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      Issues involved in the quantitative 3D imaging of proton doses using optical CT and chemical dosimeters

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          Abstract

          Dosimetry of proton beams using 3D imaging of chemical dosimeters is complicated by a variation with proton linear energy transfer (LET) of the dose–response (the so-called ‘quenching effect’). Simple theoretical arguments lead to the conclusion that the total absorbed dose from multiple irradiations with different LETs cannot be uniquely determined from post-irradiation imaging measurements on the dosimeter. Thus, a direct inversion of the imaging data is not possible and the proposition is made to use a forward model based on appropriate output from a planning system to predict the 3D response of the dosimeter.

          In addition to the quenching effect, it is well known that chemical dosimeters have a non-linear response at high doses. To the best of our knowledge it has not yet been determined how this phenomenon is affected by LET. The implications for dosimetry of a number of potential scenarios are examined.

          Dosimeter response as a function of depth (and hence LET) was measured for four samples of the radiochromic plastic PRESAGE ®, using an optical computed tomography readout and entrance doses of 2.0 Gy, 4.0 Gy, 7.8 Gy and 14.7 Gy, respectively. The dosimeter response was separated into two components, a single-exponential low-LET response and a LET-dependent quenching. For the particular formulation of PRESAGE ® used, deviations from linearity of the dosimeter response became significant for doses above approximately 16 Gy.

          In a second experiment, three samples were each irradiated with two separate beams of 4 Gy in various different configurations. On the basis of the previous characterizations, two different models were tested for the calculation of the combined quenching effect from two contributions with different LETs. It was concluded that a linear superposition model with separate calculation of the quenching for each irradiation did not match the measured result where two beams overlapped. A second model, which used the concept of an ‘effective dose’ matched the experimental results more closely. An attempt was made to measure directly the quench function for two proton beams as a function of all four variables of interest (two physical doses and two LET values). However, this approach was not successful because of limitations in the response of the scanner.

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          Particle radiation therapy using proton and heavier ion beams.

          Particle beams like protons and heavier ions offer improved dose distributions compared with photon (also called x-ray) beams and thus enable dose escalation within the tumor while sparing normal tissues. Although protons have a biologic effectiveness comparable to photons, ions, because they are heavier than protons, provide a higher biologic effectiveness. Recent technologic developments in the fields of accelerator engineering, treatment planning, beam delivery, and tumor visualization have stimulated the process of transferring particle radiation therapy (RT) from physics laboratories to the clinic. This review describes the physical, biologic, and technologic aspects of particle beam therapy. Clinical trials investigating proton and carbon ion RT will be summarized and discussed in the context of their relevance to recent concepts of treatment with RT.
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            Polymer gel dosimetry.

            Polymer gel dosimeters are fabricated from radiation sensitive chemicals which, upon irradiation, polymerize as a function of the absorbed radiation dose. These gel dosimeters, with the capacity to uniquely record the radiation dose distribution in three-dimensions (3D), have specific advantages when compared to one-dimensional dosimeters, such as ion chambers, and two-dimensional dosimeters, such as film. These advantages are particularly significant in dosimetry situations where steep dose gradients exist such as in intensity-modulated radiation therapy (IMRT) and stereotactic radiosurgery. Polymer gel dosimeters also have specific advantages for brachytherapy dosimetry. Potential dosimetry applications include those for low-energy x-rays, high-linear energy transfer (LET) and proton therapy, radionuclide and boron capture neutron therapy dosimetries. These 3D dosimeters are radiologically soft-tissue equivalent with properties that may be modified depending on the application. The 3D radiation dose distribution in polymer gel dosimeters may be imaged using magnetic resonance imaging (MRI), optical-computerized tomography (optical-CT), x-ray CT or ultrasound. The fundamental science underpinning polymer gel dosimetry is reviewed along with the various evaluation techniques. Clinical dosimetry applications of polymer gel dosimetry are also presented.
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              Proton beam therapy

              Conventional radiation therapy directs photons (X-rays) and electrons at tumours with the intent of eradicating the neoplastic tissue while preserving adjacent normal tissue. Radiation-induced damage to healthy tissue and second malignancies are always a concern, however, when administering radiation. Proton beam radiotherapy, one form of charged particle therapy, allows for excellent dose distributions, with the added benefit of no exit dose. These characteristics make this form of radiotherapy an excellent choice for the treatment of tumours located next to critical structures such as the spinal cord, eyes, and brain, as well as for paediatric malignancies.
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                Author and article information

                Journal
                Phys Med Biol
                Phys Med Biol
                pmb
                PHMBA7
                Physics in Medicine and Biology
                IOP Publishing
                0031-9155
                1361-6560
                21 January 2015
                2 January 2015
                : 60
                : 2
                : 709-726
                Affiliations
                [1 ]CRUK Cancer Imaging Centre, Institute of Cancer Research , London, UK
                [2 ]Department of Physics, University of Surrey , Guildford, Surrey, UK
                [3 ]Royal Prince Alfred Hospital , Camperdown, NSW 2050, Australia
                [4 ]Douglas Cyclotron, Clatterbridge Cancer Centre , Wirral, UK
                [5 ]Department of Chemistry and Biology, Rider University , Lawrenceville, NJ 08648, USA
                [6 ]Institute of Medical Physics, School of Physics, University of Sydney , NSW 2006, Australia
                Simon.Doran@ 123456icr.ac.uk
                Article
                pmb504900 504900 PMB-101306.R1
                10.1088/0031-9155/60/2/709
                5390951
                25555069
                a8315119-6fb4-438f-9b1c-8bfb7904d2fb
                © 2015 Institute of Physics and Engineering in Medicine

                Content from this work may be used under the terms of the Creative Commons Attribution 3.0 licence. Any further distribution of this work must maintain attribution to the author(s) and the title of the work, journal citation and DOI.

                History
                : 11 August 2014
                : 17 October 2014
                : 29 October 2014
                : 15 August 2014
                : 2 January 2015
                Page count
                Pages: 18
                Funding
                Funded by: Wellcome Trust http://dx.doi.org/10.13039/100004440
                Categories
                Paper
                Custom metadata
                0031-9155/15/020709+18$33.00
                Printed in the UK
                yes

                optical ct,proton therapy,presage
                optical ct, proton therapy, presage

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