Hefei Ion Medical Center, the First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.
Ion Medical Research Institute, University of Science and Technology of China, Hefei, China.
J Appl Clin Med Phys. 2024 May;25(5):e14349. doi: 10.1002/acm2.14349. Epub 2024 Mar 29.
Beam delivery latency in respiratory-gated particle therapy systems is a crucial issue to dose delivery accuracy. The aim of this study is to develop a multi-channel signal acquisition platform for investigating gating latencies occurring within RPM respiratory gating system (Varian, USA) and ProBeam proton treatment system (Varian, USA) individually.
The multi-channel signal acquisition platform consisted of several electronic components, including a string position sensor for target motion detection, a photodiode for proton beam sensing, an interfacing board for accessing the trigger signal between the respiratory gating system and the proton treatment system, a signal acquisition device for sampling and synchronizing signals from the aforementioned components, and a laptop for controlling the signal acquisition device and data storage. RPM system latencies were determined by comparing the expected gating phases extracted from the motion signal with the trigger signal's state turning points. ProBeam system latencies were assessed by comparing the state turning points of the trigger signal with the beam signal. The total beam delivery latencies were calculated as the sum of delays in the respiratory gating system and the cyclotron proton treatment system. During latency measurements, simulated sinusoidal motion were applied at different amplitudes and periods for complete beam delivery latency evaluation under different breathing patterns. Each breathing pattern was repeated 30 times for statistical analysis.
The measured gating ON/OFF latencies in the RPM system were found to be 104.20 ± 13.64 ms and 113.60 ± 14.98 ms, respectively. The measured gating ON/OFF delays in the ProBeam system were 108.29 ± 0.85 ms and 1.20 ± 0.04 ms, respectively. The total beam ON/OFF latencies were determined to be 212.50 ± 13.64 ms and 114.80 ± 14.98 ms.
With the developed multi-channel signal acquisition platform, it was able to investigate the gating lags happened in both the respiratory gating system and the proton treatment system. The resolution of the platform is enough to distinguish the delays at the millisecond time level. Both the respiratory gating system and the proton treatment system made contributions to gating latency. Both systems contributed nearly equally to the total beam ON latency, with approximately 100 ms. In contrast, the respiratory gating system was the dominant contributor to the total beam OFF latency.
在呼吸门控粒子治疗系统中,射束传输延迟是剂量传输准确性的关键问题。本研究的目的是开发一种多通道信号采集平台,用于分别研究 RPM 呼吸门控系统(美国瓦里安)和 ProBeam 质子治疗系统中的门控延迟。
多通道信号采集平台由几个电子元件组成,包括用于目标运动检测的字符串位置传感器、用于质子束检测的光电二极管、用于访问呼吸门控系统和质子治疗系统之间触发信号的接口板、用于从上述元件中采样和同步信号的信号采集设备以及用于控制信号采集设备和数据存储的笔记本电脑。RPM 系统延迟通过比较从运动信号中提取的预期门控相位与触发信号状态转折点来确定。ProBeam 系统延迟通过比较触发信号的状态转折点与束信号来评估。总射束传输延迟被计算为呼吸门控系统和回旋质子治疗系统中延迟的总和。在延迟测量期间,在不同的呼吸模式下,应用模拟正弦运动以评估不同呼吸模式下完整射束传输延迟的情况。对于每个呼吸模式,重复 30 次进行统计分析。
在 RPM 系统中,测量得到的门控 ON/OFF 延迟分别为 104.20 ± 13.64 ms 和 113.60 ± 14.98 ms。在 ProBeam 系统中,测量得到的门控 ON/OFF 延迟分别为 108.29 ± 0.85 ms 和 1.20 ± 0.04 ms。总射束 ON/OFF 延迟分别确定为 212.50 ± 13.64 ms 和 114.80 ± 14.98 ms。
使用开发的多通道信号采集平台,可以研究呼吸门控系统和质子治疗系统中的门控滞后。该平台的分辨率足以在毫秒时间级别上区分延迟。呼吸门控系统和质子治疗系统都对门控延迟有贡献。两个系统对总射束 ON 延迟的贡献几乎相等,约为 100 ms。相比之下,呼吸门控系统是总射束 OFF 延迟的主要贡献者。