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Title: SU-F-J-57: Effectiveness of Daily CT-Based Three-Dimensional Image Guided and Adaptive Proton Therapy

Abstract

Purpose: Daily CT-based three-dimensional image-guided and adaptive (CTIGRT-ART) proton therapy system was designed and developed. We also evaluated the effectiveness of the CTIGRT-ART. Methods: Retrospective analysis was performed in three lung cancer patients: Proton treatment planning was performed using CT image datasets acquired by Toshiba Aquilion ONE. Planning target volume and surrounding organs were contoured by a well-trained radiation oncologist. Dose distribution was optimized using 180-deg. and 270-deg. two fields in passive scattering proton therapy. Well commissioned Simplified Monte Carlo algorithm was used as dose calculation engine. Daily consecutive CT image datasets was acquired by an in-room CT (Toshiba Aquilion LB). In our in-house program, two image registrations for bone and tumor were performed to shift the isocenter using treatment CT image dataset. Subsequently, dose recalculation was performed after the shift of the isocenter. When the dose distribution after the tumor registration exhibits change of dosimetric parameter of CTV D90% compared to the initial plan, an additional process of was performed that the range shifter thickness was optimized. Dose distribution with CTV D90% for the bone registration, the tumor registration only and adaptive plan with the tumor registration was compared to the initial plan. Results: In the bone registration, tumormore » dose coverage was decreased by 16% on average (Maximum: 56%). The tumor registration shows better coverage than the bone registration, however the coverage was also decreased by 9% (Maximum: 22%) The adaptive plan shows similar dose coverage of the tumor (Average: 2%, Maximum: 7%). Conclusion: There is a high possibility that only image registration for bone and tumor may reduce tumor coverage. Thus, our proposed methodology of image guidance and adaptive planning using the range adaptation after tumor registration would be effective for proton therapy. This research is partially supported by Japan Agency for Medical Research and Development (AMED).« less

Authors:
 [1];  [2]; ; ; ; ;  [3];  [4]; ;  [5]
  1. University of Tsukuba, Tsukuba, Ibaraki (Japan)
  2. (Japan)
  3. National Cancer Center, Kashiwa, Chiba (Japan)
  4. National Cancer Center Hospital East, Kashiwa, Chiba (Japan)
  5. Komazawa University, Setagaya, Tokyo (Japan)
Publication Date:
OSTI Identifier:
22632189
Resource Type:
Journal Article
Resource Relation:
Journal Name: Medical Physics; Journal Volume: 43; Journal Issue: 6; Other Information: (c) 2016 American Association of Physicists in Medicine; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
60 APPLIED LIFE SCIENCES; 61 RADIATION PROTECTION AND DOSIMETRY; ALGORITHMS; BIOMEDICAL RADIOGRAPHY; COMPUTERIZED TOMOGRAPHY; DATASETS; IMAGE PROCESSING; IMAGES; LUNGS; MEDICAL PERSONNEL; MONTE CARLO METHOD; NEOPLASMS; PLANNING; PROTON BEAMS; RADIATION DOSE DISTRIBUTIONS; RADIOTHERAPY

Citation Formats

Moriya, S, National Cancer Center, Kashiwa, Chiba, Tachibana, H, Hotta, K, Baba, H, Kohno, R, Akimoto, T, Nakamura, N, Miyakawa, S, and Kurosawa, T. SU-F-J-57: Effectiveness of Daily CT-Based Three-Dimensional Image Guided and Adaptive Proton Therapy. United States: N. p., 2016. Web. doi:10.1118/1.4955965.
Moriya, S, National Cancer Center, Kashiwa, Chiba, Tachibana, H, Hotta, K, Baba, H, Kohno, R, Akimoto, T, Nakamura, N, Miyakawa, S, & Kurosawa, T. SU-F-J-57: Effectiveness of Daily CT-Based Three-Dimensional Image Guided and Adaptive Proton Therapy. United States. doi:10.1118/1.4955965.
Moriya, S, National Cancer Center, Kashiwa, Chiba, Tachibana, H, Hotta, K, Baba, H, Kohno, R, Akimoto, T, Nakamura, N, Miyakawa, S, and Kurosawa, T. Wed . "SU-F-J-57: Effectiveness of Daily CT-Based Three-Dimensional Image Guided and Adaptive Proton Therapy". United States. doi:10.1118/1.4955965.
@article{osti_22632189,
title = {SU-F-J-57: Effectiveness of Daily CT-Based Three-Dimensional Image Guided and Adaptive Proton Therapy},
author = {Moriya, S and National Cancer Center, Kashiwa, Chiba and Tachibana, H and Hotta, K and Baba, H and Kohno, R and Akimoto, T and Nakamura, N and Miyakawa, S and Kurosawa, T},
abstractNote = {Purpose: Daily CT-based three-dimensional image-guided and adaptive (CTIGRT-ART) proton therapy system was designed and developed. We also evaluated the effectiveness of the CTIGRT-ART. Methods: Retrospective analysis was performed in three lung cancer patients: Proton treatment planning was performed using CT image datasets acquired by Toshiba Aquilion ONE. Planning target volume and surrounding organs were contoured by a well-trained radiation oncologist. Dose distribution was optimized using 180-deg. and 270-deg. two fields in passive scattering proton therapy. Well commissioned Simplified Monte Carlo algorithm was used as dose calculation engine. Daily consecutive CT image datasets was acquired by an in-room CT (Toshiba Aquilion LB). In our in-house program, two image registrations for bone and tumor were performed to shift the isocenter using treatment CT image dataset. Subsequently, dose recalculation was performed after the shift of the isocenter. When the dose distribution after the tumor registration exhibits change of dosimetric parameter of CTV D90% compared to the initial plan, an additional process of was performed that the range shifter thickness was optimized. Dose distribution with CTV D90% for the bone registration, the tumor registration only and adaptive plan with the tumor registration was compared to the initial plan. Results: In the bone registration, tumor dose coverage was decreased by 16% on average (Maximum: 56%). The tumor registration shows better coverage than the bone registration, however the coverage was also decreased by 9% (Maximum: 22%) The adaptive plan shows similar dose coverage of the tumor (Average: 2%, Maximum: 7%). Conclusion: There is a high possibility that only image registration for bone and tumor may reduce tumor coverage. Thus, our proposed methodology of image guidance and adaptive planning using the range adaptation after tumor registration would be effective for proton therapy. This research is partially supported by Japan Agency for Medical Research and Development (AMED).},
doi = {10.1118/1.4955965},
journal = {Medical Physics},
number = 6,
volume = 43,
place = {United States},
year = {Wed Jun 15 00:00:00 EDT 2016},
month = {Wed Jun 15 00:00:00 EDT 2016}
}