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Results for "105 105": 1015 found

3D Bioprinted Brain Cancer Constructs for Experimental Synchrotron Radiotherapy

Authors: John Paul Ortiz Bustillo, Elette Engels, Elrick T. Inocencio, Michael Lerch, Julia Rebecca D Posadas, Anatoly Rosenfeld, Kiarn Roughley, Moeava Tehei, Gordon Wallace, Danielle Warren, Vincent de Rover

Affiliation: Centre for Medical Radiation Physics, University of Wollongong Australia, Department of Radiology, University of the Philippines- Philippine General Hospital, Intelligent Polymer Research Institute, ARC Centre of Excellence for Electromaterials Science, AIIM Facility, University of Wollongong Australia, Centre for Medical Radiation Physics, University of Wollongong, Intelligent Polymer Research Institute, ARC Centre of Excellence for Electromaterials Science, AIIM Facility, University of Wollongong, University of the Philippines Manila; Centre for Medical Radiation Physics, University of Wollongong Australia

Abstract Preview: Purpose: To compare the biological response through cell viability assay and fluorescence imaging of 3D bioprinted brain cancer (glioma) constructs relative to 2D monolayer and 3D spheroid culture for...

3D Printed Electron Block Aperture Generation

Authors: David Chighvinadze, Lisa Czaplicki, Jeremy D. Donaghue, Lama K. Muhieddine Mossolly

Affiliation: Cleveland Clinic Sandusky, Cleveland Clinic Strongsville, Cleveland Clinic Fairview

Abstract Preview: Purpose:
Current electron block generation requires manual cutting of stryofoam and placement for pouring of the block which can lead to possible miscutting of blocks, and non-accurate rotations co...

3D Renal Microdosimetry: Evaluating Radiopharmaceuticals Using Histology-Based 3D Models

Authors: John P. Aris, Wesley E. Bolch, Madison Bushloper, Lauren E Ellis, Adam Grey Haneberg, Elizabeth Martin, Bonnie N. C. President, Andrew Robert Sforza, Alexander Zorrilla

Affiliation: Johns Hopkins University, Biomedical Engineering, University of Florida

Abstract Preview: Purpose: To develop six additional high-fidelity 3D models of kidney renal cortical labyrinth from H&E-stained histology slides to support radiation dosimetry in radiopharmaceutical therapies (RPTs).<...

3D Topological Features for Outcome Assessment of Therapeutic Responses to Neoadjuvant Chemoradiotherapy (NCRT) with and without Anti-CD40 Immunotherapy in Local Advanced Rectal Cancer (LARC)

Authors: Todd A Aguilera, Gaurav Khatri, Jiaqi Liu, Hao Peng, Nina N. Sanford, Robert Timmerman, Haozhao Zhang

Affiliation: Department of Radiation Oncology, UT Southwestern Medical Center, UT southwestern medical center, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center

Abstract Preview: Purpose:
This study first integrates 3D topological data analysis with radiomics from local advanced rectal cancer T2-weighted MRI to evaluate therapeutic responses and quantify treatment-induced c...

4D CBCT Reconstruction Using Denoising Diffusion Implicit Models

Authors: Weixing Cai, Laura I. Cervino, Yabo Fu, Bohong Huang, Licheng Kuo, Tianfang Li, Xiang Li, Jean M. Moran, Huiqiao Xie, Hao Zhang

Affiliation: Department of Medical Physics, Memorial Sloan Kettering Cancer Center, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose: Four-dimensional cone-beam computed tomography (4D-CBCT) is critical in image-guided radiotherapy (IGRT) for visualizing tumor motion. However, sparse projection sampling often introduces sev...

4π Non-Coplanar Stereotactic Body Radiation Therapy: Dosimetric Evaluation of VMAT Configurations in for Recurrent Head and Neck Tumors

Authors: Sixue Dong, Weigang Hu, Jiazhou Wang, Zhen Zhang

Affiliation: Fudan University Shanghai Cancer Center

Abstract Preview: Purpose: This study aimed to evaluate the dosimetric benefits and treatment efficiency of different beam configurations in 4π non-coplanar VMAT for SBRT in recurrent head and neck tumors

Method...

A 2D Discrete Ionization Chamber Array for Proton Pencil Beam Scanning Flash Dosimetry

Authors: Fu-Xiong Chang, Arpit M. Chhabra, J Isabelle Choi, Chanda Guha, Nancy Y Lee, Chih-Hsun Lin, Haibo Lin, Hang Qi, Mahbubur Rahman, Charles B. Simone, Pingfang Tsai, Shouyi Wei, Irini Yacoub, Yunjie Yang, Ajay Zheng, Jun Zhou

Affiliation: New York Proton Center, Montefiore Medical Center and Albert Einstein College of Medicine, Liverage Biomedical Inc., Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, Memorial Sloan Kettering Cancer Center, Department of Radiation Oncology and Winship Cancer Institute, Emory University, Institute of Physics, Academia Sinica

Abstract Preview: Purpose: FLASH therapy presents an opportunity to alter the radiotherapy paradigm and significantly enhancing normal organ protection while maintaining the effectiveness of tumor control. The temporal...

A Bayesian Model for the Detection of Local Ventilation Changes in Lung Cancer Patients

Authors: Bas W. Raaymakers, Mario Ries, Paris Tzitzimpasis, Cornel Zachiu

Affiliation: Department of Radiotherapy, University Medical Center Utrecht, University Medical Center Utrecht, UMC Utrecht

Abstract Preview: Purpose: Radiation pneumonitis affects approximately 10-30% of lung cancer patients treated with radiation therapy (RT), posing a significant dose-limiting factor. Recently developed CT-ventilation me...

A Causal Machine Learning Analysis of Dosimetric and Clinical Predictors of Osteoradionecrosis in Head and Neck Cancer Radiotherapy

Authors: Jingyuan Chen, Sheng Li, Tianming Liu, Wei Liu, Zhengliang Liu, Zhong Liu, Daniel Ma, Samir H. Patel, Guangya Wang, Yunze Yang

Affiliation: University of Miami, Mayo Clinic, School of Data Science, University of Virginia, School of Computing, University of Georgia, Department of Radiation Oncology, Mayo Clinic, Institute of Western China Economic Research, Southwestern University of Finance and Economics

Abstract Preview: Purpose:
Traditional patient outcome analyses relied heavily on conventional statistical models that primarily elucidate correlation rather than causal relationships. In this study, we aim to ident...

A Clinical Evaluation of Two Commercially Available Deep-Learning Algorithms for Automated Organs at Risk Contouring

Authors: Steven DiBiase, Gurtej S. Gill, Haohua Billy Huang, Nicholas J. Lavini, Luxshan Shanmugarajah, Salar Souri, Samantha Wong

Affiliation: Stony Brook University, Northwell Health, Cornell University, NewYork-Presbyterian, New York-Presbyterian

Abstract Preview: Purpose: Clinical applications of deep learning-based algorithms have come to the radiation oncology field as organ at risk (OAR) auto contouring programs. We evaluated two of these algorithms’ (Radfo...

A Combination of Radiomics and Dosiomics for Gross Tumor Volume Regression in Personalized Ultra-Fractionated Stereotactic Adaptive Radiotherapy (PULSAR)

Authors: Hao Peng, Yajun Yu

Affiliation: Department of Radiation Oncology, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center

Abstract Preview: Purpose: Personalized ultra-fractionated stereotactic adaptive radiotherapy (PULSAR) is a novel ablative radiation dosing scheme developed by our institution. This study aims to establish a regression...

A Comparative Analysis of Hand Calculations and Macro Monte Carlo Simulations for Electron Beam Dosimetry

Authors: Mohamed Eldib, Adam Mahl, Moyed Miften, Rachel Petragallo, Kelly L. Stuhr

Affiliation: University of Colorado - Anschutz Medical Campus, University of Colorado School of Medicine, University of Colorado Denver, Department of Radiation Oncology, University of Colorado

Abstract Preview: Purpose: To compare electron beam dose calculations performed manually with those computed using the Macro Monte Carlo simulation for standard fields on both phantom and patient setups, with the aim o...

A Comparative Analysis of the Dosimetric, Alignment, and Setup Efficiency in Left Breast Cancer Radiotherapy Treated with Dibh Using ABC and Sgrt

Authors: Aaron Conard, Victoria Croog, Marie Gurka, Lan Lin

Affiliation: Johns Hopkins University

Abstract Preview: Purpose:
This study evaluates the utility of the Active Breathing Coordinator (ABC) and Surface Guided Radiation Therapy (SGRT) techniques in implementing Deep Inspiration Breath Hold (DIBH) for le...

A Comparative Evaluation of CT Global Noise Calculation Methods for Upcoming CMS Image Quality Measure

Authors: Gary Y. Ge, Charles Mike Weaver, Jie Zhang

Affiliation: University of Kentucky

Abstract Preview: Purpose: The recently introduced CMS regulation on CT dose and image quality mandates the use of global noise as the metric for image quality assessment. The regulation cites two methods for calculati...

A Comparative Study of Hypersight and Truebeam Cone Beam Computed Tomography Image Quality

Authors: Sorour Hosseini, YuHuei Jessica Huang, Thomas Boyd Martin, Geoffrey S. Nelson, Nicholas Pierre Nelson, Hui Zhao

Affiliation: University of Utah, Department of Radiation Oncology, Huntsman Cancer Institute, University of Utah

Abstract Preview: Purpose: To evaluate image quality—including noise, contrast-to-noise ratio (CNR), uniformity, and low-contrast visibility (LCV)—on the HyperSight and TrueBeam cone-beam computed tomography (CBCT) pla...

A Comparison of Non-Adaptive Versus Online Adaptive Radiotherapy for Prostate Cancer Using FLOW-RT-- Fast, AI-Driven but Learning-Enabled, Online Adaptive Workflow for Radiotherapy

Authors: Theodore Higgins Arsenault, Kenneth W. Gregg, Beatriz Guevara, Lauren E Henke, Angela Jia, Rojano Kashani, Kyle O'Carroll, Alex T. Price, Adithya Reddy, Atefeh Rezaei, Daniel E Spratt, Runyon C. Woods

Affiliation: University Hospitals Seidman Cancer Center

Abstract Preview: Purpose: To evaluate the effect of unedited AI-generated contours used for online adaptive radiotherapy (FLOW-ART) on the plan quality of prostate treatments as compared to non-adaptive (non-ART) proc...

A Comparison of on-Isocenter Vs Off-Isocenter Planning for Lung SBRT on the Viewray Mridian

Authors: Nebi Demez, Shyam Pokharel, Suresh Rana, Lauren A. Rigsby, Tino Romaguera, Nishan Shrestha

Affiliation: Lynn Cancer Institute, Boca Raton Regional Hospital, Baptist Health South Florida

Abstract Preview: Purpose: Treatment plans on the ViewRay MRIdian are often planned with the target placed off isocenter due to the proximity of the bore to the patient, allowing for limited shifts. This is especially ...

A Comparison of the Impact to Mean Doses to Organs at Risk of Small Versus Large Spot Sizes in Pelvic Proton Therapy

Authors: Jamie s Baker, Sam Beddar, Mahsa Dehghanpour, Ariel MT Hoang, Emma Holliday, Rachael M. Martin Paulpeter, Joshua S. Niedzielski, Luis Augusto Perles, Josie S Ruzek, Gabriel O. Sawakuchi

Affiliation: MD Anderson Cancer Center, The University of Texas MD Anderson Cancer Center, UT MD Anderson Cancer Center, niversity of Texas MD Anderson Cancer Center School of Health Professions, Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, University of Texas MD Anderson Cancer Center School of Health Professions

Abstract Preview: Purpose: This study aims to evaluate the dosimetric impact on organs at risk (OAR) of small versus large spot sizes when treating pelvic cancer patients with pencil beam scanning (PBS) proton therapy....

A Comprehensive TG 263 Toolkit for Generating, Validating, and Parsing Radiation Therapy Target Names

Authors: Rex A. Cardan, Richard A. Popple

Affiliation: University of Alabama at Birmingham

Abstract Preview: Purpose:
Compliance with TG 263 naming conventions for target structures in radiation oncology remains a challenging task due to the complexity and variability of the protocol. Traditional validati...

A Conditional Point Cloud Diffusion Model for Deformable Liver Motion Tracking Via a Single Arbitrarily-Angled X-Ray Projection (PCD-Liver)

Authors: Yunxiang Li, Hua-Chieh Shao, Chenyang Shen, Jing Wang, Jiacheng Xie, Shunyu Yan, You Zhang

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, UT Southwestern Medical Center, The University of Texas at Dallas

Abstract Preview: Purpose: Accurate liver deformable motion tracking is essential in image-guided radiotherapy to enable precise tumor targeting during treatment. We developed a conditional point cloud diffusion model ...

A Deep Learning Approach to the Prediction of Gamma Passing Rates in VMAT Radiotherapy Plans for Adaptive Treatment.

Authors: Jenghwa Chang, Kuan Huang, Lyu Huang, Jason Lima, Jian Liu, Farzin Motamedi

Affiliation: Northwell, Department of Computer Science and Technology, Kean University, Physics and Astronomy, Hofstra University, Hofstra University Medical Physics Program

Abstract Preview: Title: A Deep Learning Approach to the Prediction of Gamma Passing Rates in VMAT Radiotherapy Plans for Adaptive Treatment.
Purpose: This study aims to develop a deep learning algorithm to predict ...

A Deep Learning Method for Direct Vmi Inference Using a Dual-Layer Radiotherapy Kv-CBCT Imager

Authors: Ross I. Berbeco, Vera Birrer, Raphael Bruegger, Pablo Corral Arroyo, Roshanak Etemadpour, Dianne M. Ferguson, Rony Fueglistaller, Thomas C. Harris, Yue-Houng Hu, Matthew W. Jacobson, Mathias Lehmann, Nicholas Lowther, Daniel Morf, Marios Myronakis

Affiliation: Brigham and Women's Hospital, Harvard Medial School, Dana-Farber Cancer Institute, Department of Radiation Oncology, Dana Farber/Brigham and Women's Cancer Center, Department of Radiation Oncology, Brigham and Women’s Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Brigham and Womens Hospital, Dana Farber Cancer Institute, Harvard Medical School, Brigham and Women's Hospital, Varian Imaging Laboratory, Dana-Farber Cancer Institute

Abstract Preview: Purpose: A challenge for dual energy CBCT is that noise and residual errors in material decomposition steps can become amplified when forming low energy, high contrast virtual mono-energetic images (V...

A Deep Learning-Based Approach for Rapid Prediction of IMRT/VMAT Patient-Specific Quality Assurance for Online Adaptive Plans Generated with a 0.35T MR-Linac

Authors: Suman Gautam, Tianjun Ma, William Song

Affiliation: Virginia Commonwealth University

Abstract Preview: Purpose: We propose an artificial intelligence (AI)-based method to rapidly predict the patient-speciïŹc quality assurance (PSQA) results for magnetic resonance (MR)-guided online adaptive radiation th...

A Deep Learning-Based Method for Rapid Generation of Spot Weights in Single Field Optimization for Proton Therapy in Prostate Cancer

Authors: Yu Chang, Mei Chen

Affiliation: Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Department of Radiation Oncology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine

Abstract Preview: Purpose: Spot weights optimization, as a critical step in the proton therapy, is often time-consuming and labor-intensive. Deep learning, with its powerful learning and computational efficiency, can e...

A Diffusion-Based AI Framework for Continuous Deformable Image Registration and Time-Resolved Dynamic CT Generation

Authors: Mingli Chen, Xuejun Gu, Hao Jiang, Mahdieh Kazemimoghadam, Weiguo Lu, Gregory Szalkowski, Qingying Wang, Kangning Zhang

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center, Department of Radiation Oncology, Stanford University School of Medicine

Abstract Preview: Purpose: Respiratory motion management is crucial for accurate radiation delivery to moving targets while protecting healthy tissue, relying on time-resolved volumetric imaging and continuous deformab...

A Dosimeter Independent Method for Measuring Dose from Contrast Enhanced Mammography Exposure.

Authors: Mitya M. Barreto, Nichole A. Harris

Affiliation: Department of Radiology, University Hospitals Cleveland Medical Center

Abstract Preview: Purpose: To evaluate dosimeter dependence of measured AGD, and to develop a dosimeter independent method for evaluating the AGD, for CEDM exposures.
Methods: Three solid-state dosimeters (Raysafe-X...

A Dosimetric Analysis between Surgically Targeted (STaRT) Radiation Therapy and External Beam Stereotactic Radiation Therapy for Glioblastoma Resection Cavities

Authors: Jamieson Baker, Emel Calugaru, Yijian Cao, Jenghwa Chang, Jessica Jung, Jian Liu, Cindy Pham, Anurag Sharma, John Starner, Ching-Ling Teng, Michael A. Trager, Gabriella Wernicke

Affiliation: Northwell, Northwell Health, Radiation Medicine, Northwell Health, Hofstra University Medical Physics Program

Abstract Preview: Purpose: Our hospital network has options to treat recurrent glioblastoma (GBM) with surgically targeted Cesium-131 brachytherapy, external beam stereotactic radiotherapy (SRT) with Varian TrueBeam, H...

A Dosimetric Study of Misconnection to Unloaded Needles in Interstitial HDR Brachytherapy

Authors: Shifeng Chen, Mariana Guerrero, Brian A. Hrycushko, Kai Huang, Kai Jiang, Narottam Lamichhane, Paul M. Medin, Elizabeth Nichols

Affiliation: Department of Radiation Oncology, UT Southwestern Medical Center, University of Maryland School of Medicine, Department of Radiation Oncology, University of Maryland School of Medicine, Department of Radiation Oncology, University of Maryland Medical Center

Abstract Preview: Purpose: Unloaded needle catheters, if not handled properly, pose a risk for channel misconnection in interstitial high dose rate (iHDR) brachytherapy. This study aims to investigate the dosimetric im...

A Dosimetric Study of Small-Field Apertured Spot-Scanning Proton Stereotactic Radiosurgery for Pediatric Brain Tumors

Authors: Chin-Cheng Chen, Chia-Ho Hua, Christopher J. Kutyreff, Thomas E. Merchant

Affiliation: St. Jude Children's Research Hospital

Abstract Preview: Purpose: A dosimetric study was conducted to determine the optimal field parameters for a commercially available small-field applicator (SFA) used in spot-scanning proton stereotactic radiosurgery, pa...

A Dual Energy CT-Guided Intelligent Radiation Therapy Platform

Authors: Jiayi Chen, Manju Liu, Ning Wen, Haoran Zhang, Yibin Zhang

Affiliation: Department of Radiation Oncology, Ruijin Hospital, Department of Radiology, Ruijin Hospital Shanghai Jiaotong University School of Medicine, Duke Kunshan University, Department of Radiation Oncology,Ruijin Hospital, Shanghai Jiao Tong University School of Medicine

Abstract Preview: Purpose: This study introduces a novel Dual Energy CT (DECT)-Guided Intelligent Radiation Therapy (DEIT) platform designed to streamline and optimize the radiotherapy process. The DEIT system combines...

A Fast Low-Dose Method for Beam Blocker-Based CBCT Scatter Correction

Authors: Yidong Yang, Haolin Zhan

Affiliation: Department of Engineering and Applied Physics, University of Science and Technology of China, University of Science and Technology of China

Abstract Preview: Purpose: To develop a fast low-dose method for beam blocker-based CBCT scatter correction and evaluate image quality in phantom study.
Methods: The full number of scatter projections were collected...

A Feasible, Extendable, and Low-Cost Web-Based Application to Minimize the Second-Check Workload

Authors: William N. Duggar, Li Yuan

Affiliation: University of Mississippi Medical Center

Abstract Preview: Purpose:
Radiation Oncology departments typically utilize various systems from different vendors. Ensuring the integrity and correctness of data during transfers between these systems is essential ...

A Five-Year Retrospective Analysis of Dose Reduction for the Top 10 Adult CT Protocols

Authors: Emi Ai Eastman, Christina Lee, Xinhua Li, Yifang (Jimmy) Zhou

Affiliation: Cedars-Sinai Medical Center

Abstract Preview: Purpose:
This study aimed to retrospectively evaluate dose reduction efforts in past five years using acquisition-level data and to compare the results with ACR achievable dose (AD) and dose refere...

A Framework for the Standardization of Radiomics Classes in the Presence of Blur and Noise

Authors: Huay Din, Grace Jianan Gang, Grace Hyun Kim, Michael F. McNitt-Gray, Joseph W. Stayman, Yijie Yuan

Affiliation: Johns Hopkins University, John Hopkins University, University of Pennsylvania, David Geffen School of Medicine at UCLA

Abstract Preview: Purpose:
Radiomics rely on quantitative features to discern underlying biological signatures. However, feature dependence on the imaging systems themselves hampers the creation of reproducible and ...

A Ground Truth Label-Mediated Method for Improved Bone and Gas Cavity Definition for MRI-Guided Online Adaptive Radiotherapy Workflows Using Synthetic CT Images.

Authors: Benito De Celis Alonso, Braian Adair Maldonado Luna, Gerardo Uriel Perez Rojas, René Eduardo Rodríguez-Pérez, Kamal Singhrao

Affiliation: Department of Radiation Oncology, Brigham and Women's Hospital, Dana Farber Cancer Institute, Harvard Medical School, Faculty of Physics and Mathematics, Benemérita Universidad Autónoma de Puebla

Abstract Preview: Purpose: Artificial Intelligence (AI)-generated synthetic CT (sCT) images can be used to provide electron densities for dose calculation for online adaptive MRI-guided stereotactic body radiotherapy (...

A Hybrid Population-Based and Patient-Specific Framework for 2D–3D Deformable Registration-Driven Limited-Angle Cone-Beam CT Estimation

Authors: Xiaoxue Qian, Hua-Chieh Shao, You Zhang

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, UT Southwestern Medical Center

Abstract Preview: Purpose:
Limited-angle CBCT (LA-CBCT) reduces imaging time and dose but suffers from under-sampling artifacts. 2D–3D deformable registration addresses this problem by estimating LA-CBCTs from defor...

A Hybrid Radiomics-Integrated Machine Learning Framework for Early Identification of Potential Radiation Pneumonitis in Lung Cancer Patients

Authors: Christos Ilioudis, Marios Myronakis, Sotirios Raptis, Kyriaki Theodorou

Affiliation: Medical Physics Department, Medical School, University of Thessaly, Department of Information and Electronic Engineering, International Hellenic University (IHU)

Abstract Preview: Purpose: This study presents a radiomics-driven, machine learning framework developed to predict the possibility of Radiation Pneumonitis (RP), as a side effect of radiation therapy in lung cancer pat...

A Hybrid Transformer-CNN for Tracking-Free 3D Ultrasound Volume Reconstruction from 2D Freehand Scans

Authors: Wenfeng He, Tian Liu, Pretesh Patel, Richard L.J. Qiu, Keyur Shah, Tonghe Wang, Xiaofeng Yang, Chulong Zhang

Affiliation: Icahn School of Medicine at Mount Sinai, Emory University, Medical Physics Graduate Program, Duke Kunshan University, Memorial Sloan Kettering Cancer Center, Department of Radiation Oncology and Winship Cancer Institute, Emory University

Abstract Preview: Purpose: This study introduces a tracking-free approach to reconstruct 3D ultrasound (US) volumes from 2D freehand US scans. By eliminating the reliance on external tracking systems, this method aims ...

A Hybrid-PCA Based Accelerated MR Method for Real-Time Target Tracking and Motion Management

Authors: B. Gino Fallone, Keith D. Wachowicz, Mark G. Wright, Jihyun Yun

Affiliation: Medical Physics Division, Department of Oncology, University of Alberta, Dept. of Medical Physics, Cross Cancer Institute and Dept. of Oncology, University of Alberta, Medical Physics Division, Department of Oncology, University of Alberta and Department of Medical Physics, Cross Cancer Institute, Dept. of Medical Physics, Cross Cancer Institute and Dept. of Oncology, University of Alberta; MagnetTx Oncology Solutions, www.magnetTX.com

Abstract Preview: Purpose: This work focusses on a hybrid Principal Component Analysis (PCA) based MR acceleration method for prospectively acquired undersampled data on a hybrid MR-Linac system for real-time target-tr...

A Knowledge-Based Approach for High-Quality Accelerated Partial Breast Irradiation Using Stereotactic Body Radiotherapy

Authors: Drexell Hunter Boggs, Carlos E. Cardenas, Allison Dalton, John B Fiveash, Joel A. Pogue, Richard A. Popple, Farnaz Rahim Li

Affiliation: The University of Alabama at Birmingham, University of Alabama at Birmingham

Abstract Preview: Purpose: External-beam Accelerated Partial Breast Irradiation (APBI) using stereotactic-body radiotherapy (SBRT) is increasingly adopted as an alternative to whole-breast radiation, offering targeted ...

A Mechatronic Biopsy Guidance System for an Integrated 3D TRUS with Prostate-Specific PET System

Authors: Jeffrey Bax, Ian A. Cunningham, Aaron Fenster, Lori Gardi, Sule Karagulleoglu Kunduraci, Alla Reznik, David Tessier

Affiliation: Robarts Research Institute, Imaging Research Laboratories, Robarts Research Institute, Lakehead University

Abstract Preview: Purpose: Image-guided biopsy is critical for early diagnosis of prostate cancer (PCa), the most common cancer in men worldwide. While the prostate-specific PET (P-PET) system offers enhanced sensitivi...

A Method for Automatic Working Angle Prediction during Intracranial Aneurysms Embolization

Authors: Tina Ehtiati, Grace Jianan Gang, Limei Ma, Oleg Shekhtman, Visish M. Srinivasan

Affiliation: Siemens Medical Solutions USA, Inc., University of Pennsylvania

Abstract Preview: Purpose: Saccular aneurysms are the most common type of intracranial aneurysm and are typically treated by endovascular embolization. The procedure requires approximately orthogonal fluoroscopy images...

A Method for Forward Planning with the Venezia HDR Applicator

Authors: Timothy J Allen, David A. Sterling

Affiliation: University of Minnesota Physicians, Department of Radiation Oncology, University of Minnesota, Minneapolis

Abstract Preview: Purpose: Treatment planning for the Venezia HDR brachytherapy applicator is often performed using inverse planning tools such as IPSA or HIPO. However, there are planners who are either unfamiliar wit...

A Method to Check the Consistency and Reproducibility of VMAT Delivery

Authors: Chloe Doen Kim, Patricia E. Lindsay, Bern Norrlinger, Jan P. Seuntjens

Affiliation: Princess Margaret Cancer Centre & University of Toronto, Queen's University, Princess Margaret Cancer Centre

Abstract Preview: Purpose: To propose a method to check the consistency of VMAT delivery on linear accelerator (LINAC) with a commercial three-dimensional array device. The method is insensitive to the correction facto...

A Method to Expedite Quality Assurance for Head and Neck Ctvs with Lymph Node Level Auto-Autocontouring and Identification

Authors: Beth M. Beadle, Adrian Celaya, Laurence Edward Court, David Fuentes, Anna Lee, Tze Yee Lim, Dragan Mirkovic, Amy Moreno, Raymond Mumme, Tucker J. Netherton, Callistus M. Nguyen, Jaganathan A Parameshwaran, Jack Phan, Carlos Sjogreen, Sara L. Thrower, Congjun Wang, He C. Wang, Xin Wang

Affiliation: Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center; The University of Texas MD Anderson Cancer Center UTHealth Houston Graduate School of Biomedical Sciences, Department of Radiation Oncology, Stanford University, The University of Texas MD Anderson Cancer Center, MD Anderson Cancer Center, MD Anderson, Rice University, Department of Radiation Physics, The University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose: Quality assurance of target volumes from radiotherapy clinical trials is a labor and resource intensive task. The purpose of this work is to quantify the accuracy of a tool that automatically...

A Method to Reduce Workload in Adaptive Radiotherapy

Authors: Ramesh Boggula, Lincoln Houghton

Affiliation: Karmanos Cancer Institute, Wayne State University

Abstract Preview: Purpose: To evaluate an approach that selectively applies adaptive re-planning only when needed to reduce clinical workload while maintaining treatment quality. Daily adaptive radiotherapy (ART) has t...

A Modified VMAT Technique for the Treatment of Diffuse and Extensive Involvement of the Skull By Various Malignancies

Authors: Edward D. Brandner, Weihua Fu, M. Saiful Huq, Ronald John Lalonde, Kiran Mehta, Hima Bindu Musunuru, Yongqian Zhang

Affiliation: UPMC Hillman Cancer Center and University of Pittsburgh School of Medicine, Department of Radiation Oncology, University of Pittsburgh School of Medicine and UPMC Hillman CancerCenter

Abstract Preview: Purpose: Treatment of diffuse and extensive involvement of the skull by malignancy presents a difficult challenge for radiation therapy. This study reports preliminary experience of a modified volumet...

A Modular Approach to Reversible and Stackable Medical Imaging Translation Models: CBCT-Based Synthetic MRI with Multiple U-Nets in Series (MUNETs)

Authors: Eric Chang, Nguyen Phuong Dang, Andrew Lim, Lauren Lukas, Lijun Ma, Yutaka Natsuaki, Zhengzheng Xu, Hualin Zhang

Affiliation: Radiation Oncology, Keck School of Medicine of USC

Abstract Preview: Purpose: Harnessed the power of AI and Deep Learning (DL), Generalized Neural Network models for medical image transformation are trained to predict target images from reference images, often requirin...

A Monte Carlo Framework for Automated Quality Assurance of Dynamically Collimated Pencil Beam Scanning Clinical Treatment Deliveries

Authors: Laura Bennett, Wesley S. Culberson, Albert Du, Kevin J. Erhart, Ryan T. Flynn, Ryan Gardner, Alonso N. Gutierrez, Patrick M Hill, Daniel E. Hyer, Eric Jensen, Kaustubh A. Patwardhan, Blake R. Smith, Nhan Vu, Karsten K. Wake

Affiliation: University of Wisconsin, Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison, Miami Cancer Institute, Baptist Health South Florida, Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Ion Beam Applications (IBA), University of Iowa, Iowa Health Care, .decimal

Abstract Preview: Purpose: To develop and experimentally validate a novel Monte Carlo (MC) framework designed to enable calculation-based quality assurance (QA) for collimated intensity modulated proton therapy treatme...

