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Proton beam therapy

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https://www.readbyqxmd.com/read/28547820/future-of-medical-physics-real-time-mri-guided-proton-therapy
#1
Bradley M Oborn, Stephen Dowdell, Peter E Metcalfe, Stuart Crozier, Radhe Mohan, Paul J Keall
With the recent clinical implementation of real-time MRI guided x-ray beam therapy (MRXT), attention is therapy (MRPT). MRI guidance for proton beam therapy is expected to offer a compelling improvement to the turning to the concept of combining real-time MRI guidance with proton beam therapy; MRI guided proton beam current treatment workflow which is warranted arguably more than for x-ray beam therapy. This argument is born out of the fact that proton therapy toxicity outcomes are similar to that of the most advanced IMRT treatments, despite being a fundamentally superior particle for cancer treatment...
May 26, 2017: Medical Physics
https://www.readbyqxmd.com/read/28529896/advances-in-radiotherapy-techniques-and-delivery-for-non-small-cell-lung-cancer-benefits-of-intensity-modulated-radiation-therapy-proton-therapy-and-stereotactic-body-radiation-therapy
#2
REVIEW
Tejan P Diwanji, Pranshu Mohindra, Melissa Vyfhuis, James W Snider, Chaitanya Kalavagunta, Sina Mossahebi, Jen Yu, Steven Feigenberg, Shahed N Badiyan
The 21st century has seen several paradigm shifts in the treatment of non-small cell lung cancer (NSCLC) in early-stage inoperable disease, definitive locally advanced disease, and the postoperative setting. A key driver in improvement of local disease control has been the significant evolution of radiation therapy techniques in the last three decades, allowing for delivery of definitive radiation doses while limiting exposure of normal tissues. For patients with locally-advanced NSCLC, the advent of volumetric imaging techniques has allowed a shift from 2-dimensional approaches to 3-dimensional conformal radiation therapy (3DCRT)...
April 2017: Translational Lung Cancer Research
https://www.readbyqxmd.com/read/28521117/neutron-spectral-fluence-measurements-using-a-bonner-sphere-spectrometer-in-the-development-of-the-ibnct-accelerator-based-neutron-source
#3
Akihiko Masuda, Tetsuro Matsumoto, Kenta Takada, Takahiro Onishi, Kohei Kotaki, Hidenori Sugimoto, Hiroaki Kumada, Hideki Harano, Takeji Sakae
The neutron spectral fluence of an accelerator-based neutron source facility for boron neutron capture therapy (BNCT) based on a proton linac and a beryllium target was evaluated by the unfolding method using a Bonner sphere spectrometer (BSS). A (3)He-proportional-counter-based BSS was used with weak beam during the development of the facility. The measured epithermal neutron spectra were consistent with calculations. The epithermal neutron intensity at the beam port was estimated and the results gave a numerical target for the enhancement of the proton beam intensity and will be used as reference data for measurements performed after the completion of the facility...
May 10, 2017: Applied Radiation and Isotopes
https://www.readbyqxmd.com/read/28506520/the-evolving-role-of-proton-beam-therapy-for-sarcomas
#4
S Frisch, B Timmermann
As an alternative to conventional photon-based radiotherapy, radiation with protons is recognised to offer considerable advantages. Today, central nervous system tumours, various sarcomatous tumours, childhood cancer and head and neck tumours are commonly treated with proton therapy. This review evaluates current data from clinical and dosimetric trials on the treatment of selected sarcomatous tumours like rhabdomyosarcoma, osteosarcoma, chordoma, chondrosarcoma and Ewing sarcoma. Special considerations for paediatric tumours and future prospects of proton therapy are outlined...
May 12, 2017: Clinical Oncology: a Journal of the Royal College of Radiologists
https://www.readbyqxmd.com/read/28503890/co-morbidity-and-quality-of-life-in-childhood-cancer-survivors-treated-with-proton-beam-therapy
#5
Hiroko Fukushima, Takashi Fukushima, Ryoko Suzuki, Atsushi Iwabuchi, Kyoko Hidaka, Kouji Masumoto, Ai Muroi, Tetsuya Yamamoto, Masashi Mizumoto, Hideyuki Sakurai, Ryo Sumazaki
INTRODUCTION: The ratio of childhood cancer survival achieves over 80% recently. Various adverse events among childhood cancer survivors (CCSs) has been reported. Proton beams are able to avoid unnecessary irradiation to normal/vital organs. We conducted a quality of life (QOL) study for CCSs who were treated with proton beam therapy (PBT). MATERIALS AND METHODS: We included those treated with PBT to the brain, head, or neck ≤15 years old at the University of Tsukuba Hospital from 1983 to 2011...
