author_facet Le Bourhis, J
Vautrin, M
Elleaume, H
Esteve, F
Desbat, L
Nemoz, C
Adam, J
Le Bourhis, J
Vautrin, M
Elleaume, H
Esteve, F
Desbat, L
Nemoz, C
Adam, J
author Le Bourhis, J
Vautrin, M
Elleaume, H
Esteve, F
Desbat, L
Nemoz, C
Adam, J
spellingShingle Le Bourhis, J
Vautrin, M
Elleaume, H
Esteve, F
Desbat, L
Nemoz, C
Adam, J
Medical Physics
SU‐E‐T‐207: Local and Limited Projection Tomography Reconstructions for Contrast‐Enhanced Synchrotron Stereotactic Radiotherapy in Vivo Dosimetry
General Medicine
author_sort le bourhis, j
spelling Le Bourhis, J Vautrin, M Elleaume, H Esteve, F Desbat, L Nemoz, C Adam, J 0094-2405 2473-4209 Wiley General Medicine http://dx.doi.org/10.1118/1.3612157 <jats:p>Purpose: Contrast‐enhanced stereotactic synchrotron radiation therapy (SSRT) is an innovative technique based on localized dose‐enhancement effects obtained by reinforced photoelectric absorption in the target. Medium energy monochromatic x‐rays (50 –100 keV) are used for irradiating tumors previously loaded with high‐Z elements. SSRT clinical trials are being prepared at the ESRF. The first patients (scheduled in summer‐autumn 2011) should be treated at 80 keV, with 10 conformational beams. The treatment plan will use CT images acquired prior and after systemic iodine injection. However the exact dose delivered to the patient relies on the exact 3D iodine biodistribution in the tumor during the treatment itself. An in vivo dosimetry methodology based on portal imaging was developed to retrieve the absolute 3D iodine concentrations reached during the treatment. Methods: The proposed algorithm uses the images acquired with a high‐purity germanium detector located behind the patient. The proposed methodology has to solve a tomography reconstruction problem with a restricted field of view (local tomography) and a limited number of projections (10 at maximum). None of the currently available algorithms can solve both local and limited projection tomography problems at once while being quantitative. However, in SSRT, a large amount of a priori information is available (three CT‐scans acquired prior the treatment, with and without iodine). Thus the proposed algorithm proposed in this paper is based on filtered backprojection and uses extensively the a priori information related to patient morphology, with a few geometrical hypothesis. Results: The results obtained from numerical simulation on a human head phantom show that the proposed algorithm is able to retrieve the iodine concentrations with a relative error lower than 2%. Conclusions: The in vivo dosimetry methodology for SSRT has been validated with numerical simulations. It has now to be tested on real patient data before the first patient is treated.</jats:p> SU‐E‐T‐207: Local and Limited Projection Tomography Reconstructions for Contrast‐Enhanced Synchrotron Stereotactic Radiotherapy in Vivo Dosimetry Medical Physics
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title SU‐E‐T‐207: Local and Limited Projection Tomography Reconstructions for Contrast‐Enhanced Synchrotron Stereotactic Radiotherapy in Vivo Dosimetry
title_unstemmed SU‐E‐T‐207: Local and Limited Projection Tomography Reconstructions for Contrast‐Enhanced Synchrotron Stereotactic Radiotherapy in Vivo Dosimetry
title_full SU‐E‐T‐207: Local and Limited Projection Tomography Reconstructions for Contrast‐Enhanced Synchrotron Stereotactic Radiotherapy in Vivo Dosimetry
title_fullStr SU‐E‐T‐207: Local and Limited Projection Tomography Reconstructions for Contrast‐Enhanced Synchrotron Stereotactic Radiotherapy in Vivo Dosimetry
title_full_unstemmed SU‐E‐T‐207: Local and Limited Projection Tomography Reconstructions for Contrast‐Enhanced Synchrotron Stereotactic Radiotherapy in Vivo Dosimetry
title_short SU‐E‐T‐207: Local and Limited Projection Tomography Reconstructions for Contrast‐Enhanced Synchrotron Stereotactic Radiotherapy in Vivo Dosimetry
title_sort su‐e‐t‐207: local and limited projection tomography reconstructions for contrast‐enhanced synchrotron stereotactic radiotherapy in vivo dosimetry
topic General Medicine
url http://dx.doi.org/10.1118/1.3612157
publishDate 2011
physical 3534-3534