A Monte Carlo-Based Secondary Dose Verification Tool for Treatment Plans of Robotic Radiosurgery System

Authors: Chuxiong Ding, Xuejun Gu, Heejung Kim, Weiguo Lu, Yang Kyun Park, Yulong Yan

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center, University of Texas Southwestern Medical Center, Department of Radiation Oncology, Stanford University School of Medicine

Abstract Preview: Purpose: The purpose of this study was to develop and evaluate a Monte Carlo (MC) dose calculation software (DosemanCK) for secondary dose verification of CyberKnife (CK) treatment plans. Unlike tradi...

A Motion Analysis of Cardiac Substructures for Guiding Stereotactic Arrhythmia Radiotherapy Motion Management

Authors: Hongyu An, Phillip Cuculich, H Michael Gach, Yao Hao, Trevor McKeown, Clifford Robinson, Yuhao Wang, Deshan Yang

Affiliation: Washington University School of Medicine in St. Louis, Washington University School of Medicine, Duke University, Department of Radiation Oncology, Duke University, Washington University in St. Louis, Department of Radiation Oncology, Washington University School of Medicine in St. Louis

Abstract Preview: Purpose: This study investigated cardiac motion characteristics of ventricular tachycardia patients to support patient-specific motion management for stereotactic arrhythmia radiotherapy (STAR) treatm...

A Multi-Agent Approach for Fully Automated Nephrometry Feature Extraction in CT

Authors: Matthew S Brown, Joshua Genender, John M. Hoffman, Gabriel Melendez-Corres, Muhammad W. Wahi-Anwar

Affiliation: David Geffen School of Medicine at UCLA, UCLA Department of Radiology

Abstract Preview: Purpose: Renal lesions are evaluated using scoring systems based on visual assessments and manual measurements. The purpose of this work is to develop a multi-agent system for automated anatomic landm...

A Multi-Institutional Survey of Current Therapeutic Medical Physics Residents’ Satisfaction and Interview Experience

Authors: Seifallah Emam, Gilberto Gonzalez, Anna E. Rodrigues

Affiliation: Duke University, University of Oklahoma Health Sciences Center

Abstract Preview: Purpose:
To survey current therapeutic medical physics residents on 1) the accuracy with which residency programs were represented during interviews, 2) factors that most strongly impacted resident...

A Multi-Omics Approach for Predicting Acute Hematologic Toxicity in Patients with Cervical Cancer Undergoing External-Beam Radiotherapy

Authors: Sijuan Huang, Yongbao Li

Affiliation: Sun Yat-sen University Cancer Center; State Key Laboratory of Oncology in South China; Collaborative Innovation Center for Cancer Medicine; Guangdong Key Laboratory of Nasopharyngeal Carcinoma Diagnosis and Therapy, Guangzhou, Guangdong, 510060, China, Sun-Yat sen University Cancer Center

Abstract Preview: Purpose: Hematologic toxicity (HT) is one of the most prevalent treatment-related toxicities experienced by locally advanced cervical cancer (LACC) patients receiving radiotherapy (RT). This study aim...

A Multi-Regional and Multi-Omics Approach to Predict Penumonitis in Patients with Locally Advanced Non-Small Cell Lung Cancer in Nrg Oncology Trial RTOG 0617

Authors: Katelyn M. Atkins, Indrin J. Chetty, Elizabeth M. McKenzie, Taman Upadhaya, Samuel C. Zhang

Affiliation: Department of Radiation Oncology,Cedars-Sinai Medical Center, Cedars-Sinai Medical Center

Abstract Preview: Purpose:
We explored a multi-regional and multi-omics approach to extract CT-based radiomics and 3D dosiomics features to predict radiation pneumonitis (RP) in patients with locally advanced Non-Sm...

A New Voxel-Based Similarity Approach for Assessing Contour Similarity and Clinical Dosimetric Effect

Authors: Shari Damast, Svetlana Kuznetsova, Christopher J. Tien

Affiliation: Yale University School of Medicine, Department of Therapeutic Radiology, Yale University School of Medicine

Abstract Preview: Purpose: Current contour similarity evaluation approaches (Dice Similarity Coefficient, Mean Distance to Agreement) are limited to geometric agreement without assessment of ultimate dosimetric impact....

A No-Reference Medical Image Quality Assessment Method Based on Automated Distortion Recognition Technology: Application to Preprocessing in MRI-Guided Radiotherapy

Authors: Jiayun Chen, Shengqi Chen, Yuan Tang, Zilin Wang, Guohua Wu, Jianan Wu

Affiliation: Cancer Hospital Chinese Academy of Medical Sciences, Shenzhen Center, School of Electronic Engineering, Beijing University of Posts and Telecommunications, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College

Abstract Preview: Purpose:
To develop a novel no-reference image quality assessment (NRIQA) method for evaluating the effectiveness of image preprocessing in MRI-guided radiotherapy (MRIgRT), thereby enhancing clini...

A Novel 2D Scintillation Dosimeter Using Long Scintillating Fibers.

Authors: Louis Archambault, Luc Beaulieu, Alexis Horik, Sajjad Ahmad Khan

Affiliation: Département de Physique, de Génie Physique et D'optique, et Centre de Recherche sur le Cancer, Université Laval, Département de physique, de génie physique et d'optique, Université Laval

Abstract Preview: Purpose: This study presents a novel 2D scintillation dosimeter leveraging long scintillating fibers for quality assurance (QA) in radiotherapy. The primary goal is to optimize critical parameters suc...

A Novel Abdominal Phantom with Deformable Organs

Authors: Katherine Brown, Will Buchsbaum, Mylinh Dang, Joshua Dean, Sameer Faruquee, Gracie Huff, Claudia Maldonado, Gaby Min, David O'Neill, Gemily Wang, Poonam Yadav

Affiliation: Northwestern University, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, Northwestern Medicine

Abstract Preview: Purpose:
To establish an abdominal imaging phantom that includes deformable organs including the stomach, duodenum, and pancreas. This phantom will be used in routine calibration of an MRI-LINAC sy...

A Novel Approach to Preclinical Intensity-Modulated Radiotherapy Using an Open-Source Ring-Based Compensator Device and Inverse Treatment Planning System

Authors: Benjamin R. Awad, Bulent Aydogan, Howard J Halpern, Erik Pearson, Gage H. Redler, Jordan M. Slagowski, Rajit Tummala, Autumn E. Walter-Denzin, Jimmy Zydlo

Affiliation: University of Wisconsin-Madison Department of Human Oncology, University of Oxford, The University of Chicago, Moffitt Cancer Center, California State University, Fresno, Department of Human Oncology, University of Wisconsin-Madison

Abstract Preview: Purpose: Small animal models are crucial in cancer research to develop, validate, and translate basic scientific hypotheses into clinical advancements. This study aims to make small animal intensity-m...

A Novel Cost-Effective Customizable 3D-Printed Thoracic Phantom for End-to-End Treatment Verification and Image Quality Assessment

Authors: Reza Farjam, Russell K Hales, Seth Jayawardane, Todd R. McNutt, Mohammad Rezaee, Ehsan Tajikmansoury, K. Ranh Voong

Affiliation: Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Johns Hopkins University, Department of Biomedical Engineering, Johns Hopkins School of Medicine

Abstract Preview: Purpose: This study presents a novel cost-effective customizable 3D-printed phantom developed for end-to-end treatment verification and image-quality assessment for thoracic applications.
Methods: ...

A Novel Linac Onboard Dual-Layer Kv Imager Provides Increased Clinical CBCT Contrast and Metal Artifact Reduction Using Virtual Monoenergetic Images

Authors: Ross I. Berbeco, Vera Birrer, Raphael Bruegger, Pablo Corral Arroyo, Roshanak Etemadpour, Dianne M. Ferguson, Rony Fueglistaller, Thomas C. Harris, Yue-Houng Hu, Matthew W. Jacobson, Mathias Lehmann, Marios Myronakis

Affiliation: Brigham and Women's Hospital, Harvard Medial School, Dana-Farber Cancer Institute, Department of Radiation Oncology, Dana Farber/Brigham and Women's Cancer Center, Department of Radiation Oncology, Brigham and Women’s Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Brigham and Women's Hospital, Varian Imaging Laboratory, Dana-Farber Cancer Institute

Abstract Preview: Purpose: Dual-energy imaging offers benefits, including metal artifact reductions (MAR) and improved contrast, that enhance visualization. Currently, dual-energy imaging is largely limited to CT scann...

A Novel Metric for Predicting Heart Dose Assessment in Left-Sided Breast Cancer Radiotherapy

Authors: Yufeng Cao, Arun Gopal, Kai Huang, Kai Wang

Affiliation: Department of Radiation Oncology, University of Maryland School of Medicine, Department of Radiation Oncology, University of Maryland Medical Center, University of Maryland, Baltimore

Abstract Preview: Purpose: The treatment of left-sided breast tumors poses significant concerns regarding the risk of radiation-induced damage to nearby organs, particularly the heart. In clinical practice, breath-hold...

A Novel Optimization Algorithm That Improves DVH Based Planning for Direction Modulated Brachytherapy Tandem Applicator.

Authors: Christopher L. Deufel, Suman Gautam, William Y. Song

Affiliation: Virginia Commonwealth University, Mayo Clinic

Abstract Preview: Purpose: Direction modulated brachytherapy creates anisotropic dose distribution from an isotropic source. This study aims to develop a truncated conditional value at risk optimization algorithm for D...

A Novel Setup for Flash Radiotherapy Beam Delivery at Isocenter Using Downstream Electron Scattering

Authors: Dale W. Litzenberg, Ikechi S Ozoemelam, Rowan Paplanus, Michael Pillainayagam, Donald A. Roberts

Affiliation: University of Michigan, Oregon Health & Science University

Abstract Preview: Purpose: Clinical linear accelerators use dual foil scattering systems designed to achieve large uniform fields (up to 25×25cmÂČ), which can reduce beam fluence by up to 93% compared to the unmodified ...

A Novel Sphere Packing Solution Via Principal Component Analysis for Lattice SFRT Treatment of Large, Bulky, and Unresectable Tumors

Authors: James Robert Castle, Joshua Misa, Damodar Pokhrel, William St. Clair

Affiliation: University of Kentucky, Department of Radiation Medicine

Abstract Preview: Purpose: We propose a novel methodology for lattice deployment in spatially fractionated radiotherapy (SFRT), using principal component analysis (PCA) to improve sphere packing within the tumor. Impro...

A Patient-Specific Approach to Surface Guided-DIBH SBRT Candidacy Using Surface Deformation Maps

Authors: Savannah Decker, Grace Gwe-Ya Kim, Laura Padilla

Affiliation: UC San Diego, University of California San Diego

Abstract Preview: Purpose: The success of surface-guided deep-inspiration breath-hold (SG-DIBH) treatments depends on accurate identification of suitable candidates. Sub-optimal patient selection can result in prolonge...

A Perturbative Approach to Determine the Charge Collection Efficiency in High Dose-per-Pulse Beams

Authors: Julien Bancheri, Jan P. Seuntjens

Affiliation: Medical Biophysics, University of Toronto, Princess Margaret Cancer Centre & University of Toronto

Abstract Preview: Purpose: To obtain an analytical expression for the charge collection efficiency of parallel-plate ionization chambers in high dose-per-pulse (DPP) beams that takes into account the square pulse time ...

A Pilot Survey on Medical Physics Residency Education in External Beam Special Procedures

Authors: Courtney R. Buckey, Jay W. Burmeister, Minsong Cao, Grace Chang, Yu Kuang, Yixiang Liao, Yi Rong, Dandan Zheng

Affiliation: Mayo Clinic, Mayo Clinic Arizona, Karmanos Cancer Center, Gershenson ROC, Wayne State University School of Medicine, Department of Radiation Oncology, University of California, Los Angeles, Medical Physics Program, University of Nevada, Rush University Medical Center, University of Rochester

Abstract Preview: Purpose: Investigate the adequacy of training for therapeutic medical physics residents in select special procedures.
Methods: After a review of existing literature, a multi-institutional group dev...

A Plan Complexity Comparison between Monaco and Eclipse - Meta Analysis of 17,000 Plans and 30,000 Beams

Authors: Christopher Colyer, Leon F Dunn, Jonathan Dunning, Simon Goodall, Andy Schofield

Affiliation: GenesisCare

Abstract Preview: Purpose: Modern radiotherapy is characterized by complex treatment plans utilizing dynamic MLCs, gantry positions and recently, collimator rotations. The purpose of this work was to compare the plan c...

A Practical Experimental Software Validation Method for Voxel-Based Personalised Dosimetry in Radiopharmaceutical Therapy

Authors: Thomas Gee, Sofia Michopoulou, Amit Nautiyal

Affiliation: University Hospital Southampton

Abstract Preview: Purpose: Dosimetry software that is accessible to departments offers new opportunities to improve patient-specific dosimetry. Prior to clinical decision-making, it is essential to validate dosimetry s...

A Predictive Tool for Optimizing Treatment System Allocation in Hypofractionated Whole-Breast Radiotherapy

Authors: Zhenzhen Dai, Anthony J. Doemer, Ryan Hall, Kenneth Levin, Bing Luo, Benjamin Movsas, Karen C. Snyder, Kundan S Thind, Eleanor Walker

Affiliation: Henry Ford Health, HFHS

Abstract Preview: Purpose: To investigate the feasibility of a predictive tool for efficient allocation of hypofractionated whole-breast irradiation patients between Varian Truebeam and Ethos systems.
Methods: A ful...

A Preliminary Study of Light-Weighted and Flexible Bismuth Nanoparticle-Based Polymer Matrix for Efficient Radiation Shielding

Authors: Ming Su, Yuenan Nancy Wang

Affiliation: Northeastern University, Hartford Healthcare

Abstract Preview: Purpose: High Z elements such as lead are often used to protect critical structures in clinical radiotherapy. Nanoparticles have different properties than bulk materials. We proposed a polymer matrix ...

A Quantitative Analysis of Hypersight CBCT Image Quality Using a Phantom-Based Approach Under Different Scatter Conditions

Authors: Denisa R. Goia, M. Saiful Huq, Ronald John Lalonde, Fang Li, Noor Mail, Joseph Shields, Christopher Tyerech

Affiliation: UPMC Hillman Cancer Center, UPMC Hillman Cancer Center and University of Pittsburgh School of Medicine, Department of Radiation Oncology, University of Pennsylvania, UPMC

Abstract Preview: Purpose: HyperSight is a new platform for image-guided radiation therapy, offering advanced reconstruction algorithms, a large field-of-view, and rapid acquisition times. To validate the performance o...

A Quantitative Analysis of Interplay Effects in IMPT for Lung Cancer SBRT: Comparing Two Machine Delivery Sequence Models

Authors: Xiaoda Cong, Xuanfeng Ding, Gang Liu, Peilin Liu, Lewei Zhao

Affiliation: Department of Radiation Oncology, Stanford University, Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Corewellhealth William Beaumont University Hospital

Abstract Preview: Purpose: This study quantitatively evaluates the interplay effect in intensity-modulated proton therapy (IMPT) for lung cancer stereotactic body radiotherapy (SBRT) using two different machine deliver...

A Quantitative, Predictable Guided Optimization Approach for Eclipse to Mitigate the SRS “Ring of Fire”

Authors: Ivan L. Cordrey, Dharmin D. Desai

Affiliation: Cumberland Medical Center - Cancer Center, Varian Advanced Oncology Solutions

Abstract Preview: Purpose: For larger PTVs, VMAT optimizations performed within Eclipse often generate SRS plans with widely scattered hotspots distributed around the inner edge of the PTV – the “ring of fire.” This pr...

A Radiomic Quantification Framework for Hyperparameter Optimization in Texture Characterization

Authors: Yuli Lu, Chendong Ni, Cheng Qian, Kun Qian, Weiwei Sang, Chunhao Wang, Fan Xia, Zhenyu Yang, Fang-Fang Yin, Rihui Zhang, Haiming Zhu

Affiliation: Jiahui International Hospital, Radiation Oncology, Duke University, Medical Physics Graduate Program, Duke Kunshan University, Duke Kunshan University, The First People's Hospital of Kunshan

Abstract Preview: Purpose: To develop a radiomic quantification framework to evaluate the effects of radiomic image preprocessing hyperparameters (i.e., image resampling and discretization) on texture characterization ...

A Recent Evaluation on the Performance of Llms on Radiation Oncology Physics Using Questions of Randomly Shuffled Options

Authors: Dequan Chen, Jason Michael Holmes, Tianming Liu, Wei Liu, Zhengliang Liu, Jiajian Shen, Peilong Wang

Affiliation: Department of Radiology, Mayo Clinic, Department of Radiation Oncology, Mayo Clinic, School of Computing, University of Georgia

Abstract Preview: Purpose:
We present a study to evaluate the performance of large language models (LLMs) in answering radiation oncology physics questions, focusing on the recently released models.
Methods:
A...

A Refined Model of Reference Mesh-Type Female Breast Model Vasculature and Glandular Structures for Internal Circulating Lymphocyte Dosimetry

Authors: Wesley E. Bolch, Carlos G. Colon-Ortiz, Robert Joseph Dawson, Lazaro Fuentes Alfonso, Shreya P. Pathak, Julia D. Withrow

Affiliation: University of Florida

Abstract Preview: Purpose: To develop tetrahedral mesh-based tissue models within the breasts of the International Commission on Radiological Protection (ICRP) adult female mesh-type reference computational phantom (AF...

A Retrospective Analysis of Automatic Exposure Control (AEC) Tracking Failure Rates in Radiographic Systems

Authors: Benjamin W. Maloney, Ashley E. Rubinstein, Colin Schaeffer, Justin Yu

Affiliation: Henry Ford Health

Abstract Preview: Purpose: Radiography AEC systems ensure correctly exposed images for varied kVp and patient thicknesses. The specific kVp and PMMA thicknesses selected for testing AEC tracking may affect passing rate...

A Retrospective Analysis of Usnrc Event Notification Reports

Authors: Yanique N. Dunn, Marissa Joyce Vaccarelli

Affiliation: Northwell, Hofstra University Medical Physics Program

Abstract Preview: Purpose: The U.S. Nuclear Regulatory Commission (USNRC) Event Notification Reports provide detailed information on nuclear-related events, including medical and non-medical incidents. This study evalu...

A Retrospective Assessment of Proton Radiation Response in Brain Tumor Patients Using Diffusion-Weighted MR Imaging

Authors: Liu Hong, Wen C. Hsi, Faraz Kalantari, Romy Megahed, Ganesh Narayanasamy, Maida Ranjbar, Pouya Sabouri, Zhong Su

Affiliation: University of Arkansas for Medical Sciences, Department of Radiation Oncology, University of Arkansas for Medical Sciences (UAMS)

Abstract Preview: Purpose: Quantitative apparent diffusion coefficients (ADC) in diffusion-weighted MRI (dMRI) reflect water diffusivity and thus provide tissue cellular density information. Functional diffusion mappin...

A Risk Assessment Approach to Photon Reference Dosimetry Using TG-100 Methodology

Authors: Ila Farhang, Ryan D. Foster, Devin Heitz, Jordan B Lunsford, Ashkan Shafiee

Affiliation: Atrium Health Wake Forest Baptist, Atrium Health/LCI Cabarrus

Abstract Preview: Purpose: American Association of Physicists in Medicine (AAPM) Task Group (TG) -51 is a widely utilized protocol for the absolute calibration of linear accelerators. The purpose of this project was fo...

A Robust Quantitative Metric for Optimal Beam Selection in Radiotherapy of the Peripheral Lung Lesions: A Crucial Step in Standardization of Lung SBRT

Authors: Leslie Bell, Kai Ding, Reza Farjam, Russell K Hales, Sarah Han-Oh, Hamed Hooshangnejad, Jina Lee, K. Ranh Voong

Affiliation: Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Johns Hopkins University

Abstract Preview: Purpose: Optimal beam arrangement is crucial in automation and standardization of thorax radiotherapy where substantial tissue heterogeneity and several critical organs at risks (OARs) exist. Here, we...

A Self-Supervised Deep Learning Approach for Automatic Identification and Metal Artifact Reduction in Cone-Beam CT for Brachytherapy

Authors: Rani Anne', Wenchao Cao, Yingxuan Chen, Wookjin Choi, Firas Mourtada, Yevgeniy Vinogradskiy

Affiliation: Thomas Jefferson University

Abstract Preview: Purpose: In-room mobile cone-beam CT (CBCT) is emerging to enhance high-dose-rate (HDR) brachytherapy workflow using on-demand imaging. However, metal artifacts from X-ray markers inside gynecological...

A Semi-Automated Landmark Identification Framework for Liver MR-CT Image Pairs: Towards a Multi-Modality DIR Benchmark Dataset

Authors: Deshan Yang, Zhendong Zhang

Affiliation: Duke University, Department of Radiation Oncology, Duke University

Abstract Preview: Purpose:
The evaluation of deformable image registration (DIR) algorithms is crucial for improving accuracy and clinical adoption. However, reliable benchmarks, especially for inter-modality regist...

A Surface-Conforming Flexible Collimator for Improving Electron Radiotherapy

Authors: Neil A. Kirby, Parker New, Niko Papanikolaou, Holly Paschal, Karl H. Rasmussen, Daniel L. Saenz

Affiliation: UT Health San Antonio

Abstract Preview: Purpose: To simplify the traditional method of patient-specific skin collimation and improve the precision of electron radiotherapy treatment with a new surface conforming collimation system.
Metho...

A Topological Technique to Unify Image Texture and Morphology to Enhance Radiomic Feature Representations

Authors: David Brizel, Kyle J. Lafata, Jian-Guo Liu, Yvonne M Mowery, Yvonne M Mowery, William Paul Segars, Jack B Stevens

Affiliation: Department of Physics, Duke University, Carl E. Ravin Advanced Imaging Laboratories and Center for Virtual Imaging Trials, Duke University Medical Center, Duke University, Department of Radiation Oncology, Duke University, University of Pittsburgh

Abstract Preview: Purpose: To develop a technique to quantify tumor topology using a unifying mathematical framework that integrates texture and morphology and to evaluate its feasibility as a prognostic biomarker for ...

A Tumor Tracking Method in Surface-Guided Radiotherapy

Authors: Penghao Gao, Zejun Jiang

Affiliation: Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Artificial Intelligence Laboratory, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences

Abstract Preview: Purpose: Real-time tumor tracking can effectively compensate for the impact of respiratory motion on dose distribution. We propose a patient-specific external-internal correlation model driven by opti...

A Two-Marker Method for Calculating the Radiological Magnification of the Hip in Standing Pelvic Radiography

Authors: Walaa Abdelfadeel, Reagan Thomas Dugan, Tiffany Kinsey, Cameron Kofler, Zheng Feng Lu, Ingrid S. Reiser, Gregory Stacy, Sara Wallace

Affiliation: University of Chicago Medicine, University of Chicago

Abstract Preview: Purpose: To develop an accurate, vendor-neutral method for estimating geometric magnification at the plane of the hip joint on standing anterior-posterior (AP) radiographs for digital templating of to...

A Vqvae-Based Framework with Embedded Kullback-Leibler Divergence for Stochastic and Diverse Dose Prediction

Authors: Weigang Hu

Affiliation: Fudan University Shanghai Cancer Center

Abstract Preview: Purpose: The purpose of this study is to introduce a VQVAE-based framework that addresses the limitations of conventional dose prediction methods, which rely on fixed deep learning models that produce...

AI Auto-Contouring for CT-Based High-Dose-Rate Interstitial Brachytherapy of Cervical Cancer: Implications for Organ-at-Risk (OAR) Contouring and Dosimetric Analysis

Authors: Indrin J. Chetty, Jing Cui, Mitchell Kamrava, Tiffany M. Phillips, Jennifer M. Steers, Brad Stiehl

Affiliation: Department of Radiation Oncology,Cedars-Sinai Medical Center, Cedars-Sinai Medical Center

Abstract Preview: Purpose: Auto-contouring for HDR interstitial brachytherapy can be confounded by large deformation in anatomy and image quality. Here we evaluated the performance of an AI-based auto-contouring softwa...

AI-Assisted Algorithm to Generate Patient Postures for Tset Dose Evaluation

Authors: Kostas Danniidis, Agelos Kratimenos, Yufu Wang, Timothy C. Zhu, Yifeng Zhu

Affiliation: University of Pennsylvania

Abstract Preview: Purpose: This study aims to develop software and algorithms utilizing artificial intelligence (AI) to seamlessly create 3D patient postures during Total Skin Electron Therapy (TSET). The resulting mes...

AI-Assisted Cellular and Organoid Analysis for Lenalidomide-Based Radioimmunotherapy Against Glioblastoma

Authors: ISAAC Amoah, Jackie Austin, Charlotte Block, Kaylee Brilz, Dylan Bui, Andrew E. Ekpenyong, Jayce Hughes, Pralhad Itani, Natasha Ratnapradipa, Sara Strom, Jacob Woolf

Affiliation: Creighton University

Abstract Preview: Purpose:
Glioblastoma (GBM) is the most common and aggressive primary brain tumor in adults, with a median survival of approximately 15 months despite the current standard of care, which includes s...

AI-Based Registration-Free 3T T2-Weighted MRI Synthesis Using Truefisp MRI Acquired on a 0.35T MR-Linac System

Authors: Hilary P Bagshaw, Mark K Buyyounouski, Cynthia Fu-Yu Chuang, Yu Gao, Dimitre Hristov, Lianli Liu, Lawrie Skinner, Lei Xing

Affiliation: Department of Radiation Oncology, Department of Radiation Oncology, Stanford University

Abstract Preview: Purpose:
MR-guided radiation therapy has introduced a significant leap in cancer treatment by allowing adaptive treatment. The low-field MR-guided system predominantly uses the TrueFISP sequence, w...

AI-Driven Early Detection of Digital Radiography Performance Degradation: A Predictive Quality Control Approach

Authors: Giovanni Iacca, Gloria Miori, Laura Orsingher, Daniele Ravanelli, Annalisa Trianni

Affiliation: Department of Information Engineering and Computer Science, University of Trento, Medical Physics Department, S.Chiara Hospital, APSS

Abstract Preview: Purpose: This study aims to leverage artificial intelligence (AI) to predict and identify performance degradation in Digital Radiography (DR) systems, enabling proactive maintenance and minimizing cli...

AI-Driven Quality Assurance for Gamma Camera/SPECT Anomaly Detection Using Contrastive Learning

Authors: Shanli Ding, Osama R. Mawlawi, Tinsu Pan

Affiliation: UT MD Anderson Cancer Center

Abstract Preview: Purpose:
Reliable detection of anomalies in Gamma Camera/SPECT flood images is vital for quality assurance (QA). Traditional methods relying on numerical thresholds and manual inspections often mis...

AI-Driven Troubleshooting for Truebeam Systems: Development and Testing of a Gpt-4o Chatbot

Authors: Sean P. Devan, Cory S. Knill, Charles K. Matrosic, Zheng Zhang

Affiliation: University of Michigan

Abstract Preview: Purpose: Physicists troubleshooting machine issues during patient treatments often face high-pressure situations, balancing error codes, resource constraints, and time-sensitive decisions. To streamli...

Absolute Measurement of HDR Ir-192 Air-Kerma Strength Using an Exradin A3 Known-Volume Ionization Chamber

Authors: Larry A. DeWerd, Sean Jollota, Karen Rex Pius Vincent

Affiliation: Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison

Abstract Preview: Purpose: Absolute measurements, often used to establish primary standards, offer lower measurement uncertainty. For 192Ir high-dose-rate (HDR) brachytherapy, the interim primary standard for air-kerma...

Absorption and Material Property Characteristics of 3D-Printing Filaments Based on Monte-Carlo Simulations and Spectral Imaging

Authors: Izabella L. Barreto, Benjamin Taylor Heggie, Stephanie M. Leon

Affiliation: University of Florida College of Medicine, University of Florida

Abstract Preview: Purpose: 3D printing has the potential for producing materials useful for the imaging field. This work aims to identify absorption (attenuation coefficient) and material properties (effective atomic n...

Accelerated Proton Density Imaging Via T2-Guided Cyclegan Super-Resolution without Paired Low-Resolution and High-Resolution Data

Authors: Yunxiang Li, Xinlong Zhang, You Zhang

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, UT Southwestern Medical Center

Abstract Preview: Purpose: Acquiring high-resolution (HR) proton density (PD) images is time-consuming, while lower-resolution (LR) PD scans are faster but can lack sufficient details. We propose CycleHR, a T2-contrast...

Accuracy Assessment of Bragg Peak Imaging Using Protoacoustics at a Clinical Dose

Authors: Michael Caulfield, Ye Chen, Yoshihiro Ishi, Yasutoshi Kuriyama, Taeko Matsuura, Naoki Miyamoto, Taichi Murakami, Tomonori Uesugi, Kohei Yokokawa

Affiliation: Hokkaido University, Kyoto University, University of Alberta

Abstract Preview: Purpose: Protoacoustics has the potential for real-time and direct imaging of the Bragg peak. This study investigated the accuracy of the Bragg peak imaging based on the water phantom experiment at a ...

Achieving Consistent Calcium Score in Lung Cancer Screening: Influence of Cardiac Phases

Authors: Emi Ai Eastman, Chao Guo, Christina Lee, Xinhua Li, Alexander W. Scott, Yifang (Jimmy) Zhou

Affiliation: Cedars-Sinai Medical Center

Abstract Preview: Purpose:
Smoking is one of the risk factors for coronary artery disease. It is desirable to estimate the coronary artery calcification (CAC), a key biomarker for atherosclerosis and cardiovascular ...

Addressing Missing MRI Sequences: A DL-Based Region-Focused Multi-Sequence Framework for Synthetic Image Generation

Authors: Amir Abdollahi, Oliver JĂ€kel, Maxmillian Knoll, Rakshana Murugan, Adithya Raman, Patrick Salome

Affiliation: UKHD & DKFZ, Department of Medical Physics in Radiation Oncology, German Cancer Research Center (DKFZ), German Cancer Research Centre(DKFZ), DKFZ, MGH

Abstract Preview: Purpose:
Missing MRI sequences, due to technical issues in data handling or clinical constraints like contrast agent intolerance, limit the use of medical imaging datasets in computational analysis...

Advanced Skeletal Models for Icrp Reference Pediatric Individuals: Development and Dosimetric Implications

Authors: Wesley E. Bolch, Chansoo Choi, Robert Joseph Dawson, Bangho Shin, Yitian Wang

Affiliation: University of Florida

Abstract Preview: Purpose: The skeleton plays a critical role in dosimetry, containing red bone marrow (RBM) and bone endosteum (BE), which are closely linked to radiation-induced leukemia and bone cancer. While severa...

