1. Investigation of intra-fractionated range guided adaptive proton therapy: I. On-line PET imaging and range measurement.
- Author
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Yang, Dongxu, Zhu, Xiaorong R, Chen, Mingli, Ma, Lin, Cheng, Xinyi, Grosshans, David R, Lu, Weiguo, and Shao, Yiping
- Subjects
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PROTON beams , *POSITRON emission tomography , *PROTON therapy , *RADIOACTIVITY measurements , *PHOTOMULTIPLIERS , *PARTICLE range (Nuclear physics) , *DATA acquisition systems , *SCINTILLATORS - Abstract
Objective. Develop a prototype on-line positron emission tomography (PET) scanner and evaluate its capability of on-line imaging and intra-fractionated proton-induced radioactivity range measurement. Approach. Each detector consists of 32 × 32 array of 2 × 2 × 30 mm3 Lutetium–Yttrium Oxyorthosilicate scintillators with single-scintillator-end readout through a 20 × 20 array of 3 × 3 mm2 Silicon Photomultipliers. The PET can be configurated with a full-ring of 20 detectors for conventional PET imaging or a partial-ring of 18 detectors for on-line imaging and range measurement. All detector-level readout and processing electronics are attached to the backside of the system gantry and their output signals are transferred to a field-programable-gate-array based system electronics and data acquisition that can be placed 2 m away from the gantry. The PET imaging performance and radioactivity range measurement capability were evaluated by both the offline study that placed a radioactive source with known intensity and distribution within a phantom and the online study that irradiated a phantom with proton beams under different radiation and imaging conditions. Main results. The PET has 32 cm diameter and 6.5 cm axial length field-of-view (FOV), ∼2.3–5.0 mm spatial resolution within FOV, 3% sensitivity at the FOV center, 18%–30% energy resolution, and ∼9 ns coincidence time resolution. The offline study shows the PET can determine the shift of distal falloff edge position of a known radioactivity distribution with the accuracy of 0.3 ± 0.3 mm even without attenuation and scatter corrections, and online study shows the PET can measure the shift of proton-induced positron radioactive range with the accuracy of 0.6 ± 0.3 mm from the data acquired with a short-acquisition (60 s) and low-dose (5 MU) proton radiation to a human head phantom. Significance. This study demonstrated the capability of intra-fractionated PET imaging and radioactivity range measurement and will enable the investigation on the feasibility of intra-fractionated, range-shift compensated adaptive proton therapy. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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