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
Vicki Trier Taasti +10 more
doaj +4 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.
Casper Dueholm Vestergaard +7 more
doaj +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
Virginia Gambetta +7 more
doaj +4 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 ...
Mislav Bobić +15 more
doaj +2 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
Merle Huiskes +5 more
doaj +2 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
Mislav Bobić +8 more
doaj +2 more sources
Facilitating MR-Guided Adaptive Proton Therapy in Children Using Deep Learning-Based Synthetic CT [PDF]
Purpose: To determine whether self-attention cycle-generative adversarial networks (cycle-GANs), a novel deep-learning method, can generate accurate synthetic computed tomography (sCT) to facilitate adaptive proton therapy in children with brain tumors ...
Chuang Wang, PhD +4 more
doaj +2 more sources
Background and purpose: In proton therapy, inter-fractional density changes can severely compromise the effective delivery of the planned dose. Such dose distortion effects can be accounted for by treatment plan adaptation, that requires considerable ...
Elena Borderías Villarroel +2 more
doaj +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 ...
Pascal Herbst +7 more
doaj +2 more sources
Trigger-based adaptive proton therapy and changes in target coverage and cardiac dose in esophageal cancer [PDF]
Background and purpose: Inter-fractional anatomical variations during proton therapy for esophageal cancer may compromise target coverage and increase dose to surrounding organs.
Vlad Badiu +4 more
doaj +2 more sources

