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Article: Deep Seated Tumour Treatments With Electrons of High Energy Delivered at FLASH Rates: The Example of Prostate Cancer.

Sarti, Alessio / De Maria, Patrizia / Battistoni, Giuseppe / De Simoni, Micol / Di Felice, Cinzia / Dong, Yunsheng / Fischetti, Marta / Franciosini, Gaia / Marafini, Michela / Marampon, Francesco / Mattei, Ilaria / Mirabelli, Riccardo / Muraro, Silvia / Pacilio, Massimiliano / Palumbo, Luigi / Rocca, Loredana / Rubeca, Damiana / Schiavi, Angelo / Sciubba, Adalberto /

Tombolini, Vincenzo / Toppi, Marco / Traini, Giacomo / Trigilio, Antonio / Patera, Vincenzo

Frontiers in oncology

2021 Volume 11, Page(s) 777852

Abstract: Different therapies are adopted for the treatment of deep seated tumours in combination or as an alternative to surgical removal or chemotherapy: radiotherapy with photons (RT), particle therapy (PT) with protons or even heavier ions ... ...

Abstract	Different therapies are adopted for the treatment of deep seated tumours in combination or as an alternative to surgical removal or chemotherapy: radiotherapy with photons (RT), particle therapy (PT) with protons or even heavier ions like
Language	English
Publishing date	2021-12-23
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2649216-7
ISSN	2234-943X
ISSN	2234-943X
DOI	10.3389/fonc.2021.777852
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Article: In-vivo

Moglioni, Martina / Kraan, Aafke Christine / Baroni, Guido / Battistoni, Giuseppe / Belcari, Nicola / Berti, Andrea / Carra, Pietro / Cerello, Piergiorgio / Ciocca, Mario / De Gregorio, Angelica / De Simoni, Micol / Del Sarto, Damiano / Donetti, Marco / Dong, Yunsheng / Embriaco, Alessia / Fantacci, Maria Evelina / Ferrero, Veronica / Fiorina, Elisa / Fischetti, Marta /

Franciosini, Gaia / Giraudo, Giuseppe / Laruina, Francesco / Maestri, Davide / Magi, Marco / Magro, Giuseppe / Malekzadeh, Etesam / Marafini, Michela / Mattei, Ilaria / Mazzoni, Enrico / Mereu, Paolo / Mirandola, Alfredo / Morrocchi, Matteo / Muraro, Silvia / Orlandi, Ester / Patera, Vincenzo / Pennazio, Francesco / Pullia, Marco / Retico, Alessandra / Rivetti, Angelo / Da Rocha Rolo, Manuel Dionisio / Rosso, Valeria / Sarti, Alessio / Schiavi, Angelo / Sciubba, Adalberto / Sportelli, Giancarlo / Tampellini, Sara / Toppi, Marco / Traini, Giacomo / Trigilio, Antonio / Valle, Serena Marta / Valvo, Francesca / Vischioni, Barbara / Vitolo, Viviana / Wheadon, Richard / Bisogni, Maria Giuseppina

Frontiers in oncology

2022 Volume 12, Page(s) 929949

Abstract: Morphological changes that may arise through a treatment course are probably one of the most significant sources of range uncertainty in proton therapy. Non- ... ...

Abstract	Morphological changes that may arise through a treatment course are probably one of the most significant sources of range uncertainty in proton therapy. Non-invasive
Language	English
Publishing date	2022-09-26
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2649216-7
ISSN	2234-943X
ISSN	2234-943X
DOI	10.3389/fonc.2022.929949
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Article: Monitoring Carbon Ion Beams Transverse Position Detecting Charged Secondary Fragments: Results From Patient Treatment Performed at CNAO.

Toppi, Marco / Baroni, Guido / Battistoni, Giuseppe / Bisogni, Maria Giuseppina / Cerello, Piergiorgio / Ciocca, Mario / De Maria, Patrizia / De Simoni, Micol / Donetti, Marco / Dong, Yunsheng / Embriaco, Alessia / Ferrero, Veronica / Fiorina, Elisa / Fischetti, Marta / Franciosini, Gaia / Kraan, Aafke Christine / Luongo, Carmela / Malekzadeh, Etesam / Magi, Marco /

Frontiers in oncology

2021 Volume 11, Page(s) 601784

Abstract: Particle therapy in which deep seated tumours are treated ... ...