May 14, 2017: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/28499816/tumor-ablation-using-low-intensity-ultrasound-and-sound-excitable-drug
#6
Ching-Hsuan Tung, Myung Shin Han, Young Kim, Jianjun Qi, Brian E O'Neill
The cell membrane is a semi-fluid container that defines the boundary of cells, and provides an enclosed environment for vital biological processes. A sound excitable drug (SED) that is non-cytotoxic to cells is developed to disrupt the plasma membrane under gentle ultrasound insonation, 1MHz, 1W/cm(2). The frequency and power density of insonation are within the physical therapy and medical imaging windows; thus the applied ultrasound is safe and not harmful to tissues. The insertion of SEDs into the plasma membrane is not toxic to cells; however, the intruding SEDs weaken the membrane's integrity...
May 10, 2017: Journal of Controlled Release: Official Journal of the Controlled Release Society
https://www.readbyqxmd.com/read/28493847/cost-utility-of-stereotactic-radiation-therapy-versus-proton-beam-therapy-for-inoperable-advanced-hepatocellular-carcinoma
#7
Henry W C Leung, Agnes L F Chan
The cost-utility of proton beam therapy was compared to stereotactic body radiation therapy for inoperable advanced hepatocellular carcinoma. A Markov decision-analytic model was performed following time to progression and survival using phase II trial data. Patients transitioned between three health states. Clinical outcomes were estimated for quality of life using utility estimates in the published literature and measured as incremental cost-effectiveness ratios (ICERs) and net monetary benefits (NMBs). Real direct medical costs were extracted from the Bureau of National Health Insurance database...
April 21, 2017: Oncotarget
https://www.readbyqxmd.com/read/28472925/registration-error-of-the-liver-ct-using-deformable-image-registration-of-mim-maestro-and-velocity-ai
#8
Nobuyoshi Fukumitsu, Kazunori Nitta, Toshiyuki Terunuma, Toshiyuki Okumura, Haruko Numajiri, Yoshiko Oshiro, Kayoko Ohnishi, Masashi Mizumoto, Teruhito Aihara, Hitoshi Ishikawa, Koji Tsuboi, Hideyuki Sakurai
BACKGROUND: Understanding the irradiated area and dose correctly is important for the reirradiation of organs that deform after irradiation, such as the liver. We investigated the spatial registration error using the deformable image registration (DIR) software products MIM Maestro (MIM) and Velocity AI (Velocity). METHODS: Image registration of pretreatment computed tomography (CT) and posttreatment CT was performed in 24 patients with liver tumors. All the patients received proton beam therapy, and the follow-up period was 4-14 (median: 10) months...
May 4, 2017: BMC Medical Imaging
https://www.readbyqxmd.com/read/28472381/a-simulation-study-on-the-dosimetric-benefit-of-real-time-motion-compensation-in-spot-scanning-proton-therapy-for-prostate
#9
Yusuke Fujii, Taeko Matsuura, Seishin Takao, Yuka Matsuzaki, Takaaki Fujii, Naoki Miyamoto, Kikuo Umegaki, Kentaro Nishioka, Shinichi Shimizu, Hiroki Shirato
For proton spot scanning, use of a real-time-image gating technique incorporating an implanted marker and dual fluoroscopy facilitates mitigation of the dose distribution deterioration caused by interplay effects. This study explored the advantages of using a real-time-image gating technique, with a focus on prostate cancer. Two patient-positioning methods using fiducial markers were compared: (i) patient positioning only before beam delivery, and (ii) patient positioning both before and during beam delivery using a real-time-gating technique...
May 4, 2017: Journal of Radiation Research
https://www.readbyqxmd.com/read/28464744/impact-of-beam-angle-choice-on-pencil-beam-scanning-breath-hold-proton-therapy-for-lung-lesions
#10
Jenny Gorgisyan, Rosalind Perrin, Antony J Lomax, Gitte F Persson, Mirjana Josipovic, Svend Aage Engelholm, Damien C Weber, Per Munck Af Rosenschold
INTRODUCTION: The breath-hold technique inter alia has been suggested to mitigate the detrimental effect of motion on pencil beam scanned (PBS) proton therapy dose distributions. The aim of this study was to evaluate the robustness of incident proton beam angles to day-to-day anatomical variations in breath-hold. MATERIALS AND METHODS: Single field PBS plans at five degrees increments in the transversal plane were made and water-equivalent path lengths (WEPLs) were derived on the planning breath-hold CT (BHCT) for 30 patients diagnosed with locally-advanced non-small cell lung cancer (NSCLC), early stage NSCLC or lung metastasis...
