Converging Proton Minibeams with Magnetic Fields for Optimized Radiation Therapy: A Proof of Concept

Proton MiniBeam Radiation Therapy (pMBRT) is a novel strategy that combines the benefits of minibeam radiation therapy with the more precise ballistics of protons to further optimize the dose distribution and reduce radiation side effects. The aim of this study is to investigate possible strategies...

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Main Authors: Marco Cavallone, Yolanda Prezado, Ludovic De Marzi
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/1/26
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author Marco Cavallone
Yolanda Prezado
Ludovic De Marzi
author_facet Marco Cavallone
Yolanda Prezado
Ludovic De Marzi
author_sort Marco Cavallone
collection DOAJ
description Proton MiniBeam Radiation Therapy (pMBRT) is a novel strategy that combines the benefits of minibeam radiation therapy with the more precise ballistics of protons to further optimize the dose distribution and reduce radiation side effects. The aim of this study is to investigate possible strategies to couple pMBRT with dipole magnetic fields to generate a converging minibeam pattern and increase the center-to-center distance between minibeams. Magnetic field optimization was performed so as to obtain the same transverse dose profile at the Bragg peak position as in a reference configuration with no magnetic field. Monte Carlo simulations reproducing realistic pencil beam scanning settings were used to compute the dose in a water phantom. We analyzed different minibeam generation techniques, such as the use of a static multislit collimator or a dynamic aperture, and different magnetic field positions, i.e., before or within the water phantom. The best results were obtained using a dynamic aperture coupled with a magnetic field within the water phantom. For a center-to-center distance increase from 4 mm to 6 mm, we obtained an increase of peak-to-valley dose ratio and decrease of valley dose above 50%. The results indicate that magnetic fields can be effectively used to improve the spatial modulation at shallow depth for enhanced healthy tissue sparing.
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spelling doaj.art-a394fbf01c71466a8d4ea642312b01972023-11-23T11:14:52ZengMDPI AGCancers2072-66942021-12-011412610.3390/cancers14010026Converging Proton Minibeams with Magnetic Fields for Optimized Radiation Therapy: A Proof of ConceptMarco Cavallone0Yolanda Prezado1Ludovic De Marzi2Centre de Protonthérapie d’Orsay, Department of Radiation Oncology, Institut Curie, Campus Universitaire, PSL Research University, 91898 Orsay, FranceInstitut Curie, Université PSL, CNRS UMR3347, Inserm U1021, Signalisation Radiobiologie et Cancer, 91400 Orsay, FranceCentre de Protonthérapie d’Orsay, Department of Radiation Oncology, Institut Curie, Campus Universitaire, PSL Research University, 91898 Orsay, FranceProton MiniBeam Radiation Therapy (pMBRT) is a novel strategy that combines the benefits of minibeam radiation therapy with the more precise ballistics of protons to further optimize the dose distribution and reduce radiation side effects. The aim of this study is to investigate possible strategies to couple pMBRT with dipole magnetic fields to generate a converging minibeam pattern and increase the center-to-center distance between minibeams. Magnetic field optimization was performed so as to obtain the same transverse dose profile at the Bragg peak position as in a reference configuration with no magnetic field. Monte Carlo simulations reproducing realistic pencil beam scanning settings were used to compute the dose in a water phantom. We analyzed different minibeam generation techniques, such as the use of a static multislit collimator or a dynamic aperture, and different magnetic field positions, i.e., before or within the water phantom. The best results were obtained using a dynamic aperture coupled with a magnetic field within the water phantom. For a center-to-center distance increase from 4 mm to 6 mm, we obtained an increase of peak-to-valley dose ratio and decrease of valley dose above 50%. The results indicate that magnetic fields can be effectively used to improve the spatial modulation at shallow depth for enhanced healthy tissue sparing.https://www.mdpi.com/2072-6694/14/1/26proton minibeam radiation therapyspatial fractionationmagnetic fieldsMonte Carlo simulations
spellingShingle Marco Cavallone
Yolanda Prezado
Ludovic De Marzi
Converging Proton Minibeams with Magnetic Fields for Optimized Radiation Therapy: A Proof of Concept
Cancers
proton minibeam radiation therapy
spatial fractionation
magnetic fields
Monte Carlo simulations
title Converging Proton Minibeams with Magnetic Fields for Optimized Radiation Therapy: A Proof of Concept
title_full Converging Proton Minibeams with Magnetic Fields for Optimized Radiation Therapy: A Proof of Concept
title_fullStr Converging Proton Minibeams with Magnetic Fields for Optimized Radiation Therapy: A Proof of Concept
title_full_unstemmed Converging Proton Minibeams with Magnetic Fields for Optimized Radiation Therapy: A Proof of Concept
title_short Converging Proton Minibeams with Magnetic Fields for Optimized Radiation Therapy: A Proof of Concept
title_sort converging proton minibeams with magnetic fields for optimized radiation therapy a proof of concept
topic proton minibeam radiation therapy
spatial fractionation
magnetic fields
Monte Carlo simulations
url https://www.mdpi.com/2072-6694/14/1/26
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AT yolandaprezado convergingprotonminibeamswithmagneticfieldsforoptimizedradiationtherapyaproofofconcept
AT ludovicdemarzi convergingprotonminibeamswithmagneticfieldsforoptimizedradiationtherapyaproofofconcept