Abstract	Particle therapy in which deep seated tumours are treated using
Language	English
Publishing date	2021-06-10
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2649216-7
ISSN	2234-943X
ISSN	2234-943X
DOI	10.3389/fonc.2021.601784
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Article ; Online: Addendum: Measurement of charged particle yields from PMMA irradiated by a 220 MeV/u

Mattei, Ilaria / Battistoni, Giuseppe / Collini, Francesco / De Lucia, Erika / Durante, Marco / Fiore, Salvatore / Latessa, Chiara / Mancini-Terracciano, Carlo / Marafini, Michela / Mirabelli, Riccardo / Muraro, Silvia / Paramatti, Riccardo / Piersanti, Luca / Rucinski, Antoni / Russomando, Andrea / Sarti, Alessio / Schuy, Christoph / Sciubba, Adalberto / Solfaroli Camillocci, Elena /

Toppi, Marco / Traini, Giacomo / Valle, Serena Marta / Vanstalle, Marie / Patera, Vincenzo

Physics in medicine and biology

2017

Language	English
Publishing date	2017-09-08
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/aa8b35
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Article ; Online: Localization of anatomical changes in patients during proton therapy with in-beam PET monitoring: A voxel-based morphometry approach exploiting Monte Carlo simulations.

Kraan, Aafke Christine / Berti, Andrea / Retico, Alessandra / Baroni, Guido / Battistoni, Giuseppe / Belcari, Nicola / Cerello, Piergiorgio / Ciocca, Mario / De Simoni, Micol / Del Sarto, Damiano / Donetti, Marco / Dong, Yunsheng / Embriaco, Alessia / Ferrero, Veronica / Fiorina, Elisa / Fischetti, Marta / Franciosini, Gaia / Giraudo, Giuseppe / Laruina, Francesco /

Maestri, Davide / Magi, Marco / Magro, Giuseppe / Mancini Terracciano, Carlo / Marafini, Michela / Mattei, Ilaria / Mazzoni, Enrico / Mereu, Paolo / Mirabelli, Riccardo / Mirandola, Alfredo / Morrocchi, Matteo / Muraro, Silvia / Patera, Alessandra / Patera, Vincenzo / Pennazio, Francesco / Rivetti, Angelo / Da Rocha Rolo, Manuel Dionisio / Rosso, Valeria / Sarti, Alessio / Schiavi, Angelo / Sciubba, Adalberto / Solfaroli Camillocci, Elena / Sportelli, Giancarlo / Tampellini, Sara / Toppi, Marco / Traini, Giacomo / Valle, Serena Marta / Valvo, Francesca / Vischioni, Barbara / Vitolo, Viviana / Wheadon, Richard / Bisogni, Maria Giuseppina

Medical physics

2021 Volume 49, Issue 1, Page(s) 23–40

Abstract: Purpose: In-beam positron emission tomography (PET) is one of the modalities that can be used for in vivo noninvasive treatment monitoring in proton therapy. Although PET monitoring has been frequently applied for this purpose, there is still no ... ...

Abstract	Purpose: In-beam positron emission tomography (PET) is one of the modalities that can be used for in vivo noninvasive treatment monitoring in proton therapy. Although PET monitoring has been frequently applied for this purpose, there is still no straightforward method to translate the information obtained from the PET images into easy-to-interpret information for clinical personnel. The purpose of this work is to propose a statistical method for analyzing in-beam PET monitoring images that can be used to locate, quantify, and visualize regions with possible morphological changes occurring over the course of treatment. Methods: We selected a patient treated for squamous cell carcinoma (SCC) with proton therapy, to perform multiple Monte Carlo (MC) simulations of the expected PET signal at the start of treatment, and to study how the PET signal may change along the treatment course due to morphological changes. We performed voxel-wise two-tailed statistical tests of the simulated PET images, resembling the voxel-based morphometry (VBM) method commonly used in neuroimaging data analysis, to locate regions with significant morphological changes and to quantify the change. Results: The VBM resembling method has been successfully applied to the simulated in-beam PET images, despite the fact that such images suffer from image artifacts and limited statistics. Three dimensional probability maps were obtained, that allowed to identify interfractional morphological changes and to visualize them superimposed on the computed tomography (CT) scan. In particular, the characteristic color patterns resulting from the two-tailed statistical tests lend themselves to trigger alarms in case of morphological changes along the course of treatment. Conclusions: The statistical method presented in this work is a promising method to apply to PET monitoring data to reveal interfractional morphological changes in patients, occurring over the course of treatment. Based on simulated in-beam PET treatment monitoring images, we showed that with our method it was possible to correctly identify the regions that changed. Moreover we could quantify the changes, and visualize them superimposed on the CT scan. The proposed method can possibly help clinical personnel in the replanning procedure in adaptive proton therapy treatments.
MeSH term(s)	Humans ; Monte Carlo Method ; Positron-Emission Tomography ; Proton Therapy ; Tomography, X-Ray Computed
Language	English
Publishing date	2021-12-22
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.15336
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Article ; Online: Benchmarking Geant4 hadronic models for prompt-γ monitoring in carbon ion therapy.

