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调试用于精确递送扩展布拉格峰的被动散射质子治疗喷嘴。

Commissioning a passive-scattering proton therapy nozzle for accurate SOBP delivery.

作者信息

Engelsman M, Lu H M, Herrup D, Bussiere M, Kooy H M

机构信息

Department of Radiation Oncology, Francis H. Burr Proton Therapy Center Massachusetts General Hospital, Boston, Massachusetts 02114, USA.

出版信息

Med Phys. 2009 Jun;36(6):2172-80. doi: 10.1118/1.3121489.

DOI:10.1118/1.3121489
PMID:19610306
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2832065/
Abstract

Proton radiotherapy centers that currently use passively scattered proton beams do field specific calibrations for a non-negligible fraction of treatment fields, which is time and resource consuming. Our improved understanding of the passive scattering mode of the IBA universal nozzle, especially of the current modulation function, allowed us to re-commission our treatment control system for accurate delivery of SOBPs of any range and modulation, and to predict the output for each of these fields. We moved away from individual field calibrations to a state where continued quality assurance of SOBP field delivery is ensured by limited system-wide measurements that only require one hour per week. This manuscript reports on a protocol for generation of desired SOBPs and prediction of dose output.

摘要

目前使用被动散射质子束的质子放射治疗中心,会针对相当一部分治疗野进行特定野的校准,这既耗时又耗资源。我们对IBA通用喷嘴的被动散射模式,尤其是电流调制功能有了更深入的了解,这使我们能够重新调试治疗控制系统,以精确输送任何射程和调制的扩展野布拉格峰(SOBP),并预测每个野的输出剂量。我们不再进行单个野的校准,而是进入了一种状态,即通过每周仅需一小时的有限全系统测量来确保SOBP野输送的持续质量保证。本手稿报告了一种生成所需SOBP和预测剂量输出的方案。

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本文引用的文献

1
Field size dependence of the output factor in passively scattered proton therapy: influence of range, modulation, air gap, and machine settings.被动散射质子治疗中输出因子的射野大小依赖性:射程、调制、气隙和机器设置的影响
Med Phys. 2009 Jul;36(7):3205-10. doi: 10.1118/1.3152111.
2
Parametrization and application of scatter kernels for modelling scanned proton beam collimator scatter dose.用于模拟扫描质子束准直器散射剂量的散射核参数化及应用
Phys Med Biol. 2008 Jul 7;53(13):3405-29. doi: 10.1088/0031-9155/53/13/001. Epub 2008 Jun 11.
3
Comparison between the lateral penumbra of a collimated double-scattered beam and uncollimated scanning beam in proton radiotherapy.质子放疗中准直双散射束与非准直扫描束的侧向半影比较。
Phys Med Biol. 2008 Mar 21;53(6):1729-50. doi: 10.1088/0031-9155/53/6/016. Epub 2008 Mar 7.
4
Monte Carlo investigation of collimator scatter of proton-therapy beams produced using the passive scattering method.使用被动散射法产生的质子治疗束准直器散射的蒙特卡罗研究。
Phys Med Biol. 2008 Jan 21;53(2):487-504. doi: 10.1088/0031-9155/53/2/014. Epub 2007 Dec 28.
5
Sensitivities in the production of spread-out Bragg peak dose distributions by passive scattering with beam current modulation.通过束流调制的被动散射产生扩展布拉格峰剂量分布时的敏感性。
Med Phys. 2007 Oct;34(10):3844-53. doi: 10.1118/1.2776255.
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Determination of output factors for small proton therapy fields.小质子治疗射野输出因子的测定
Med Phys. 2007 Feb;34(2):489-98. doi: 10.1118/1.2428406.
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Optimization of current modulation function for proton spread-out Bragg peak fields.质子扩展布拉格峰场电流调制函数的优化
Med Phys. 2006 May;33(5):1281-7. doi: 10.1118/1.2188072.
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The prediction of output factors for spread-out proton Bragg peak fields in clinical practice.临床实践中扩展质子布拉格峰射野输出因子的预测
Phys Med Biol. 2005 Dec 21;50(24):5847-56. doi: 10.1088/0031-9155/50/24/006. Epub 2005 Dec 6.
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Phys Med Biol. 2003 Sep 7;48(17):2797-808. doi: 10.1088/0031-9155/48/17/305.