Advancing Biodosimetry with AI: Detecting Dicentric Chromosomes Using Convolutional Neural Networks

Authors: Adayabalam Balajee, Elijah Berberette, Maria Escalona, Dray Gentry, Chester R. Ramsey, Terri Ryan

Affiliation: ORAU, Thompson Proton Center, University of Tennessee

Abstract Preview: Purpose:
Dicentric chromosomes, characterized by two centromeres on a single chromosome, are key biomarkers in biological dosimetry for quantifying ionizing radiation exposure. However, manual dete...

Advancing Cardiac Sparing with Upright Patient Geometry and Deep Learning

Authors: Shae Gans, Carri K. Glide-Hurst, Mark Pankuch, Chase Ruff, Niek Schreuder, Nicholas R. Summerfield, Yuhao Yan

Affiliation: Departments of Human Oncology and Medical Physics, University of Wisconsin-Madison, Northwestern Medicine Proton Center, Northwestern Medicine Chicago Proton Center, Leo Cancer Care

Abstract Preview: Purpose: Novel upright patient positioners coupled with diagnostic-quality vertical CT at treatment isocenter introduce a significant opportunity for improved image-guided particle therapy. Treating p...

Advancing Flash Radiotherapy: Intercomparison of Parameters between Two Institutions to Optimize Clinical Applications.

Authors: Amir Abdollahi, Celine Karle, Michele M. Kim, Constantinos Koumenis, Andrea Mairani, Erato Stylianou Markidou

Affiliation: Heidelberg Ion-Beam Therapy Center - Department of Radiation Oncology, German Cancer Research Centre(DKFZ), University of Pennsylvania, Physics Dep. University of Cyprus

Abstract Preview: Purpose: The aim is to compare FLASH dose-rate RT generated with protons and carbon (HIT) and compare to protons (UPenn) to provide evidence for equipotency of FLASH vs. standard RT to tumor growth co...

Advancing Magnetic Resonance Imaging (MRI) Safety Clearance: Utilizing Dual-Energy CT (DECT) Material Decomposition for Foreign Object Assessment

Authors: Anzi Zhao

Affiliation: Northwestern Medicine

Abstract Preview: Purpose: This study investigates the utility of Dual-Energy Computed Tomography (DECT) material decomposition in resolving Magnetic Resonance Imaging (MRI) safety concerns for patients with unidentifi...

Advancing Post-Radiotherapy Toxicity Extraction: A Novel Privacy-Preserving, Parameter-Efficient Language Model Fine-Tuning

Authors: Hassan Bagher-Ebadian, Indrin J. Chetty, Mohamed Elshaikh, Ahmed I Ghanem, Mohammad M. Ghassemi, Reza Khanmohammadi, Benjamin Movsas, Shayan Siddiqui, Kundan S Thind, Jawad Turfa

Affiliation: Michigan State University, Department of Radiation Oncology,Cedars-Sinai Medical Center, Department of Radiation Oncology, Henry Ford Health-Cancer, Detroit, MI and Alexandria Department of Clinical Oncology, Faculty of Medicine, Alexandria University, Henry Ford Health

Abstract Preview: Purpose: Extracting late radiotherapy-induced toxicities from free-text notes using natural language processing is complicated by negative symptom identification, computational demands, and data priva...

Advancing Thoracic Synthetic CT Images with Enhanced Cyclegan for Adaptive Radiotherapy Applications

Authors: Silambarasan Anbumani, Nicolette O'Connell, Eenas A. Omari, Amanda Pan, Eric S. Paulson, Lindsay Puckett, Monica E. Shukla, Dan Thill, Jiaofeng Xu

Affiliation: Elekta Inc, Elekta Limited, Linac House, Department of Radiation Oncology, Medical College of Wisconsin

Abstract Preview: Purpose: Accurate electron density information from on-board imaging is essential for direct dose calculations in adaptive radiotherapy (ART). This study evaluates a deep learning model for thoracic s...

Advancing the Evaluation of Radiation-Induced Vaginal Toxicity Using Ultrasound Radiomics: Phantom Validation and Pilot Clinical Study

Authors: Himanshu Joshi, Tian Liu, Deborah C Marshall, Joseph Shelton, Jing Wang, Xiaofeng Yang, Emi Yoshida, Boran Zhou

Affiliation: Department of Radiation Oncology, Baylor College of Medicine, Icahn School of Medicine at Mount Sinai, Emory University, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, Department of Radiation Oncology, University of California, Department of Radiation Oncology and Winship Cancer Institute, Emory University

Abstract Preview: Purpose: Radiation-induced long-term toxicities, such as vaginal stenosis, significantly impact the quality of life for patients undergoing pelvic radiotherapy (RT) for gynecologic (GYN) malignancies....

Adversarial Diffusion-Based Self-Supervised Learning for High-Resolution MR Imaging

Authors: Zachary Buchwald, Chih-Wei Chang, Zach Eidex, Richard L.J. Qiu, Mojtaba Safari, Shansong Wang, Xiaofeng Yang, David Yu

Affiliation: Emory University and Winship Cancer Institute, Emory University, Department of Radiation Oncology and Winship Cancer Institute, Emory University

Abstract Preview: Purpose: MRI offers excellent soft tissue contrast for diagnosis and treatment but suffers from long acquisition times, causing patient discomfort and motion artifacts. To accelerate MRI, supervised d...

Advocating for Survival Prediction Models in Risk Stratification for Cancer Treatment Outcomes

Authors: Meixu Chen, Jing Wang

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center

Abstract Preview: Purpose: Cancer treatment outcome prediction plays a pivotal role in guiding therapeutic decisions and optimizing patient care. Traditionally, binary prediction models have been widely used for risk s...

An Adaptive Non-Local Means Filtering Method for Denoising CBCT Images Under Low X-Ray Fluence Conditions

Authors: Cem Altunbas, Farhang Bayat

Affiliation: Department of Radiation Oncology, University of Colorado School of Medicine, Taussig Cancer Center, Cleveland Clinic

Abstract Preview: Purpose:
Low dose imaging and scatter rejection hardware in CBCT reduces X-ray fluence incident on the imager, increasing noise, causing photon starvation artifacts in CBCT images. In this work, we...

An Adaptive Radiotherapy Strategy Study Based on Segmented Synthesis and Deformational Registration

Authors: Jie Hu, Zhengdong Jiang, Nan Li, Tie Lv, Yuqing Xia, Shouping Xu, Gaolong Zhang, Wei Zhao, Changyou Zhong

Affiliation: School of Physics, Beihang University, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Radiotherapy Department of Meizhou People’s Hospital (Huangtang Hospital), UT Health San Antonio, National Cancer Center/ National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, PeopleÊŒs Republic of China, Department of Radiation Oncology

Abstract Preview: Purpose: Patients usually undergo cone-beam computed tomography (CBCT) scans which are used for patient set-up before radiotherapy. However, the low image quality of CBCT hinders its use in adaptive r...

An Adjustable Wool Fiber Phantom for Investigating the Detection of Anisotropy with Ultrasound Speckle Statistics

Authors: Alexandra Christensen, Timothy J. Hall, Ivan M. Rosado-Mendez

Affiliation: University of Wisconsin, Madison, Departments of Medical Physics and Radiology, University of Wisconsin-Madison

Abstract Preview: Purpose: Quantitative ultrasound techniques based on the statistical analysis of speckle are currently being deployed commercially and clinically as sources of biomarkers associated with tissue micros...

An Advanced Automated Pipeline for Brain Tumor Segmentation on MRI Images in Gamma Knife Radiotherapy

Authors: Zachery Colbert, Matthew Foote, Michael Huo, Mark Pinkham, Prabhakar Ramachandran, Mihir Shanker

Affiliation: Radiation Oncology, Princess Alexandra Hospital, Ipswich Road, Princess Alexandra Hospital

Abstract Preview: Purpose: The study aimed to develop and implement deep learning-based autosegmentation models for the autosegmentation of four key tumor types: brain metastasis, pituitary adenoma, vestibular schwanno...

An Agglomerative Clustering-Based Program for Optimizing Multiple-Target SRS Treatment Planning

Authors: Josephine Chen, CheukKai Becket Hui, Yildirim D. Mutaf

Affiliation: Kaiser Permanente

Abstract Preview: Purpose:
To demonstrate the effectiveness of a target clustering program in generating cluster configurations and isocenter placements for multiple brain lesions in SRS treatment planning, with the...

An Alpha Irradiation System for Radiobiological Studies with Versatile Dose Rate Control

Authors: Harsh Arya, Yan Chang, Yujie Chi, Varghese Anto Chirayath, Joshua Rajan, Pan Zui

Affiliation: University of Texas at Arlington, Department of Physics, University of Texas at Arlington

Abstract Preview: Purpose: In targeted alpha therapy (TAT), absorbed dose rates can vary significantly spatially and temporally, impacting therapeutic efficacy as well as carcinogenic potential. This study reports the ...

An Analytical Approach to Monitor Unit Calculation in Extended Distance Total Body Irradiation (TBI)

Authors: Cheewai Cheng, Indra J. Das, Jeffrey Yui Hei Wong, Poonam Yadav

Affiliation: Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine

Abstract Preview: Purpose: Radiation treatment machine replacement brings chaos and urgency of timely completion of machine commissioning for every procedure used including TBI that are time consuming. Based on past ex...

An Automated Approach to Monitoring Clinical Protocols Against a Master Protocol

Authors: Jeremy Christophel, Zhihua Qi

Affiliation: Henry Ford Health

Abstract Preview: Purpose: To demonstrate a method to compare DICOM metadata from clinical scanners with institutional protocols as validation that clinical use matches the master protocol.
Methods: DICOM metadata i...

An Automated Notification System for Identifying Patients Eligible for Biology-Guided Radiotherapy

Authors: Shahed Badiyan, Bin Cai, Tu Dan, Michael Dohopolski, Steve B. Jiang, Deepkumar Mistry, Arnold Pompos, Robert Timmerman, Jing Wang

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab & Department of Radiation Oncology, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center, University of Texas Southwestern Medical Center, Department of Radiation Oncology, UT Southwestern Medical Center

Abstract Preview: Purpose: Biology-guided radiotherapy (BGRT) offers significant potential for personalized and adaptive cancer treatment, with clinically available systems such as SCINTIX from Reflexion now being intr...

An Automated Tool for the Categorization of a Clinical Database By Anatomic Region for Big Data Applications

Authors: Yasin Abdulkadir, Justin Hink, James M. Lamb, Jack Neylon

Affiliation: Department of Radiation Oncology, University of California, Los Angeles

Abstract Preview: Purpose: Curation remains a significant barrier to the use of ‘big data’ radiotherapy planning databases of 100,000 patients or more. Anatomic site of treatment is an important stratification for almo...

An Efficient Deep Learning Model with Multi-Scale Integration for Automated Pancreas Segmentation on MR Images

Authors: Jingyun Chen, Yading Yuan

Affiliation: Columbia University Irving Medical Center, Department of Radiation Oncology

Abstract Preview: Purpose: To develop and evaluate the Scale-attention network (SANet) for automated pancreas segmentation on MR images.
Methods: To develop SANet, we extended the classic U-Net design with a dynamic...

An Efficient Workflow for X-Ray Imaging-Based IGRT/ART

Authors: Lili Chen, Ahmed A. Eldib, Chang Ming Charlie Ma

Affiliation: Fox Chase Cancer Center

Abstract Preview: Purpose: Specialized adaptive radiotherapy (ART) systems have been developed and clinically implemented, which are either cost-ineffective such as MR-linacs or inflexible in workflow such as the Ethos...

An End-to-End Test for Adaptive Radiotherapy with Varian Hypersight CBCT Imaging System Using Radiochromic Film in a Rando Pelvis Phantom

Authors: Jameson T. Baker, Yijian Cao, Jenghwa Chang, Sean T Grace, Lyu Huang, Jian Liu, Echezona Simon Obi, Anurag Sharma

Affiliation: Northwell, Hofstra University Medical Physics Program

Abstract Preview: Purpose:
To validate the end-to-end dosimetrical accuracy of Varian HyperSight CBCT for adaptive radiotherapy (ART), from simulation to dose delivery, using radiochromic film dosimetry in a Rando p...

An Evaluation of an SRS Quality Assurance System for Complex Patient Plans.

Authors: John Bennet, Indrin J. Chetty, Tai H. Dou

Affiliation: Department of Radiation Oncology,Cedars Sinai Medical Center, Department of Radiation Oncology, Cedars Sinai Medical Center, Department of Radiation Oncology,Cedars-Sinai Medical Center

Abstract Preview: Purpose:
To investigate the effect of complexity of stereotactic radiosurgery (SRS) volumetric modulated arc therapy plans on gamma pass rates (GPR) using a novel high-resolution ion chamber array ...

An Experimentally Derived Microscale Blood and Lymphatic Vasculature Model for Applications to Radiopharmaceutical Dosimetry

Authors: Peter Balogh, Wesley E. Bolch, Mir Md Nasim Hossain, Nien-Wen Hu, Walter Murfee, Wyatt Smither, Julia D. Withrow

Affiliation: New Jersey Institute of Technology, University of Florida

Abstract Preview: Purpose: To develop 3D computational, tissue-representative models incorporating physiologically relevant microvascular network patterns for calculating local alpha particle and electron dosimetry eff...

An FMEA-Based Approach to Improve the Process and Quality Control on MR Imaging from Outside Diagnostic Imaging Centers to be Used for Radiation Treatment Planning

Authors: Olivier Blasi, Eric Cameron, Brad K. Lofton

Affiliation: CAMP, Colorado Assn in Medical Phys (CAMP)

Abstract Preview: Purpose:
Magnetic Resonance (MR) imaging obtained from external centers for radiation therapy (RT) planning can suffer from suboptimal protocols and geometric distortions. These issues can require ...

An Image Representation of Radiomics Data for Enhanced Deep Radiomics Analysis with Consideration of Feature Interactions

Authors: Xiaolong Fu, Runping Hou, Md Tauhidul Islam, Lei Xing

Affiliation: Department of Radiation Oncology, Stanford University, Department of Radiation Oncology, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine

Abstract Preview: Purpose: To introduce a novel schematic image representation of radiomics data, called OmicsMap, for high-performance deep radiomics analysis. OmicsMap transforms tabular radiomics data into an image ...

An Integrated Optimization Method for Joint Lattice Positioning and Dose Planning in Lattice Therapy

Authors: Hao Gao, Xue Hong, Harold Li, Yuting Lin, Jufri Setianegara, Xin Tong, Chao Wang, Weijie Zhang, Ya-Nan Zhu

Affiliation: Department of Radiation Oncology, University of Kansas Medical Center

Abstract Preview: Purpose: Lattice radiotherapy (LATTICE) is a form of spatially fractionated radiation therapy (SFRT) designed to deliver high radiation doses to specific tumor regions (vertices) while sparing surroun...

An Integrated Robust Inverse Planning Based on AI-Built Dose Kernel Library for Preclinical Radio-Neuromodulation Using Focused Kv X-Rays

Authors: Wenbo Gu, Chenhui Qiu, Ke Sheng, Liyan Sun, Weiyuan Sun, Lei Xing

Affiliation: Department of Radiation Oncology, Stanford University, Department of Radiology, Stanford University, University of Pennsylvania, Department of Radiation Oncology, University of California, San Francisco, Department of Radiation Oncology, Stanford University,

Abstract Preview: Purpose:
The small animal radio-neuromodulation platform developed in our previous work utilized focused kV x-ray beams rotating and translating in predefined trajectories to irradiate small, mm si...

An Integrated, Web-Based Tool for Automated Treatment Time Calculations, Data Visualization, and Documentation for Superficial Radiotherapy Using an SRT-100 Vision

Authors: Stephen D. Davis, Alonso N. Gutierrez, Noah S. Kalman, Yongsook C. Lee, Michael Leyva, Alejandro Rene Llanes Lopez, Carlos M. Rivera, Ranjini P. Tolakanahalli

Affiliation: Miami Cancer Institute, Baptist Health South Florida, Miami Cancer Institute, Miami Cancer Institute, Baptist Health

Abstract Preview: Purpose: Accurate treatment time calculation is a critical component of superficial radiotherapy (SRT), particularly for the SRT-100 Vision, where dose delivery depends on applicator geometry, treatme...

An International Multi-Institutional Espresso Study of Developing the Specialized-Equipment-Free Remote Audit for Single-Isocenter Multi-Target Stereotactic Radiosurgery

Authors: Juan-Francisco Calvo-Ortega, Andrew Cousins, Ashley Cullen, Andrew Dipulia, Peter B. Greer, Seng Boh Gary Lim, Shih-Chi Lin, D. Michael Lovelock, Conor McGarry, Victoria Robinson, Cameron Stanton, Baozhou Sun, Ching-Ling Teng, Gemma Warner, Benjamin J. Zwan

Affiliation: Northern Ireland Cancer Centre, Baylor College of Medicine, Department of Medical Physics, Memorial Sloan Kettering Cancer Center, Christchurch Hospital, Northwell, Central Coast Cancer Centre, Calvary Mater Hospital, Hospital Quironsalud Barcelona, Icahn School of Medicine at Mount Sinai, Chris O'Brien Lifehouse, University of Newcastle

Abstract Preview: Purpose: This multi-institution Electronic Silicon-based Remote Survey of Small-field Output (ESPRESSO) study aims to develop the remote audit process to evaluate the safety of single-isocenter multi-...

An International Survey of High Dose Rate Brachytherapy Dosimetry Practices

Authors: Anna Becker, Tomislav Bokulic, Mauro Carrara, Krzysztof Chelminski, Larry A. DeWerd, Alexis Dimitriadis, Benjamin Kellogg, Malcolm R. McEwen, Zakithi L.M Msimang, Mark J. Rivard, Thorsten Sander, Thorsten Schneider, Jamema Swamidas, Egor Titovich, Paula Toroi, Carlos E. de Almeida, Jacco de Pooter, Liset de la Fuente Rosales, Deborah G. van der Merwe

Affiliation: Radiation and Nuclear Safety Authority, University of Zagreb, National Physical Laboratory, IAEA, Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison, Rio de Janeiro State University, Dosimetry Laboratory, Dosimetry and Medical Radiation Physics Section, Division of Human Health, International Atomic Energy Agency, Physikalisch-Technische Bundesanstalt, National Metrology Institute, University of the Witwatersrand, Dosimetry and Medical Radiation Physics Section, Division of Human Health, International Atomic Energy Agency, National Research Council, Warren Alpert Medical School of Brown University

Abstract Preview: Purpose: The recently published IAEA-TRS-492 international code of practice (CoP) aims at improving traceability, accuracy, and consistency in Brachytherapy Dosimetry. To assess current approaches to ...

An OAR Margin Recipe Based on Clinical Data and Including Radio-Sensitivity Variation

Authors: Carlo Greco, Joep Stroom, Sandra Vieira

Affiliation: Champalimaud Center for the Unknown

Abstract Preview: Purpose: RTP safety margins are generally based on geometrical uncertainties alone and not directly on clinical outcome. Here we use clinical dose-constraint data to generate dosimetric margins for OA...

Analysis of Collimation during Fluoroscopically-Guided Interventions: Using a Large-Scale Archive to Assess Collimation during Different Procedures

Authors: James R Duncan, Nikhat Fatima Mansoori, Allan Thomas

Affiliation: Mallinckrodt Institute of Radiology, Washington University School of Medicine

Abstract Preview: Purpose: Collimation during fluoroscopically-guided interventions (FGIs) can not only reduce radiation exposure to patients and personnel but also improve image quality. Nonetheless, there are concern...

Analysis of High School and Middle Science Teachers Learning about Medical Physics through Year-Long Educational Program

Authors: Ashley Cetnar, Lin Ding, Jeffrey E. Woollard

Affiliation: The Ohio State University, The Ohio State University - James Cancer Hospital

Abstract Preview: Purpose: A cohort of middle school and high school science teachers were selected to learn about physics in medicine, develop lesson plans for their students, participate in a Physics in Medicine fiel...

Analysis of Inter-Organ Noise Variability for Clinical CT Images across 3133 Image Series

Authors: Lavsen Dahal, Francesco Ria, Ehsan Samei, Justin B. Solomon, Liesbeth Vancoillie, Yakun Zhang

Affiliation: Duke University, Carilion Clinic, Clinical Imaging Physics Group, Department of Radiology, Duke University Health System

Abstract Preview: Purpose: Clinical diagnostic task-based optimization of CT procedures require precise and organ-specific assessments. This study investigates inter-organ noise variability to highlight the limitations...

Analytical Approach to Calculate Normal Tissue Complication Probability and Tumor Control Probability for Ultra-High Dose Rate Radiation (FLASH) Based on Linear-Quadratic Model

Authors: Santosh K. Agarwalla, Nrusingh C. Biswal, Shree C, Harikrishnan Suresh Kumar, Jajati K. Nayak, Prema P., Sarath K S, Tamil Selvan S, Hem D. Shukla

Affiliation: Variable Energy Cyclotron Centre, Department of Physics, Fakir Mohan University, Department of Radiation Oncology, University of Maryland School of Medicine, Department of Sciences, Amrita Vishwa Vidyapeetham

Abstract Preview: Purpose: The rapid oxygen depletion in tissues during irradiation is the most accepted mechanism of the FLASH effect. However, the Normal Tissue Complication Probability (NTCP) and Tumor Control Proba...

Anatomical Noise Power Exponent (ÎČ) As an Image-Based Risk Factor for Breast Cancer

Authors: Yile Fang, Leslie Lamb, Nathaniel David Mercaldo, Kai Yang

Affiliation: Massachusetts General Hospital

Abstract Preview: Purpose: To quantitatively evaluate power-law exponent ÎČ as a potential image-based breast cancer risk factor.

Methods: Two groups of breast cancer screening cohorts (target vs. control, 20 sub...

Applicability of Online Dose Measurement in Trilogy Linear Accelerators: Using Target Current Pulse Counting Method

Authors: Daming LI, Jinsen Xie, Zhe Zhang

Affiliation: Peking University Shenzhen Hospital Radiotherapy Department, School of Nuclear Science and Technology, University of South China

Abstract Preview: Purpose:
This study aims to investigate the feasibility of online dose measurement of the Trilogy linear accelerator output based on target current pulse signals.
Methods:
A data acquisition ...

Application of 3D Printed Individualized Applicators Based on Pre-Planning in Interstitial Brachytherapy for Cervical Cancer

Authors: Zhitao Dai

Affiliation: Chinese Academy of Medical Sciences Cancer Hospital Shenzhen Hospital

Abstract Preview: Purpose: To investigate the accuracy of 3D printed individualized vaginal template assisted pre-planning in the interstitial implantation of cervical cancer, to examine the advantages when compared wi...

Application of Team Science in Medical Physics Research for Undergraduate Students

Authors: Ashley Cetnar

Affiliation: The Ohio State University - James Cancer Hospital

Abstract Preview: Purpose: Undergraduate students are eager to learn more about potential career opportunities. While many physics majors are aware of research opportunities within the physics department, students may ...

Application of a Conditional Diffusion Model to Improve Real-Time MR Imaging in Online Adaptive MR-Guided Radiotherapy

Authors: Hideaki Hirashima, Haruo Inokuchi, Nobutaka Mukumoto, Naruki Murahashi, Mitsuhiro Nakamura, Megumi Nakao, Keiko Shibuya, Linna Zhang

Affiliation: Kyoto University, Osaka Metropolitan University

Abstract Preview: Purpose:
To transform the quality of 2D cine MR images acquired during online adaptive MR-guided radiotherapy (OA-MRgRT) by utilizing a conditional diffusion model to achieve image quality comparab...

Application of the Lymphodose Framework to Brain Tumors: Unveiling the Prognostic Power of Circulating Lymphocyte Doses

Authors: Sophie Bockel, Eric Deutsch, Frederic Dhermain, Ibrahima Diallo, Anh Thu Le, Elaine Limkin, Pauline Maury, Charlotte Robert, Killian Sambourg, Camilla Satragno, Cristina Veres, François de Kermenguy

Affiliation: Gustave Roussy, Département de radiothérapie, Université Paris-Saclay, Gustave Roussy, Inserm U1030, Radiothérapie Moléculaire et Innovation Thérapeutique

Abstract Preview: Purpose:
To study the correlation between the dose to circulating lymphocytes as evaluated by the LymphoDose framework and the incidence of severe radiation-induced lymphopenia (sRIL) in patients t...

Artificial Intelligence Based Auto-Contouring for Organs at Risk in Head and Neck

Authors: Mylinh Dang, Laila A Gharzai, Xinlei Mi, Poonam Yadav

Affiliation: Northwestern Feinberg School of Medicine, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, Northwestern Medicine

Abstract Preview: Purpose: Delineation of organs at risk (OAR) in the head/neck region requires substantial physician time. Many artificial intelligence (AI) based auto-contouring software are commercially available. T...

Artificial Intelligence-Powered Conventional Energy Integrating Detector-Based Coronary CT Angiography: Learning High-Resolution and Multi-Energy Imaging from Photon-Counting Detector CT

Authors: Shaojie Chang, Thomas A. Foley, Hao Gong, Emily Koons, Shuai Leng, Cynthia H. McCollough, Eric E. Williamson

Affiliation: Mayo Clinic

Abstract Preview: Purpose: To enhance coronary CT angiography (cCTA) capabilities on conventional energy integrating detector CT (EID-CT) using artificial intelligence (AI). The AI framework incorporates high-resolutio...

Assessing Dose Calculation Accuracy in Proton Plans Using Pin Ridge Filters

Authors: Zachary M. Diamond, Pretesh Patel, Sibo Tian, Yinan Wang, Xiaofeng Yang, David Yu, Ahmal Jawad Zafar, Jun Zhou

Affiliation: Emory University, Department of Radiation Oncology and Winship Cancer Institute, Department of Radiation Oncology and Winship Cancer Institute, Emory University

Abstract Preview: Purpose: High spatial resolution in pin ridge filter (pRF)-based proton planning may be constrained by the 1mm dose grid resolution in commercial treatment planning systems. This study investigates th...

Assessing Dose Enhancement and Shadowing Effects in Head and Neck Cases with Titanium Mandibular Implants

Authors: Sarah A. Ashmeg, Travis James McCaw, Joseph Shields, Matthew Spector, Christopher Tyerech, Christopher T Wilke

Affiliation: UPMC Hillman Cancer Center, UPMC Hillman Cancer Center and University of Pittsburgh School of Medicine, Department of Radiation Oncology, UPMC Hillman Cancer Center, Department of Radiation Oncology, University of Pennsylvania, UPMC

Abstract Preview: Purpose: Patients with oral cavity cancer often undergo surgical extirpation prior to radiation, and surgical implants are utilized to reconstruct the resulting defect. This study dosimetrically evalu...

Assessing Low Iodine Concentrations in Liver Lesions with Dual Energy CT: Impact of Beam Choices

Authors: Xinhua Li, Vu Nguyen, Yifang (Jimmy) Zhou

Affiliation: Cedars-Sinai Medical Center

Abstract Preview: Purpose: Assessing iodine concentration in liver lesions is essential for evaluating contrast enhancement in multi-phase liver CT and for accurate disease diagnosis. This study aims to evaluate the as...

Assessing Skin Microcirculation in Breast Cancer Radiotherapy: Effectiveness of a Specialized Bra Compared in Two Hypofractionated Protocols.

Authors: Rosa Maria CibriĂĄn Ortiz de Anda, Altea C Esteve, Carlos M Galindo-GonzĂĄlez, Carmen C GarcĂ­a, Amparo Gonzalez-Sanchis, Jose C Gordo-Partearroyo, Emilio Soria-Olivas, Javier Vijande

Affiliation: IFIC-UV, Valencia University, Hospital General Universitario

Abstract Preview: Purpose: To determine how skin microcirculation is affected by the two hypo-fractionated radiotherapy protocols in breast cancer patients using Laser Doppler Imaging, a non-invasive method for assessi...

Assessing Weekly Parotid Gland Shrinkage and Predicting Acute Xerostomia Via an Automated Watchdog in Adaptive Radiotherapy Environment of Head and Neck Cancer

Authors: Eric Aliotta, Michalis Aristophanous, Laura I. Cervino, Yu-Chi Hu, Nancy Y Lee, Anyi Li, Jung Hun Oh, Teeradon Treechairusame, Pengpeng Zhang

Affiliation: Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, Department of Medical Physics, Memorial Sloan Kettering Cancer Center, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose: To automatically monitor weekly anatomical changes of parotid glands during adaptive radiotherapy of head and neck cancers, systematically assess the relationship between parotid gland shrink...

Assessing an Improvement to Hyperarc SRS Planning: Comparing the Efficiency Index of Hyperarc Alone Vs Hyperarc + Surface Area Informed Optimization

Authors: Ivan L. Cordrey, Dharmin D. Desai, Ellis Lee Johnson

Affiliation: Cumberland Medical Center - Cancer Center, University of Kentucky, Varian Advanced Oncology Solutions

Abstract Preview: Purpose: HyperArc (HA) is known to produce a high quality SRS plan. Adding Surface Area Informed Optimization (SAIO) to HA has been shown to improve plan quality metrics R50% and the Conformality Inde...

Assessing the Feasibility of LD-V1 Film for Annual Kilovoltage Imaging Dose Measurements

Authors: Maria F. Chan, Seng Boh Gary Lim, Shih-Chi Lin, Dustin W. Lynch, Usman Mahmood, Jeonghoon Park

Affiliation: Department of Medical Physics, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose: To explore the feasibility of using GafChromic LD-V1 film for annual imaging dose assessment across kV radiography, fluoroscopy, and cone beam computed tomography (CBCT) imaging protocols, as...

Assessing the Impact of Intrafraction Shifts on Critical OAR Doses in a Standardized Spine SBRT Program

Authors: Daniel A. Alexander, Anish Butala, Anthony Austin Kassaee, Neil Malhotra, Ian Messing, Gabrielle W Peters, Ryan M. Scheuermann

Affiliation: Department of Radiation Oncology and Applied Sciences, University of Pennsylvania

Abstract Preview: Purpose: Stereotactic Body Radiation Therapy (SBRT) for spinal metastases uses CBCT-based localization and highly conformal treatment delivery to increase the biologically equivalent dose to the targe...

Assessing the Need for Online Adaptive Prostate SBRT Using the MR-Linac

Authors: Awens Alphonse, Nebi Demez, Michael Kasper, Noufal Manthala Padannayil, Shyam Pokharel, Suresh Rana, Samuel Richter, Lauren A. Rigsby, Tino Romaguera, Hina Saeed, Nishan Shrestha, Somol Sunny

Affiliation: Lynn Cancer Institute, Boca Raton Regional Hospital, Baptist Health South Florida

Abstract Preview: Purpose: This study evaluates the necessity and potential benefits of online adaptive stereotactic body radiotherapy (SBRT) for prostate cancer using the ViewRay MR-Linac system. By leveraging real-ti...

