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  1. Article ; Online: Performance of LGAD strip detectors for particle counting of therapeutic proton beams.

    Monaco, Vincenzo / Ali, Omar Hammad / Bersani, Davide / Abujami, Mohammed / Boscardin, Maurizio / Cartiglia, Nicolò / Betta, Gian Franco Dalla / Data, Emanuele / Donetti, Marco / Ferrero, Marco / Ficorella, Francesco / Giordanengo, Simona / Villarreal, Oscar Ariel Marti / Milian, Felix Mas / Mohammadian-Behbahani, Mohammad-Reza / Olivares, Diango Montalvan / Pullia, Marco / Tommasino, Francesco / Verroi, Enrico /
    Vignati, Anna / Cirio, Roberto / Sacchi, Roberto

    Physics in medicine and biology

    2023  Volume 68, Issue 23

    Abstract: ... ...

    Abstract Objective
    MeSH term(s) Radiometry/methods ; Protons ; Silicon ; Proton Therapy ; Cyclotrons
    Chemical Substances Protons ; Silicon (Z4152N8IUI)
    Language English
    Publishing date 2023-11-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 208857-5
    ISSN 1361-6560 ; 0031-9155
    ISSN (online) 1361-6560
    ISSN 0031-9155
    DOI 10.1088/1361-6560/ad02d5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Calibration method and performance of a time-of-flight detector to measure absolute beam energy in proton therapy.

    Vignati, Anna / Mas Milian, Felix / Shakarami, Zahra / Abujami, Mohammed / Bersani, Davide / Data, Emanuele / Donetti, Marco / Ferrero, Veronica / Galeone, Cosimo / Giordanengo, Simona / Hammad Ali, Omar / Marti Villarreal, Oscar Ariel / Medina, Elisabetta / Montalvan Olivares, Diango / Paternoster, Giovanni / Tommasino, Francesco / Cirio, Roberto / Monaco, Vincenzo / Sacchi, Roberto

    Medical physics

    2023  Volume 50, Issue 9, Page(s) 5817–5827

    Abstract: Background: The beam energy is one of the most significant parameters in particle therapy since it is directly correlated to the particles' penetration depth inside the patient. Nowadays, the range accuracy is guaranteed by offline routine quality ... ...

    Abstract Background: The beam energy is one of the most significant parameters in particle therapy since it is directly correlated to the particles' penetration depth inside the patient. Nowadays, the range accuracy is guaranteed by offline routine quality control checks mainly performed with water phantoms, 2D detectors with PMMA wedges, or multi-layer ionization chambers. The latter feature low sensitivity, slow collection time, and response dependent on external parameters, which represent limiting factors for the quality controls of beams delivered with fast energy switching modalities, as foreseen in future treatments. In this context, a device based on solid-state detectors technology, able to perform a direct and absolute beam energy measurement, is proposed as a viable alternative for quality assurance measurements and beam commissioning, paving the way for online range monitoring and treatment verification.
    Purpose: This work follows the proof of concept of an energy monitoring system for clinical proton beams, based on Ultra Fast Silicon Detectors (featuring tenths of ps time resolution in 50 μm active thickness, and single particle detection capability) and time-of-flight techniques. An upgrade of such a system is presented here, together with the description of a dedicated self-calibration method, proving that this second prototype is able to assess the mean particles energy of a monoenergetic beam without any constraint on the beam temporal structure, neither any a priori knowledge of the beam energy for the calibration of the system.
    Methods: A new detector geometry, consisting of sensors segmented in strips, has been designed and implemented in order to enhance the statistics of coincident protons, thus improving the accuracy of the measured time differences. The prototype was tested on the cyclotron proton beam of the Trento Protontherapy Center (TPC). In addition, a dedicated self-calibration method, exploiting the measurement of monoenergetic beams crossing the two telescope sensors for different flight distances, was introduced to remove the systematic uncertainties independently from any external reference.
    Results: The novel calibration strategy was applied to the experimental data collected at TPC (Trento) and CNAO (Pavia). Deviations between measured and reference beam energies in the order of a few hundreds of keV with a maximum uncertainty of 0.5 MeV were found, in compliance with the clinically required water range accuracy of 1 mm.
    Conclusions: The presented version of the telescope system, minimally perturbative of the beam, relies on a few seconds of acquisition time to achieve the required clinical accuracy and therefore represents a feasible solution for beam commission, quality assurance checks, and online beam energy monitoring.
    MeSH term(s) Calibration ; Proton Therapy/standards ; Time Factors ; Humans
    Language English
    Publishing date 2023-07-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 188780-4
    ISSN 2473-4209 ; 0094-2405
    ISSN (online) 2473-4209
    ISSN 0094-2405
    DOI 10.1002/mp.16637
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: MRI only in a patient with prostate cancer with bilateral metal hip prostheses: case study.

