Clinical evaluation of synthetic computed tomography methods in adaptive proton therapy of lung cancer patients. [PDF]
Background and purpose: Efficient workflows for adaptive proton therapy are of high importance. This study evaluated the possibility to replace repeat-CTs (reCTs) with synthetic CTs (sCTs), created based on cone-beam CTs (CBCTs), for flagging the need of
Taasti VT +10 more
europepmc +5 more sources
Synthetic computed tomography techniques for adaptive proton therapy in head and neck cancers. [PDF]
Head and neck (HN) radiotherapy often requires corrective interventions. This study evaluated three methods for synthetic computed tomography (CT) generation for adaptive HN planning using cone-beam CT (CBCT) images.
Kaushik S +5 more
europepmc +6 more sources
Dosimetric impact of adaptive proton therapy in head and neck cancer - A review. [PDF]
Background: Intensity Modulated Proton Therapy (IMPT) in head and neck cancer (HNC) is susceptible to anatomical changes and patient set-up inaccuracies during the radiotherapy course, which can cause discrepancies between planned and delivered dose. The
Huiskes M +5 more
europepmc +6 more sources
Optically stimulated luminescence dosimeters for simultaneous measurement of point dose and dose-weighted LET in an adaptive proton therapy workflow. [PDF]
PurposeTo demonstrate the suitability of optically stimulated luminescence detectors (OSLDs) for accurate simultaneous measurement of the absolute point dose and dose-weighted linear energy transfer (LETD) in an anthropomorphic phantom for experimental ...
Bobić M +12 more
europepmc +3 more sources
Comparing methods to improve cone-beam computed tomography for dose calculations in adaptive proton therapy. [PDF]
Background and purpose: Proton therapy requires dose monitoring, often performed based on repeated computed tomography (reCT) scans. However, reCT scans may not accurately reflect the internal anatomy and patient positioning during treatment.
Vestergaard CD +7 more
europepmc +3 more sources
Imaging, automation and workflow challenges for online adaptive proton therapy. [PDF]
Radiotherapy with protons has the potential to spare healthy tissue and reduce the integral dose compared with conventional photon-based radiotherapy. Still, the same peaked depth-dose profile that underpins this advantage makes proton treatments highly sensitive to anatomical changes, positioning variations and systematic uncertainties. To remain safe,
Wagenaar D +3 more
europepmc +6 more sources
Comparison of cone beam computed tomography post-processing methods for online adaptive proton therapy of prostate cancer. [PDF]
Background and purpose: Although cone beam computed tomography (CBCT) enables online adaptive radiotherapy, its CT number accuracy may be insufficient for online adaptive proton therapy (OAPT). We compared proton dose distributions calculated directly on
Bobić M +8 more
europepmc +3 more sources
Potential of automated online adaptive proton therapy to reduce margins for oesophageal cancer. [PDF]
Background and purpose:: Proton therapy for oesophageal cancer is administered over multiple fractions, based on a single pre-treatment image. However, anatomical changes can lead to the deterioration of the treatment plan, necessitating manual ...
Herbst P +7 more
europepmc +3 more sources
A planning approach for online adaptive proton therapy to cope with cone beam computed tomography inaccuracies. [PDF]
Background and purpose: In online-adaptive proton therapy planning based on cone beam computed tomography (CBCT), CT number errors can pose challenges. We propose an approach for coping with CT number uncertainties by increasing range robustness settings
Oud M +7 more
europepmc +3 more sources
Current status and upcoming developments for online adaptive proton therapy enabling a closed feedback loop for near real-time adaptation. [PDF]
Proton therapy (PT) has the potential to deliver conformal doses to the tumor while sparing normal tissue, but is highly susceptible to treatment uncertainties. The occurrence of anatomical changes during PT treatments has a major impact on the delivered
Gambetta V, Stützer K, Richter C.
europepmc +3 more sources