Assessing the Potential of Remote Navigation Systems to Mitigate GI Toxicity in Abdominal SBRT

Authors: Justus Adamson, Wesley Andrew Cunningham, Caleb Logan Smith

Affiliation: Duke University, Duke University Medical Center

Abstract Preview: Purpose: Radiation induced bowel toxicity is a persistent issue for abdominal Stereotactic Body Radiation Therapy (SBRT). Remote magnetic navigation systems (RMNS) have been developed for use in magne...

Assessing the Potential of Virtual Grid Portable Radiographic Systems for Radiation Dose Reduction: A Comparative Evaluation of Deviation Index in Abdominal Imaging

Authors: Gary Y. Ge, Azmul Siddique, Jie Zhang

Affiliation: Department of Radiology, University of Kentucky, University of Kentucky

Abstract Preview: Purpose: Virtual grid technology addresses scattered radiation without a physical grid, offering the potential to reduce patient radiation dose while maintaining image quality. However, this potential...

Assessment of Automated Planning Templates for Genitourinary and Gastrointestinal Disease Sites for Online MR-Guided Adaptive Radiotherapy

Authors: Shahed Badiyan, Tsuicheng D. Chiu, Viktor M. Iakovenko, Steve Jiang, Christopher Kabat, Mu-Han Lin, Roberto Pellegrini, Arnold Pompos, Edoardo Salmeri, David Sher, Sruthi Sivabhaskar, Justin D. Visak

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab & Department of Radiation Oncology, UT Southwestern Medical Center, Department of Radiation Oncology, UT Southwestern Medical Center, Dallas, TX, Global Clinical Science, Elekta AB, UT Southwestern Medical Center, Department of Radiation Oncology, UT Southwestern Medical Center

Abstract Preview: Purpose: Adaptive treatment planning requires robust strategies to enable streamlined on-couch processes, creating a significant barrier for planners transitioning from conventional to adaptive planni...

Assessment of Daily Target Volume and Dose Variations in Adaptive MR-Guided Radiotherapy for Pancreatic Cancer Patient

Authors: Nebi Demez, Michael Kasper, Noufal Manthala Padannayil, Haley Park, Shyam Pokharel, Suresh Rana, Lauren A. Rigsby, Tino Romaguera, Hina Saeed, Nishan Shrestha, Somol Sunny

Affiliation: Florida Atlantic University, Lynn Cancer Institute, Boca Raton Regional Hospital, Baptist Health South Florida

Abstract Preview: Purpose:
Pancreatic cancer poses therapeutic challenges due to the proximity of critical organs, requiring precise radiotherapy. Magnetic resonance (MR)-guided linear accelerators provide daily ima...

Assessment of Image Quality and Dose in Dual-Energy X-Ray Imaging for Lung Tumor Tracking

Authors: Nawal Alqethami, Felix Ginzinger, Prasannakumar Palaniappan, Marco Riboldi, Philipp Steininger, Wentao Xie

Affiliation: Research & Development, medPhoton GmbH, Department of Medical Physics, Ludwig-Maximilians-UniversitĂ€t (LMU) MĂŒnchen, Department of Medical Physics, Ludwig-Maximilians-UniversitĂ€t MĂŒnchen (LMU Munich)

Abstract Preview: Purpose:
This study evaluates the image quality of Dual-Energy (DE) X-ray imaging for lung tumor tracking across various sizes and protocols, comparing its imaging dose to Single-Energy (SE) imagin...

Assessment of Material Discrimination Slopes in Dual Energy CT Imaging

Authors: Izabella L. Barreto, Aroon Pressram

Affiliation: University of Florida College of Medicine, University of Florida

Abstract Preview: Purpose: Our clinical dual energy CT (DECT) head protocol reconstructs iodine-suppressed virtual non-contrast (VNC) images using the vendor-recommended slope for material discrimination. However, this...

Assessment of Plan Quality Metrics for Iroc Houston SRS Phantom Performance Evaluation

Authors: Derek Matthew Garcia, Mallory Glenn, Stephen F. Kry, Ruitao Lin, Dennis S. Mackin, Tucker J. Netherton

Affiliation: MD Anderson Cancer Center, The University of Texas MD Anderson Cancer Center, Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, University of Texas’ MD Anderson Cancer Center, The University of Texas MD Anderson Cancer Center, Houston

Abstract Preview: Purpose: This study aims to investigate the feasibility of implementing clinically relevant quality metrics for evaluating IROC SRS phantom plans, including conformity index (CI) and homogeneity index...

Assessment of Practice Consistency for Management of Target Exposure Indices in Digital Radiography

Authors: Zachary Carr, Katie W. Hulme, Zaiyang Long, Nathan A. Quails, Ashley Tao

Affiliation: Gundersen Health System, Ohio State University Wexner Medical Center, Mayo Clinic, Ohio State Wexner Medical Center, The Cleveland Clinic

Abstract Preview: Purpose: Meaningful interpretation of deviation index (DI) in clinical practice relies on appropriately set target exposure indices (EIT). EIT values for a given exam-view can be derived from the medi...

Assessment of Viscoelastic Changes in Ex Vivo Liver Tissue Using Pulsed Magnetomotive Ultrasound during Magnetic Hyperthermia

Authors: David Alejandro Collazos Burbano, Antonio Adilton Oliveira Carneiro, Paul L. Carson, Jose Eduardo Freire, Theo Zeferino Pavan, Joao Henrique Uliana, Nicholas Zufelato

Affiliation: University of SĂŁo Paulo, University of Michigan, University of Sao Paulo

Abstract Preview: Purpose: Develop a theranostic platform that integrates magnetic hyperthermia (MH), ultrasound, and magnetic nanoparticles (MNPs) to improve diagnosis, treatment, and monitoring of hyperthermia proced...

Assessment of the Auto Registration Feature of the PET/CT Linac Used for Biology Guided Radiation Therapy (BGRT)

Authors: Emily Hansen, Tyler Kaulfers, Alois M. Ndlovu, Francia Romero, Niara Rowe, Roland Teboh

Affiliation: Montefiore Einstein University Hospital, Hackensack University Medical Center

Abstract Preview: Purpose: Daily use and reliance on the auto registration feature requires a performance check. Clinical application of auto registration is performed without a selected region of interest (ROI), requi...

Assessment of the Impact of CT Respiratory Motion on PET SUV Quantification through Virtual Imaging

Authors: Ehsan Abadi, Darrin Byrd, Paul E. Kinahan, Katie Marie Olivas, Ehsan Samei

Affiliation: Duke University, Center for Virtual Imaging Trials, Duke University, Clinical Imaging Physics Group, Department of Radiology, Duke University Health System, University of Washington

Abstract Preview: Purpose: To evaluate the impact of respiratory motion during CT acquisitions on PET image quantification using an integrated PET-CT simulation pipeline.
Methods: A validated CT simulator (DukeSim) ...

Assessment of the Quantum-CMOS Image Sensor for Use in Cherenkov Imaging during Radiation Therapy

Authors: Petr Bruza, Jeremy Eric Hallett, Brian W Pogue

Affiliation: Thayer School of Engineering, Dartmouth College, University of Wisconsin - Madison, University of Wisconsin-Madison

Abstract Preview: Purpose: Cherenkov imaging is a powerful tool for localizing entrance and exit dose during radiotherapy treatment. The current implementation uses an intensified-CMOS (iCMOS) camera allowing for high-...

Asymmetrical High Performance Brain Dedicated PET System: Design Optimization and Performance Evaluation

Authors: Yuemeng Feng, Hamid Sabet

Affiliation: Massachusetts General Hospital, Harvard Medical School

Abstract Preview: Purpose: We propose a novel brain-dedicated PET system comprising elliptical cylinder with a neck cut-out, supplemented by front and back panels to improve sensitivity and line-of-response sampling. T...

Auto-Contouring of OAR Enhances Patient Safety and Workflow in Gamma Knife Stereotactic Radiosurgery

Authors: Sven Ferguson, S. Murty Goddu, Ana Heermann, Taeho Kim, Nels C. Knutson, Hugh HC Lee, Shanti Marasini, Timothy Mitchell, Seungjong Oh, Kevin Renick

Affiliation: Washington University in St. Louis School of Medicine, Washington University School of Medicine in St. Louis, Department of Radiation Oncology, Washington University School of Medicine in St. Louis

Abstract Preview: Purpose: In the Gamma Knife stereotactic radiosurgery (GK-SRS), the delineation of organs-at-risks (OARs) was not fully automated. Due to the cumbersome nature of manual OAR contouring, dose evaluatio...

Auto-Segmentation Scripting to Generate Optimization Structures for Spine SBRT Planning

Authors: Jon Hansen

Affiliation: Washington University in St Louis

Abstract Preview: Purpose: Commercially available auto-segmentation software was utilized to generate institution-specific optimization structures for spine stereotactic body radiation therapy (SBRT). Implementation of...

Automated Case Prioritization in Breast Radiation Therapy Peer Review Rounds

Authors: Leigh A. Conroy, Thomas G Purdie, Christy Wong

Affiliation: Department of Medical Biophysics, University of Toronto, Princess Margaret Cancer Centre

Abstract Preview: Purpose: To develop a novel machine learning (ML) algorithm to evaluate and rank breast radiation therapy (RT) treatment plans based on treatment complexity for prioritization in multidisciplinary pee...

Automated Decision Workflow Using Fast Monte Carlo Dose Calculations for Daily Adaptive Proton Therapy

Authors: Ergun E. Ahunbay, Abdul Parchur, Eric S. Paulson, Ilaria Rinaldi, Angelo Schiavi, Li Zhao

Affiliation: Sapienza University of Rome, Department of Radiation Oncology (Maastro), GROW School for Oncology, Maastricht University Medical Centre+, Department of Radiation Oncology, Medical College of Wisconsin

Abstract Preview: Purpose: Online adaptive replanning is often necessary in Intensity Modulated Proton Therapy (IMPT) due to the sensitivity of proton dose distributions to daily anatomical changes. A rapid, automated ...

Automated Diagnosis of Pancreatic Cancer Using Both Radiomics and 3D-Convolutional Neural Network

Authors: Beth Bradshaw Ghavidel, Benyamin Khajetash, Yang Lei, Meysam Tavakoli

Affiliation: Icahn School of Medicine at Mount Sinai, Department of Medical Physics, School of Medicine, Iran University of Medical Sciences, Emory University, Department of Radiation Oncology, Emory University

Abstract Preview: Purpose: Pancreatic cancer is among the most aggressive types of cancer, with a five-year survival rate of approximately 10%. Recent studies show that radiomics and deep learning (DL)-based methods ar...

Automated Framework for Predicting Tumour Growth in Vestibular Schwannomas Using Contrast-Enhanced T1-Weighted MRI

Authors: Mehdi Amini, Minerva Becker, Simina Chiriac, Alexandre Cusin, Dimitrios Daskalou, Ghasem Hajianfar, Sophie Neveu, Marcella Pucci, Yazdan Salimi, Pascal Senn, Habib Zaidi

Affiliation: Geneva University Hospital, Division of Radiology, Diagnostic Department, Geneva University Hospitals, Service of Otorhinolaryngology-Head and Neck Surgery, Department of Clinical Neurosciences, Geneva University Hospitals

Abstract Preview: Purpose: Personalized prediction of vestibular schwannoma (VS) tumour growth is crucial for guiding patient management decisions toward observation versus intervention. This study proposes an automate...

Automated MR Segmentation for Online Adaptive MR-Linac Therapy Using an in-House Model

Authors: David L. Barbee, David Byun, Matt Long, Jose R. Teruel Antolin, Michael J Zelefsky

Affiliation: NYU Langone Health

Abstract Preview: Purpose:
Online adaptive MR-Linac therapy requires contour adaptation, often adding 20 minutes to treatment time and reducing machine throughput. This study introduces a fully automated MR contour ...

Automated Parametric Custom Collimator Creation for Preclinical Irradiation Studies

Authors: Muhammad Ramish Ashraf, Dixin Chen, Lloyd Emmanuel Kamole Ghomsi, Edward Elliot Graves, Billy W Loo, Stavros Melemenidis, Joseph B. Schulz, Lawrie Skinner

Affiliation: Department of Radiation Oncology, Department of Radiation Oncology, Stanford University School of Medicine

Abstract Preview: Purpose: Precise beam collimation is essential in preclinical radiotherapy studies to ensure accurate dose delivery. Manual design and fabrication of organ-specific collimators usually consist of mult...

Automated Quantification of Irradiation-Induced Effects on Ribosome Biogenesis Using Foundational AI Model and Image Analysis

Authors: Kyle J. Wang, Yading Yuan

Affiliation: Bergen County Technical High School, Columbia University Irving Medical Center, Department of Radiation Oncology

Abstract Preview: Purpose: Genotoxic cancer therapies inevitably damage normal cells, particularly circulating hematopoietic cells, posting a risk for therapy-induced leukemia. This study aims to develop an automated i...

Automated Treatment Planning Script for Bone Metastases Using Eclipse TPS

Authors: Maria Jose Almada, Bruno Forti, Andres Lima, Carlos Daniel Venencia

Affiliation: Instituto Zunino - Fundacion Marie Curie

Abstract Preview: Purpose:
To automate the planning of radiotherapy treatments for bone metastases using a script in the ECLIPSE planning system version 15.6 with a graphical interface.
Methods:
A script was d...

Automated Treatment Planning for Linac-Based Stereotactic Radiosurgery of Intraocular Malignancies Via Hyperarc Knowledge-Based Planning

Authors: Chase Cochran, Shane McCarthy, Damodar Pokhrel, William St Clair

Affiliation: University of Kentucky, Department of Radiation Medicine, University of Kentucky, Radiation Medicine

Abstract Preview: Purpose: Manually generating intraocular stereotactic radiosurgery (SRS) plans involves significant challenges, including lengthy planning times and inter-planner variability. Knowledge-based SRS plan...

Automatic 4D Lung PET-CT Segmentation Using Hybrid Deep Neural Network

Authors: Hongyi Jiang, Fang-Fang Yin

Affiliation: Duke University, Medical Physics Graduate Program, Duke Kunshan University

Abstract Preview: Purpose:
Imaging moving tissues using PET-CT can be difficult. Separating signal into phases during construction reduces signal count and increases influence of noise. Algorithms that use signal fr...

Automatic Contour Quality Assurance Using Deep-Learning Based Contours

Authors: Laurence Edward Court, Raphael Douglas, David Fuentes, Anuja Jhingran, Barbara Marquez, Raymond Mumme, Christine Peterson, Julianne M. Pollard-Larkin, Surendra Prajapati, Dong Joo Rhee, Thomas J. Whitaker

Affiliation: MD Anderson Cancer Center, The University of Texas MD Anderson Cancer Center, MD Anderson, Department of Radiation Physics, The University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose: Safe deployment of auto-contouring models requires the inclusion of automated quality assurance (QA). One approach is to use an independent auto-contouring model and compare the contours geom...

Automatic Specific Absorption Rate (SAR) Prediction for Hyperthermia Treatment Planning (HTP) Using Deep Learning Method

Authors: Yankun Lang, Lei Ren, Dario B. Rodrigues

Affiliation: University of Maryland School of Medicine, Department of Radiation Oncology, University of Maryland School of Medicine

Abstract Preview: Purpose:
HTP of microwave (MW) phased-array systems determine MW antenna settings to maximize energy absorption (SAR in W/kg) in tumor. Conventional HTP algorithms calculate SAR based on electromag...

Automation of Clinical Protocol Imports for Treatment Planning System Version Update Compatibility

Authors: Michael Ashenafi, Mario Ramos Gallardo, Amy Herman, Sean M. Tanny

Affiliation: Department of Radiation Oncology, University of Rochester

Abstract Preview: Purpose: Updates to the Varian Eclipse Treatment Planning System (TPS) have introduced new objects to replace pre-existing Clinical Protocols to aide clinicians in plan quality assessment. We have cre...

BEST IN PHYSICS MULTI-DISCIPLINARY: Building a Cross-Modality Model to Integrate Bio-Clinical Features, Anatomical MRI, and White-Matter Pathlength Mapping for Personalized Glioblastoma RT Planning

Authors: Steve Braunstein, Angela Jakary, Hui Lin, Bo Liu, Janine Lupo, Tiffany Ngan, Ke Sheng, Nate Tran

Affiliation: Radiation Oncology, University of California San Francisco, Graduate Program in Bioengineering, University of California San Francisco-UC Berkeley, Department of Radiation Oncology, University of California San Francisco, Department of Radiology and Biomedical Imaging, University of California San Francisco, Department of Radiation Oncology, University of California, San Francisco

Abstract Preview: Purpose: Current RT clinical target volumes (CTVs) for Glioblastoma (GBM) employ 2cm isotropic expansions of gross tumor volumes. However, studies showed patients still experience progression beyond t...

BEST IN PHYSICS MULTI-DISCIPLINARY: Evaluation of Spot-Level N-12 PET Imaging for Online Range Verification in Multi-Field Intensity Modulated Proton Therapy

Authors: Zahra Ahmadi Ganjeh, Stefan Both, Peter Dendooven, Jeffrey Free, Brian Zapien Campos

Affiliation: Department of Radiation Oncology, University Medical Center Groningen, University of Groningen, Particle Therapy Research Center (PARTREC), Department of Radiation Oncology, University Medical Center Groningen, University of Groningen

Abstract Preview: Purpose: Positron emission tomography (PET) has been investigated for range monitoring in intensity-modulated proton therapy (IMPT), but real-time feedback been limited due to the focus on long-lived ...

BEST IN PHYSICS MULTI-DISCIPLINARY: Foundation Model-Empowered Unsupervised 3D Deformable Medical Image Registration

Authors: Xianjin Dai, PhD, Zhuoran Jiang, Lei Ren, Lei Xing, Zhendong Zhang

Affiliation: University of Maryland School of Medicine, Department of Radiation Oncology, Stanford University, Duke University, Stanford University

Abstract Preview: Purpose: Unsupervised deep learning has shown great promise in deformable image registration (DIR). These methods update model weights to optimize image similarity without necessitating ground truth d...

BEST IN PHYSICS MULTI-DISCIPLINARY: Quantitative MRI Oximetry: Combining EPR and OE-MRI for Volumetric Mapping of Hypoxia in Tumors

Authors: Victor B. Kassey, Maciej M. Kmiec, Periannan Kuppusamy, Sergey V. Petryakov, Conner Ubert

Affiliation: Dartmouth College

Abstract Preview: Purpose: Tumor hypoxia—a state of reduced oxygen supply—is well known to affect treatment response, particularly in radiotherapy and chemotherapy. Oxygen-enhanced magnetic resonance imaging (OE-MRI) u...

BEST IN PHYSICS RADIOPHARMACEUTICALS, THERANOSTICS AND NUCLEAR MEDICINE: Characterization and Dose Rate Calibration of a Semiconductor-Based Radiation Imaging Survey Meter

Authors: Steven Brown, Mike Hopkins, Jerimy C. Polf, Scott Sawyer, Benjamin L. Viglianti

Affiliation: H3D, inc, University of Michigan, M3D, Inc, M3D Imaging

Abstract Preview: Purpose: We characterized the sensitivity, energy dependence, and calibrated dose rate for a radiation imaging survey meter (RAVIN Cam; M3d inc., Ann Arbor MI) based on cadmium zinc telluride (CZT) cr...

BEST IN PHYSICS RADIOPHARMACEUTICALS, THERANOSTICS AND NUCLEAR MEDICINE: The Development and Validation of an in-Vitro Alpha Irradiation Platform with Versatile Radiation Control

Authors: Md Mainul Abrar, Harsh Arya, Yujie Chi, Yijing Liu, Joshua Rajan, Pan Zui

Affiliation: University of Texas at Arlington, The University of Texas at Arlington, Department of Physics, University of Texas at Arlington

Abstract Preview: Purpose: Understanding the biological effects of alpha radiation at varying dose rates and energies is essential for advancing therapeutic strategies. This study demonstrates the capabilities of an in...

BEST IN PHYSICS THERAPY: Fast and Convenient Proton Pencil Beam Energy QA with Multi-Layer Faraday Cup (MLFC)

Authors: Paul Boisseau, Eric S. Diffenderfer, Andrew Friberg, Wenbo Gu, Matthew Nichols, Kan Ota, Xiaokun Teng, Boon-Keng Kevin Teo, Lingshu Yin, Jennifer Wei Zou

Affiliation: Department of Radiation Oncology, University of Pennsylvania, Pyramid Technical Consultants, Inc., University of Pennsylvania

Abstract Preview: Purpose: Traditional quality assurance procedures for proton pencil beam energies involve water tank setups or multiple solid water phantoms and are time-consuming. This study demonstrates that an inn...

BEST IN PHYSICS THERAPY: Impact of Local Tissue Oxygenation Level on the Flash Effect in Murine Skin

Authors: David J. Gladstone, P. Jack Hoopes, David I Hunter, Brian W Pogue, Jacob Pierce Sunnerberg, Armin Tavakkoli

Affiliation: Thayer School of Engineering, Dartmouth College, University of Wisconsin - Madison, Department of Radiation Oncology, Perelman School of Medicine, University of Pennsylvania, Geisel School of Medicine, Dartmouth College

Abstract Preview: Purpose: The FLASH effect, characterized by normal tissue sparing under ultra-high dose rate (UHDR) radiation delivery, remains mechanistically unclear. This study investigated the relationship betwee...

BEST IN PHYSICS THERAPY: Overcoming Challenges in Developing Machine Learning-Driven Acute Kidney Injury Predictive Models Using Non-Standard Emrs in Resource-Limited Settings

Authors: Yuanhan Chen, Ziqiang Chen, Qi Cheng, Feng Ding, Rui Fang, Shengwen Guo, Li Hao, Qiang He, Haiquan Huang, Yu Kuang, Xinling Liang, Yuanjiang Liao, Guohui Liu, Chen Lu, Qingquan Luo, Jing Sun, Yanhua Wu, Zhen Xie, Qin Zhang, Lang Zhou

Affiliation: South China University of Technology, Dongguan people's hospital, Sichuan Provincial People's Hospital, People’s Hospital of Xinjiang Uygur Autonomous Region, Second Hospital of Anhui Medical University, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangdong Easy Life Information Technology Co., Ltd, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), Medical Physics Program, University of Nevada, Second Hospital of Jilin University, Chongqing Ninth People's Hospital

Abstract Preview: Purpose: Acute kidney injury (AKI) is a global healthcare issue with a rapid onset and severe consequences. Repeated measurement of serum creatinine (SCr) levels, a clinical standard of care, is cruci...

BEST IN PHYSICS THERAPY: Population-Based Automated Organs-at-Risk Contouring Outlier Detection and Visualization without Requiring Patient-Specific Reference Contour

Authors: Rex A. Cardan, Carlos E. Cardenas, Quan Chen, Jingwei Duan, Joseph Harms, Joel A. Pogue, Richard A. Popple, Yi Rong, Dennis N. Stanley, Natalie N. Viscariello, Libing Zhu

Affiliation: Washington University in St. Louis, The University of Alabama at Birmingham, Mayo Clinic Arizona, University of Alabama at Birmingham

Abstract Preview: Purpose: Manual verification of organs-at-risk(OARs) delineations is a critical yet time-intensive process, often susceptible to unintentional oversights. To assist the reviewing process, a population...

BEST IN PHYSICS ULTRASOUND: A Calibration Framework for Quantifying Element Misalignment in 2D Matrix Array Transducers Used in 3D Quantitative Ultrasound

Authors: Cristel Baiu, Laura Castaneda Martinez, Ivan M. Rosado-Mendez

Affiliation: University of Wisconsin, Department of Medical Physics, University of Wisconsin-Madison, Departments of Medical Physics and Radiology, University of Wisconsin-Madison

Abstract Preview: Purpose: 2D matrix array transducers (2DMAT) are advancing volumetric ultrasound due to their ability to provide more isotropic 3D resolution, fast volumetric imaging, and highly customizable focusing...

Backscattering of Compton Cameras: A Monte Carlo Simulation Approach

Authors: Jorge Naoki Dominguez Kondo, Qihui Lyu

Affiliation: University of California San Francisco, Department of Radiation Oncology, University of California, San Francisco

Abstract Preview: Purpose:
Targeted alpha therapy (TAT) has emerged as a highly potent therapeutic method in oncology, but its development is limited by the lack of imaging methods to quantify its dosimetry. Convent...

Bayesian Mixture Modelling of Apparent Diffusion Coefficients from Whole-Body MRI Reveals Significant Changes in Metastatic Lesions Treated with Stereotactic Body Radiotherapy Compared to Untreated Controls

Authors: Giacomo Avesani, Matthew D Blackledge, Silvia Bottazzi, Alison Tree, Nina Tunariu

Affiliation: Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Institute of Cancer Research, The Royal Marsden NHS Foundation Trust

Abstract Preview: Purpose: To evaluate changes in median apparent diffusion coefficient (ADC) within metastatic oligoprogressing lesions from prostate cancer treated with stereotactic body radiotherapy (SBRT) and compa...

Beam Characteristics of a Proposed Dielectric Wall Proton Accelerator Design

Authors: Julien Bancheri, Chau Giang Bui, Christopher M Lund, Morgan J Maher, Jamiel Nasser, Amy Parent, Monica Serban, Jan P. Seuntjens, Jason Z Yuan

Affiliation: University of Toronto, Medical Physics Unit, McGill University, Princess Margaret Cancer Centre, Princess Margaret Cancer Centre & University of Toronto

Abstract Preview: Purpose: Proton therapy (PT) has demonstrated greater precision and superior healthy tissue sparing compared to photon radiotherapy for various sites; however, PT systems are expensive, which limits g...

Beam Orientation Optimization in IMRT Using Sparse Mixed Integer Programming and Non-Convex IMRT Fluence Map Optimization

Authors: Yabo Fu, Yang Lei, Yu Lei, Haibo Lin, Ruirui Liu, Tian Liu, Kenneth Rosenzweig, Charles B. Simone, Shouyi Wei, Jiahan Zhang

Affiliation: Icahn School of Medicine at Mount Sinai, University of Nebraska Medical Center, Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York Proton Center

Abstract Preview: Purpose: Beam orientation optimization (BOO) in intensity-modulated radiation therapy (IMRT) is traditionally a complex, non-convex problem tackled with heuristic methods. This study benchmarks global...

Benchmarking Patient Doses for Barium Fluoroscopy Procedures: A Single-Institution Study

Authors: Wilfred R Furtado, Gary Y. Ge, Jie Zhang

Affiliation: Department of Radiology, University of Kentucky, University of Kentucky

Abstract Preview: Purpose: The United Kingdom and several other countries already have well-established diagnostic reference levels (DRLs) for gastrointestinal fluoroscopic procedures, whereas the United States does no...

Best- and Worst-Case Scenario: Uncertainty Bounds Informed By Daily Scanning in Weekly CBCT-Based Accumulated Dose for Head and Neck Cancer

Authors: Peter Balter, Kristy K. Brock, Clifton David Fuller, Tze Yee Lim, James Long, Brigid A. McDonald, Androniki Mitrou, Andrew J. Schaefer, Stina Svensson

Affiliation: The University of Texas MD Anderson Cancer Center, RaySearch Laboratories, Rice University, Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, The University of Texas MD Anderson Cancer Center UTHealth Houston Graduate School of Biomedical Sciences

Abstract Preview: Purpose: CBCT-based accumulated dose can provide up-to-date dose information on responding anatomy. To optimize resources, it is necessary to determine how many scans provide adequate information for ...

Big Data in-Vivo Epid Image Prediction for VMAT Radiotherapy

Authors: Casey E. Bojechko, Lance C Moore

Affiliation: University of California, San Diego, University of California San Diego

Abstract Preview: Purpose: EPID images collected during treatment can serve as an in-vivo error detection mechanism. Previous works have shown that comparing in-vivo EPID images to AI-predicted EPID images for IMRT pla...

Biokinetic Modeling and Dosimetry of Radiopharmaceutical Extravasation in Lu-177-PSMA Therapy for Metastatic Castration-Resistant Prostate Cancer

Authors: Shaheen Dewji, Emmanuel Mate-Kole, Sergio F Ruiz, Chris C. Wang

Affiliation: Georgia Institute of Technology, Nuclear and Radiological Engineering and Medical Physics Programs, Georgia Institute of Technology

Abstract Preview: Purpose: Extravasations are clinical events when a substance is administered intravenously and the fluid starts to leak into surrounding tissue instead of the target vessel. In the case of radiopharma...

Biologically Guided Deep Learning for MRI-Based Brain Metastasis Outcome Prediction after Stereotactic Radiosurgery

Authors: Evan Calabrese, Hangjie Ji, Kyle J. Lafata, Casey Y. Lee, Eugene Vaios, Chunhao Wang, Lana Wang, Zhenyu Yang, Jingtong Zhao

Affiliation: Duke University, Department of Radiation Oncology, Duke University, Duke Kunshan University, North Carolina State University

Abstract Preview: Purpose: To develop a biologically guided deep learning (DL) model for predicting brain metastasis(BM) local control outcomes following stereotactic radiosurgery (SRS). By integrating pre-SRS MR image...

Biomechanically Informed Diagnostic-to-Synthetic CT Transformation for Expedited Radiation Therapy Planning

Authors: Liyuan Chen, Steve Jiang, Chenyang Shen

Affiliation: Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center

Abstract Preview: Purpose: Delays in radiation therapy (RT) initiation caused by conventional CT simulation processes can hinder timely treatment delivery and patient outcomes. This study proposes a Virtual Treatment S...

Brachify: An Open-Source 3D Modeling Solution for 3D Printable Cervical and Vaginal Cylindrical Templates

Authors: Michael Kudla, Stephanie Merkl

Affiliation: BC Cancer - Kelowna

Abstract Preview: Purpose: 3D modeling for 3D printed GYN high dose rate (HDR) brachytherapy templates can be a time-consuming, error-prone process. To simplify the creation these templates, a software application has ...