    Felisi, Marco / Monti, Angelo Filippo / Lizio, Domenico / Nici, Stefania / Pellegrini, Roberto Giuseppe / Riga, Stefano / Bortolato, Barbara / Brambilla, Maria Grazia / Carbonini, Claudia / Abujami, Mohammed / Carsana, Chiara / Sibio, Daniela / Potente, Carmelina / Vanzulli, Angelo / Palazzi, Mauro Filippo / Torresin, Alberto

    Tumori

    2021  Volume 107, Issue 6, Page(s) NP41–NP44

    Abstract: Objective: To outline a practical method of performing prostate cancer radiotherapy in patients with bilateral metal hip prostheses with the standard resources available in a modern general hospital. The proposed workflow is based exclusively on ... ...

    Abstract Objective: To outline a practical method of performing prostate cancer radiotherapy in patients with bilateral metal hip prostheses with the standard resources available in a modern general hospital. The proposed workflow is based exclusively on magnetic resonance imaging (MRI) to avoid computed tomography (CT) artifacts.
    Case description: This study concerns a 73-year-old man with bilateral hip prostheses with an elevated risk prostate cancer. Magnetic resonance images with assigned electron densities were used for planning purposes, generating a synthetic CT (sCT). Imaging acquisition was performed with an optimized Dixon sequence on a 1.5T MRI scanner. The images were contoured by autosegmentation software, based on an MRI database of 20 patients. The sCT was generated assigning averaged electron densities to each contour. Two volumetric modulated arc therapy plans, a complete arc and a partial one, where the beam entrances through the prostheses were avoided for about 50° on both sides, were compared. The feasibility of matching daily cone beam CT (CBCT) with MRI reference images was also tested by visual evaluations of different radiation oncologists.
    Conclusions: The use of magnetic resonance images improved accuracy in targets and organs at risk (OARs) contouring. The complete arc plan was chosen because of 10% lower mean and maximum doses to prostheses with the same planning target volume coverage and OAR sparing. The image quality of the match between performed CBCTs and MRI was considered acceptable. The proposed method seems promising to improve radiotherapy treatments for this complex category of patients.
    MeSH term(s) Aged ; Artifacts ; Heavy Ion Radiotherapy/standards ; Hip Prosthesis/statistics & numerical data ; Humans ; Image Processing, Computer-Assisted/methods ; Magnetic Resonance Imaging/methods ; Male ; Metal-on-Metal Joint Prostheses/statistics & numerical data ; Organs at Risk ; Prostatic Neoplasms/pathology ; Prostatic Neoplasms/radiotherapy ; Radiotherapy Planning, Computer-Assisted/standards ; Radiotherapy, Image-Guided/methods
    Language English
    Publishing date 2021-02-25
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 280962-x
    ISSN 2038-2529 ; 0300-8916
    ISSN (online) 2038-2529
    ISSN 0300-8916
    DOI 10.1177/0300891621997549
    Database MEDical Literature Analysis and Retrieval System OnLINE

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