description <jats:p>Purpose: Contrast‐enhanced stereotactic synchrotron radiation therapy (SSRT) is an innovative technique based on localized dose‐enhancement effects obtained by reinforced photoelectric absorption in the target. Medium energy monochromatic x‐rays (50 –100 keV) are used for irradiating tumors previously loaded with high‐Z elements. SSRT clinical trials are being prepared at the ESRF. The first patients (scheduled in summer‐autumn 2011) should be treated at 80 keV, with 10 conformational beams. The treatment plan will use CT images acquired prior and after systemic iodine injection. However the exact dose delivered to the patient relies on the exact 3D iodine biodistribution in the tumor during the treatment itself. An in vivo dosimetry methodology based on portal imaging was developed to retrieve the absolute 3D iodine concentrations reached during the treatment. Methods: The proposed algorithm uses the images acquired with a high‐purity germanium detector located behind the patient. The proposed methodology has to solve a tomography reconstruction problem with a restricted field of view (local tomography) and a limited number of projections (10 at maximum). None of the currently available algorithms can solve both local and limited projection tomography problems at once while being quantitative. However, in SSRT, a large amount of a priori information is available (three CT‐scans acquired prior the treatment, with and without iodine). Thus the proposed algorithm proposed in this paper is based on filtered backprojection and uses extensively the a priori information related to patient morphology, with a few geometrical hypothesis. Results: The results obtained from numerical simulation on a human head phantom show that the proposed algorithm is able to retrieve the iodine concentrations with a relative error lower than 2%. Conclusions: The in vivo dosimetry methodology for SSRT has been validated with numerical simulations. It has now to be tested on real patient data before the first patient is treated.</jats:p>
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author Le Bourhis, J, Vautrin, M, Elleaume, H, Esteve, F, Desbat, L, Nemoz, C, Adam, J
author_facet Le Bourhis, J, Vautrin, M, Elleaume, H, Esteve, F, Desbat, L, Nemoz, C, Adam, J, Le Bourhis, J, Vautrin, M, Elleaume, H, Esteve, F, Desbat, L, Nemoz, C, Adam, J
author_sort le bourhis, j
container_issue 6Part13
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container_title Medical Physics
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description <jats:p>Purpose: Contrast‐enhanced stereotactic synchrotron radiation therapy (SSRT) is an innovative technique based on localized dose‐enhancement effects obtained by reinforced photoelectric absorption in the target. Medium energy monochromatic x‐rays (50 –100 keV) are used for irradiating tumors previously loaded with high‐Z elements. SSRT clinical trials are being prepared at the ESRF. The first patients (scheduled in summer‐autumn 2011) should be treated at 80 keV, with 10 conformational beams. The treatment plan will use CT images acquired prior and after systemic iodine injection. However the exact dose delivered to the patient relies on the exact 3D iodine biodistribution in the tumor during the treatment itself. An in vivo dosimetry methodology based on portal imaging was developed to retrieve the absolute 3D iodine concentrations reached during the treatment. Methods: The proposed algorithm uses the images acquired with a high‐purity germanium detector located behind the patient. The proposed methodology has to solve a tomography reconstruction problem with a restricted field of view (local tomography) and a limited number of projections (10 at maximum). None of the currently available algorithms can solve both local and limited projection tomography problems at once while being quantitative. However, in SSRT, a large amount of a priori information is available (three CT‐scans acquired prior the treatment, with and without iodine). Thus the proposed algorithm proposed in this paper is based on filtered backprojection and uses extensively the a priori information related to patient morphology, with a few geometrical hypothesis. Results: The results obtained from numerical simulation on a human head phantom show that the proposed algorithm is able to retrieve the iodine concentrations with a relative error lower than 2%. Conclusions: The in vivo dosimetry methodology for SSRT has been validated with numerical simulations. It has now to be tested on real patient data before the first patient is treated.</jats:p>
