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arXiv 1610.04522physics.med-ph
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用单次离子径迹重建治疗用碳离子束在体模中的三维结构

Three dimensional reconstruction of therapeutic carbon ion beams in phantoms using single secondary ion tracks

Anna Merle Reinhart, Claudia Katharina Spindeldreier, Jan Jakubek, Maria Martisikova

摘要:

碳离子束放射治疗能够实现非常局部化的剂量沉积。然而,患者几何形状或定位误差中已经很小的变化可以显著地扭曲剂量分布。因此,患者体内的射束递送的实时监测系统是非常期望的,并且可以改善患者治疗。我们提出了一种新的三维成像方法的束在被照射的对象,利用测量轨道的单个二次离子照射下出现。二次粒子轨道是用TimePix堆栈检测的,TimePix堆栈是一组并行的像素化半导体探测器。我们开发了一种基于极大似然期望最大化的三维重建算法。我们证明了新方法的适用性,在一个圆柱形的PMMA体模的人类头部大小的碳离子笔束的226 MeV/u的照射。体模中的射束图像是从与射束轴成-80至50度之间的一组9个离散探测器位置重建的。此外,我们证明了通过照射带有空气间隙的PMMA体模以及骨和脂肪组织替代插入物来可视化不均匀性的潜力。我们成功地重建了一个三维图像的治疗束在幻影从单一的二次离子轨道。射束图像很好地对应于从射束方向和能量预期的分布。此外,直径为2.85 cm的圆柱形不均匀性和与周围材料的密度差低至0.3 g/cm $^3$清晰可见。这种新的3D方法,以成像治疗的碳离子束在被照射的对象不干扰治疗,只需要知识的单一的二次离子轨迹。即使探测器只有一个小的角度覆盖,在这项工作中提出的破碎点的三维重建被认为是可行的。

英文摘要:

Carbon ion beam radiotherapy enables a very localised dose deposition. However, already small changes in the patient geometry or positioning errors can significantly distort the dose distribution. A live monitoring system of the beam delivery within the patient is therefore highly desirable and could improve patient treatment. We present a novel three-dimensional imaging method of the beam in the irradiated object, exploiting the measured tracks of single secondary ions emerging under irradiation. The secondary particle tracks are detected with a TimePix stack, a set of parallel pixelated semiconductor detectors. We developed a three-dimensional reconstruction algorithm based on maximum likelihood expectation maximisation. We demonstrate the applicability of the new method in an irradiation of a cylindrical PMMA phantom of human head size with a carbon ion pencil beam of 226MeV/u. The beam image in the phantom is reconstructed from a set of 9 discrete detector positions between -80 and 50 degrees from the beam axis. Furthermore, we demonstrate the potential to visualise inhomogeneities by irradiating a PMMA phantom with an air gap as well as bone and adipose tissue surrogate inserts. We successfully reconstructed a 3D image of the treatment beam in the phantom from single secondary ion tracks. The beam image corresponds well to the distribution expected from the beam direction and energy. In addition, cylindrical inhomogeneities with a diameter of 2.85cm and density differences down to 0.3g/cm$^3$ to the surrounding material are clearly visualised. This novel 3D method to image a therapeutic carbon ion beam in the irradiated object does not interfere with the treatment and requires knowledge only of single secondary ion tracks. Even with detectors with only a small angular coverage, the 3D reconstruction of the fragmentation points presented in this work was found to be feasible.

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