Dose Profile Modulation of Proton Minibeam for Clinical Application

The feasibility of proton minibeam radiation therapy (pMBRT) using a multislit collimator (MSC) and a scattering device was evaluated for clinical use at a clinical proton therapy facility. We fabricated, through Monte Carlo (MC) simulations, not only an MSC with a high peak-to-valley dose ratio (PV...

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Main Authors: Myeongsoo Kim, Ui-Jung Hwang, Kyeongyun Park, Dohyeon Kim, Hak Soo Kim, Sang Hyoun Choi, Jong Hwi Jeong, Dongho Shin, Se Byeong Lee, Joo-Young Kim, Tae Hyun Kim, Hye Jung Baek, Hojin Kim, Kihwan Kim, Sang Soo Kim, Young Kyung Lim
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Cancers
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Online Access:https://www.mdpi.com/2072-6694/14/12/2888
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author Myeongsoo Kim
Ui-Jung Hwang
Kyeongyun Park
Dohyeon Kim
Hak Soo Kim
Sang Hyoun Choi
Jong Hwi Jeong
Dongho Shin
Se Byeong Lee
Joo-Young Kim
Tae Hyun Kim
Hye Jung Baek
Hojin Kim
Kihwan Kim
Sang Soo Kim
Young Kyung Lim
author_facet Myeongsoo Kim
Ui-Jung Hwang
Kyeongyun Park
Dohyeon Kim
Hak Soo Kim
Sang Hyoun Choi
Jong Hwi Jeong
Dongho Shin
Se Byeong Lee
Joo-Young Kim
Tae Hyun Kim
Hye Jung Baek
Hojin Kim
Kihwan Kim
Sang Soo Kim
Young Kyung Lim
author_sort Myeongsoo Kim
collection DOAJ
description The feasibility of proton minibeam radiation therapy (pMBRT) using a multislit collimator (MSC) and a scattering device was evaluated for clinical use at a clinical proton therapy facility. We fabricated, through Monte Carlo (MC) simulations, not only an MSC with a high peak-to-valley dose ratio (PVDR) at the entrance of the proton beam, to prevent radiation toxicity, but also a scattering device to modulate the PVDR in depth. The slit width and center-to-center distance of the diverging MSC were 2.5 mm and 5.0 mm at the large end, respectively, and its thickness and available field size were 100 mm and 76 × 77.5 mm<sup>2</sup>, respectively. Spatially fractionated dose distributions were measured at various depths using radiochromic EBT3 films and also tested on bacterial cells. MC simulation showed that the thicker the MSC, the higher the PVDR at the phantom surface. Dosimetric evaluations showed that lateral dose profiles varied according to the scatterer’s thickness, and the depths satisfying PVDR = 1.1 moved toward the surface as their thickness increased. The response of the bacterial cells to the proton minibeams’ depth was also established, in a manner similar to the dosimetric pattern. Conclusively, these results strongly suggest that pMBRT can be implemented in clinical centers by using MSC and scatterers.
