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Title: SU-G-JeP4-15: Feasibility Study of Tumor Monitoring Technique Using Prompt Gamma Rays During Antiproton Therapy

Abstract

Purpose: The purpose of this study is to suggest a tumor monitoring technique using prompt gamma rays emitted during the reaction between an antiproton and a boron particle, and to verify the increase of the therapeutic effectiveness of the antiproton boron fusion therapy using Monte Carlo simulation code. Methods: We acquired the percentage depth dose of the antiproton beam from a water phantom with and without three boron uptake regions (region A, B, and C) using F6 tally of MCNPX. The tomographic image was reconstructed using prompt gamma ray events from the reaction between the antiproton and boron during the treatment from 32 projections (reconstruction algorithm: MLEM). For the image reconstruction, we were performed using a 80 × 80 pixel matrix with a pixel size of 5 mm. The energy window was set as a 10 % energy window. Results: The prompt gamma ray peak for imaging was observed at 719 keV in the energy spectrum using the F8 tally fuction (energy deposition tally) of the MCNPX code. The tomographic image shows that the boron uptake regions were successfully identified from the simulation results. In terms of the receiver operating characteristic curve analysis, the area under the curve values weremore » 0.647 (region A), 0.679 (region B), and 0.632 (region C). The SNR values increased as the tumor diameter increased. The CNR indicated the relative signal intensity within different regions. The CNR values also increased as the different of BURs diamter increased. Conclusion: We confirmed the feasibility of tumor monitoring during the antiproton therapy as well as the superior therapeutic effect of the antiproton boron fusion therapy. This result can be beneficial for the development of a more accurate particle therapy.« less

Authors:
; ; ; ;  [1]
  1. The catholic university of Korea, Seoul (Korea, Republic of)
Publication Date:
OSTI Identifier:
22649464
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; ANTIPROTON BEAMS; BIOMEDICAL RADIOGRAPHY; BORON; COMPUTERIZED SIMULATION; ENERGY SPECTRA; FEASIBILITY STUDIES; GAMMA RADIATION; IMAGE PROCESSING; KEV RANGE 100-1000; MONTE CARLO METHOD; NEOPLASMS; RADIOTHERAPY