Brachyplancheck: An Independent Monte Carlo Dose Calculation Tool for Brachytherapy Using Egs_Brachy

Authors: Amy Tien Yee Chang, Chi Wai Cheung, Tin Lok Chiu, Chen-Yu Huang, Chi Wa Kong, Pei-Xiong Li, Pak Hang Nam, Bin Yang, Siu Ki Yu

Affiliation: Comprehensive Oncology Centre, Hong Kong Sanatorium and Hospital, Medical Physics Department, Hong Kong Sanatorium and Hospital

Abstract Preview: Purpose: This study introduces BrachyPlanCheck, an independent Monte Carlo (MC)-based dose calculation tool for 192Ir brachytherapy retrospective study or algorithm commissioning.
Methods: BrachyPl...

Breast Fascial Ligament Characterization Using Cryo-Fluorescence Tomography Imaging

Authors: Taylor A Beal, Kari J. Brewer Savannah, Kristy K. Brock, Alejandro Contreras, Natalie W Fowlkes, Megan Kalambo, Gregory P Reece, Erin P Snoddy, Tien T Tang

Affiliation: The University of Texas MD Anderson Cancer Center, Baylor College of Medicine

Abstract Preview: Purpose: Current anatomical and surgical research does not adequately detail the breast fascial system’s ligaments and connective tissues. Most available information stems from cadaver dissections, wh...

CBCT Dose Measurement for Common Protocols on Elekta Versahd and Varian Truebeam

Authors: Yingxuan Chen, Jun Li, Alexis N. Webb

Affiliation: Thomas Jefferson University

Abstract Preview: Purpose: Cone-beam computed-tomography (CBCT) is widely used for image-guided therapy. Cumulative dose from repeated CBCT might be a concern. This study aims to measure and compare the CBCT dose for c...

CBCT and Exactrac Dynamic Agreement for Patient Positioning during Spine SRS/SBRT Treatments

Authors: Martha J. Malin, Matthew Schelin

Affiliation: NYU Langone Health

Abstract Preview: Purpose: To evaluate the agreement between ExacTrac Dynamic (ETD) and CBCT-based positioning for spine SRS/SBRT treatments during initial patient setup and repositioning after intrafraction motion.

CNN-Based Reconstruction for 3D Scintillation Dosimetry of Proton Pencil Beams

Authors: Sam Beddar, Jason Michael Holmes, Daniel G. Robertson, James J. Sohn, Ethan D. Stolen

Affiliation: Department of Radiation Oncology, Mayo Clinic, MD Anderson Cancer Center, Department of Radiation & Cellular Oncology, University of Chicago, Department of Radiation and Cellular Oncology, University of Chicago

Abstract Preview: Purpose: Camera-based scintillation dosimetry incorporating large volumes have shown promise for fast and comprehensive evaluation of external beam treatment fields. While some efforts have been made ...

CNN-Based Visualization for Detecting Failure Patterns of Lung SBRT through CT-Biological Effective Dose Interaction

Authors: Ashok Bhandari, Kurtis Johnson, Yu Lei, Tianzhe Li, Kyuhak Oh, Shuo Wang, Chi Zhang, Su-Min Zhou

Affiliation: University of Nebraska Medical Center

Abstract Preview: Purpose: The purpose of this study was to leverage neural network visualization tools to detect high-attention areas indicative of treatment failure in lung SBRT by examining correlation matrices betw...

CT Jacobian-Derived Texture-Based Radiomics Biomarker Predicts Future COPD Exacerbations

Authors: Jean Bourbeau, Jim Hogg, Miranda Kirby, Meghan Koo, Kalysta Makimoto, Wan Tan

Affiliation: Montreal Chest Institute of the Royal Victoria Hospital, McGill University Health Centre, Toronto Metropolitan University, Centre for Heart Lung Innovation, University of British Columbia

Abstract Preview: Purpose: Chronic obstructive pulmonary disease (COPD) exacerbations are burdensome to patients and healthcare systems. CT imaging-derived measures of emphysema and airway remodeling have been shown to...

CT-Free PET Imaging: Synthetic CT Generation for Efficient and Accurate PET-Based Planning

Authors: Mingli Chen, Xuejun Gu, Hao Jiang, Mahdieh Kazemimoghadam, Weiguo Lu, Qingying Wang, Kangning Zhang

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center, Department of Radiation Oncology, Stanford University School of Medicine

Abstract Preview: Purpose:
PET is used in radiotherapy workflows for accurate target delineation. However, a separate CT scan is typically required for attenuation correction in PET imaging and for registering PET-d...

CT-on-Rails Longitudinal Image Quality Stability for Intensity Modulated Adaptive Proton Therapy

Authors: Austen N. Curcuru, Arash Darafsheh, Winter Green, Yao Hao, Baozhou Sun, Tiezhi Zhang, Tianyu Zhao, Xiandong Zhao

Affiliation: WashU Medicine, Washington University School of Medicine, Department of Radiation Oncology, Washington University School of Medicine, Washington University in St. Louis, University of South Florida, Baylor College of Medicine

Abstract Preview: Purpose: Intensity modulated proton therapy (IMPT) requires precise setup imaging due to the sharp dose gradients and rapid distal fall-off seen in proton therapy dose distributions. Additionally, onl...

Calibration of Dynamic Collimation System Trimmers to Proton Beam Axis Using Gantry-Angle-Specific Corrections: A Look-up Table Solution

Authors: Wesley S. Culberson, Albert Du, Ryan T. Flynn, Ryan Gardner, Alonso N. Gutierrez, Patrick M Hill, Daniel E. Hyer, Blake R. Smith, Nhan Vu, Karsten K. Wake

Affiliation: University of Wisconsin, Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison, Miami Cancer Institute, Baptist Health South Florida, Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, University of Iowa, Iowa Health Care

Abstract Preview: Purpose: In proton therapy, the substantial size of the gantry introduces sag, causing the proton isocenter to drift as a function of gantry angle. While the scanning magnets correct the beam’s isocen...

Can AI-Based Llms be Your Study Buddy for ABR Professional Exams?

Authors: Arjit K. Baghwala, Sunan Cui, Jessica Fagerstrom, Eric C. Ford, Kristi Rae Gayle Hendrickson, Sharareh Koufigar, Samuel Ming Ho Luk, Bishwambhar Sengupta, Afua A. Yorke

Affiliation: University of Washington, Department of Radiation Oncology, Fred Hutchinson Cancer Center, University of Washington, Department of Radiation Oncology, University of Vermont Medical Center, University of Washington and Fred Hutchinson Cancer Center, Houston Methodist Hospital

Abstract Preview: Purpose: The global burden of cancer continues to rise, leading to an increased workload in radiation oncology clinics. This surge is not only due to the growing demand for treatment machines and moda...

Can Automated Log-File Analysis Provide Insight into Machine Performance across Distinct Clinics?

Authors: Kellin M De Jesus, Leon Dunn, Les Sztandera, David H. Thomas

Affiliation: IsoAnalytics Pty. Ltd., Thomas Jefferson University

Abstract Preview: Purpose: Machine accuracy and performance are critical for ensuring the safety and efficacy of intensity-modulated radiotherapy (IMRT and VMAT). This study aims to analyze a large and diverse set of l...

Can Regional Radiomic Features from Pre-Treatment Computed Tomography Serve As Biomarkers for Predicting Radiation Pneumonitis?

Authors: David J. Carlson, Ming Chao, Tian Liu, Yong Hum Na, Kenneth E Rosenzweig, Robert Samstein, Lewis Tomalin

Affiliation: Icahn School of Medicine at Mount Sinai, Yale University School of Medicine, Department of Therapeutic Radiology, Yale University School of Medicine

Abstract Preview: Purpose: To investigate the potential of regional radiomic features extracted from five lung sub-lobes on pre-treatment CT as biomarkers for predicting radiation pneumonitis (RP) using machine learnin...

Characterisation of Breathing Volumes and Surface Motion for Upright and Supine Treatment Positions

Authors: Sophie Boisbouvier, David Cobben, Anthony L Criscuolo, Michael W. Kissick, Mark Ramtohul, Gordon Sands, Tracy Underwood

Affiliation: University of Surrey, Department of Medical Physics, Queen Elizabeth Hospital, Lung Cancer and Sarcoma Radiotherapy, The Clatterbridge Cancer Centre, Leo Cancer Care, Radiotherapy department, Centre Léon Bérard

Abstract Preview: Purpose:
Pulmonary function tests (PFTs) help assess treatment options for lung cancer patients. Conventionally, these are undertaken upright, whereas radiotherapy is administered supine. This stud...

Characterization and Testing of an Intra-Operative Gamma Camera for Radio-Guided Surgery.

Authors: Ted Bartley, Steven Brown, Steven Chinn, Mike Hopkins, Stanley Leong, Jerimy C. Polf, Luke Rothermel, Scott Sawyer, Benjamin L. Viglianti

Affiliation: University of California School of Medicine, University of Michigan, H3D, inc, University Hospitals, M3D, Inc, M3D Imaging, California Pacific Medical Center

Abstract Preview: Purpose: In a collaboration between surgical oncologists and medical physicists, a new intra-operative gamma camera for imagining sentinel lymph nodes (SLN) during radio-guided SLN biopsy procedures h...

Characterization of HCC Tumor Response in 90Y-Radioembolization Clinical Trial RAPY90D Using Prospective Voxel Dosimetry

Authors: E Courtney Henry, Srinivas Cheenu Kappadath, Armeen Mahvash

Affiliation: UT MD Anderson Cancer Center

Abstract Preview: Purpose:
Characterization of hepatocellular carcinoma (HCC) tumor responses for single-arm single-center prospective 90Y-radioembolization clinical trial (n=40) that used patient-specific voxel-dos...

Characterization of Novel Shielded and Unshielded Silicon Diode Detectors for Photon and Electron Dosimetry in Radiation Therapy

Authors: Mohamad Ahmad Alissa, Carson Brame, Damian Czarnecki, Olivier Evrard, Charbel A. Habib, Jeff Hildreth, Andy Murray, Andreas Schönfeld, Ann-Britt Schönfeld, David Towle, Gerd Wessing

Affiliation: CDT-West - Centrum fĂŒr Diagnostik und Therapie, Radiologie Vechta, Technische Hochschule Mittelhessen, MyMichigan Health, Sun Nuclear Corp., Mirion Technologies

Abstract Preview: Purpose: To characterize the performance of novel shielded and unshielded silicon diode detectors in relative photon and electron beam dosimetry.

Methods: The novel shielded and unshielded sili...

Characterization, Commissioning, and Clinical Evaluation of a Commercial Beo Optically Stimulated Luminescence (OSL) System

Authors: Brett G Erickson, Joseph P. Kowalski, Xinyi Li, Qiuwen Wu, Sua Yoo

Affiliation: Duke University, Mayo Clinic - Department of Radiation Oncology, Duke University Medical Center

Abstract Preview: Purpose: Characterization and commissioning of the BeO-based myOSLchip system was performed (per TG191) to assess its feasibility as a full replacement for the recalled Landauer aluminum oxide OSL in ...

Characterizing Image Quality and Radiation Dose in Fluoroscopy Systems

Authors: Kainoa Calistro-Allen, Brendon J. Villegas

Affiliation: University of Alabama Birmingham

Abstract Preview: Purpose:
To compare differences in radiation output and image quality in clinical esophagrams across fluoroscope vendors in use at University of Alabama Birmingham, prompted by reports that a newly...

Characterizing an Osld Dosimetry System for Use in a Multi-Clinic Environment

Authors: Amar K. Basavatia, Lee C. Goddard, Rachel Grimm, Wolfgang A. Tomé

Affiliation: Montefiore Medical Center

Abstract Preview: Purpose: To characterize the “MyOSL Chip” OSLD system for clinical use and compare the response of multiple readers to allow for utilization in a multi-clinic environment.
Methods: Dose calibration...

Checking of Sensitivity of Volumetric Modulated Arc Therapy Quality Assurance System with a Cavity Generation Method

Authors: Kaile Li, Esmail Parsai

Affiliation: Alexander T. Augusta Military Medical Center, Alexander T. Augusta Miliary Medical Center

Abstract Preview: Purpose: To evaluate the sensitivity of the portal dosimetry system with the Arc CHECK system at identical Volumetric Modulated Arc Therapy (VMAT) setup
Methods: An Arc CHECK system from Sun Nuclea...

Cherenkov Image Denoising with Diffusion-Based Deep-Learning for High-Fidelity Video Display of EBRT

Authors: Petr Bruza, Jeremy Eric Hallett, Brian W Pogue, Yucheng Tang, Shiru Wang

Affiliation: NVIDIA Corp, Dartmouth College, Thayer School of Engineering, Dartmouth College, University of Wisconsin-Madison, University of Wisconsin - Madison

Abstract Preview: Purpose: Cherenkov imaging allows for real-time visualization of megavoltage X-ray or electron beam delivery during radiation therapy. By using a time-gated intensified CMOS camera synchronized with a...

Cherenkov to Dose Trends with Small Field Beams

Authors: Jeremy Eric Hallett, Aubrey Parks, Brian W Pogue

Affiliation: University of Wisconsin - Madison, University of Wisconsin-Madison

Abstract Preview: Purpose: Cherenkov imaging visualizes radiotherapy beams, assuming emission is proportional to deposited dose. However, attempts for Cherenkov as a quantitative dose estimation have been unsuccessful ...

Clinical Application of Biology-Guided Radiotherapy (BgRT) to Patient Having a Cardiac Implantable Electronic Device (CIED)

Authors: Girish Bal, Thomas I. Banks, Bin Cai, Yesenia Gonzalez, Zohaib Iqbal, Paul M. Medin, Rameshwar Prasad, Chenyang Shen, Robert Timmerman, Yuanyuan Zhang

Affiliation: Department of Radiation Oncology, UT Southwestern Medical Center, University of Texas Southwestern Medical Center, UT Southwestern Medical Center, RefleXion Medical

Abstract Preview: Purpose: Each year more than one million pacemakers and 200k cardioverter-defibrillators are implanted in patients worldwide. The presence of a CIED introduces challenges to the delivery of radiation ...

Clinical Assessment of Synthetic CT in MR-Only Brain Radiotherapy

Authors: Ergun E. Ahunbay, Colette Gage, Abdul Kareem Parchur, Eric S. Paulson

Affiliation: Department of Radiation Oncology, Medical College of Wisconsin

Abstract Preview: Purpose: AI-generated synthetic CT (sCT) images address challenges with prior sCT approaches, including atlas- and threshold-based methods. Commercial AI-based sCT tools have been introduced. This wor...

Clinical Factors Associated with Urinary Morbidity in Men Undergoing Combination Prostate Radiation Therapy

Authors: James Benton, Andrew Dewar, Benjamin C Lee, Ryan Y Lee

Affiliation: Radiotherapy Clinics of Georgia, Urology of Greater Atlanta

Abstract Preview: Purpose:
The purpose of our investigation was to determine if pre-treatment factors could predict urinary morbidity after combination radiation treatment for localized prostate cancer.
Methods:<...

Clinical Implementation of Volumetric Modulated Arc Therapy (VMAT) for Total Body Irradiation (TBI) with Off-the-Shelf Tools

Authors: Kai-Cheng Chuang, Oana I. Craciunescu, Christopher Kelsey, Joseph Kowalski, Nicole Larrier, Xinyi Li, Sheridan G. Meltsner, Anna E. Rodrigues, Yang Sheng, Qiuwen Wu

Affiliation: Duke University, Duke University Medical Center

Abstract Preview: Purpose: To clinically implement a Volumetric Modulated Arc Therapy (VMAT) procedure for Total Body Irradiation (TBI) with off-the-shelf tools.
Methods: Patient is treated on linac couch with a hyb...

Clinical Implementation of a Film Based Psqa System for SBRT on a 1.5T MR-Linac

Authors: Dylan Yamabe Breitkreutz, Lee Chin, Brige P. Chugh, Mark D'Souza, Brian M. Keller, Anthony Kim, Michelle K. Nielsen, Arjun Sahgal

Affiliation: Sunnybrook Health Sciences Centre

Abstract Preview: Purpose: The Elekta Unity MR-linac delivers highly conformal SBRT treatments using IMRT. These treatment plans require patient-specific quality assurance (PSQA) measurements to detect discrepancies be...

Clinical Outcomes of Gamma Knife Stereotactic Radiosurgery Treatments for Intracranial Arteriovenous Malformations & Fistulas: A Single Institutional Retrospective Study

Authors: Madeleine Arbogast, David Dorndos, Denise E Foltz, Justin Fraser, Damodar Pokhrel, William St Clair

Affiliation: University of Kentucky, Department of Radiation Medicine, University of Kentucky, Department of Neurosurgery, University of Kentucky, Radiation Medicine

Abstract Preview: Purpose: For stereotactic radiosurgery (SRS) treatments of intracranial arteriovenous malformations (AVM) and fistulas (AVF), same-day Leksell Gamma Knife (GK) is the preferred modality. Long-term cli...

Clinical Validation of Fully Automated Script for Plan Conversion between Linacs with Different Mlc Model

Authors: David L. Barbee, Paulina E. Galavis, Lena Adel Samad, Jose R. Teruel Antolin

Affiliation: NYU, NYU Langone Health

Abstract Preview: Purpose: To validate an automated script that converts treatment plans of varying Varian MLC models

Methods: A C# script was developed using the Eclipse Scripting API to convert treatment plans...

Clinical Validation of a Deep-Learning Segmentation Tool for Head and Neck Cancer Patients and Thoracic and Abdominal Cancer Patients

Authors: Haijian Chen, Katja M. Langen, William Andrew LePain, Claire Tran, Mingyao Zhu

Affiliation: Emory Healthcare, Emory University, Georgia Institute of Technology

Abstract Preview: Purpose: To validate the performance of a commercial deep-learning segmentation (DLS) tool for head and neck cancer (HNC) and thoracic and abdominal cancer (TAC) by comparing it to manual segmentation...

Clinically Ready Simulation Package for Monitoring Gamma Hotspot Emission, and Detection in Patient Anatomy

Authors: Ananta Raj Chalise, Matthias K Gobbert, Zhuoran Jiang, Sina Mossahebi, Stephen W. Peterson, Jerimy C. Polf, Lei Ren, Ehsan Shakeri, Vijay Raj Sharma, Jie Zhang

Affiliation: University of Maryland School of Medicine, University of Maryland Baltimore County, University of Maryland, Baltimore County, Stanford University, University of Maryland, School of Medine, Department of Physics, University of Cape Town, M3D, Inc

Abstract Preview: Purpose: Prompt gamma (PG) imaging is a promising modality for proton dose verification. Currently, there is a lack of effective tool to investigate the PG emission during proton therapy and optimize ...

Clinically Tenable Lung Dose Estimates in Y-90 Radioembolization from Truncated Maa-SPECT/CT with Unknown Lung Mass

Authors: Dan Giardina, John Karageorgiou, Chris Malone, Naganathan Mani, Allan Thomas

Affiliation: Washington University School of Medicine, Mallinckrodt Institute of Radiology, Washington University School of Medicine

Abstract Preview: Purpose: Relative to planar imaging, MAA-SPECT/CT offers more reliable lung shunt fraction (LSF) and lung mean dose (LMD) estimates in 90Y radioembolization. But lung truncation in SPECT/CT can limit ...

Cloud-Based Clonogenics Guide Nanoparticle-Mediated Chemo-Radiotherapy Against Brain Cancers

Authors: ISAAC Amoah, Jackie Austin, Charlotte Block, Kaylee Brilz, Dylan Bui, Andrew E. Ekpenyong, Jayce Hughes, Natasha Ratnapradipa, Sara Strom, Jacob Woolf

Affiliation: Creighton University

Abstract Preview: Purpose: Cancers of the brain and nervous system account for 1 in 100 cancer diagnoses in the US every year. Surgery, radiotherapy, and chemotherapy constitute the standard of care. For Glioblastoma (...

Combining Flat-Panel Imaging and Internal BB Markers for Precise HDR Brachytherapy Source Localization

Authors: Yibin Ling, Qihui Lyu, Ke Sheng

Affiliation: University of California Berkeley, Department of Radiation Oncology, University of California, San Francisco

Abstract Preview: Purpose:
High Dose Rate (HDR) brachytherapy enables radiation to concentrate on the tumor by sending the high-dose-rate radioactive source directly to the treatment site. On the other hand, the sha...

Commission and Clinical Implementation of the 1st Step-and-Shoot Proton Arc Therapy for Head and Neck Cancer Patient Treatment

Authors: Xiaoda Cong, Rohan Deraniyagala, Xuanfeng Ding, Xiaoqiang Li, Jian Liang, Peilin Liu, Craig Stevens, Xiangkun Xu, Weili Zheng

Affiliation: Corewell Health William Beaumont University Hospital, Corewellhealth William Beaumont University Hospital, William Beaumont University Hospital, Corewellhealth William Beaumont Hospital, Department of Radiation Oncology, Corewell Health William Beaumont University Hospital

Abstract Preview: Purpose:
Commission a step-and-shoot arc therapy(SPArc-step&shoot) for treating head-neck cancer patients as a desired interim milestone toward full dynamic treatment.
Methods:
An in-house de...

Commissioning Radcalc v7.3 with a Collapsed Cone Calculation Algorithm for 6X FFF and 10X FFF Energies

Authors: Maria Jose Almada, Carlos Bohorquez, Maximiliano Musso, Rosa Petit, Carlos Daniel Venencia, Lucy D. Wolfsberger

Affiliation: LAP, Instituto Zunino - Fundacion Marie Curie

Abstract Preview: Purpose:
PSQA is crucial in maintaining patient safety, typically depending on dosimetric measurements. However, advancements in computational technology have highlighted the growing significance o...

Commissioning and Validation of Monaco Proton Treatment Planning System on a Compact Proton Therapy System

Authors: Shupeng Chen, Xiaoda Cong, Raymond Dalfsen, Rohan Deraniyagala, Xuanfeng Ding, James E. Dolan, Xiaoqiang Li, Jian Liang, Peilin Liu, An Qin, Martin Soukup, Craig Stevens, Xiangkun Xu, Weili Zheng

Affiliation: Corewell Health William Beaumont University Hospital, Corewellhealth William Beaumont University Hospital, William Beaumont University Hospital, Elekta, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Corewellhealth William Beaumont Hospital, Department of Radiation Oncology, Corewell Health William Beaumont University Hospital

Abstract Preview: Purpose: To facilitate clinical use of the proton feature of Monaco treatment planning system(TPS), we commissioned and validated it on a compact proton therapy system.
Methods: Pencil Beam Scannin...

Commissioning and Validation of a Commercially Available 3D Linear Stage Device for Gamma Knife Hdmm QA

Authors: Alonso N. Gutierrez, Matthew D. Hall, Rupesh Kotecha, Yongsook C. Lee, Michael W. McDermott, Minesh P. Mehta, Ranjini P. Tolakanahalli, D. Jay J. Wieczorek

Affiliation: Miami Cancer Institute, Baptist Health South Florida

Abstract Preview: Purpose: The objective of this study is to systematically evaluate and validate the performance of a commercially available 3D Linear stage device as a quality assurance (QA) tool to validate position...

Commissioning of a 3D-CRT Planning Software for a Machine with Only Flattening-Filter Free Energy

Authors: Michalis Aristophanous, Steven Blum, Laura I. Cervino, Antonio L. Damato, Karen Episcopia, Chi Huang, Shih-Chi Lin, Michelle K. Savacool

Affiliation: Department of Medical Physics, Memorial Sloan Kettering Cancer Center, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose: Varian Ethos (Varian Medical Systems, Palo Alto, CA) is a 6 MV flattening-filter-free (FFF) only machine, posing a challenge in creating homogeneous dose distributions when using manual 3D-CR...

Commissioning of a Near Real-Time In Vivo Film Dosimetry System

Authors: Maria F. Chan, Indra J. Das, Xiuxiu He, Seng Boh Gary Lim, Jeonghoon Park, Yunjie Yang

Affiliation: Department of Medical Physics, Memorial Sloan Kettering Cancer Center, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose: There is a need for accurate and flexible in-vivo dosimetry systems, particularly for special procedures. Effective dosimetry is crucial for dose verification and maintaining records. A new r...

Commissioning of an AI-Assisted Tool for Enhancing Post-Radiosurgery Follow-up in Multiple Brain Metastases Patients

Authors: Rex Carden, Carlos E. Cardenas, Ho-hsin Rita Chang, John B Fiveash, Heinzman A. Katherine, Yogesh Kumar, Gaurav Nitin Rathi, Richard A. Popple, Kayla Lewis Steed

Affiliation: University of Alabama at Birmingham

Abstract Preview: Purpose: Brain metastases (BMs) often require multiple radiotherapy (RT) courses as new lesions appear. Comparing follow-up imaging with prior RT plans is time-intensive. We developed an AI tool that ...

Compact Representation of External Beam Photon Phase Space Data Via Implicit Neural Representation Learning

Authors: Serdar Charyyev, Cynthia Fu-Yu Chuang, Veng Jean Heng, Lianli Liu, Lei Xing, Yong Yang

Affiliation: Department of Radiation Oncology, Stanford University

Abstract Preview: Purpose: To replace large finite-size photon phase space files with a compact neural network capable of generating an infinite number of particles.
Methods: Three separate models were developed to ...

Comparative Analysis of Soft Tissues and 3D Printing Materials Using Euclidean Distance for Linear Attenuation Coefficient

Authors: Gisell Ruiz Boiset, Paulo ROBERTO Costa, Elsa Bifano Pimenta

Affiliation: University of SĂŁo Paulo (USP), Institute of Physics

Abstract Preview: Purpose: This study evaluates the similarity between the linear attenuation coefficients of soft tissues and 3D printing materials in diagnostic imaging range using the Euclidean distance approach.

Comparative Evaluation of Nn-Unet Models for Radiotherapy Dose Prediction Using the Head and Neck Cancer Patients

Authors: Theodore Higgins Arsenault, Beatriz Guevara, Rojano Kashani, Raymond F. Muzic, Gisele Castro Pereira, Alex T. Price

Affiliation: University Hospitals Seidman Cancer Center, Case Western Reserve University Department of Biomedical Engineering

Abstract Preview: Purpose: Accurate dose prediction in radiotherapy is essential for treatment planning. This study evaluates four nnUnet-based models using the OpenKBP head and neck dataset: a baseline model (Model 1)...

Comparative Evaluation of Spekpy for Kilovoltage Beam Quality Characterization

Authors: Chang Heon Choi, Yoonsuk Huh, Jin Jegal, Seonghee Kang, Jung-in Kim, Inbum Lee, Hyojun Park

Affiliation: Department of Radiation Oncology, Seoul National University Hospital

Abstract Preview: Purpose: This study evaluates SpekPy, a Python-based tool for modeling kilovoltage (kV) x-ray spectra, by comparing its calculated energy spectra, half-value layer (HVL), and air kerma with experiment...

Comparative Study between Sparse Primary Sampling Grid Scatter Correction and Low-Count Monte Carlo-Based Scatter Reduction with 3-D Richardson-Lucy Denoising

Authors: Alan Rui Li, Qihui Lyu, Dan Ruan, Ke Sheng

Affiliation: Department of Radiation Oncology, University of California, Los Angeles, University of California San Francisco, Department of Radiation Oncology, University of California, San Francisco

Abstract Preview: Purpose:
The Sparse Primary Sampling (SPS) grid was shown in a previous computational study to improve image quality by correcting scatter-induced effects and artifacts in Cone-beam Computed Tomogr...

Comparing SPECT Dose Reconstruction Algorithm Accuracy As a Function of Imaging Parameters

Authors: Srinivas Cheenu Kappadath, Brian Michael Kelley, Benjamin P. Lopez

Affiliation: UT MD Anderson Cancer Center

Abstract Preview: Purpose:
Imaging systems are subject to errors from finite spatial resolution and voxel size. This work demonstrates their effect on dose algorithm {Monte Carlo (MC), dose-volume kernel (DVK), and ...

Comparison Analysis of Three Kind of Solutions for Head and Neck Cancer VMAT Verification

Authors: Wenwen Bai

Affiliation: The Fourth Hospital of Hebei Medical University

Abstract Preview: Purpose: To compare three kind of solutions (EDR2 Film, MatriXX, COMPASS) for VMA quality assurance at head and Neck in Monaco plannig system.
Methods: Monacao 5.1 planning system optimazed 10 case...

Comparison Study of Shift Frequency and Magnitude By Prostate Fiducial Tracking System: Triggered Image and Calypso

Authors: David J. Carlson, Yiu-Hsin Chang, Zhe (Jay) Chen, Hyosung Cho, Dae Yup Han, MinYoung Lee, Weili Zhong

Affiliation: Department of Therapeutic Radiology, Yale University School of Medicine, Yonsei University

Abstract Preview: Purpose:
To compare the intra-fractional motion tracking sensitivity of prostate fiducial markers using triggered imaging and calypso tracking for prostate cancer cases.
Methods:
This study w...

Comparison of Biological Effectiveness of COMS Eye Plaques with I-125 and Pd-103 Sources Using Equivalent Uniform RBE-Weighted Dose

Authors: Jonathan J. Chen, Alexei V. Chvetsov, Yulun He, Ramesh Rengan, Andrew Stacey, Kent Wallner

Affiliation: University of Washington and Fred Hutchinson Cancer Center, University of Washington

Abstract Preview: Purpose: To show that the RBE of low-energy photon sources used in COMS (Collaborative Ocular Melanoma Study) eye plaques compensates for protracted irradiation and attenuation of low-energy photons i...

Comparison of CBCT Dose Calculation Accuracy between Truebeam Hypersight Image Reconstruction Algorithms

Authors: Sarah Aubert, Harald Keller, Jeff D. Winter

Affiliation: Princess Margaret Cancer Centre

Abstract Preview: Purpose: Support for treatment planning directly on CBCT imaging on C-arm linacs will enable adaptive radiation therapy (ART) capacity with increased treatment technique flexibility. The HyperSight im...

Comparison of Cine Cardiac Magnetic Resonance (CMR) Imaging Performance: 0.6 T Versus 1.5 T, Is 0.6 T Fit for Purpose?

Authors: Jacinta E. Browne, Tzu Cheng Chao, Ajit Deveraj, Ece Ercan, Tim Leiner, Alessio Perazzolo, Michal Povazan, Jouke Smink, Camilla Vita, Spencer Waddle, Dinghui Wang

Affiliation: Università Cattolica del Sacro Cuore, Philips Healthcare, Mayo Clinic

Abstract Preview: Purpose:
In recent years, mid-field MRI has shown promise to meet the technical demands of cardiac imaging1. Mid-field strengths offer advantages to CMR due to shorter T1-relaxation times, lower sp...

