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Deformable image registration of the treatment planning CT with proton radiographies in perspective of adaptive proton therapy by Prasannakumar Palaniappan; Sebastian Meyer; Florian Kamp; Claus Belka; Marco Riboldi; Katia Parodi; Chiara Gianoli is a Medicine article available to read on EtoBox.

What is Deformable image registration of the treatment planning CT with proton radiographies in perspective of adaptive proton therapy about?

## Abstract The purpose of this work is to investigate the potentiality of using a limited number of in-room proton radiographies to compensate anatomical changes in adaptive proton therapy. The treatment planning CT is adapted to the treatment delivery scenario relying on 2D-3D deformable image registration (DIR). The proton radiographies, expressed in water equivalent thickness (WET) are simulated for both list-mode and integration-mode detector configurations in pencil beam scanning. Geometrical and analytical simulations of an anthropomorphic phantom in the presence of anatomical changes due to breathing are adopted. A Monte Carlo simulation of proton radiographies based on a clinical CT image in the presence of artificial anatomical changes is also considered. The accuracy of the 2D-3D DIR, calculated as root mean square error, strongly depends on the considered anatomical changes and is considered adequate for promising adaptive proton therapy when comparable to the accuracy of conventional 3D-3D DIR. In geometrical simulation, this is achieved with a minimum of eight/nine radiographies (more than 90% accuracy). Negligible improvement (sim1%) is obtained with the use of 180 r

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Author
Prasannakumar Palaniappan; Sebastian Meyer; Florian Kamp; Claus Belka; Marco Riboldi; Katia Parodi; Chiara Gianoli
Publisher
Institute of Physics; IOP Publishing; Institute of Physics Publishing (ISSN 0031-9155)
Published
2020
Language
EN
Field
Medicine (Health Sciences)