Citation Formats

Shin, H, Yoon, D, Jung, J, Kim, M, and Suh, T. SU-G-JeP4-15: Feasibility Study of Tumor Monitoring Technique Using Prompt Gamma Rays During Antiproton Therapy. United States: N. p., 2016. Web. doi:10.1118/1.4957125.
Shin, H, Yoon, D, Jung, J, Kim, M, & Suh, T. SU-G-JeP4-15: Feasibility Study of Tumor Monitoring Technique Using Prompt Gamma Rays During Antiproton Therapy. United States. doi:10.1118/1.4957125.
Shin, H, Yoon, D, Jung, J, Kim, M, and Suh, T. Wed . "SU-G-JeP4-15: Feasibility Study of Tumor Monitoring Technique Using Prompt Gamma Rays During Antiproton Therapy". United States. doi:10.1118/1.4957125.
@article{osti_22649464,
title = {SU-G-JeP4-15: Feasibility Study of Tumor Monitoring Technique Using Prompt Gamma Rays During Antiproton Therapy},
author = {Shin, H and Yoon, D and Jung, J and Kim, M and Suh, T},
abstractNote = {Purpose: The purpose of this study is to suggest a tumor monitoring technique using prompt gamma rays emitted during the reaction between an antiproton and a boron particle, and to verify the increase of the therapeutic effectiveness of the antiproton boron fusion therapy using Monte Carlo simulation code. Methods: We acquired the percentage depth dose of the antiproton beam from a water phantom with and without three boron uptake regions (region A, B, and C) using F6 tally of MCNPX. The tomographic image was reconstructed using prompt gamma ray events from the reaction between the antiproton and boron during the treatment from 32 projections (reconstruction algorithm: MLEM). For the image reconstruction, we were performed using a 80 × 80 pixel matrix with a pixel size of 5 mm. The energy window was set as a 10 % energy window. Results: The prompt gamma ray peak for imaging was observed at 719 keV in the energy spectrum using the F8 tally fuction (energy deposition tally) of the MCNPX code. The tomographic image shows that the boron uptake regions were successfully identified from the simulation results. In terms of the receiver operating characteristic curve analysis, the area under the curve values were 0.647 (region A), 0.679 (region B), and 0.632 (region C). The SNR values increased as the tumor diameter increased. The CNR indicated the relative signal intensity within different regions. The CNR values also increased as the different of BURs diamter increased. Conclusion: We confirmed the feasibility of tumor monitoring during the antiproton therapy as well as the superior therapeutic effect of the antiproton boron fusion therapy. This result can be beneficial for the development of a more accurate particle therapy.},
doi = {10.1118/1.4957125},
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}
}
  • Purpose: Real-time ultrasound monitoring during SBRT is advantageous in understanding and identifying motion irregularities which may cause geometric misses. In this work, we propose to utilize real-time ultrasound to track the diaphragm in conjunction with periodical kV fluoroscopy to monitor motion of tumor or landmarks during SBRT delivery. Methods: Transabdominal Ultrasound (TAUS) b-mode images were collected from 10 healthy volunteers using the Clarity Autoscan System (Elekta). The autoscan transducer, which has a center frequency of 5 MHz, was utilized for the scans. The acquired images were contoured using the Clarity Automatic Fusion and Contouring workstation software. Monitoring sessions of 5more » minute length were observed and recorded. The position correlation between tumor and diaphragm could be established with periodic kV fluoroscopy periodically acquired during treatment with Elekta XVI. We acquired data using a tissue mimicking ultrasound phantom with embedded spheres placed on a motion stand using ultrasound and kV Fluoroscopy. MIM software was utilized for image fusion. Correlation of diaphragm and target motion was also validated using 4D-MRI and 4D-CBCT. Results: The diaphragm was visualized as a hyperechoic region on the TAUS b-mode images. Volunteer set-up can be adjusted such that TAUS probe will not interfere with treatment beams. A segment of the diaphragm was contoured and selected as our tracking structure. Successful monitoring sessions of the diaphragm were recorded. For some volunteers, diaphragm motion over 2 times larger than the initial motion has been observed during tracking. For the phantom study, we were able to register the 2D kV Fluoroscopy with the US images for position comparison. Conclusion: We demonstrated the feasibility of tracking the diaphragm using real-time ultrasound. Real-time tracking can help in identifying such irregularities in the respiratory motion which is correlated to tumor motion. We also showed the feasibility of acquiring 2D KV Fluoroscopy and registering the images with Ultrasound.« less
  • Purpose: Dynamic tumor tracking radiation therapy can potentially reduce internal margin without prolongation of irradiation time. However, dynamic tumor tracking technique requires an extra margin (tracking margin, TM) for the uncertainty of tumor localization, prediction, and beam repositioning. The purpose of this study was to evaluate a dosimetric impact caused by TM. Methods: We used 4D XCAT to create 9 digital phantom datasets of different tumor size and motion range: tumor diameter TD=(1, 3, 5) cm and motion range MR=(1, 2, 3) cm. For each dataset, respiratory gating (30%–70% phase) and tumor tracking treatment plans were created using 8-field 3D-CRTmore » by 4D dose calculation implemented in RayStation. The dose constraint was based on RTOG0618. For the tracking plan, TMs of (0, 2.5, 5) mm were considered by surrounding a normal setup margin: SM=5 mm. We calculated V20 of normal lung to evaluate the dosimetric impact for each case, and estimated an equivalent TM that affects the same impact on V20 obtained by the gated plan. Results: The equivalent TMs for (TD=1 cm, MR=2 cm), (TD=1 cm, MR=3 cm), (TD=5 cm, MR=2 cm), and (TD=5 cm, MR=3 cm) were estimated as 1.47 mm, 3.95 mm, 1.04 mm, and 2.13 mm, respectively. The larger the tumor size, the equivalent TM became smaller. On the other hand, the larger the motion range, the equivalent TM was found to be increased. Conclusion: Our results showed the equivalent TM changes depending on tumor size and motion range. The tracking plan with TM less than the equivalent TM achieves a dosimetric impact better than the gated plan in less treatment time. This study was partially supported by JSPS Kakenhi and Varian Medical Systems.« less
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