Comparison of Clinical Virtual Unenhanced and True Unenhanced Images on a Prototype Deep Silicon Photon-Counting Detector CT

Authors: Meghan Lubner, Krista McClure, Aria M. Salyapongse, Timothy P. Szczykutowicz, Giuseppe Toia, Ming Yan, Zhye Yin, Meghan Yue

Affiliation: GE HealthCare, Departments of Radiology and Medical Physics, University Wisconsin-Madison, GE Healthcare, University of Wisconsin-Madison, UW-Madison, University of Wisconsin Madison, Department of Radiology

Abstract Preview: Purpose: To evaluate virtual unenhanced (VUE) and true unenhanced (TUE) human subject images on a prototype deep silicon photon-counting detector (PCD) CT with prototype algorithms.
Methods: 5 subj...

Comparison of Image Quality and Radiation Dose Among Four Vendors of Mobile Digital Radiography Systems

Authors: Nathalie Correa, Janet Ching-Mei Feng, Chun-Han Huang, Jimmy Huynh

Affiliation: UTHealth McGovern Medical School

Abstract Preview: Purpose: To compare the image quality and the dose-area product (DAP) of four mobile digital radiography (DR) systems—Canon (Soltus 500), Shimadzu (MobileDaRt Evolution MX8), Solution for Tomorrow (M1...

Comparison of Mlc Off-Axis Characteristics for Eclipse AAA v18 and v16 Using Portal Dosimetry

Authors: Junsheng Cao, Khushdeep Singh

Affiliation: Overlook Medical Center

Abstract Preview: Purpose: Eclipse v18 introduces Enhanced Leaf Modeling for MLCs. This study investigates the MLC off-axis characteristics using portal dosimetry
Methods:
MLC characteristics were analyzed for th...

Comparison of Portal Dosimetry and Delta4Âź for Pretreatment QA of Sfrt-VMAT Plans

Authors: Tianyuan Dai, Zejun Jiang, Xiangyue Kong

Affiliation: Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Department of Radiation Oncology Physics and Technology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences

Abstract Preview: Purpose:
This study aims to evaluate the reliability of SFRT-VMAT plan verification by comparing two QA methods: Portal Dosimetry (PD) and Delta4Âź.
Methods:
Preteatment QA was conducted for 1...

Comparison of Ultra-High Resolution and Standard CT Imaging Modes for Small Vessel Visualization in Coronary CTA Using Photon Counting CT

Authors: Afrouz Ataei, Victor Moy, Mark P. Supanich

Affiliation: Rush University

Abstract Preview: Purpose: This study evaluates the impact of ultra-high resolution (UHR) mode on the visualization of small vessels in coronary computed tomography angiography (CTA) using a photon-counting CT scanner....

Comprehensive Analysis of Plan Modulation in SRS/SBRT Plans: A Single Institution Study of 461 Cases

Authors: Yunfeng Cui, Will Giles, Xinyi Li, Ke Lu, Jennifer C. O'Daniel, Anna E. Rodrigues, Chunhao Wang, Lana Wang, Yibo Xie, Sua Yoo, Jingtong Zhao

Affiliation: Duke University, Duke University Medical Center

Abstract Preview: Purpose:
To establish quantitative measurement of plan modulation for SRS/SBRT treated with Volumetric Modulated Arc Therapy (VMAT) on C-arm LINACs.
Methods:
A total of 461 plans were analyze...

Comprehensive Assessment of Intra-Fractional and Inter-Fractional Motion in Intensity-Modulated Proton Therapy for Esophageal Cancer

Authors: Tianyuan Dai, Xiaoying Fan, Shuting Wang, Yong Yin

Affiliation: Department of Graduate, Shandong First Medical University, Shandong Academy of Medical Sciences, Department of Radiation Oncology Physics and Technology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences

Abstract Preview: Purpose: The purpose of this study was to investigate the interplay effect during intra-fractional motion and the effect of the robust optimization parameters for inter-fractional motion in the intens...

Comprehensive Commissioning of an O-Ring-Shaped Image-Guided Radiotherapy System with a Gimbal-Mounted Linear Accelerator

Authors: Tetsuo Fukuda, Hideaki Hirashima, Kohei Kawata, Yukako Kishigami, Takashi Mizowaki, Mitsuhiro Nakamura, Yohei Sawada, Maika Urago

Affiliation: Kyoto University, kyotoUnivercity, Hitachi high-tech, Department of Radiation Oncology and Image-applied Therapy, Graduate School of Medicine, Kyoto University

Abstract Preview: Purpose: To present the comprehensive commissioning results of the O-ring shaped linac, OXRAY.
Materials and Methods: OXRAY enables a novel three-dimensional unicursal noncoplanar irradiation metho...

Comprehensive Study of Recombination and Polarity Factors across CC04, CC13, FC65P, FC65G, Razor, and PP05 Chambers

Authors: Ziyad ABUBAKR ALHAREESHi, Ibtihaj Yussef Alhodire, Najla Sobhi Bin Shehima, Aram Mufteh A Genaw

Affiliation: Tripoli university hospital

Abstract Preview: Purpose:
This research investigates the recombination and polarity correcting factors for CC04, CC13, FC65P, FC65G, Razor, and PP05 ionization chambers to improve radiation dosimetry accuracy. Unde...

Compressed Radiotherapy Treatment Planning (CompressRTP): A New Paradigm for Rapid and High-Quality Treatment Planning Optimization

Authors: Gourav Jhanwar, Mojtaba Tefagh, Masoud Zarepisheh

Affiliation: The University of Edinburgh, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose:
Radiotherapy treatment planning involves solving computationally-intensive and time-consuming optimization problems. Central to these problems is a large matrix known as the dose-influence...

Consecutive Daily Fractions with Itv Boost Are Safe for Treating Central Non-Small Cell Lung Cancer Using Stereotactic Body Radiation.

Authors: Baher Elgohari, M. Saiful Huq, Ronald John Lalonde, Fang Li, Noor Mail, Jeonghoon Park, Tyler Wilhite

Affiliation: UPMC Hillman Cancer Center and University of Pittsburgh School of Medicine, Department of Radiation Oncology, UPMC Hillman Cancer Center, UPMC, Department of Medical Physics, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose:
To compare toxicity between consecutive-daily (QD) with every-other-day (QoD) delivery of lung stereotactic-body-radiation (SBRT) for central non-small-cell lung cancer (NSCLC).
Methods...

Contingency Planning for Left-Sided Breast Radiation Treatment Using Breath-Hold Technique with Different Delivery Methods

Authors: Nrusingh C. Biswal, Sally Cheston, Sung-Woo Lee, Weiguang Yao, Baoshe Zhang

Affiliation: Department of Radiation Oncology, University of Maryland School of Medicine

Abstract Preview: Purpose: The deep inspiration breath-hold (DIBH) technique in left breast radiation reduces doses to critical organs such as the heart, left lung, and left anterior descending artery (LAD). With the a...

Contrast Volume Prediction Using CT Dose Metrics

Authors: Niki Fitousi, Anna Romanyukha, Stuart Utting

Affiliation: University Hospitals Dorset, Qaelum NV

Abstract Preview: Purpose:
For increased patient safety and with a focus on sustainability in the radiology department, efforts are being made to optimize contrast media usage. In this study, the possibility of util...

Contrast-Dependent Loss of Edge Sharpness in Low-Contrast Targets with Increasing Iterative Reconstruction Strength

Authors: Emi Ai Eastman, Christina Lee, Xinhua Li, Alexander W. Scott, Yifang (Jimmy) Zhou

Affiliation: Cedars-Sinai Medical Center

Abstract Preview: Purpose: Iterative reconstruction (IR) methods are valuable for reducing dose in modern CT; however, IR methods have the effect of reducing spatial resolution and hence the lesion edge sharpness. Furt...

Contrast-Free Enhancement of Coronary Artery Stenosis: Synthetic Ccta from Non-Contrast CT Using Diffusion Model

Authors: Abdusalam Abdukerim

Affiliation: Institute for Medical Imaging Technology, Ruijin Hospital

Abstract Preview: Purpose:
Coronary computed tomography angiography (CCTA) is the gold-standard non-invasive test for coronary artery disease (CAD), but iodine contrast agents (ICA) pose limitations in specific popu...

Convergence Speed Advantages of a Machine Learning Assisted Framework in IMRT Fluence Map Optimization – a Comparison Study Using Multiple Convergence Criteria

Authors: Yang Sheng, Qingrong Jackie Wu, Qiuwen Wu, Xin Wu, Dongrong Yang

Affiliation: Duke University Medical Center

Abstract Preview: Purpose: Convergence speed is crucial for an optimizer. Faster convergence leads to better solutions with fewer iterations and less time. Recently, a machine learning (ML)-assisted framework employing...

Conversion Coefficients from Hp(10) to Organ and Effective Doses for Medical Staff Involved in Fluoroscopically Guided Interventional Procedures

Authors: Stephen Balter, Haegin Han, Cari M Kitahara, Taeeun Kwon, Choonsik Lee, Martha S Linet, Donald L. Miller

Affiliation: Columbia University Medical Center, National Cancer Institute, Food and Drug Administration

Abstract Preview: Purpose: Staff in fluoroscopically guided interventional (FGI) procedures are exposed to radiation. Inhomogeneous radiation fields and variability in procedural conditions make it challenging to deriv...

Correction Factors for Estimating Skin Dose from Overresponse of Two Commercial Optically Stimulated Luminescence Dosimeters

Authors: Min Cheol Han, Chae-Seon Hong, Changhwan Kim, Dong Wook Kim, Hojae Kim, Hojin Kim, Jin Sung Kim, HO Lee, Kwangwoo Park, Ye-In Park, Junyoung Son

Affiliation: Department of Radiation Oncology, Yonsei Cancer Center, Heavy Ion Therapy Research Institute, Yonsei University College of Medicine, Department of Radiation Oncology, Yongin Severance Hospital, Yonsei University College of Medicine

Abstract Preview: Purpose: Overresponse in surface in-vivo dosimetry using optically stimulated luminescence dosimeter (OSLD) depends on the beam incidence angle. This study aimed to investigate correction factors to d...

Correlation of Dose Volume Metrics with Skin Systemic Sclerosis 12 Months Post Radiotherapy for Head & Neck Cancer

Authors: Gregory A Azzam, Danielle Cerbon, Laura Huang, Panayiotis Mavroidis, Diana Molinares, Stuart E Samuels, Sotirios Stathakis

Affiliation: Mary Bird Perkins Cancer Center, University of Miami Sylvester Comprehensive Cancer Center, Mount Vernan Rehabilitation Medicine Associates, Department of Radiation Oncology, University of Miami, University of North Carolina

Abstract Preview: Purpose: This study examines the correlation of different dose volume metrics of the skin, sternocleidomastoid (SCM) muscle and subcutaneous tissue (subcut) structures with the skin systemic sclerosis...

Could Synthetic CTs Simulating Patient Anatomical Changes Help Improve the Robustness of Head-and-Neck Proton Plans?

Authors: Nrusingh C. Biswal, Matthew J Ferris, Michael J. MacFarlane, Jason K Molitoris, Byong Yong Yi, Mark J. Zakhary

Affiliation: University of Maryland School of Medicine, Department of Radiation Oncology, University of Maryland School of Medicine, University of Maryland

Abstract Preview: Purpose: Proton head-and-neck treatment plans often struggle to maintain plan quality over the course of treatment due to tumor response, weight-loss, and setup variability. Plan robustness to these c...

Creation of Proton Minibeams in a Pbs Nozzle from Low Emittance Source Beams

Authors: Seung Yeon Kim, Grant A. McAuley, Ju A Park, Jerry D Slater

Affiliation: Loma Linda University

Abstract Preview: Purpose: The production of proton minibeams in standard PBS nozzles is challenging due to the effects of finite source beam divergence and multiple Coulomb scattering. Herein we investigate the use of...

Cross Characterization of a 3D Gamma Camera and Ring Brachytherapy Applicator

Authors: Zachary R. Grelewicz, Kevin C. Jones, Yixiang Liao, Andrew Ogilvy, Julius V. Turian

Affiliation: Rush University Medical Center

Abstract Preview: Purpose: To demonstrate the accuracy and QA application of a time-resolved 3D gamma camera, we measured the path traversed by the Ir-192 High-Dose-Rate (HDR) brachytherapy source passing through a rin...

Cumulative Doses in Radiotherapy Treatment of Lymphoma Patients

Authors: Klaus Bacher, Tom Boterberg, Jeff Rutten, Barbara Vanderstraeten, Gwenny Verfaillie, Sarah Waelkens

Affiliation: Ghent University, Ghent University Hospital

Abstract Preview: Purpose: Lymphoma cancer patients frequently receive ionizing radiation during their treatment trajectory, including diagnostic CT, planning CT (pCT), recurrent CBCTs, radiotherapy (out-of-field) dose...

Cycle-Consistent Multi-Task Automated Segmentation and Synthetic CT Generation Model for Adaptive Proton Therapy

Authors: Derek Tang, Susu Yan

Affiliation: Massachusetts General Hospital

Abstract Preview: Purpose: To evaluate the performance of a multi-task automated-segmentation and synthetic CT generation model (sCT) and investigate its application in an adaptive proton therapy workflow.
Methods: ...

Data-Driven Forward Projector for Optimization of the Proton Stopping Power Calibration in Treatment Planning Based on Sparse Proton Radiographies

Authors: Hector Andrade-Loarca, Ines Butz, Chiara Gianoli, Prof. Gitta Kutyniok, Jianfei Li, Katia Parodi, Prof. Vincenzo Patera, Angelo Schiavi, Prof. Ozan Öktem

Affiliation: Sapienza University of Rome, Department of Mathematics, Royal Institute of Technology, School of Computation, Information and Technology, Technische Universitaet Muenchen, Department of Medical Physics, Ludwig-Maximilians-UniversitĂ€t MĂŒnchen (LMU Munich), Department of Mathematics, Ludwig-Maximilians-UniversitĂ€t (LMU) MĂŒnchen, Department of Medical Physics, Ludwig-Maximilians-UniversitĂ€t (LMU) MĂŒnchen

Abstract Preview: Purpose: To explore and demonstrate the feasibility of accurate and fast prediction of the water equivalent thickness (WET) distribution of tissue traversed by a proton imaging pencil beam, aiming at ...

Data-Driven Gating in Ga-68 PET/CT: Impacts on Patient Selection and Dosimetry Predictions in Radiopharmaceutical Therapy

Authors: Zhuo Chen, Tinsu Pan, Allan Thomas

Affiliation: Mallinckrodt Institute of Radiology, Washington University School of Medicine, WashU Medicine, UT MD Anderson Cancer Center

Abstract Preview: Purpose: Misregistration between data-driven gated (DDG)-PET and CT can limit the benefits of motion correction and improved localization and quantitation. DDG-CT offers a solution to these issues. He...

Decision Support for Adaptive Vs Non-Adaptive SBRT for Left-Sided Adrenal Tumors

Authors: Robbie Beckert, Austen N. Curcuru, Farnoush Forghani, Yi Huang, Geoffrey D. Hugo, Hyun Kim, Eric Laugeman, Luke Christian Marut, Thomas R. Mazur, Allen Mo, Emily Sigmund

Affiliation: Washington University in St. Louis School of Medicine, WashU Medicine, Washington University School of Medicine in St. Louis, Wash U Medicine, Washington University in St. Louis, Department of Radiation Oncology, Washington University School of Medicine in St. Louis

Abstract Preview: Purpose: Adaptive SBRT is resource intensive, requiring additional personnel for online planning, and should be reserved for cases where it is most beneficial. The purpose of this research is to creat...

Decoupling Cardiorespiratory Motion of Cardiac Substructures Via 5D-MRI for Radiotherapy

Authors: Carri K. Glide-Hurst, Thomas M Grist, Kevin M. Johnson, Prashant Nagpal, Tarun Naren, Chase Ruff, Oliver Wieben, Jiwei Zhao

Affiliation: Department of Biostatistics and Medical Informatics, University of Wisconsin - Madison, Department of Radiology, University of Wisconsin-Madison, Department of Medical Physics, University of Wisconsin-Madison, Departments of Human Oncology and Medical Physics, University of Wisconsin-Madison

Abstract Preview: Purpose: Cardiotoxicity is a devastating side effect for thoracic radiotherapy (RT). Currently, standard RT imaging is insufficient to decouple cardiorespiratory motion, limiting substructure-specific...

Decreasing the Dependence of CT Number on the Position in the Field-of-View Using Photon Counting Detector CT

Authors: Yanle Hu, Shuai Leng, Cynthia H. McCollough, Maryam Sadeghian, Joe Swicklik

Affiliation: Mayo Clinic Arizona, Mayo Clinic

Abstract Preview: Purpose: The dependence of CT number on position in the field-of-view (FOV) imposes challenges in radiotherapy treatment planning. This study aims to decrease this dependence using photon counting det...

Deep Dive of Clinical 5DCT Patient Results

Authors: Ryan Andosca, Peter Boyle, Minji Victoria Kim, Michael Vincent Lauria, Daniel A. Low, Claudia R. Miller, Drew Moghanaki, Louise Naumann, Dylan P. O'Connell, Ricky R Savjani

Affiliation: Department of Radiation Oncology, University of California, Los Angeles, UCLA, University of California, Los Angeles, UCLA Radiation Oncology

Abstract Preview: Purpose: To demonstrate the performance of the model-based CT scanning protocol, 5DCT, as an alternative to 4DCT.
Methods: 5DCT imaging results for 242 patients were analyzed. Implementation of the...

Deep Learning Aided Oropharyngeal Cancer Autoplanning

Authors: Mark Bowers, Gabriel Carrizo, Jimmy Caudell, Vladimir Feygelman, Kevin Greco, Christian Hahn, Jihye Koo, Kujtim Latifi, Fredrik Lofman, Jacopo Parvizi, Muqeem Qayyum, Caleb Sawyer

Affiliation: RaySearch Laboratories, Moffitt Cancer Center

Abstract Preview: Purpose: Head and neck (H&N) radiotherapy planning is complex, with multiple competing objectives. We endeavored to improve efficiency of planning by developing a deep learning (DL) model trained to p...

Deep Learning-Based Auto Segmentation of Oars in Head and Neck Radiation Therapy

Authors: Laila A Gharzai, Bharat B Mittal, Poonam Yadav

Affiliation: Northwestern Feinberg School of Medicine, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, Northwestern University Feinberg School of Medicine

Abstract Preview: Purpose: Multiple studies have shown the increasing role of deep learning in segmenting regions of interest. This work presents the feasibility of auto-segmenting the critical structures for head and ...

Deep Learning-Based Denoising for Template Matching in Real-Time Tumor Tracking Using Kv Scattered X-Ray Imaging

Authors: Weikang Ai, Xiaoyu Hu, Xun Jia, Kai Yang, Yuncheng Zhong

Affiliation: Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Massachusetts General Hospital, Department of Biomedical Engineering, Johns Hopkins University, Johns Hopkins University

Abstract Preview: Purpose: Real-time tumor tracking is critically important for respiratory motion management for lung cancer radiotherapy. A previously proposed application of a photon counting detector involves measu...

Deep Learning-Based Dose Distribution Prediction for Automation of Treatment Planning

Authors: Yaspal Badyal, Rabten Datsang, Tianjun Ma, William Song

Affiliation: MVision AI, Virginia Commonwealth University

Abstract Preview: Purpose: Deep learning (DL)-based dose distribution predictions for prostate cancer show significant potential for OAR sparing compared to manually optimized treatment plans. We aim to generate clinic...

Deep Learning-Based Fast CBCT Imaging with Orthogonal X-Ray Projections for Gynecological Cancer Radiotherapy

Authors: Beth Bradshaw Ghavidel, Chih-Wei Chang, Yuan Gao, Priyanka Kapoor, Shaoyan Pan, Junbo Peng, Richard L.J. Qiu, Jill Remick, Justin R. Roper, Zhen Tian, Xiaofeng Yang

Affiliation: Whinship Cancer Institute, Emory University, Emory University, University of Chicago, Department of Radiation Oncology and Winship Cancer Institute, Emory University

Abstract Preview: Purpose: Current cone-beam computed tomography (CBCT) typically requires no less than 200 degrees of angular projections, which prolongs scanning time and increases radiation exposure. To address thes...

Deep Learning-Based Metric Vs Global Noise for CT Image Quality Assessment

Authors: Gary Y. Ge, Abdullah-Al-Zubaer Imran, Kazi Ramisa Rifa, Charles Mike Weaver, Jie Zhang

Affiliation: University of Kentucky

Abstract Preview: Purpose: With renewed attention on CT radiation dose management following CMS approval of new dose measures, establishing image quality–based target doses for every protocol has become essential. Whil...

Deep Learning-Based Multileaf Collimator Sequence Prediction for Automated VMAT Treatment Planning in Pancreatic Cancer

Authors: Zixu Guan, Takahiro Iwai, Takashi Mizowaki, Mitsuhiro Nakamura, Michio Yoshimura

Affiliation: Kyoto University, Department of Radiation Oncology and Image-applied Therapy, Graduate School of Medicine, Kyoto University

Abstract Preview: Purpose:
The goal of this study is to develop a fully automated treatment planning approach for VMAT in pancreatic cancer that can convert patient anatomy into LINAC machine parameters. In this wor...

Deep Learning-Based Plan Quality Prediction for Gamma Knife Radiosurgery of Brain Metastases

Authors: Chih-Wei Chang, Runyu Jiang, Mark Korpics, Yuan Shao, Aranee Sivananthan, Zhen Tian, Ralph Weichselbaum, Xiaofeng Yang, Aubrey Zhang, Xiaoman Zhang

Affiliation: Department of Radiation & Cellular Oncology, University of Chicago, University of Chicago, Department of Physics, University of Chicago, Emory University, Department of Radiation Oncology and Winship Cancer Institute, Emory University, School of Public Health, University of Illinois Chicago

Abstract Preview: Purpose: Gamma Knife (GK) plan quality can vary significantly among planners, even for cases handled by the same planner. Although plan quality metrics such as coverage, selectivity, and gradient inde...

Deep Learning-Based Prompt Gamma Imaging for Proton Range Verification Using Patient Data Simulation

Authors: Mostafa Cham, Matthias K Gobbert, Zhuoran Jiang, Sina Mossahebi, Ruth Obe, Stephen W. Peterson, Jerimy C. Polf, Lei Ren, Ehsan Shakeri, Vijay Raj Sharma

Affiliation: University of Maryland School of Medicine, UMBC, University of Maryland Baltimore County, University of Maryland, Baltimore County, Stanford University, University of Maryland, School of Medine, Department of Physics, University of Cape Town, M3D, Inc, Department of Infomation Systems, UMBC

Abstract Preview: Purpose: Compton camera (CC)-based prompt gamma imaging (PGI) offers real-time proton range verification. However, its limited-angle measurements cause severe distortions in PGI, affecting its clinica...

Deep Learning-Based Segmentation Using Cine Epid Images for Real-Time Tumor Monitoring

Authors: Fumiaki Komatsu, Shunsuke Moriya, Ryosuke Nakamura, Takeji Sakae, Toshiyuki Terunuma, Tetsuya Tomita

Affiliation: Graduate School of Comprehensive Human Sciences, University of Tsukuba, Institute of Medicine, University of Tsukuba, Proton Medical Research Center, University of Tsukuba, Department of Radiology, University of Tsukuba Hospital

Abstract Preview: Purpose: To develop a deep learning (DL) model capable of accurately tracking lung tumors independent of beam angle variations.
Methods: A thoracic dynamic phantom simulating lung motion in the sup...

Deep Learning-Based Ventricular Auto-Segmentation for Dosimetric Analysis in Intraventricular Tumor SRS

Authors: John Byun, Juan J Cardona, Steven D Chang, Cynthia Fu-Yu Chuang, Xuejun Gu, Yusuke Hori, Hao Jiang, Fred Lam, Lianli Liu, Weiguo Lu, David Park, Erqi Pollom, Elham Rahimy, Deyaaldeen Abu Reesh, Scott Soltys, Gregory Szalkowski, Lei Wang

Affiliation: Department of Radiation Oncology, Stanford University, Department of Neurosurgery, Stanford School of Medicine, Department of Neurosurgery, Stanford University, Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center, Department of Radiation Oncology, Stanford University School of Medicine

Abstract Preview: Purpose:
Intraventricular tumors pose significant challenges in neurosurgery due to their complex location. Therefore, brain SRS could be a better treatment option. At our institution, some patient...

Deep Learning-Driven Comparative Analysis of CNN-Based Architectures and High-Order Vision Mamba U-Net (H-vMUNet) for MRI-Based Brain Tumor Segmentation

Authors: Sang Hee Ahn, Nalee Kim, Do Hoon Lim

Affiliation: Samsung Medical Center, Department of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine

Abstract Preview: Purpose: MRI offers superior soft-tissue contrast, aiding tumor localization and segmentation in radiation therapy, which traditionally relies on oncologists' expertise. This study compares CNN-based ...

Deep Learning–Based Dose Prediction for Automated Proton Radiation Therapy Planning of Breast Cancer

Authors: Ahssan Balawi, Peter Jermain, Timothy Kearney, Sonali Rudra, Michael H. Shang, Markus Wells, Mohammad Zarenia

Affiliation: Department of Radiation Medicine, MedStar Georgetown University Hospital

Abstract Preview: Purpose: To investigate the applicability and accuracy of a deep learning (DL) model in predicting radiation dose distribution for breast cancer patients treated with pencil-beam-scanning proton radio...

Deep-Dive Comparative Assessment between Digitally Reconstructed Radiographs and X-Ray Digital Radiographs from Lung CT Scans

Authors: Xinyi Fu, Dan Ruan, Ke Sheng

Affiliation: Department of Radiation Oncology, University of California, Los Angeles, University of California, San Francisco, Department of Radiation Oncology, University of California, San Francisco

Abstract Preview: Purpose:
Digitally reconstructed radiographs (DRRs) are easy to generate and widely used to establish research protocols in pulmonary diagnosis and image-guided radiotherapy tasks. A question remai...

Deeptuning: A Deep Learning Dose Prediction Framework for Interactive Plan Tuning

Authors: Mingli Chen, Huan Amanda Liu, Weiguo Lu, Lin Ma

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, Mayo Clinic

Abstract Preview: Purpose: To reduce the back-and-forth in planning process between physicians and dosimetrists resulting from trade-off exploration, we proposed a novel deep learning framework called DeepTuning.
Me...

Demystifying Magnetic Resonance Imaging: Targeted Educational Initiatives for Medical Physicists in TĂŒrkiye and Preclinical Medical Students in the United States

Authors: Samuel A. Einstein, Jesutofunmi Fajemisin, Evren O. Göksel, Görkem O. GĂŒngör, Marthony Robins, Travis C. Salzillo, Charles R. Thomas, Turgay Toksay, Joseph Weygand, Yue Yan

Affiliation: Acibadem MAA University, Department of Radiation Oncology and Applied Science, Dartmouth Health, Dartmouth College, Moffitt Cancer Center, Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Penn State College of Medicine, Bursa Ali Osman Sönmez Oncology Hospital

Abstract Preview: Purpose: Magnetic resonance imaging (MRI) is an indispensable clinical tool, offering unparalleled soft tissue contrast critical for diagnosing and managing a wide range of conditions. However, its co...

Dependency of CT Number on Position in the Field-of-View for Single- and Multi-Energy Images Acquired with Energy-Integrating-Detector and Photon-Counting-Detector CT Scanners

Authors: Yanle Hu, Shuai Leng, Cynthia H. McCollough, Maryam Sadeghian, Joe Swicklik

Affiliation: Mayo Clinic Arizona, Mayo Clinic

Abstract Preview: Purpose: To assess the dependency of CT numbers on position in the field-of-view (FOV) using single-energy (SE) and dual-energy (DE) images and energy-integrating detector (EID) and photon-counting de...

Design and Testing of a 3D-Winston-Lutz Phantom to Quantify Isocentricity of Pencil Beam Scanning Proton Therapy Machines

Authors: Imad M. Ali, Nesreen Alsbou, Baraa Kalani

Affiliation: Oklahoma State University, University of Central Oklahoma, University of Oklahoma Health Sciences Center

Abstract Preview: Purpose: To develop a three-dimensional Winston-Lutz phantom to quantify the isocentricity of the gantry, couch, and on-board imager of the MEVION-S250i proton therapy machine.
Methods: A 3D-scinti...

Design and Testing of an External Control System for Beam Control and Pre-Delivery Optimization for Conventional- and Ultra-High-Dose-per-Pulse Flash Irradiations

Authors: Alexander Baikalov, Luke Connell, Nicholas Coupey, Nolan M. Esplen, Rebecca Lim, Chinh Nguyen, Emil Schueler

Affiliation: Northwell, The University of Texas MD Anderson Cancer Center, Department of Radiation Physics, The University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose: FLASH radiotherapy delivered using electron linear accelerators (LINAC) requires precise control and minimal variation of dose rate and We developed a robust external beam control system (EBC...

Design and Use of a Modified Commercial Phantom for Gamma Knife End-to-End Testing

Authors: Edward A. Opalko, Matthew B. Podgorsak, Dheerendra Prasad

Affiliation: Roswell Park Comprehensive Cancer Center

Abstract Preview: Purpose: To design a 3D printed insert for Varian’s SRS Head Phantom that allows for multi-planar film dosimetry and to evaluate its ability in end-to-end testing for Gamma Knife treatments.
Method...

Design of Next Generation Hemispherical Brain PET System Aiming for 1mm Resolution

Authors: Go Akamatsu, Yuma Iwao, Kurumi Narita, Hideaki Tashima, Taiga Yamaya, Eiji Yoshida

Affiliation: National Institutes for Quantum Science and Technology

Abstract Preview: Purpose: In brain positron emission tomography (PET), higher spatial resolution is better for visualizing detailed structures such as small nuclei and the layered structure of the cerebral cortex. The...

Design of a Small Animal Proton Flash Irradiation System with High Achievable Dose and Dose Rate Using a Synchrotron Proton Beamline

Authors: Zongsheng Hu, Yuting Li, Radhe Mohan, Emil Schueler, Uwe Titt

Affiliation: The University of Texas MD Anderson Cancer Center, Department of Radiation Physics, The University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose: In previous work, we developed an irradiation system for pre-clinical ultra-high-dose-rate(FLASH) radiotherapy experiments based on synchrotron proton beamline. However, the beam current limi...