June 2017: Acta Oncologica
https://www.readbyqxmd.com/read/28464743/monte-carlo-simulations-of-a-low-energy-proton-beamline-for-radiobiological-experiments
#11
Tordis J Dahle, Anne Marit Rykkelid, Camilla H Stokkevåg, Andrea Mairani, Andreas Görgen, Nina J Edin, Eivind Rørvik, Lars Fredrik Fjæra, Eirik Malinen, Kristian S Ytre-Hauge
BACKGROUND: In order to determine the relative biological effectiveness (RBE) of protons with high accuracy, radiobiological experiments with detailed knowledge of the linear energy transfer (LET) are needed. Cell survival data from high LET protons are sparse and experiments with low energy protons to achieve high LET values are therefore required. The aim of this study was to quantify LET distributions from a low energy proton beam by using Monte Carlo (MC) simulations, and to further compare to a proton beam representing a typical minimum energy available at clinical facilities...
June 2017: Acta Oncologica
https://www.readbyqxmd.com/read/28464734/beam-angle-evaluation-to-improve-inter-fraction-motion-robustness-in-pelvic-lymph-node-irradiation-with-proton-therapy
#12
Andreas Gravgaard Andersen, Oscar Casares-Magaz, Jørgen Petersen, Jakob Toftegaard, Lise Bentzen, Sara Thörnqvist, Ludvig Paul Muren
BACKGROUND: Proton therapy dose distributions are sensitive to range variations, e.g. arising from inter-fraction organ motion. The aim of this study was to evaluate the inter-fraction motion robustness of proton beams from different beam angles in irradiation of pelvic lymph nodes (LNs). MATERIAL AND METHODS: Planning CT (pCT) and multiple repeat CT (rCT) scans of 18 prostate cancer patients were used. Considering left and right LNs separately, the average water equivalent path length (WEPL) over all ray paths in the beams eye view of the LNs were calculated for all gantry/couch angle combinations across all rCTs versus the corresponding pCT...
June 2017: Acta Oncologica
https://www.readbyqxmd.com/read/28464733/evaluating-the-influence-of-organ-motion-during-photon-vs-proton-therapy-for-locally-advanced-prostate-cancer-using-biological-models
#13
Kia Busch, Andreas G Andersen, Oscar Casares-Magaz, Jørgen B B Petersen, Lise Bentzen, Sara Thörnqvist, Ludvig P Muren
BACKGROUND: Proton therapy (PT) may have a normal tissue sparing potential when co-irradiating pelvic lymph nodes in patients with locally advanced prostate cancer, but may also be more sensitive towards organ motion in the pelvis. Building upon a previous study identifying motion-robust proton beam angles for pelvic irradiation, we aimed to evaluate the influence of organ motion for PT using biological models, and to compare this with contemporary photon-based RT. MATERIAL AND METHODS: Eight locally advanced prostate cancer patients with a planning CT (pCT) and 8-9 repeated CT scans (rCTs) were included...
June 2017: Acta Oncologica
https://www.readbyqxmd.com/read/28457577/proton-beam-radiotherapy-as-part-of-comprehensive-regional-nodal-irradiation-for-locally-advanced-breast-cancer
#14
Vivek Verma, Zaid Iftekaruddin, Nida Badar, William Hartsell, John Han-Chih Chang, Vinai Gondi, Mark Pankuch, Ming Gao, Stacey Schmidt, Darren Kaplan, Lisa McGee
PURPOSE: This study evaluates acute toxicity outcomes in breast cancer patients treated with adjuvant proton beam therapy (PBT). METHODS: From 2011 to 2016, 91 patients (93 cancers) were treated with adjuvant PBT targeting the intact breast/chest wall and comprehensive regional nodes including the axilla, supraclavicular fossa, and internal mammary lymph nodes. Toxicity was recorded weekly during treatment, one month following treatment, and then every 6months according to the Common Terminology Criteria for Adverse Events (CTCAE) v4...
May 2017: Radiotherapy and Oncology: Journal of the European Society for Therapeutic Radiology and Oncology
https://www.readbyqxmd.com/read/28456587/proton-therapy-for-head-and-neck-cancer-expanding-the-therapeutic-window
#15
REVIEW
Jonathan E Leeman, Paul B Romesser, Ying Zhou, Sean McBride, Nadeem Riaz, Eric Sherman, Marc A Cohen, Oren Cahlon, Nancy Lee
Use of proton beam therapy has expanded, with the number of proton centres rapidly increasing not only in the USA but also worldwide. The physical characteristics of the proton beam offer important advantages versus widely used photon techniques in terms of radiation precision. In head and neck cancer in particular, proton beam therapy is uniquely suited for the complex anatomy of tumours and sensitive surrounding organs. De-intensification and personalisation of treatment to limit toxicity are of renewed importance in the context of human papilloma virus-associated disease, in which young patients will be cured but bear the consequences of adverse effects for decades...