Medical physics

2017 Volume 44, Issue 8, Page(s) 4276–4286

Abstract: Purpose: The real-time monitoring of the spread-out Bragg peak would allow the planned dose delivered during treatment to be directly verified, but this poses a major challenge in modern ion beam therapy. A possible method to achieve this goal is to ... ...

Abstract	Purpose: The real-time monitoring of the spread-out Bragg peak would allow the planned dose delivered during treatment to be directly verified, but this poses a major challenge in modern ion beam therapy. A possible method to achieve this goal is to exploit the production of secondary particles by the nuclear reactions of the beam with the patient and correlate their emission profile to the planned target volume position. In this study, we present both the production rate and energy spectra of the prompt-γ produced by the interactions of the Methods: The experiment was carried out at the GSI Helmholtz Centre for Heavy Ion Research, Darmstadt, Germany with a 220 MeV/u Results: An experimental prompt-γ yield of 1.06 × 10 Conclusion: In conclusion, this study provides prompt-γ yield values in agreement with previously published results for different carbon ions energies. This work demonstrates that the INCL
MeSH term(s)	Benchmarking ; Carbon ; Heavy Ion Radiotherapy ; Humans ; Monte Carlo Method ; Physical Phenomena ; Radiometry
Chemical Substances	Carbon (7440-44-0)
Language	English
Publishing date	2017-08
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.12348
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Article ; Online: Design of a new tracking device for on-line beam range monitor in carbon therapy.

Traini, Giacomo / Battistoni, Giuseppe / Bollella, Angela / Collamati, Francesco / De Lucia, Erika / Faccini, Riccardo / Ferroni, Fernando / Frallicciardi, Paola Maria / Mancini-Terracciano, Carlo / Marafini, Michela / Mattei, Ilaria / Miraglia, Federico / Muraro, Silvia / Paramatti, Riccardo / Piersanti, Luca / Pinci, Davide / Rucinski, Antoni / Russomando, Andrea / Sarti, Alessio /

Sciubba, Adalberto / Senzacqua, Martina / Solfaroli-Camillocci, Elena / Toppi, Marco / Voena, Cecilia / Patera, Vincenzo

Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB)

2017 Volume 34, Page(s) 18–27

Abstract: Charged particle therapy is a technique for cancer treatment that exploits hadron beams, mostly protons and carbon ions. A critical issue is the monitoring of the beam range so to check the correct dose deposition to the tumor and surrounding tissues. ... ...

Abstract	Charged particle therapy is a technique for cancer treatment that exploits hadron beams, mostly protons and carbon ions. A critical issue is the monitoring of the beam range so to check the correct dose deposition to the tumor and surrounding tissues. The design of a new tracking device for beam range real-time monitoring in pencil beam carbon ion therapy is presented. The proposed device tracks secondary charged particles produced by beam interactions in the patient tissue and exploits the correlation of the charged particle emission profile with the spatial dose deposition and the Bragg peak position. The detector, currently under construction, uses the information provided by 12 layers of scintillating fibers followed by a plastic scintillator and a pixelated Lutetium Fine Silicate (LFS) crystal calorimeter. An algorithm to account and correct for emission profile distortion due to charged secondaries absorption inside the patient tissue is also proposed. Finally detector reconstruction efficiency for charged particle emission profile is evaluated using a Monte Carlo simulation considering a quasi-realistic case of a non-homogenous phantom.
MeSH term(s)	Equipment Design ; Heavy Ion Radiotherapy/instrumentation ; Phantoms, Imaging ; Protons ; Radiotherapy Dosage ; Scintillation Counting
Chemical Substances	Protons
Language	English
Publishing date	2017-02
Publishing country	Italy
Document type	Journal Article
ZDB-ID	1122650-x
ISSN	1724-191X ; 1120-1797
ISSN (online)	1724-191X
ISSN	1120-1797
DOI	10.1016/j.ejmp.2017.01.004
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Article: Monitoring of Hadrontherapy Treatments by Means of Charged Particle Detection.