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spelling Le Bourhis, J Vautrin, M Elleaume, H Esteve, F Desbat, L Nemoz, C Adam, J 0094-2405 2473-4209 Wiley General Medicine http://dx.doi.org/10.1118/1.3612157 <jats:p>Purpose: Contrast‐enhanced stereotactic synchrotron radiation therapy (SSRT) is an innovative technique based on localized dose‐enhancement effects obtained by reinforced photoelectric absorption in the target. Medium energy monochromatic x‐rays (50 –100 keV) are used for irradiating tumors previously loaded with high‐Z elements. SSRT clinical trials are being prepared at the ESRF. The first patients (scheduled in summer‐autumn 2011) should be treated at 80 keV, with 10 conformational beams. The treatment plan will use CT images acquired prior and after systemic iodine injection. However the exact dose delivered to the patient relies on the exact 3D iodine biodistribution in the tumor during the treatment itself. An in vivo dosimetry methodology based on portal imaging was developed to retrieve the absolute 3D iodine concentrations reached during the treatment. Methods: The proposed algorithm uses the images acquired with a high‐purity germanium detector located behind the patient. The proposed methodology has to solve a tomography reconstruction problem with a restricted field of view (local tomography) and a limited number of projections (10 at maximum). None of the currently available algorithms can solve both local and limited projection tomography problems at once while being quantitative. However, in SSRT, a large amount of a priori information is available (three CT‐scans acquired prior the treatment, with and without iodine). Thus the proposed algorithm proposed in this paper is based on filtered backprojection and uses extensively the a priori information related to patient morphology, with a few geometrical hypothesis. Results: The results obtained from numerical simulation on a human head phantom show that the proposed algorithm is able to retrieve the iodine concentrations with a relative error lower than 2%. Conclusions: The in vivo dosimetry methodology for SSRT has been validated with numerical simulations. It has now to be tested on real patient data before the first patient is treated.</jats:p> SU‐E‐T‐207: Local and Limited Projection Tomography Reconstructions for Contrast‐Enhanced Synchrotron Stereotactic Radiotherapy in Vivo Dosimetry Medical Physics
spellingShingle Le Bourhis, J, Vautrin, M, Elleaume, H, Esteve, F, Desbat, L, Nemoz, C, Adam, J, Medical Physics, SU‐E‐T‐207: Local and Limited Projection Tomography Reconstructions for Contrast‐Enhanced Synchrotron Stereotactic Radiotherapy in Vivo Dosimetry, General Medicine
title SU‐E‐T‐207: Local and Limited Projection Tomography Reconstructions for Contrast‐Enhanced Synchrotron Stereotactic Radiotherapy in Vivo Dosimetry
title_full SU‐E‐T‐207: Local and Limited Projection Tomography Reconstructions for Contrast‐Enhanced Synchrotron Stereotactic Radiotherapy in Vivo Dosimetry
title_fullStr SU‐E‐T‐207: Local and Limited Projection Tomography Reconstructions for Contrast‐Enhanced Synchrotron Stereotactic Radiotherapy in Vivo Dosimetry
title_full_unstemmed SU‐E‐T‐207: Local and Limited Projection Tomography Reconstructions for Contrast‐Enhanced Synchrotron Stereotactic Radiotherapy in Vivo Dosimetry
title_short SU‐E‐T‐207: Local and Limited Projection Tomography Reconstructions for Contrast‐Enhanced Synchrotron Stereotactic Radiotherapy in Vivo Dosimetry
title_sort su‐e‐t‐207: local and limited projection tomography reconstructions for contrast‐enhanced synchrotron stereotactic radiotherapy in vivo dosimetry
title_unstemmed SU‐E‐T‐207: Local and Limited Projection Tomography Reconstructions for Contrast‐Enhanced Synchrotron Stereotactic Radiotherapy in Vivo Dosimetry
topic General Medicine
url http://dx.doi.org/10.1118/1.3612157