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spelling doaj.art-055eecaf01ad44638a613a3d652b98f12023-11-23T15:55:53ZengMDPI AGCancers2072-66942022-06-011412288810.3390/cancers14122888Dose Profile Modulation of Proton Minibeam for Clinical ApplicationMyeongsoo Kim0Ui-Jung Hwang1Kyeongyun Park2Dohyeon Kim3Hak Soo Kim4Sang Hyoun Choi5Jong Hwi Jeong6Dongho Shin7Se Byeong Lee8Joo-Young Kim9Tae Hyun Kim10Hye Jung Baek11Hojin Kim12Kihwan Kim13Sang Soo Kim14Young Kyung Lim15Department of Radiation Oncology, Proton Therapy Center, National Cancer Center, Goyang 10408, KoreaDepartment of Radiation Oncology, College of Medicine, Chungnam National University, Daejeon 35015, KoreaDepartment of Radiation Oncology, Proton Therapy Center, National Cancer Center, Goyang 10408, KoreaDepartment of Radiation Oncology, Proton Therapy Center, National Cancer Center, Goyang 10408, KoreaDepartment of Radiation Oncology, Proton Therapy Center, National Cancer Center, Goyang 10408, KoreaDepartment of Radiation Oncology, Korea Cancer Center Hospital, Seoul 01812, KoreaDepartment of Radiation Oncology, Proton Therapy Center, National Cancer Center, Goyang 10408, KoreaDepartment of Radiation Oncology, Proton Therapy Center, National Cancer Center, Goyang 10408, KoreaDepartment of Radiation Oncology, Proton Therapy Center, National Cancer Center, Goyang 10408, KoreaDepartment of Radiation Oncology, Proton Therapy Center, National Cancer Center, Goyang 10408, KoreaDepartment of Radiation Oncology, Proton Therapy Center, National Cancer Center, Goyang 10408, KoreaRadiological Science Branch, Research Institute, National Cancer Center, Goyang 10408, KoreaDepartment of Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul 03722, KoreaDepartment of Radiation Oncology, College of Medicine, Chungnam National University, Daejeon 35015, KoreaRadiological Science Branch, Research Institute, National Cancer Center, Goyang 10408, KoreaDepartment of Radiation Oncology, Proton Therapy Center, National Cancer Center, Goyang 10408, KoreaThe feasibility of proton minibeam radiation therapy (pMBRT) using a multislit collimator (MSC) and a scattering device was evaluated for clinical use at a clinical proton therapy facility. We fabricated, through Monte Carlo (MC) simulations, not only an MSC with a high peak-to-valley dose ratio (PVDR) at the entrance of the proton beam, to prevent radiation toxicity, but also a scattering device to modulate the PVDR in depth. The slit width and center-to-center distance of the diverging MSC were 2.5 mm and 5.0 mm at the large end, respectively, and its thickness and available field size were 100 mm and 76 × 77.5 mm<sup>2</sup>, respectively. Spatially fractionated dose distributions were measured at various depths using radiochromic EBT3 films and also tested on bacterial cells. MC simulation showed that the thicker the MSC, the higher the PVDR at the phantom surface. Dosimetric evaluations showed that lateral dose profiles varied according to the scatterer’s thickness, and the depths satisfying PVDR = 1.1 moved toward the surface as their thickness increased. The response of the bacterial cells to the proton minibeams’ depth was also established, in a manner similar to the dosimetric pattern. Conclusively, these results strongly suggest that pMBRT can be implemented in clinical centers by using MSC and scatterers.https://www.mdpi.com/2072-6694/14/12/2888spatially fractionated radiation therapyproton therapyproton minibeam radiation therapymultislit collimatorscattererpeak-to-valley dose ratio
spellingShingle Myeongsoo Kim
Ui-Jung Hwang
Kyeongyun Park
Dohyeon Kim
Hak Soo Kim
Sang Hyoun Choi
Jong Hwi Jeong
Dongho Shin
Se Byeong Lee
Joo-Young Kim
Tae Hyun Kim
Hye Jung Baek
Hojin Kim
Kihwan Kim
Sang Soo Kim
Young Kyung Lim
Dose Profile Modulation of Proton Minibeam for Clinical Application
Cancers
spatially fractionated radiation therapy
proton therapy
proton minibeam radiation therapy
multislit collimator
scatterer
peak-to-valley dose ratio
title Dose Profile Modulation of Proton Minibeam for Clinical Application
title_full Dose Profile Modulation of Proton Minibeam for Clinical Application
title_fullStr Dose Profile Modulation of Proton Minibeam for Clinical Application
title_full_unstemmed Dose Profile Modulation of Proton Minibeam for Clinical Application
title_short Dose Profile Modulation of Proton Minibeam for Clinical Application
title_sort dose profile modulation of proton minibeam for clinical application
topic spatially fractionated radiation therapy
proton therapy
proton minibeam radiation therapy
multislit collimator
scatterer
peak-to-valley dose ratio
url https://www.mdpi.com/2072-6694/14/12/2888
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