Muraro, Silvia / Battistoni, Giuseppe / Collamati, Francesco / De Lucia, Erika / Faccini, Riccardo / Ferroni, Fernando / Fiore, Salvatore / Frallicciardi, Paola / Marafini, Michela / Mattei, Ilaria / Morganti, Silvio / Paramatti, Riccardo / Piersanti, Luca / Pinci, Davide / Rucinski, Antoni / Russomando, Andrea / Sarti, Alessio / Sciubba, Adalberto / Solfaroli-Camillocci, Elena /

Toppi, Marco / Traini, Giacomo / Voena, Cecilia / Patera, Vincenzo

Frontiers in oncology

2016 Volume 6, Page(s) 177

Abstract: The interaction of the incoming beam radiation with the patient body in hadrontherapy treatments produces secondary charged and neutral particles, whose detection can be used for monitoring purposes and to perform an on-line check of beam particle range. ...

Abstract	The interaction of the incoming beam radiation with the patient body in hadrontherapy treatments produces secondary charged and neutral particles, whose detection can be used for monitoring purposes and to perform an on-line check of beam particle range. In the context of ion-therapy with active scanning, charged particles are potentially attractive since they can be easily tracked with a high efficiency, in presence of a relatively low background contamination. In order to verify the possibility of exploiting this approach for in-beam monitoring in ion-therapy, and to guide the design of specific detectors, both simulations and experimental tests are being performed with ion beams impinging on simple homogeneous tissue-like targets (PMMA). From these studies, a resolution of the order of few millimeters on the single track has been proven to be sufficient to exploit charged particle tracking for monitoring purposes, preserving the precision achievable on longitudinal shape. The results obtained so far show that the measurement of charged particles can be successfully implemented in a technology capable of monitoring both the dose profile and the position of the Bragg peak inside the target and finally lead to the design of a novel profile detector. Crucial aspects to be considered are the detector positioning, to be optimized in order to maximize the available statistics, and the capability of accounting for the multiple scattering interactions undergone by the charged fragments along their exit path from the patient body. The experimental results collected up to now are also valuable for the validation of Monte Carlo simulation software tools and their implementation in Treatment Planning Software packages.
Language	English
Publishing date	2016-08-03
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2649216-7
ISSN	2234-943X
ISSN	2234-943X
DOI	10.3389/fonc.2016.00177
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Article ; Online: Time Evolution of DOTATOC Uptake in Neuroendocrine Tumors in View of a Possible Application of Radioguided Surgery with β- Decay.

Journal of nuclear medicine : official publication, Society of Nuclear Medicine

2015 Volume 56, Issue 10, Page(s) 1501–1506

Abstract: Unlabelled: A novel radioguided surgery (RGS) technique exploiting β- radiation has been proposed. To develop such a technique, a suitable radiotracer able to deliver a β- emitter to the tumor has to be identified. A first candidate is represented by ... ...

