karonis, John R. Winans, George Coutrakon, James S. Welsh

Published in: Journal of Radiation Oncology | Issue 1/2019

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Abstract

One of the major challenges to proton beam therapy at this time is the uncertainty of the true range of a clinical treatment proton beam as it traverses the various tissues and organs in a human body. This uncertainty necessitates the addition of greater “margins” to the planning target volume along the direction of the beam to ensure safety and tumor target coverage.
Proton radiography holds promise as both an image-guidance method for proton beam therapy and as a means of estimating particle beam range in the clinic. In this brief report, we present some of the first real and reconstructed proton radiographs using our particular system. Our qualitative review of these images indicates that this method has excellent potential as a proton radiography–based image-guidance system. Based on the encouraging results of our preliminary work, more rigorous and quantitative analyses will be performed shortly and we shall continue to explore the potential of this approach for addressing the particle beam range uncertainty issue.
Literature
1.
go back to reference M Y, Zhu XR, Park PC, Titt U, Mohan R, Virshup G, Clayton JE, Dong L (2012) Comprehensive analysis of proton range uncertainties related to patient stopping-power-ratio estimation using the stoichiometric calibration. Phys Med Biol 57:4095CrossRef M Y, Zhu XR, Park PC, Titt U, Mohan R, Virshup G, Clayton JE, Dong L (2012) Comprehensive analysis of proton range uncertainties related to patient stopping-power-ratio estimation using the stoichiometric calibration. Phys Med Biol 57:4095CrossRef
2.
go back to reference Welsh JS, DeJongh F, Rykalin V, Karonis N, Ordonez C, Winans J, Coutrakon G, DeJongh E, Pankuch M (2017) The use of established methods to quantify proton range uncertainty reduction when using proton tomography. Int J Radiat OncolBiolPhys 99(2):E737 Welsh JS, DeJongh F, Rykalin V, Karonis N, Ordonez C, Winans J, Coutrakon G, DeJongh E, Pankuch M (2017) The use of established methods to quantify proton range uncertainty reduction when using proton tomography. Int J Radiat OncolBiolPhys 99(2):E737
3.
go back to reference Welsh J, Pankuch M, Coutrakon G, Rykalin V, DeJongh E, Karonis N, Ordonez C, Winans J, Polnyi I, DeJongh F (2017) Radiation dose and risks of radiation carcinogenesis from proton radiography vs X-ray based methods of range determination and image guidance. PTC17-0522: Additional Proceedings. Int J Particle Ther: Fall 4(2):39–231 Welsh J, Pankuch M, Coutrakon G, Rykalin V, DeJongh E, Karonis N, Ordonez C, Winans J, Polnyi I, DeJongh F (2017) Radiation dose and risks of radiation carcinogenesis from proton radiography vs X-ray based methods of range determination and image guidance. PTC17-0522: Additional Proceedings. Int J Particle Ther: Fall 4(2):39–231
5.
go back to reference Welsh JS, DeJongh F, Rykalin V, Karonis N, DeJongh E, Coutrakon G, Ordonez C, Winans J, Pankuch M (2017) Image reconstruction with a fast, monolithic proton radiography system. Int J Radiat Oncol Biol Phys 99(2):E737–E738 Welsh JS, DeJongh F, Rykalin V, Karonis N, DeJongh E, Coutrakon G, Ordonez C, Winans J, Pankuch M (2017) Image reconstruction with a fast, monolithic proton radiography system. Int J Radiat Oncol Biol Phys 99(2):E737–E738
Metadata
Title
Reconstructed and real proton radiographs for image-guidance in proton beam therapy
Authors
Chelsea Miller
Basel Altoos
Ethan A. DeJongh
Mark Pankuch
Don F. DeJongh
Victor Rykalin
Caesar E. Ordoñez
Nicholas T. Karonis
John R. Winans
George Coutrakon
James S. Welsh
Publication date
01-03-2019
Publisher
Springer Berlin Heidelberg
Published in
Journal of Radiation Oncology / Issue 1/2019
Print ISSN: 1948-7894
Electronic ISSN: 1948-7908
DOI
https://doi.org/10.1007/s13566-019-00376-0

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