Design, Optimization, and Preclinical Validation of a Novel Applicator Integrating Real-Time Dose Monitoring for Ultra-High Dose Rate (FLASH) Electron Radiotherapy

Authors: Javier Chiasson, Dominique Guillet, Arthur Lalonde, Bryan R. Muir, James Renaud, Karim Zerouali

Affiliation: Universite de Montreal, Centre Hospitalier de l'Universite de Montreal, National Research Council

Abstract Preview: Purpose: To develop, optimize and validate a novel applicator for ultra-high dose rate (UHDR) electron radiotherapy incorporating an electrostatically shielded beam current transformer (BCT) for real-...

Designing Impactful Radiotherapy Training for Skill Development and Long-Term Growth

Authors: Stephanie Bennett, Sean L. Berry, Caroline M. Colbert, Dustin J. Jacqmin, James A. Kavanaugh, Minsun Kim, Maura L. Kirk, Emily Kruse, Benjamin Li, Mu-Han Lin, Lindsey A. Olsen, Jose Carlos Pichardo, Justin R. Roper, Leah K. Schubert, Chunhao Wang, Sua Yoo

Affiliation: University of Wisconsin, Department of Medical Physics, Memorial Sloan Kettering Cancer Center, Department of Radiation & Cellular Oncology, University of Chicago, Abington - Jefferson Health, Mayo Clinic, University of Washington, University of Colorado Health, University of Colorado Denver, Department of Radiation Oncology, University of Washington and Fred Hutch Cancer Center, Duke University, Pichardo Physics LLC, Department of Radiation Oncology, UT Southwestern Medical Center, Department of Radiation Oncology and Winship Cancer Institute, Emory University

Abstract Preview: Purpose: As clinics in lower- and middle-income countries (LMICs) transition to advanced radiotherapy techniques like IMRT and VMAT, gaps in training can result in suboptimal planning. To help support...

Detector Physics-Incorporated Diffusion Denoising Models for Digital Breast Tomosynthesis with Dual-Layer Flat Panel Detectors

Authors: Alexander Bookbinder, Matthew Tivnan, Xiangyi Wu, Wei Zhao

Affiliation: Stony Brook Medicine, Massachusetts General Hospital

Abstract Preview: Purpose: To investigate and benchmark a system-adaptive diffusion-based digital breast tomosynthesis (DBT) denoising model for a direct-indirect dual-layer flat panel detector (DI-DLFPD) with a k-edge...

Determination of HU Override for Small Metal Implants in Proton Therapy

Authors: Matthew Stephen Andriotty, Taoran Cui, Harold Y Hu, Ke Nie, Tan Phan, Xiao Wang, Ning J. Yue, Chengzhu Zhang

Affiliation: Rutgers Cancer Institute of New Jersey, Basis Scottsdale

Abstract Preview: Purpose: Metallic implants are often non-isocentric, and their exact volumes/orientations/shapes are difficult to capture and contour accurately on CT images even if that information is known beforeha...

Determining Optimal Delivery Pattern for Reference Dosimetry in Pencil Beam Scanning Proton Therapy

Authors: Clifford Ghee Ann Chua, Calvin Wei Yang Koh, Kah Seng Lew, Zubin Master, Sung Yong Park, Hong Qi Tan, Andrew Wibawa

Affiliation: National Cancer Centre Singapore

Abstract Preview: Purpose: To investigate the impact of spot position deviation on reference dosimetry measurements using different delivery patterns and to determine the optimal delivery pattern for reference dosimetr...

Determining the Effect of Motion during Gamma Knife Stereotactic Radiosurgery on Anterior and Posterior Lesions Using an Anthropomorphic Phantom

Authors: Guang-Pei Chen, Nitish Chopra, Juan A. Garcia-Alvarez, Mi Huang, Slade J. Klawikowski, Haidy G. Nasief, George A. Noid, Abdul Parchur, Eric S. Paulson, Christina M. Sarosiek, Christopher Schultz

Affiliation: Department of Radiation Oncology, Medical College of Wisconsin

Abstract Preview: Purpose: During routine delivery of mask-based Gamma Knife (GK) SRS, motion is tracked via the position of a reflective sticker placed on the patient’s nose relative to two stationary reflectors on th...

Developing Metrics for Evaluating Machine Matching across Elekta Linear Accelerators in a Multicenter Clinic

Authors: Ashley Elizabeth Bonner, Michael G. Snyder

Affiliation: Corewell Health William Beaumont University Hospital, Department of Radiation Oncology, Corewell Health William Beaumont University Hospital

Abstract Preview: Purpose: Develop and evaluate metrics for assessing beam matching of profiles across Elekta linacs in a multisite clinical setting.
Methods: Four Elekta linear accelerators (three VersaHD and one A...

Developing Patient-Specific Functional Atlases with Inverse Distance Weighting of MR Images

Authors: Chibawanye I. Ene, Sherise D. Ferguson, Ping Hou, Vinodh A. Kumar, Ho-Ling Anthony Liu, Kyle R. Noll, Sujit S. Prabhu, Jian Ming Teo, Max Wintermark

Affiliation: Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Department of Neuroradiology, The University of Texas MD Anderson Cancer Center, Department of Neurosurgery, The University of Texas MD Anderson Cancer Center, Department of Imaging Physics, The University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose:
Functional brain atlases are used to guide clinical functional MRI (fMRI) analyses. Imprecise assertions may introduce the ecological fallacy as atlases are reflective of the constituent c...

Developing a Comprehensive Multi-Modal Framework for Population-Scale Liver Volumetry: Insights and Predictive Models

Authors: Mustafa Bashir, Diana Kadi, Kyle J. Lafata, Jacob A. Macdonald, Mark Martin, Yuqi Wang, Marilyn Yamamoto

Affiliation: Duke University, Department of Radiation Oncology, Duke University, Department of Electrical and Computer Engineering, Duke University, Department of Radiology, Duke Unversity

Abstract Preview: Purpose: To develop a high-throughput, automated-data-interrogation pipeline for integrating imaging and clinical information to identify key determinants of liver volume (LV), enabling population-sca...

Developing and Evaluating the First Pre-Treatment Physics Plan Checklist for Error Detection in Biology-Guided Radiotherapy (BgRT)

Authors: Michael Burke, David J. Carlson, Yiu-Hsin Chang, Huixiao Chen, Zhe (Jay) Chen, Emily A. Draeger, Dae Yup Han, Vanessa Hill, Ann-Teresa Jasman, John Kim, Svetlana Kuznetsova, MinYoung Lee, Daniel Longo, Henry S. Park, Adam Shulman, Lauren Tressel, Weili Zhong

Affiliation: Department of Therapeutic Radiology, Yale University School of Medicine

Abstract Preview: Purpose:
The complexity of biology-guided radiotherapy (BgRT), particularly with systems like RefleXion X1, necessitates robust pre-treatment quality assurance (QA) to ensure patient safety, treatm...

Development and Clinical Validation of Hyperarc Stereotactic Radiosurgery Method for Intraocular Tumors

Authors: Chase Cochran, Damodar Pokhrel, William St Clair

Affiliation: University of Kentucky, Department of Radiation Medicine, University of Kentucky, Radiation Medicine

Abstract Preview: Purpose: Currently, intraocular disease is primarily treated via COMS-plaques brachytherapy. Various stereotactic approaches via photons/proton beam have also been implemented (CyberKnife/GammaKnife/p...

Development and Clinical Validation of an Analytical Approach for 3D Positron Emitter Distribution Prediction in Carbon Ion Therapy

Authors: Julia Bauer, Tianxue Du, Katia Parodi, Marco Pinto, Thomas Tessonnier

Affiliation: Department of Medical Physics, Ludwig-Maximilians-UniversitĂ€t (LMU) MĂŒnchen, Heidelberg Ion Beam Therapy Center (HIT), Department of Radiation Oncology, Heidelberg University Hospital, Department of Medical Physics, Ludwig-Maximilians-UniversitĂ€t MĂŒnchen (LMU Munich)

Abstract Preview: Purpose:
Carbon ion therapy could benefit from range verification due to its sensitivity to range uncertainties. Positron emission tomography (PET) aids in this and comparing irradiation-induced PE...

Development and Evaluation of Fat Fraction Reference Materials for Magnetic Resonance Imaging

Authors: Hyo-Min Cho, Cheolpyo Hong, Changwoo Lee, Sunyoung Lee

Affiliation: Daegu Catholic University, Korea Research Institute of Standards and Science (KRISS), Korea Research Institute of Standards and Science

Abstract Preview: Purpose: With the increasing prevalence of metabolic syndrome, the importance of diagnosing obesity and fatty liver diseases has grown significantly. As a result, there is a rising demand for non-inva...

Development and Validation of Patient-Specific 3D-Printed Electron Applicators for Precision Radiotherapy

Authors: Md. Jobairul Islam

Affiliation: Department of Radiation Oncology, Labaid Cancer Hospital and Super Speciality Centre

Abstract Preview: Purpose: Electron radiotherapy is an effective treatment for superficial tumors but requires field-shaping devices like electron applicators, which are labor-intensive to produce. This study aimed to ...

Development and Validation of a Principal Component Analysis Statistical Shape Pediatric/Adolescent Breast Model for Pre-CT Era Breast Dose Reconstruction in Late Effect Studies of Female Childhood Cancer Survivors

Authors: Gregory T. Armstrong, James E. Bates, Kristy K. Brock, Laurence Edward Court, Matt Ehrhardt, Danielle Friedman, Aashish C. Gupta, Donald Hancock, Rebecca M. Howell, Cindy Im, Tera S Jones, Choonsik Lee, Wendy Leisenring, Taylor Meyers, Lindsay Morton, Chaya Moskowitz, Joe Neglia, Vikki Nolan, Caleb O'Connor, Kevin C. Oeffinger, Constance A. Owens, Arnold C. Paulino, Chelsea C. Pinnix, Sander Roberti, Cecile Ronckers, Susan A. Smith, Kumar Srivastava, Lucie Turcotte

Affiliation: Department of Medicine, Duke University School of Medicine, Department of Epidemiology and Cancer Control, St. Jude Children’s Research Hospital, The University of Texas MD Anderson Cancer Center, Department of Oncology, St. Jude Children’s Research Hospital, Department of Pediatrics, Memorial Sloan Kettering Cancer Center, Division of Pediatric Epidemiology and Clinical Research, University of Minnesota, Division of Childhood Cancer Epidemiology, University Medicine at Johannes Gutenberg University Mainz, Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, Department of Pediatrics, University of Minnesota, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Department of Biostatistics, St. Jude Children’s Research Hospital, Clinical Research Division, Fred Hutchinson Cancer Center, Department of Imaging Physics, The University of Texas MD Anderson Cancer Center, Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Department of Radiation Oncology and Winship Cancer Institute, Emory University, The University of Texas MD Anderson Cancer Center UTHealth Houston Graduate School of Biomedical Sciences

Abstract Preview: Purpose: To (1) develop and validate a novel anatomically realistic pediatric/adolescent population-based breast model, (2) incorporate model into an age-scalable female reference phantom, and (3) dem...

Development and Validation of an MR-Compatible Anthropomorphic Motion Phantom for Liver Motion Assessment and MR-Linac Gating System Optimization

Authors: Tsuicheng D. Chiu, Weiguo Lu, Aaron Thomlinson, You Zhang

Affiliation: Department of Radiation Oncology, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, University of Texas Southwestern Medical Center

Abstract Preview: Purpose: To develop and validate an MR-compatible anthropomorphic motion phantom to assess liver motion, real-time dosimetry, and gating system performance under controlled and reproducible respirator...

Development of Cross-Platform Application for Radiation Contamination Assessment

Authors: Wesley E. Bolch, Lotem Buchbinder Shadur, Natalia Estefania Carrasco-Rojas, Chansoo Choi, Robert Joseph Dawson, Shaheen Dewji, John Francis, Emmanual Mate-Kole, Wyatt Smither, Yitian Wang

Affiliation: Georgia Tech, University of Florida, Nuclear and Radiological Engineering and Medical Physics Programs, Georgia Institute of Technology

Abstract Preview: Purpose: Develop a software application capable of assessing the radiation contamination of military service members and members of the general public for fast, on-site radiological triage. The softwa...

Development of Hi-C Based DNA Geometry and Early DNA Damage Evaluation: A Topas-Nbio Study

Authors: Alejandro Bertolet, Isaac Meyer, Harald Paganetti, Jan PO Schuemann, Wook-Geun Shin

Affiliation: Massachusetts General Hospital, Massachusetts General Hospital and Harvard Medical School

Abstract Preview: Purpose: To develop a methodology for Monte Carlo modeling of cell-specific DNA geometries based on Hi-C data using TOPAS-nBio, and to evaluate early DNA damage distributions.
Methods: Hi-C data of...

Development of Preclinical Multiscale Dosimetry for Beta-Particle Emitting Radionuclide in Radiopharmaceutical Therapy

Authors: Adedamola Adeniyi, Bryan Bednarz, Malick Bio Idrissou, Reinier Hernandez, Ohyun Kwon, Brian W. Miller, Zachary S Morris, Maya Takashima, Jamey Weichert

Affiliation: Departments of Radiation Oncology and Medical Imaging, University of Arizona, Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison, Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin–Madison, Department of Radiology, School of Medicine and Public Health, University of Wisconsin–Madison, Department of Human Oncology, School of Medicine and Public Health, University of Wisconsin–Madison

Abstract Preview: Purpose: As radiopharmaceutical therapy (RPT) becomes more prevalent in clinical applications, understanding dose-response relationships in the tumor microenvironment (TME) and normal tissues is essen...

Development of a Beam Profile Variation Observation Model for Intensity Modulated Radiotherapy

Authors: Kaile Li

Affiliation: Alexander T. Augusta Miliary Medical Center

Abstract Preview: Purpose: To develop a experimental method in observation of beam profile transfer model in intensity modulated radiotherapy (IMRT).
Methods: A picket fence plan was generated in Eclipse treatment p...

Development of a Brain-like Digital Reference Object of Resting-State Functional MRI

Authors: Henry Szu-Meng Chen, Mu-Lan Jen, Vinodh A. Kumar, Ho-Ling Anthony Liu, Jian Ming Teo

Affiliation: School of Medicine, University of Colorado Denver, Department of Neuroradiology, The University of Texas MD Anderson Cancer Center, Department of Imaging Physics, The University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose: Resting-state (rs-) fMRI detects functional networks by measuring synchronization of low-frequency oscillations in blood-oxygenation-level-dependent (BOLD) signals between brain regions. Stan...

Development of a Cadmium Zinc Telluride (CdZnTe) Detector-Based Neutron Imaging System

Authors: Soo Hyun Byun, Troy Farncombe, Edcer Jerecho DC Laguda

Affiliation: McMaster University

Abstract Preview: Purpose: We present the adaptation of a Cadmium Zinc Telluride (CdZnTe) detector, initially designed for SPECT-MR applications, to neutron imaging. This study explores a novel technique that utilizes ...

Development of a GPU-Based Dose Calculation Engine for MRI-Guided Proton Therapy

Authors: Yaowen Cao, Haonian Gong, Yue Gu, Meiqi Liu, Hsiao-Ming Lu, Yuxiang Wang, Yidong Yang, Xiaogang Yuan

Affiliation: Hefei Ion Medical Center, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Department of Engineering and Applied Physics, University of Science and Technology of China

Abstract Preview: Purpose: Magnetic resonance imaging (MRI)-guided proton therapy is an innovative technology that combines superior soft tissue imaging capabilities of MRI with the high dose conformity of proton thera...

Development of a High-Speed Digital Breast Tomosynthesis System with a Two-Dimensional Multiple X-Ray-Source Array

Authors: John M. Boone, Andrew M. Hernandez, Paul Schwoebel, Jeffrey H. Siewerdsen, Alejandro Sisniega, Wojciech B. Zbijewski

Affiliation: Johns Hopkins University, University of California, UT MD Anderson Cancer Center, University of New Mexico Albuquerque, UC Davis Health

Abstract Preview: Purpose: To significantly improve image quality relative to clinically deployed digital breast tomosynthesis (DBT) systems, which use a 1D acquisition geometry (an arc), with a 2D image acquisition ge...

Development of a Knowledge-Based Planning Model for Optimal Trade-Off Guidance in Locally Advanced Non-Small Cell Lung Cancer

Authors: Ming Chao, Hao Guo, Tenzin Kunkyab, Yang Lei, Tian Liu, Kenneth Rosenzweig, Robert Samstein, James Tam, Junyi Xia, Jiahan Zhang

Affiliation: Icahn School of Medicine at Mount Sinai

Abstract Preview: Purpose:
The aim of the study is to develop a trade-off prediction model to efficiently guide the treatment planning process for patients with stage III non-small cell lung cancer (NSCLC).
Metho...

Development of a Novel Deformable Pelvis Phantom to Support Upright Applications

Authors: Adam P. Berdusco, Matthew R. Ceelen, Renata Farrell, Carri K. Glide-Hurst, Will Martin, Charles F. Maysack-Landry, Morgan A. McGauley, James Rice, Jordan M. Slagowski, Yuhao Yan

Affiliation: Departments of Human Oncology and Medical Physics, University of Wisconsin-Madison, University of Wisconsin - Madison, Department of Human Oncology, University of Wisconsin-Madison

Abstract Preview: Purpose: Upright radiotherapy (RT) is now available although this novel vertical CT and positioner presents unique challenges for quality assurance and testing methodologies. We have designed and buil...

Development of a Physical Phantom for Assessing Tube Current Modulation in CT Imaging

Authors: Jared Baggett, Wesley E. Bolch, Lukas M. Carter, Laura Dinwiddie, Benjamin Taylor Heggie, Adam Leon Kesner, Juan Camilo Ocampo Ramos, Graham Joseph Stoddard

Affiliation: Department of Medical Physics, Memorial Sloan Kettering Cancer Center, University of Florida, MD Anderson

Abstract Preview: Purpose: The objective of this study is to develop a physical phantom to quantify tube current modulation (TCM) and assess the limitations of a TCM model used in Monte Carlo patient CT organ dose esti...

Development of a Template-Based Planning Workflow for Offline Adaptive Head and Neck Cancer Using Ethos 2.0

Authors: Kaelyn Becker, Xenia Ray

Affiliation: University of California, San Diego, University of California San Diego

Abstract Preview: Purpose: Ethos 2.0 with HyperSight (Varian Medical Systems) imaging enables nearly fully automated offline adaptive radiotherapy including automated deformation of targets and recalculation on the Hou...

Development of a Whole-Body Blood Flow Framework Based on the Icrp Blood Phantom

Authors: Jung Han Nam, Wonmo Sung

Affiliation: Department of Biomedical Engineering and Biomedicine & Health Sciences, College of Medicine, The Catholic University of Korea, Department of Biomedical Engineering and Biomedicine & Health Sciences, College of Medicine, The Catholic University of Korea, Seoul, Korea

Abstract Preview: Purpose: This study aims to develop a whole-body blood flow framework based on the ICRP 145 standard vascular phantom to simulate the spatiotemporal trajectories of blood cells in the human vasculatur...

Development of an Innovative and Efficient KBP-Based Automated Method for IMRT Optimization

Authors: Somayeh Gholami, Saeedeh Ketabi, Jeremy Kunz, Ali Yousefi

Affiliation: Department of Radiation Oncology, University of Utah, University of Utah, Department of Management- Operations Research, University of Isfahan

Abstract Preview: Purpose: This paper aims to present a novel approach for automatic knowledge-based planning optimization for Intensity Modulated Radiotherapy, along with the two downsizing techniques for improving th...

Development of an Inverse Treatment Planning System for Precision Small Animal Radiotherapy

Authors: Zihao Liu, Qiwei Wu, Yanfei Xiong, Yidong Yang, Ning Zhao

Affiliation: Department of Engineering and Applied Physics, School of Physical Sciences, University of Science and Technology of China, Department of Engineering and Applied Physics, University of Science and Technology of China, University of Science and Technology of China

Abstract Preview: Purpose: To develop an inverse planning framework that optimizes beam angles and intensities for small animal radiotherapy and to validate its accuracy and effectiveness.
Methods: The inverse plann...

Development of an MRI Guided Precision Small Animal Radiotherapy System

Authors: Yaowen Cao, Yunwen Huang, Yidong Yang, Xiaogang Yuan, Ning Zhao, Cheng Zheng

Affiliation: Department of Life Sciences and Medicine, University of Science and Technology of China, Department of Engineering and Applied Physics, University of Science and Technology of China, University of Science and Technology of China

Abstract Preview: Purpose: MRI has better soft tissue contrast than cone beam CT which is commonly used in image guided radiotherapy. This study aims to develop a low-field MRI system for precision small animal radiati...

Development of an Orthogonal X-Ray Projections-Guided Cascading Volumetric Reconstruction and Tumor-Tracking Model for Adaptive Radiotherapy

Authors: Penghao Gao, Zejun Jiang, Huazhong Shu, Linlin Wang, Gongsen Zhang, Jian Zhu

Affiliation: Laboratory of Image Science and Technology, Key Laboratory of Computer Network and Information Integration, Southeast University, Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Artificial Intelligence Laboratory, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences

Abstract Preview: Purpose: We propose a cascading framework for time-varying anatomical volumetric reconstruction and tumor-tracking, guided by onboard orthogonal-view X-ray projections.
Methods: We employe multiple...

Development of an Ultrafast MR Technique to Detect Linac Radiation Pulses for Biological Imaging on a Clinical 0.35T MR-Linac

Authors: Pierre Gardair, Johnathan E Leeman, Claire Keun Sun Park, Atchar Sudhyadhom

Affiliation: Brigham and Women’s Hospital, Dana Farber Cancer Institute, Harvard Medical School, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School,, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Harvard Medical School

Abstract Preview: Purpose: Dose is a poor surrogate for radiobiological damage but no in vivo technology exists to directly measure damage such as DNA strand breaks and free radical generation (FRG). Recent advances in...

Developments of a Low-Cost Multi-Target Winston-Lutz Phantom and Software for SRS Linac Machines

Authors: Nellie Brovold, Wenbo Gu, Huan Amanda Liu, Lin Ma

Affiliation: University of Pennsylvania, Mayo Clinic

Abstract Preview: Purpose: To develop a low-cost comprehensive QA phantom and software for single-iso multi-target SRS Linac machines. This phantom can perform 1) Winston-Lutz QA test for on-axis and off-axis targets, ...

Differential Gastrointestinal Responses to Synchrotron-Produced Proton and Electron Irradiation Under Flash and Conventional Conditions

Authors: Luke Connell, Nolan M. Esplen, Elise Konradsson, Albert C. Koong, Ziyi Li, Steven Hsesheng Lin, Kevin Liu, Billy W Loo, Devarati Mitra, Radhe Mohan, Emil Schueler, Takeshi Takaoka, Uwe Titt, Xiaochun Wang, Ming Yang

Affiliation: The University of Texas MD Anderson Cancer Center, MD Anderson, Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Department of Radiation Oncology, Stanford University School of Medicine

Abstract Preview: Purpose: This study aimed to assess radiation-induced gastrointestinal (GI) toxicity in mice subjected to abdominal irradiation using protons at ultra-high-dose-rate (UHDR) and conventional dose-rates...

Differential Hole-Size Lattice Patterns for Escalating SFRT Dose to Large, Deep-Seated, and Unresectable Masses

Authors: Joshua Misa, Damodar Pokhrel, William St. Clair

Affiliation: University of Kentucky, Department of Radiation Medicine

Abstract Preview: Purpose: Development of a novel spatially fractionated radiotherapy (SFRT) lattice deployment method featuring a large high-dose sphere at the tumor’s center, surrounded by smaller diameter spheres. W...

Diffusion Model-Based Motion Correction in Portable Computed Tomography for Brain: Human Observer Study

Authors: Rajiv Gupta, Rehab Naeem Khalid, Min Lang, Michael H Lev, Quirin Strotzer, Matthew Tivnan, Maryam Vejdani-Jahromi, Dufan Wu, Siyeop Yoon, Chen Zhennong

Affiliation: Massachusetts General Hospital

Abstract Preview: Purpose: Patient motion is a major source of artifacts in portable brain CT due to the slow scanning speed. A diffusion model was developed to reduce these motion artifacts. This work aims to assess t...

Diffusion-Weighted MRI: An Early Biomarker for Treatment Response in MR-Guided Treatment of Rectal Cancer

Authors: Huiming Dong, Jonathan Pham, X. Sharon Qi, Ann Raldow

Affiliation: Department of Radiation Oncology, University of California, Los Angeles

Abstract Preview: Purpose: The study aimed to investigate longitudinal apparent diffusion coefficient (ADC) as an early biomarker of treatment response in patients with locally advanced rectal cancer (LARC) undergoing ...

Direct Dose Verification in Liver SBRT Utilizing an Accumulative Daily CBCT Algorithm

Authors: Michael Buckstein, Yang Lei, Tian Liu, Charlotte Elizabeth Read, Jing Wang, Kaida Yang, Jiahan Zhang

Affiliation: Icahn School of Medicine at Mount Sinai

Abstract Preview: Purpose: Inter-fraction anatomic variations in liver SBRT can cause significant discrepancies between planned and delivered doses. We developed a CBCT-based accumulative algorithm to directly compare ...

Direct Measurement of DNA Damage to Determine Dose and Biological Effectiveness

Authors: Michael Lamontagne, Ileana Pazos, Jerimy C. Polf, Joseph W. Robertson, Teniola Tobun, Ronald E. Tosh, Michael Zwolak

Affiliation: Biophysics and Biomedical Research Group, Microsystems and Nanotechnology Division, National Institute of Standards and Technology, M3D, Inc, National Institute of Standards and Technology, Dosimetry Group, Radiation Physics Division, National Institute of Standards and Technology

Abstract Preview: Purpose: To study how damage to DNA molecules increases and changes as a function of the type and dose of radiation.

Methods: DNA molecules of a known length (number of base pairs (BP)) within ...

Direct Table Rotational Isocenter Determination Using Radiation Isocenter

Authors: Christopher Ackerman, Chang Chang, Yansong Liu, Stephen Kenneth Northway, Bailey Vallejo

Affiliation: University of California San Diego / California Protons, California Protons Cancer Therapy Center, California Proton Cancer Therapy Center

Abstract Preview: Purpose: To determine mechanical isocenter of a 6-degree-of-freedom (6DOF) couch using radiation isocenter. Coincidence between the isocenters is quantified using MyQA Phoenix amorphous silicon detect...

Direct in-Vivo Real-Time Singlet Oxygen Detection in Photofrin-Mediated Photodynamic Therapy (PDT) Using Multispectral Singlet Oxygen Dosimetry (MSOLD)

Authors: Theresa Busch, Robert H Hadfield, Madelyn Johnson, Baozhu Lu, Hongjing Sun, Brian C. Wilson, Weibing Yang, Timothy C. Zhu

Affiliation: University of Glasgow, University of Toronto, University of Pennsylvania

Abstract Preview: Purpose: Direct detection of singlet-state oxygen (ÂčO₂) is crucial for advancing type II photodynamic therapy (PDT), but its short lifetime makes in vivo measurement highly challenging. Although Photo...

Direct-to-Unit Dose Calculations for Stereotactic Radiosurgery on a C-Arm Linac with Modern on-Board Imaging Solutions

Authors: Theodore Higgins Arsenault, Kenneth W. Gregg, Lauren E Henke, Rojano Kashani, Haley K Perlow, Alex T. Price, Atefeh Rezaei, Prashant Vempati, Runyon C. Woods

Affiliation: University Hospitals Seidman Cancer Center

Abstract Preview: Purpose: The HyperSight imaging feature on C-arm linacs(HS-CBCT) offers increased CT number accuracy over conventional on-board imaging. The C-arm geometry allows for noncoplanar treatments common to ...

Directional Dependence of Detectors for Beam Profiles and Output Factors in Small Field Dosimetry

Authors: Indra J. Das, Ahtesham Ullah Khan, Andrew J. White

Affiliation: Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine

Abstract Preview: Purpose: Small field dosimetry presents challenges due to lateral disequilibrium and the selection of suitable detectors. Volume averaging and density corrections hamper accurate profile measurements....

Do We Need Pediatric-Specific Models for Radiotherapy Auto-Contouring? a Comparative Study of Pediatric and Adult-Trained Tools

Authors: Gregory T. Armstrong, James E. Bates, Christine V. Chung, Lei Dong, Ralph Ermoian, Jie Fu, Christine Hill-Kayser, Rebecca M. Howell, Meena S. Khan, Sharareh Koufigar, John T. Lucas, Thomas E. Merchant, Taylor Meyers, Tucker J. Netherton, Constance A. Owens, Arnold C. Paulino, Sogand Sadeghi

Affiliation: Department of Radiation Oncology, University of Washington and Fred Hutchinson Cancer Center, Department of Epidemiology and Cancer Control, St. Jude Children’s Research Hospital, St. Jude Children's Research Hospital, Department of Radiation Oncology, Fred Hutchinson Cancer Center, University of Washington, Department of Radiation Oncology, St. Jude Children’s Research Hospital, Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, Department of Radiation Oncology, University of Washington/ Fred Hutchinson Cancer Center, Department of Radiation Oncology, University of Pennsylvania, University of Pennsylvania, Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Department of Radiation Oncology and Winship Cancer Institute, Emory University, The University of Texas MD Anderson Cancer Center UTHealth Houston Graduate School of Biomedical Sciences

Abstract Preview: Purpose: Clinical workflows often rely on auto-segmentation tools trained on adult data, which may exhibit suboptimal performance in pediatric imaging due to inherent anatomical variations and smaller...

Does the Method Matter? How in Hominum, In Vivo, in silico, and in Phantasma Measures Compare and Contrast Is Assessing the Utility of Photon Counting CT?

Authors: Ehsan Abadi, Njood Alsaihati, Steven T. Bache, Mridul Bhattarai, Cindy Marie McCabe, Francesco Ria, Ehsan Samei

Affiliation: Duke University, Center for Virtual Imaging Trials, Duke University, Duke University Health System, Clinical Imaging Physics Group, Department of Radiology, Duke University Health System

Abstract Preview: Purpose: To compare and contrast alternative methods including reader (in hominum), phantom (in phantasma), in vivo, and in silico methods deployed to assess the performance of photon counting (PCCT) ...

