1. Contrast-enhanced proton radiographic sensitivity limits for tumor detection
- Author
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Michelle A. Espy, James Sinnis, Frank E. Merrill, Dale Tupa, Carl A. Wilde, Fesseha Mariam, Rachel B. Sidebottom, Ethan F. Aulwes, Levi P. Neukirch, Matthew S. Freeman, Zhaowen Tang, Per E. Magnelind, Brittany A. Broder, Jason Allison, Tamsen Schurman, and J. L. Tybo
- Subjects
Proton ,business.industry ,Radiography ,Nanoparticle ,Stopping power ,Colloidal gold ,Medicine ,Radiology, Nuclear Medicine and imaging ,Area density ,business ,Physics of Medical Imaging ,Proton therapy ,Image resolution ,Biomedical engineering - Abstract
Purpose: Proton radiography may guide proton therapy cancer treatments with beam’s-eye-view anatomical images and a proton-based estimation of proton stopping power. However, without contrast enhancement, proton radiography will not be able to distinguish tumor from tissue. To provide this contrast, functionalized, high- [Formula: see text] nanoparticles that specifically target a tumor could be injected into a patient before imaging. We conducted this study to understand the ability of gold, as a high- [Formula: see text] , biologically compatible tracer, to differentiate tumors from surrounding tissue. Approach: Acrylic and gold phantoms simulate a tumor tagged with gold nanoparticles (AuNPs). Calculations correlate a given thickness of gold to levels of tumor AuNP uptake reported in the literature. An identity, [Formula: see text] , and [Formula: see text] proton magnifying lens acquired lens-refocused proton radiographs at the 800-MeV LANSCE proton beam. The effects of gold in the phantoms, in terms of percent density change, were observed as changes in measured transmission. Variable areal densities of acrylic modeled the thickness of the human body. Results: A [Formula: see text]-thick gold strip was discernible within 1 cm of acrylic, an areal density change of 0.2%. Behind 20 cm of acrylic, a [Formula: see text] gold strip was visible. A 1-cm-diameter tumor tagged with [Formula: see text] 50-nm AuNPs per cell has an amount of contrast agent embedded within it that is equivalent to a [Formula: see text] thickness of gold, an areal density change of 0.63% in a tissue thickness of 20 cm, which is expected to be visible in a typical proton radiograph. Conclusions: We indicate that AuNP-enhanced proton radiography might be a feasible technology to provide image-guidance to proton therapy, potentially reducing off-target effects and sparing nearby tissue. These data can be used to develop treatment plans and clinical applications can be derived from the simulations.
- Published
- 2020