Intensity modulated radiation therapy using laser-accelerated protons: a Monte Carlo dosimetric study

Phys Med Biol. 2003 Dec 21;48(24):3977-4000. doi: 10.1088/0031-9155/48/24/001.

Abstract

In this paper we present Monte Carlo studies of intensity modulated radiation therapy using laser-accelerated proton beams. Laser-accelerated protons coming out of a solid high-density target have broad energy and angular spectra leading to dose distributions that cannot be directly used for therapeutic applications. Through the introduction of a spectrometer-like particle selection system that delivers small pencil beams of protons with desired energy spectra it is feasible to use laser-accelerated protons for intensity modulated radiotherapy. The method presented in this paper is a three-dimensional modulation in which the proton energy spectrum and intensity of each individual beamlet are modulated to yield a homogeneous dose in both the longitudinal and lateral directions. As an evaluation of the efficacy of this method, it has been applied to two prostate cases using a variety of beam arrangements. We have performed a comparison study between intensity modulated photon plans and those for laser-accelerated protons. For identical beam arrangements and the same optimization parameters, proton plans exhibit superior coverage of the target and sparing of neighbouring critical structures. Dose-volume histogram analysis of the resulting dose distributions shows up to 50% reduction of dose to the critical structures. As the number of fields is decreased, the proton modality exhibits a better preservation of the optimization requirements on the target and critical structures. It is shown that for a two-beam arrangement (parallel-opposed) it is possible to achieve both superior target coverage with 5% dose inhomogeneity within the target and excellent sparing of surrounding tissue.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Algorithms
  • Body Burden
  • Computer Simulation
  • Humans
  • Laser Therapy*
  • Male
  • Models, Biological
  • Models, Statistical
  • Monte Carlo Method
  • Organ Specificity
  • Prostatic Neoplasms / radiotherapy*
  • Proton Therapy
  • Radiometry / methods*
  • Radiotherapy Dosage
  • Radiotherapy Planning, Computer-Assisted / methods*
  • Radiotherapy, Conformal / methods*

Substances

  • Protons