Evidence map›Paper›PMID 38860497›Full record

ArticleMedical physics2024

Quantitative, real-time scintillation imaging for experimental comparison of different dose and dose rate estimations in UHDR proton pencil beams.

Megan Clark, Joseph Harms, Roman Vasyltsiv, Austin Sloop, Jakub Kozelka, Bill Simon, Rongxiao Zhang, David Gladstone, Petr Bruza

Abstract readComparative Study
In one paragraph

Article in Medical physics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Megan ClarkThayer School of Engineering, Dartmouth College, Hanover, New Hampshire, USA.
Joseph HarmsDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Roman VasyltsivThayer School of Engineering, Dartmouth College, Hanover, New Hampshire, USA.
Austin SloopThayer School of Engineering, Dartmouth College, Hanover, New Hampshire, USA.
Jakub KozelkaSun Nuclear Inc., Melbourne, Florida, USA.
Bill SimonSun Nuclear Inc., Melbourne, Florida, USA.
Rongxiao ZhangThayer School of Engineering, Dartmouth College, Hanover, New Hampshire, USA.
David GladstoneThayer School of Engineering, Dartmouth College, Hanover, New Hampshire, USA.
Petr BruzaThayer School of Engineering, Dartmouth College, Hanover, New Hampshire, USA.

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 1985 to 2026
$91.3M
Optimization of MeV FLASH radiotherapy for normal tissue preservationU01CA260446 · NCI · DARTMOUTH COLLEGE · PI David J. Gladstone, Jack Hoopes · 2022 to 2026
$3.1M
Ultra-fast imaging for the safe delivery of electron FLASH radiation therapyR44CA268466 · NCI · DOSEOPTICS, LLC · PI BRUZA, PETR · 2022 to 2023
$2.0M
Training in Surgical InnovationT32EB021966 · NIBIB · DARTMOUTH COLLEGE · PI Eric R Fossum, Sohail K Mirza · 2017 to 2026
$1.7M
Ultra-fast imaging for the safe delivery of electron FLASH radiation therapyR43CA268466 · NCI · DOSEOPTICS, LLC · PI BRUZA, PETR · 2021 to 2021
$280k
NCI NIH HHS 5P30 CA023108-41NCI NIH HHS P30 CA023108NCI NIH HHS R43 CA268466NCI NIH HHS R44 CA268466NCI NIH HHS U01 CA260446NIBIB NIH HHS T32 EB021966SBIR NIH R44 CA268466
6 · The paper itself

Abstract

backgroundUltra-high dose rate radiotherapy (UHDR-RT) has demonstrated normal tissue sparing capabilities, termed the FLASH effect; however, available dosimetry tools make it challenging to characterize the UHDR beams with sufficiently high concurrent spatial and temporal resolution. Novel dosimeters are needed for safe clinical implementation and improved understanding of the effect of UHDR-RT. PURPOSE: Ultra-fast scintillation imaging has been shown to provide a unique tool for spatio-temporal dosimetry of conventional cyclotron pencil beam scanning (PBS) deliveries, indicating the potential use for characterization of UHDR PBS proton beams. The goal of this work is to introduce this novel concept and demonstrate its capabilities in recording high-resolution dose rate maps at FLASH-capable proton beam currents, as compared to log-based dose rate calculation, internally developed UHDR beam simulation, and a fast point detector (EDGE diode).

methodsThe light response of a scintillator sheet located at isocenter and irradiated by PBS proton fields (40-210 nA, 250 MeV) was imaged by an ultra-fast iCMOS camera at 4.5-12 kHz sampling frequency. Camera sensor and image intensifier gain were optimized to maximize the dynamic range; the camera acquisition rate was also varied to evaluate the optimal sampling frequency. Large field delivery enabled flat field acquisition for evaluation of system response homogeneity. Image intensity was calibrated to dose with film and the recorded spatio-temporal data was compared to a PPC05 ion chamber, log-based reconstruction, and EDGE diode. Dose and dose rate linearity studies were performed to evaluate agreement under various beam conditions. Calculation of full-field mean and PBS dose rate maps were calculated to highlight the importance of high resolution, full-field information in UHDR studies.

resultsCamera response was linear with dose (R

Indexed as

Proton TherapyRadiotherapy DosageScintillation CountingRadiation DosageRadiometryTime FactorsimagingPBSUHDR

Identifiers

PMID38860497
PMCPMC12403906

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.