April 26, 2017: Lancet Oncology
https://www.readbyqxmd.com/read/28455153/multi-institutional-analysis-of-radiation-modality-use-and-postoperative-outcomes-of-neoadjuvant-chemoradiation-for-esophageal-cancer
#16
Steven H Lin, Kenneth W Merrell, Jincheng Shen, Vivek Verma, Arlene M Correa, Lu Wang, Peter F Thall, Neha Bhooshan, Sarah E James, Michael G Haddock, Mohan Suntharalingam, Minesh P Mehta, Zhongxing Liao, James D Cox, Ritsuko Komaki, Reza J Mehran, Michael D Chuong, Christopher L Hallemeier
PURPOSE: Relative radiation dose exposure to vital organs in the thorax could influence clinical outcomes in esophageal cancer (EC). We assessed whether the type of radiation therapy (RT) modality used was associated with postoperative outcomes after neoadjuvant chemoradiation (nCRT). PATIENTS AND METHODS: Contemporary data from 580 EC patients treated with nCRT at 3 academic institutions from 2007 to 2013 were reviewed. 3D conformal RT (3D), intensity modulated RT (IMRT) and proton beam therapy (PBT) were used for 214 (37%), 255 (44%), and 111 (19%) patients, respectively...
April 25, 2017: Radiotherapy and Oncology: Journal of the European Society for Therapeutic Radiology and Oncology
https://www.readbyqxmd.com/read/28453861/functional-lung-avoidance-and-response-adaptive-escalation-flare-rt-multimodality-plan-dosimetry-of-a-precision-radiation-oncology-strategy
#17
Eunsin Lee, Jing Zeng, Robert S Miyaoka, Jatinder Saini, Paul E Kinahan, George A Sandison, Tony Wong, Hubert J Vesselle, Ramesh Rengan, Stephen R Bowen
PURPOSE: Non-small cell lung cancer (NSCLC) patient radiation therapy (RT) is planned without consideration of spatial heterogeneity in lung function or tumor response. We assessed the dosimetric and clinical feasibility of functional lung avoidance and response-adaptive escalation (FLARE) RT to reduce dose to [(99m) Tc]MAA-SPECT/CT perfused lung while redistributing an escalated boost dose within [(18) F]FDG-PET/CT-defined biological target volumes (BTV). METHODS: Eight stage IIB-IIIB NSCLC patients underwent FDG-PET/CT and MAA-SPECT/CT treatment planning scans...
April 28, 2017: Medical Physics
https://www.readbyqxmd.com/read/28447960/an-analytical-reconstruction-model-of-the-spread-out-bragg-peak-using-the-laser-accelerated-proton-beams
#18
Li Tao, Kun Zhu, Jungao Zhu, Xiaohan Xu, Chen Lin, Wenjun Ma, Haiyang Lu, Yanying Zhao, Yuanrong Lu, Jia-Er Chen, Xueqing Yan
With the development of laser technology, laser-driven proton acceleration provides a new way for proton tumor therapy. However, it has not been applied in practice, because of the wide and decreasing energy spectrum of laser-accelerated proton beams. In this paper, we propose an analytical model to reconstruct the spread-out Bragg peak (SOBP) using the laser-accelerated proton beams. Firstly, we present a modified weighting formula for protons of different energies. Secondly, a theoretical model for the reconstruction of SOBPs with laser-accelerated proton beams has been built...
April 27, 2017: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/28444840/topas-simulation-of-the-mevion-s250-compact-proton-therapy-unit
#19
Michael Prusator, Salahuddin Ahmad, Yong Chen
As proton therapy becomes increasingly popular, so does the need for Monte Carlo simulation studies involving accurate beam line modeling of proton treatment units. In this study, the 24 beam configurations of the Mevion S250 proton therapy system installed recently at our institution were modeled using the TOolkit for PArticle Simulation (TOPAS) code. Pristine Bragg peak, spread out Bragg peak (SOBP), and lateral beam profile dose distributions were simulated and matched to the measurements taken during commissioning of the unit...
April 26, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28444374/measurement-of-neutron-ambient-dose-equivalent-in-proton-radiotherapy-with-line-scanning-and-wobbling-mode-treatment-system
#20
Sangmin Lee, Chaeyeong Lee, Eun Hyuk Shin, Sungkoo Cho, Dae-Hyun Kim, Youngyih Han, Doo Ho Choi, Sung-Joon Ye, Jin Sung Kim
The primary objective of this study was to measure secondary neutron dose during proton therapy using a detector that covers the entire neutron energy range produced in proton therapy. We analyzed and compared the neutron dose during proton treatment with passive scattering and line scanning. The neutron ambient dose equivalents were measured with a 190 MeV wobbling and line-scanning proton beam. The center of a plastic water phantom (30 × 30 × 60 cm3) was placed at the isocenter. A Wide-Energy Neutron Detection Instrument (WENDI-2) was located 1m from the isocenter at four different angles (0°, 45°, 90° and 135°)...
April 24, 2017: Radiation Protection Dosimetry
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