ArticlePhysics and imaging in radiation oncology2025
Time-saving potential of daily online adaptive proton therapy for head and neck cancers by reducing number of beams.
Article in Physics and imaging in radiation oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Imaging, automation and workflow challenges for online adaptive proton therapy.Physics and imaging in radiation oncology · 2025Article
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Authors and funding
6 authors.
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Abstract
Background and purpose: Standard care for head and neck cancer (HNC) treatment with proton therapy typically involves a 4-6 field Intensity Modulated Proton Therapy plan to enhance robustness towards anatomical changes and patient misalignments. This study aimed to evaluate whether a more efficient plan with fewer beams, designed for faster delivery, can be combined with online daily adaptation (DAPT) to provide treatment of comparable quality, and improve treatment outcomes. Materials and methods: We retrospectively analyzed five HNC patients with available daily 3D imaging treated at our institution. To simulate DAPT, synthetic Computed Tomography (CT) images were generated by deforming planning CT to each daily Cone-Beam CT with targets and organs-at-risk (OARs) propagated to daily images. Three plans were created per-patient: Offline Results: Offline Conclusions: Our delivery efficiency study shows that DAPT can allow fewer beams to achieve faster delivery, as shown in case of DAPT
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