Proton range verification with ultrasound imaging using injectable radiation sensitive nanodroplets: a feasibility study

Autor: Jan D'hooge, Marcus Ingram, Sjoerd Nooijens, Emiliano D'Agostino, Sophie V. Heymans, Gaio Paradossi, Edmond Sterpin, Koen Van Den Abeele, Bram Carlier, Yosra Toumia, Uwe Himmelreich
Přispěvatelé: UCL - SSS/IREC/MIRO - Pôle d'imagerie moléculaire, radiothérapie et oncologie
Rok vydání: 2020
Předmět:
Bubbles (in fluids)
Proton
Proton beam therapy
Physics::Medical Physics
Bragg peak
7. Clean energy
Phantoms
030218 nuclear medicine & medical imaging
0302 clinical medicine
Nuclear magnetic resonance
Settore CHIM/02
proton therapy
Proton Therapy
Nanotechnology
Ultrasonics
Linear Energy Transfer
Ultrasonography
Vaporization
dosimetry
Radiological and Ultrasound Technology
Ultrasonic imaging
ultrasound
Phantoms
Imaging

Ultrasound
nanodroplets
Elastic cross sections
3. Good health
030220 oncology & carcinogenesis
Nano-droplets
Microbubbles
Drops
Nuclear reactions
Monte Carlo Method
Materials science
Linear energy transfer
Monoenergetic protons
range verification
03 medical and health sciences
Droplet vaporization
High linear energy transfers
Humans
Radiology
Nuclear Medicine and imaging

Irradiation
Proton therapy
business.industry
Reproducibility of Results
Range verifications
Energy transfer
Proton beams
Semi-empirical theory
Feasibility Studies
business
Radiotherapy
Image-Guided
Zdroj: Physics in Medicine and Biology, Vol. 65, no. 6, p. 17 (2020)
ISSN: 1361-6560
0034-4885
0031-9155
Popis: Technologies enabling in vivo range verification during proton therapy are actively sought as a means to reduce the clinical safety margins currently adopted to avoid tumor underdosage. In this contribution, we applied the semi-empirical theory of radiation-induced vaporization of superheated liquids to coated nanodroplets. Nanodroplets are injectable phase-change contrast agents that can vaporize into highly echogenic microbubbles to provide contrast in ultrasound images. We exposed nanodroplet dispersions in aqueous phantoms to monoenergetic proton beams of varying energies and doses. Ultrasound imaging of the phantoms revealed that radiation-induced droplet vaporization occurred in regions proximal to the proton Bragg peak. A statistically significant increase in contrast was observed in irradiated regions for doses as low as 2 Gy and found to be proportional to the proton fluence. The absence of enhanced response in the vicinity of the Bragg peak, combined with theoretical considerations, suggest that droplet vaporization is induced by high linear energy transfer (LET) recoil ions produced by nuclear reactions with incoming protons. Vaporization profiles were compared to non-elastic cross sections and LET characteristics of oxygen recoils. Shifts between the ultrasound image contrast drop and the expected proton range showed a sub-millimeter reproducibility. These early findings confirm the potential of superheated nanodroplets as a novel tool for proton range verification. ispartof: PHYSICS IN MEDICINE AND BIOLOGY vol:65 issue:6 ispartof: location:England status: published
Databáze: OpenAIRE