Evidence map›Paper›PMID 39073707›Full record

ArticleMedical physics2024

Toward real-time, volumetric dosimetry for FLASH-capable clinical synchrocyclotrons using protoacoustic imaging.

Siqi Wang, Gilberto Gonzalez, Daniel Rocky Owen, Leshan Sun, Yan Liu, Townsend Zwart, Yong Chen, Liangzhong Xiang

Abstract read
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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Volumetric FLASH dosimetryPhysics in medicine and biology · 2026
    Article
  2. Review
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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

8 authors.

Siqi WangThe Department of Biomedical Engineering, University of California, Irvine, California, USA.
Gilberto GonzalezDepartment of Radiation Oncology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Daniel Rocky OwenMevion Medical Systems, Littleton, Massachusetts, USA.
Leshan SunThe Department of Biomedical Engineering, University of California, Irvine, California, USA.
Yan LiuMevion Medical Systems, Littleton, Massachusetts, USA.
Townsend ZwartMevion Medical Systems, Littleton, Massachusetts, USA.
Yong ChenDepartment of Radiation Oncology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Liangzhong XiangThe Department of Biomedical Engineering, University of California, Irvine, California, USA.

Funding

Univ.of Calif., Irvine Cancer Center Support GrantP30CA062203 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI Melanie Funes · 1994 to 2026
$57.9M
Academic-Industry Partnership for the Translation of a 4D in vivo Dosimetry Approach for Radiation TherapyR37CA240806 · NCI · UNIVERSITY OF OKLAHOMA · PI CHEN, YONG, IVANOV, VASSILI · 2019 to 2025
$2.9M
National Cancer Institute of the National Institutes of Health under Award Number (U01) R37CA240806National Institutes of Health. Approximately, $500k of federal funds supported the effort (50%) on this projectNCI NIH HHS P30 CA062203NCI NIH HHS R37 CA240806UCI Chao Family Comprehensive Cancer Center P30CA062203
6 · The paper itself

Abstract

backgroundRadiation delivery with ultra-high dose rate (FLASH) radiotherapy (RT) holds promise for improving treatment outcomes and reducing side effects but poses challenges in radiation delivery accuracy due to its ultra-high dose rates. This necessitates the development of novel imaging and verification technologies tailored to these conditions. PURPOSE: Our study explores the effectiveness of proton-induced acoustic imaging (PAI) in tracking the Bragg peak in three dimensions and in real time during FLASH proton irradiations, offering a method for volumetric beam imaging at both conventional and FLASH dose rates.

methodsWe developed a three-dimensional (3D) PAI technique using a 256-element ultrasound detector array for FLASH dose rate proton beams. In the study, we tested protoacoustic signal with a beamline of a FLASH-capable synchrocyclotron, setting the distal 90% of the Bragg peak around 35 mm away from the ultrasound array. This configuration allowed us to assess various total proton radiation doses, maintaining a consistent beam output of 21 pC/pulse. We also explored a spectrum of dose rates, from 15 Gy/s up to a FLASH rate of 48 Gy/s, by administering a set number of pulses. Furthermore, we implemented a three-dot scanning beam approach to observe the distinct movements of individual Bragg peaks using PAI. All these procedures utilized a proton beam energy of 180 MeV to achieve the maximum possible dose rate.

resultsOur findings indicate a strong linear relationship between protoacoustic signal amplitudes and delivered doses (R

conclusionsThe protoacoustic system demonstrates effectiveness in 3D visualization and tracking of the Bragg peak during FLASH proton therapy, representing a notable advancement in proton therapy quality assurance. This method promises enhancements in protoacoustic image guidance and real-time dosimetry, paving the way for more accurate and effective treatments in ultra-high dose rate therapy environments.

Indexed as

RadiometryAcousticsHumansImaging, Three-DimensionalProton TherapyRadiotherapy DosageTime FactorsFLASH protonin vivo dosimetryprotoacoustics

Identifiers

PMID39073707
PMCPMC11530303

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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.