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Proton-Residual-Range-Reconstruction-and-Impact-on-Dose-to-the-Target-Object-in-a-Proton-Imaging-System

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• Simulation: Uncertainty in residual range is dominated by intrinsic fluctuations through water.. • Due to fluctuations in energy loss, the protons arrive at the detector with a range r

Trang 1

Dependence of pulse height on range:

Approximately linear (from a convolution of light yield with photon collection efficiency)

• Simulation:

Uncertainty in residual range is dominated by intrinsic fluctuations through water

• Due to fluctuations in energy loss, the

protons arrive at the detector with a range resolution of 2-2.5 mm

• Perfect Detector:

Resolution determined only by Intrinsic

fluctuations through water

• Range reconstruction uses total energy output

as well as position-weighted outputs

• Plot shows one quadrant of 20x20x10

cm detector

• The intrinsic resolution from the water is

approximately 2.5 mm

Proton Residual Range Reconstruction and Impact on Dose to the Target Object in a Proton Imaging System

Purpose: Proton radiography would be the most direct method of image guidance for proton therapy We aimed to develop a high-performance, low-cost proton radiography system based on

well-established fast scintillator technology We also aimed to achieve the lower dose to the patient, relative to equivalent x-ray images, that is possible with proton imaging This dose advantage relies

on a precise reconstruction of the residual ranges of individual protons traversing the patient, and a strategy to maintain low residual range during the scan

Methodology: We have developed an algorithm to reconstruct proton residual range with our proton imaging system We tested this algorithm with simulated data, and compared simulated data

with test beam data from our actual detector We also used simulations to understand the effect of residual range on dose to the patient

Results: We find that for protons traversing 20 cm (water-equivalent) of material, our detector achieves a residual range resolution, for individual protons, dominated by the intrinsic range

fluctuations through the material Therefore, as individual protons are averaged to form the image, the intrinsic fluctuations are the major factor in the total dose to the patient We also find that the

dose to the patient is lower for lower residual ranges

E DeJongh, F DeJongh, V Rykalin ProtonVDA Inc

J Welsh Stritch School of Medicine Loyola University - Chicago

M Pankuch Northwestern Medicine Chicago Proton Center

quantized from RF accelerator system

are single proton events

two-proton events

from protons sitting on a tail of a proton 10 nsec earlier

fall below 0.06V

Transverse position from two position-weighted Range detector outputs

Northwestern:

Scanning pencil beam at ultra-low intensity

0 0.5 1 1.5 2 2.5 3 3.5

Residual Range (cm)

Calculation, for a fixed final residual range resolution in image:

• Vertical axis: Relative dose to target object

• Horizontal axis: Residual range

Includes nuclear effects

Simulation of uncertainty on reconstruction of transverse position

of track

Determines final image sharpness

Real

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