Abstract	Unlabelled: A novel radioguided surgery (RGS) technique exploiting β- radiation has been proposed. To develop such a technique, a suitable radiotracer able to deliver a β- emitter to the tumor has to be identified. A first candidate is represented by 90Y-labeled DOTATOC, a compound commonly used today for peptide radioreceptor therapy. The application of this β- RGS to neuroendocrine tumors (NET) requires study of the uptake of DOTATOC and its time evolution both in tumors and in healthy organs and evaluation of the corresponding performance of the technique. Methods: Uptake by lesions and healthy organs (kidneys, spleen, liver and healthy muscle) was estimated on 177Lu-DOTATOC SPECT/CT scans of 15 patients affected by NET with different localizations, treated at IRCCS-Arcispedale Santa Maria Nuova, Reggio Emilia, Italy. For each patient, SPECT/CT images, acquired at 0.5, 4, 20, 40, and 70 h after injection, were studied. For each lesion, the tumor-to-nontumor ratio (TNR) with respect to all healthy organs and its time evolution were studied. A subset of patients showing hepatic lesions was selected, and the TNR with respect to the nearby healthy tissue was calculated. By means of a Monte Carlo simulation of the probe for β- RGS, the activity that is to be administered for a successful detection was estimated lesion-by-lesion. Results: Uptake of DOTATOC on NETs maximized at about 24 h after injection. The cases of hepatic lesions showed a TNR with respect to the tumor margins compatible with the application of β- RGS. In particular, 0.1-mL residuals are expected to be detectable within 1 s with 5% false-negative and 1% false-positive by administering the patient as little as 1 MBq/kg. Conclusion: The balance between tumor uptake and metabolic washout in healthy tissue causes the TNR to increase with time, reaching its maximum after 24 h, and this characteristic can be exploited when a radiotracer with a long half-life, such as 90Y, is used. In particular, if 90Y-DOTATOC is used with liver NET metastases, the proposed RGS technique is believed to be feasible by injecting an activity that is one third of that commonly used for PET imaging.
MeSH term(s)	Beta Particles ; Half-Life ; Humans ; Kidney/diagnostic imaging ; Liver/diagnostic imaging ; Neuroendocrine Tumors/diagnostic imaging ; Neuroendocrine Tumors/surgery ; Octreotide/analogs & derivatives ; Octreotide/pharmacokinetics ; Radiopharmaceuticals/pharmacokinetics ; Spleen/diagnostic imaging ; Surgery, Computer-Assisted/methods ; Tissue Distribution ; Tomography, Emission-Computed, Single-Photon
Chemical Substances	177Lu-octreotide, DOTA(0)-Tyr(3)- ; Radiopharmaceuticals ; 90Y-octreotide, DOTA-Tyr(3)- (ABF7OG3FA3) ; Octreotide (RWM8CCW8GP)
Language	English
Publishing date	2015-09-03
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	80272-4
ISSN	1535-5667 ; 0097-9058 ; 0161-5505 ; 0022-3123
ISSN (online)	1535-5667
ISSN	0097-9058 ; 0161-5505 ; 0022-3123
DOI	10.2967/jnumed.115.160481
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Book ; Online: An Intraoperative $\beta^-$ Detecting Probe For Radio-Guided Surgery in Tumour Resection

Russomando, Andrea / Bellini, Fabio / Bocci, Valerio / Chiodi, Giacomo / Collamati, Francesco / De Lucia, Erika / Donnarumma, Raffaella / Faccini, Riccardo / Terracciano, Carlo Mancini / Marafini, Michela / Paramatti, Riccardo / Patera, Vincenzo / Pinci, %Davide / Recchia, Luigi / Sarti, Alessio / Sciubba, Adalberto / Camillocci, Elena Solfaroli / Voena, Cecilia / Morganti, Silvio

2015

Abstract: The development of the $\beta^-$ based radio-guided surgery aims to extend the technique to those tumours where surgery is the only possible treatment and the assessment of the resection would most profit from the low background around the lesion, as for ...

Abstract	The development of the $\beta^-$ based radio-guided surgery aims to extend the technique to those tumours where surgery is the only possible treatment and the assessment of the resection would most profit from the low background around the lesion, as for brain tumours. Feasibility studies on meningioma, glioma, and neuroendocrine tumors already estimated the potentiality of this new treatment. To validate the technique, prototypes of the intraoperative probe required by the technique to detect $\beta^-$ radiation have been developed. This paper discusses the design details of the device and the tests performed in laboratory. In such tests particular care has to be taken to reproduce the surgical field conditions. The innovative technique to produce specific phantoms and the dedicated testing protocols is described in detail. Comment: 7 pages, 15 figures
Keywords	Physics - Medical Physics ; Physics - Instrumentation and Detectors
Subject code	616 ; 621
Publishing date	2015-11-06
Publishing country	us
Document type	Book ; Online
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