Dose Mapping of Radioactive Gold Nanoparticles Using Three-Dimensional Dosimetry

Authors: Ana Laura Burin, Maysa MĂŒller Ferreira Gesserame, David Alexander Urbina Leal, Ilca Marli Moitinho Amaral Medeiros, Silas Leonel Pereira Miranda, Thuany CorrĂȘa Nogueira, Maria da Penha Alburquerque Potiens, Pedro Henrique Ricardo, Maria Eduarda Zaganin Rigo, Orlando Rodrigues, Priscila Santos Rodrigues, Wilmmer Alexander Arcos Rosero, Maria Elisa Chuery Martins Rostelato, Sabrina Spigaroli Sgrignoli, Ana Catarina Koka de Souza Silva, Cristhian Ferreira Talacimon, Paulo Victor dos Santos Tavares, Lara El Hajj Teodoro, Carlos Alberto Zeituni, JosĂ© Neres de Almeida

Affiliation: IPEN - USP

Abstract Preview: Purpose: Perform three-dimensional dosimetry of radioactive gold nanoparticles (Âčâč⁞AuNPs) using Fricke xylenol gel (FXG), aiming to determine the dose distribution and evaluate the method's effectiven...

Dose Rate Measurements of Scanning Carbon Ion Beams Using a Plastic Scintillator Detector

Authors: Motohiro Kawashima, Adrian Kugara, Masao Nakao, Shuichi Ozawa, Mutsumi Tashiro, Maria Varnava

Affiliation: Gunma University Heavy Ion Medical Center, Hiroshima High-Precision Radiotherapy Cancer Center

Abstract Preview: Purpose: This study aimed to evaluate the time-dependent dose rate characteristics of a scanning carbon ion beam using a fast-response plastic scintillator detector (PSD), with a focus on its potentia...

Dosemorph: A Study on Few-Shot Learning and Dose-Anatomy Registration for Radiotherapy Optimal Dose Prediction in Cervical Cancer

Authors: Xiance Jin

Affiliation: 1st Affiliated Hospital of Wenzhou Medical University

Abstract Preview: Purpose:
Deep learning deformable registration models was proposed to predict optimal dose distributions a with a few of optimal planned doses using a few-shot learning for cervical cancer.
Meth...

Dosimeteric Parameter Evaluation of Digital Polycrystalline Semiconductor Dosimeters for Quality Assurance of High-Dose-Rate Brachytherapy

Authors: Woong Cho, Jin-Beom Chung, Moo-Jae Han, Sang Won Kang, Boram Lee

Affiliation: Department of Radiation Oncology, Seoul National University Boramae Medical Center, Department of Radiation Oncology, Seoul National University Bundang Hospital, Department of Radiation Oncology, Inha University Hospital

Abstract Preview: Purpose: This study aims to establish a digital quality assurance (QA) system for high-dose-rate (HDR) brachytherapy by evaluating self-developed polycrystalline semiconductor dosimeters (PSDs).
Me...

Dosimetric Assessment of Multicriteria Optimization for Accelerated Partial Breast Irradiation (APBI)

Authors: Alyssa Gadsby, William J. Godwin, Jennifer L. Harper, Daniel G. McDonald, Jean L. Peng, Alek K. Rapchak, Sean A Roles, Austin M. Skinner, Stephanie Tan

Affiliation: Medical University of South Carolina

Abstract Preview: Purpose: Multi-Criteria Optimization (MCO) theoretically allows for increased dose control during optimization. This study is the first to compare standard optimization (SO) and MCO for accelerated pa...

Dosimetric Assessment of Simultaneous Multi-Energy and Fluence Optimization for IMRT and VMAT

Authors: Aliasghar Rohani, Rui Zhang

Affiliation: Louisiana State University, Baton Rouge, Louisiana, Department of Radiation Oncology, Mary Bird Perkins Cancer Center

Abstract Preview: Purpose: This study aimed to evaluate the impact of simultaneous optimization of multi-photon beam energy and fluence on IMRT and VMAT treatment planning.
Methods: An Elekta linear accelerator (lin...

Dosimetric Assessment of Spatially Fractionated Radiation Therapy on Prostate Cancer Cases: Our Experience in Nsia-Luth Cancer Center, Lagos

Authors: Adebayo Abe, Samuel Olaolu Adeneye, Bidemi I. Akinlade, Inioluwa Damilola Ariyo, Sylvester Entonu, Muhammad Habeebu, Adedayo O. Joseph, Oluwaseyi Oderinde, Oluwadara Ojediran, Margaret Dideolu Taiwo

Affiliation: University of Ibadan, University of Lagos, Missouri University of Science and Technology, Purdue University, NSIA-LUTH Cancer Center, University of Lagos, NSIA-LUTH Cancer Centre

Abstract Preview: Purpose:
Spatially Fractionated Radiation Therapy (SFRT) is an advanced radiotherapy technique designed to deliver highly heterogeneous radiation doses, aiming to optimize tumor control while minim...

Dosimetric Changes of Magnetic Control System to Improve Anatomy in Abdominal SBRT

Authors: Justus Adamson, Wesley Andrew Cunningham, Chang-Sei Kim, Yeongoh Ko, Anna E. Rodrigues

Affiliation: Duke University, Chonnam National University, Duke University Medical Center

Abstract Preview: Purpose: Radiation induced toxicities in bowel remains a challenge for SBRT. Due to sharp dose falloffs, small displacements of the bowel can lead to meaningful dose reduction. Remote magnetic navigat...

Dosimetric Characteristics of a Commercially Available Platinum Cured Silicone Rubber Material As a Custom Bolus Option

Authors: Jordan B Lunsford, Sagar Pokhrel, Ashkan Shafiee, Curtis S. Whiddon

Affiliation: Atrium Health Wake Forest Baptist, University of North Carolina, Atrium Health Wake Forest Baptist High Point Medical Center

Abstract Preview: Purpose: To investigate the dosimetric characteristics of a platinum cured silicone rubber material (Platsil) for use as custom bolus in radiotherapy
Methods: Sheets of 2, 4, 6, and 8 mm Platsil we...

Dosimetric Characterization of Spatial Fractionation Collimator for Ultra-High Dose Rate Electron Beam

Authors: Lily Jo Bertemes, Careesa Billante, Ashley Cetnar, Arnab Chakravarti, Nilendu Gupta, Sagarika Jain, Maximilian Stephen Meineke, Allison N. Palmiero, Runhe Tan

Affiliation: The Ohio State University - James Cancer Hospital, Department of Radiation Oncology, The Ohio State University Wexner Medical Center, Department of Radiation Oncology, Ohio State University Comprehensive Cancer Center, The Ohio State University, The James Cancer Center

Abstract Preview: Purpose: Ultra-High Dose Rate Radiation Therapy (UHDR-RT) induces normal tissue sparing while maintaining iso-effective tumor control compared to conventional methods, known as the “FLASH effect”. How...

Dosimetric Characterization of Sun Nuclear EDGE Diodes in the Plateau Region of Proton Pencil Beam Scanning (PBS) Fields

Authors: Wesley S. Culberson, Ryan Gardner, Patrick M Hill, Mark Pankuch, Karsten K. Wake

Affiliation: Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison, Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, University of Wisconsin, Northwestern Medicine Proton Center

Abstract Preview: Purpose: To assess the dosimetric capabilities of Sun Nuclear (Melbourne, FL) EDGE Diode Detectorsℱ for measurements in the plateau region of pencil beam scanning (PBS) fields. Many clinical dosimeter...

Dosimetric Comparative Analysis of Modulated and Non Modulated Electron Bolus in Nasal Electron Therapy

Authors: Stephen D. Davis, Alonso N. Gutierrez, Noah S. Kalman, Michael Leyva, Alejandro Rene Llanes Lopez, William Romaguera, Ranjini P. Tolakanahalli, Deborah Wang

Affiliation: Miami Cancer Institute, Baptist Health South Florida, Miami Cancer Institute, Miami Cancer Institute, Baptist Health

Abstract Preview: Purpose: To evaluate whether a modulated electron bolus (MEB) technique improves both nominal and shifted dose distributions in nasal electron therapy as compared to a non‑modulated, uniform‑thickness...

Dosimetric Comparison & Error Analysis of Aapm TG51 & WGTG51-e Protocol with Icru-90 Key-Data for High-Energy Clinical Electron Beam

Authors: Amar K. Basavatia, Sandeepan Ganguly, Lee C. Goddard, Wolfgang A. Tomé

Affiliation: Montefiore Medical Center

Abstract Preview: Purpose: To investigate the dosimetric impact of WGTG51-e Report 385, recently updated CoP for clinical electron beams. This study uses a chamber specific effective point of measurement (EPOM) shift t...

Dosimetric Comparison for Bladder Cancer Patients Treated with Adaptive Planning

Authors: Ahmad Amoush, Adam C. Riegel

Affiliation: Columbia University Irving Medical Center

Abstract Preview: Purpose: To investigate the dosimetric differences between the reference CT plan, the scheduled plan, and the adaptive plan for a bladder cancer patient treated with Varian Ethos system.
Methods: A...

Dosimetric Comparison of 6X and 10X Flattening Filter-Free Photon Beams on a Truebeam Linac Using the Eclipse TPS

Authors: Carlos E. Cardenas, Udbhav S. Ram, Marcin Wierzbicki

Affiliation: The University of Alabama at Birmingham, University of Alabama at Birmingham, Juravinski Cancer Centre

Abstract Preview: Purpose:
This study aims to systematically evaluate the dosimetric properties and delivery efficiency of 6X-FFF and 10X-FFF beams for lung SBRT on the Varian TrueBeam STx using the Eclipse TPS 16.1...

Dosimetric Comparison of MR-Linac Vs. Cyberknife for Prostate Stereotactic Body Radiation Therapy

Authors: Awens Alphonse, Nebi Demez, Michael Kasper, Noufal Manthala Padannayil, Shyam Pokharel, Suresh Rana, Lauren A. Rigsby, Tino Romaguera, Hina Saeed, Nishan Shrestha, Somol Sunny

Affiliation: Lynn Cancer Institute, Boca Raton Regional Hospital, Baptist Health South Florida

Abstract Preview: Purpose: Prostate stereotactic body radiation therapy (SBRT) requires precise dose delivery to the target volume and organ-at-risk (OAR) sparing. This study compares MR-Linac (MRL) and CyberKnife (CK)...

Dosimetric Evaluation of Enhanced Dynamic Leaf Gap Modeling in Small-Field Clinical Plans: A Verification Study

Authors: Ian J. Butterwick, Sumudu Katugampola, ChangSeon Kim, Evan G. Meekins, Zhengdong Zhang

Affiliation: Mount Sinai Beth Israel, Gesinger Medical Center, Geisinger Medical Center

Abstract Preview: Purpose: To evaluate the dosimetric impact of enhanced dynamic leaf gap (EDLG) modeling in Eclipse V18.0 on small-field dosimetry within VMAT plans.
Methods: Plans with small fields (1 cm x 1 cm to...

Dosimetric Evaluation of Radiation Treatment Planning Algorithms in IMRT and VMAT Techniques: Analysis with Central and Peripheral Lung Tumors

Authors: Sumanta Manna, Atul Mishra, Surendra Prasad Mishra, Kailash Kumar Mittal, Anoop Kumar Srivastava, Neha Yadav

Affiliation: Department of Radiation Oncology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Department of radiation Oncology, Apollomedics Super Speciality Hospitals, Department of Radiation Oncology, Uttar Pradesh University of Medical Sciences, Department of Radiation Oncology, Kalyan Singh Super Specialty Cancer Institute

Abstract Preview: Purpose: This study aimed to assess the dosimetric performance of Volumetric Modulated Arc Therapy (VMAT), step-and-shoot Intensity-Modulated Radiation Therapy (ss-IMRT), and dynamic Intensity-Modulat...

Dosimetric Evaluation of a Three-Dimensional Cubic Electronic Detector Array for Radiotherapy Linac Quality Assurance

Authors: Enzo Charles Aucca, Roger Challco, Andres M. Gonzales Galvez, Carmen SANDRA Guzman Calcina, Jimmy Hernandez-Bello, Modesto Montoya, Renzo Aaron Ocampo, Erick Paniagua, Miguel Alberto Risco-Castillo, Dante E. Roa, Renzo E. Romero, William Souza Santos, Mirko SalomĂłn Alva SĂĄnchez

Affiliation: Graduate Program in Information Technologies and Health Management, University of Porto AlegreFederal University of Health Sciences of Porto Alegre, Universidad Tecnologica del Peru, Pontificia Universidad Catolica del Peru, Electronic Engineering Department, Leonard Cancer Institute - Radiation Oncology, Universidad Nacional de Ingenieria, Universidad Nacional de Ingenieria, Electronic Engineering Department, Federal University of Sergipe, HRS Oncology International, Universidad Nacional Federico Villareal

Abstract Preview: Purpose: Provide Monte Carlo (MC) and experimental dosimetric assessments of a 3D cubic electronic detector array based on percent depth doses (PDDs), profiles, linearity, and dose rate response of ph...

Dosimetric Evaluation of the Aldo Function for Multiple Brain Metastases in Automated Stereotactic Radiosurgery Treatment Planning

Authors: Hsiao-Mei Fu, Shih-Ming Hsu, Chia-Ting Lee, Shih-Hua Liu, Tsung-Yu Yen

Affiliation: National Yang Ming Chiao Tung University, Mackay Memorial Hospital

Abstract Preview: Purpose: The Automatic Lower Dose Objective (ALDO) is a unique function designed to achieve 98% relative coverage across all targets in automated SRS treatment planning (HyperArc planning). This study...

Dosimetric Feasibility of Dominant Intraprostatic Lesion Dose Escalation in HDR Prostate Brachytherapy

Authors: Abby E. Besemer, Carolyn Eckrich, John M. Floberg, Michael J. Lawless, Jessica R. Miller, Joseph B. Schulz, Jordan M. Slagowski, Autumn E. Walter-Denzin

Affiliation: University of Wisconsin-Madison Department of Medical Physics, University of Wisconsin-Madison Department of Human Oncology, Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Department of Radiation Oncology, Stanford University School of Medicine, Department of Human Oncology, University of Wisconsin-Madison

Abstract Preview: Purpose: The aim of this treatment planning study was to evaluate the feasibility of escalating dose with HDR prostate brachytherapy to imaging-identified intraprostatic macroscopic lesions while mode...

Dosimetric Impact of Adaptive Radiotherapy with Ethos for Prostate Cancer: Localized Analysis of Bladder and Rectum across Planned, Non-Adaptive Accumulated, and Adapted Treatments

Authors: Huisi Ai, Scott Glaser, Yi Lao, Percy Lee, Sara N. Lim, An Liu, Bo Liu, Borna Maraghechi, Kun Qing, Chengyu Shi, William T. Watkins, Terence Williams, Qiuyun Xu, Jiahua Zhu

Affiliation: WashU Medicine, Graduate Program in Bioengineering, University of California San Francisco-UC Berkeley, City of Hope Orange County, Department of Radiation Oncology, City of Hope National Medical Center, Department of Radiation Oncology, City of Hope Orange County, Department of Radiation Oncology, City of Hope Medical Center

Abstract Preview: Purpose: To employ a novel surface dose mapping approach for localized assessment of the dosimetric impact of Ethos adaptive radiotherapy (ART) for prostate cancer (PC).
Methods: This study include...

Dosimetric Impact of Auto-Segmentation with Replanning: An Analysis of a Prospective Clinical Trial

Authors: Kathryn J. Dess, Martha M. Matuszak, Dan Polan

Affiliation: University of Michigan

Abstract Preview: Purpose: A recent survey demonstrated 18 of 20 top academic institutions have implemented auto-segmentation. Studies to date have focused on geometric contour changes and dosimetric differences using ...

Dosimetric Impact of Calculation Grid Size in ZAP-X Stereotactic Radiosurgery

Authors: Michael Evan Chaga, Timothy Chen, Darra M. Conti, Shabbar Danish, Jing Feng, Wenzheng Feng, Joseph Hanley, Tingyu Wang

Affiliation: Hackensack Meridian Health, Jersey Shore University Medical Center

Abstract Preview: Purpose: ZAP-X is the newest cranial stereotactic radiosurgery (SRS) platform. Small-volume structures usually found in the head and neck may be susceptible to dose-volume averaging, which has not bee...

Dosimetric Impact of Monte Carlo Physics Models in Electronic Brachytherapy Simulations

Authors: David Ayala Alvarez, Facundo Ballester, Luc Beaulieu, Francisco Berumen-Murillo, Jean-Simon Cote, Ernesto Mainegra-Hing, Iymad Mansour, Gaël Ndoutoume-Paquet, Jan P. Seuntjens, Rowan M. Thomson, Christian Valdes, Javier Vijande, Peter G. Watson

Affiliation: Département de physique, de génie physique et d'optique, Université Laval, Princess Margaret Cancer Centre & University of Toronto, McGill University, Department of Physics and Medical Physics Unit, McGill University, IFIC-UV, University of Valencia, National Research Council Canada, Carleton University, 5Service de Physique Médicale et de Radioprotection, Centre Intégré de Cancérologie, CHU de Québec- Université Laval et Centre de recherche du CHU de Québec, Nuclear Medicine Department, Hospital Regional de Antofagasta, Université Laval, Carleton Laboratory for Radiotherapy Physics, Department of Physics, Carleton University

Abstract Preview: Purpose: Low-energy X-ray beams used in electronic brachytherapy (eBT) pose unique dosimetric challenges due to high depth-dose gradients, material-dependent detector responses, and the absence of sta...

Dosimetric Parameters for Lattice Spatially Fractionated Radiotherapy (LRT) : Pros and Cons

Authors: Lining Chen, Zhitao Dai, Shumei Jia, Yajun Jia, Enzhuo Quan

Affiliation: Cancer Hospital Chinese Academy of Medical Sciences, Shenzhen Center, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital Chinese Academy of Medical Sciences and Peking Union Medical College

Abstract Preview: Purpose: This work reviewed 12 patient clinical LRT treatments in physics view including geometric and dosimetric parameters and discussed the pros and cons related to the latter.
Methods: Geometri...

Dosimetric Validation and Algorithmic Limitations of Pencil Beam Scanning Proton Therapy for Thin Chest-Wall Treatments

Authors: J Isabelle Choi, Meng Wei Ho, Isabel Lin, Hang Qi, Qi Zeng, Ajay Zheng

Affiliation: New York Proton Center, Scarsdale High School

Abstract Preview: Purpose: Proton therapy is a promising treatment modality for breast cancer due to its unique dosimetric advantage. Accurate dose calculation is critical to ensure effective treatment outcomes. The fo...

Dosimetric Variations Induced By Inaccurate Collimator Angles in Single-Isocenter SRS Plan for Multi-Lesion Brain Metastases

Authors: Makunda Aryal, Gregory Bartlett, David D. Campos, Ke Colin Huang, Sook Kien Ng, Christopher F. Njeh, Oluwaseyi Oderinde, Edwin Quashie, Ashok Tiwari, Yong Yue

Affiliation: Purdue University, Department of Radiation Oncology, Indiana University, Indiana University, Indiana University School of Medicine, Department of Radiation Oncology

Abstract Preview: Purpose:
Linear accelerator-based single-isocenter Stereotactic Radiosurgery (SRS) is widely used for treating brain metastases due to its efficiency, reduced treatment time, and lower imaging dose...

Dosimetry Commissioning of a Commercial Cabinet X-Ray Irradiator for Small Animal Irradiation

Authors: Sang Hyun Cho, Amrit Kaphle, Sunil Krishnan, Neerajan Nepal

Affiliation: The University of Texas MD Anderson Cancer Center, The University of Texas Health Science Center

Abstract Preview: Purpose: To determine the basic dosimetry parameters and characteristics of a commercial cabinet x-ray unit for small animal irradiation as well as the specific dosimetry parameters for concurrent irr...

Dosimetry Comparison of Surface-Guided and Orthogonal X-Ray Film-Based Setups for Proton Pencil-Beam Scanning in Breast Cancer Treatment

Authors: Darren Kaplan, Chenguang Liu, Mark Pankuch

Affiliation: Northwestern Medicine Proton Center

Abstract Preview: Purpose: This study evaluates the hypothesis that surface-guided radiation therapy for the breast or chest wall using proton PBS provides comparable target coverage and OARs sparing to x-ray-based IGR...

Dosimetry Impact of Overlapping Reconstruction of CT Simulation in Stereotactic Radiosurgery Planning

Authors: Matthew Stephen Andriotty, Chi Ma, Xiao Wang, Keying (Karen) Xu, Suhong Yu, Ning J. Yue, Yin Zhang

Affiliation: Brigham and Women's Hospital, Rutgers Cancer Institute of New Jersey

Abstract Preview: Purpose: To evaluate the effects of overlapping CT reconstruction on dosimetry calculation for LINAC-based SRS patients simulated on CT simulators from three different vendors.
Methods: CT simulati...

Dosinme: A 3D Visualization Platform for Internal Dosimetry and Radionuclide Behavior in Computational Human Phantoms

Authors: Lotem Buchbinder Shadur, Shaheen Dewji, Martin Graffigna, Alejandro Rafael Martinez, Emmanuel Mate-Kole, Antonio McClain, Samuel Taylor, Jeffrey Wang

Affiliation: Student, Nuclear and Radiological Engineering and Medical Physics Programs, Georgia Institute of Technology

Abstract Preview: Purpose: DosInMe is an internal dosimetry visualization tool developed by the Radiological Engineering, Detection, and Dosimetry Laboratory at Georgia Tech to assist researchers and professionals in v...

Dual Energy Cone Beam Computed Tomography for Artifact Reduction and Enhanced Image Quality Using Existing Hardware in Radiation Therapy

Authors: Michael J. Choi, Vindu Wathsala Kathriarachchi, Christopher L. Nelson, Andrew P. Soderstrom, Yawei Zhang

Affiliation: The University of Texas MD Anderson Cancer Center, MD Anderson, UF Health Proton Therapy Institute

Abstract Preview: Purpose: Cone Beam Computed Tomography (CBCT) is widely used in image-guided radiation therapy for patient positioning. While kV photons offer high image contrast, they are prone to artifacts caused b...

Dual-Domain Neural Network Cone-Beam CT Correction for Online Adaptive Proton Therapy

Authors: Daniel H. Bushe, Arthur Lalonde, Hoyeon Lee, Harald Paganetti, Brian Winey

Affiliation: Universite de Montreal, Massachusetts General Hospital, Massachusetts General Hospital and Harvard Medical School, University of Hong Kong

Abstract Preview: Purpose: Improving the precision and fidelity of daily volumetric imaging is essential for enabling adaptive proton therapy (APT). While cone-beam CT (CBCT) provides daily volumetric imaging, their ut...

Dual-Domain Reconstruction Network for Nonstop Gated CBCT Imaging: Application in Respiratory Gating Ablative Radiotherapy for Pancreatic Cancer

Authors: Sean L. Berry, Weixing Cai, Laura I. Cervino, Yabo Fu, Daphna Gelblum, Wendy B. Harris, Xiuxiu He, Licheng Kuo, Tianfang Li, Xiang Li, Jean M. Moran, Boris Mueller, Huiqiao Xie, Mitchell Yu, Hao Zhang

Affiliation: Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, Department of Medical Physics, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose: Gating ablative radiotherapy for pancreatic cancer accounts for tumor movement due to respiration and typically requires 5, 15, or 25 fractions. Pretreatment imaging verification is essential...

Dual-Energy CT Derived Perfusion Blood Volume and 4D-CT Derived Ventilation Changes in Lung Cancer Patients 6-Months Post Radiation Therapy

Authors: Daniel A. Alexander, Jeffrey D. Bradley, Steven J. Feigenberg, Cole Friedes, Casey Hollawell, William Levin, Maksym Sharma, Boon-Keng Kevin Teo, Ying Xiao, Nikhil Yegya-Raman, Jennifer Wei Zou

Affiliation: Department of Radiation Oncology and Applied Sciences, Department of Radiation Oncology, University of Pennsylvania, University of Pennsylvania

Abstract Preview: Purpose: To investigate lung function changes following definitive chemoradiation dose using CT-derived measurements in patients with locally advanced NSCLC at 6-months post-treatment compared to pre-...

Dysphagia Optimized Knowledge-Based Planning for Head and Neck Cancer

Authors: James E. Bates, Benjamin Hopkins, Kirk Luca, Shadab Momin, Justin R. Roper, Soumon Rudra, Eduard Schreibmann, Bill Stokes, Tu Thi, Xiaofeng Yang

Affiliation: Emory University, Department of Radiation Oncology and Winship Cancer Institute, Emory University

Abstract Preview: Purpose: Swallowing dysfunctions after radiotherapy are caused by multiple factors yet are strongly associated with the irradiation of pharyngeal musculature due to its role in the initiation and comp...

EBT4 Film Dosimetry and the Significance of the Œ Fwhm Rule for Gamma Knife Output Factors

Authors: Jingying Lin, Stevan Pecic, Strahinja Stojadinovic

Affiliation: University of Belgrade, The University of Texas Southwestern Medical Center

Abstract Preview: Purpose: This study aims to determine the magnitude of polarization-induced dosimetric error for EBT4 films at different scanning orientations, and to provide guidance on selecting appropriate regions...

EPR Oximetry for Hypoxia Assessment in Deep Tissues Using Oxytrack

Authors: Maciej M. Kmiec, Periannan Kuppusamy, Ryan C. O'Connell, Sergey V. Petryakov, Conner Ubert

Affiliation: Dartmouth College

Abstract Preview: Purpose: The rigid needle-like EPR sensor, OxyTrack, was developed to provide minimally invasive, reliable, and quantitative measurements of oxygen distribution (pO2) in deep tissues. EPR oximetry's c...

Early Evaluation Study for Stereotactic Adaptive Radiotherapy for Pancreatic Cancer with Ethos 2.0 System

Authors: Kenneth W. Gregg, Beatriz Guevara, Lauren E Henke, Rojano Kashani, Kyle O'Carroll, Gisele Castro Pereira, Christian Erik Petersen, Alex T. Price, Meiying Xing, Reine abou Zeidane

Affiliation: university hospital, University Hospitals Seidman Cancer Center

Abstract Preview: Purpose:
Experimental data have shown the inconsistent monitor unit and target coverage in Ethos 1.1. This can lead to inaccurate dose delivery, compromising patient safety and treatment outcomes. ...

Early GU Toxicity Prediction in Prostate SBRT Using Delivered Dosimetry Via Long Short-Term Memory Model

Authors: Amar Kishan, Jun Lian, Yunkui Pang, Jonathan Pham, X. Sharon Qi, Michael Steinberg, Luca F Valle, Pew-Thian Yap

Affiliation: Department of Radiation Oncology, University of California, Los Angeles, University of North Carolina at Chapel Hill

Abstract Preview: Purpose: Stereotactic body radiotherapy (SBRT) is a highly effective treatment for prostate cancer, yet predicting genitourinary (GU) toxicity has primarily relied on planned dosimetry. This study inv...

Eclipse AFI Manual Planning Versus Brainlab Auto-Planning: A Comparison of SRS Plan Quality

Authors: Dharmin D. Desai, Ellis Lee Johnson, Philip J. Kallenberg, Kapil M. Mishra

Affiliation: Spectrum Medical Physics, University of Kentucky, Varian Advanced Oncology Solutions

Abstract Preview: Purpose: The “Ask For It” (AFI) manual optimization strategy has been shown to generate high quality SRS plans within Eclipse. The purpose of this work is to directly compare manually generated Eclips...

Effect of Dose and Depth Dependence of Rbe on Hypofractionated Proton Therapy for Ocular Melanoma

Authors: Alexei V. Chvetsov, Pavitra Ramesh, Alexei V. Trofimov

Affiliation: Massachusetts General Hospital, University of Washington

Abstract Preview: Purpose: To investigate the effect of dose and depth dependence of relative biological effectiveness (RBE) on hypofractionated proton therapy for ocular melanoma using equivalent uniform RBE-weighted ...

Effect of Variation in the α/ÎČ of Cervical Cancer on Clinical Outcomes of Radiation Therapy

Authors: Dennis A. Cheek, Wei Luo, Cameron Thayer-Freeman, Brien Timothy Washington

Affiliation: UT Southwestern Medical Center, University of Kentucky, Department of Radiation Medicine, University of Kentucky

Abstract Preview: Purpose: To investigate the effect of variation in the α/ÎČ of cervical cancer on clinical outcome for cervix cancer patients treated with radiation therapy.
Methods: A distribution of experimentall...

Effects of Enhanced Leaf Modeling on Single-Isocenter Multi-Target Stereotactic Radiosurgery Dose Accuracy

Authors: Thomas R. Mazur, Kevin Renick, Matthew C. Schmidt, Xiaodong Neo Zhao

Affiliation: Washington University in St. Louis School of Medicine, Washington University School of Medicine

Abstract Preview: Purpose: To compare dose calculation accuracy for single-isocenter multi-target stereotactic radiosurgery plans (SIMT-SRS) in Eclipse V18.0 with enhanced leaf model (ELM) using the anisotropic analyti...

Effects of Skin Gap and Applicator Tilt on Dose Coverage for Skin Lesions Treatment with Leipzig Applicator

Authors: Awens Alphonse, Nebi Demez, Michael Kasper, Noufal Manthala Padannayil, Shyam Pokharel, Suresh Rana, Lauren A. Rigsby, Nishan Shrestha

Affiliation: Lynn Cancer Institute, Boca Raton Regional Hospital, Baptist Health South Florida

Abstract Preview: Purpose: This study aims to quantify the dose discrepancy associated with improper placement of the Leipzig applicator on the patient's skin.
Methods: Monte Carlo simulations were performed using t...

Efficient Denoising of Low-Statistic Influence Matrices Using a Diffusion Transformer-Based Framework for Adaptive Proton Therapy

Authors: Yuzhen Ding, Hongying Feng, Jason Michael Holmes, Baoxin Li, Wei Liu, Daniel Ma, Lisa McGee, Samir H. Patel, Jean Claude M. Rwigema, Sujay A. Vora

Affiliation: Arizona State University, Department of Radiation Oncology, Mayo Clinic, Mayo Clinic Arizona, Mayo Clinic

Abstract Preview: Purpose:
Intensity-modulated proton therapy (IMPT) is a preferred treatment modality for head and neck (H&N) cancer patients, offering precise tumor targeting while sparing surrounding organs at ri...

Efficient Monte Carlo Proton Dose Calculation Using Denoising Diffusion Probabilistic Models

Authors: Chieh-Ya Chiu, Shen-Hao Li, Hsin-Hon Lin, Shu-Wei Wu

Affiliation: Department of Medical Imaging and Radiological Sciences, Chang Gung University, Proton and Radiation Therapy Center, Chang Gung Memorial Hospital Linkou

Abstract Preview: Purpose: Monte Carlo simulation enables precise calculation of dose distribution in proton therapy through tracing the radiation particles with patient tissues. However, achieving clinical-level preci...

Efficient Monte Carlo Simulation of Radiation-Induced Double Strand Break Production and Repair Kinetics

Authors: Zakaria Aboulbanine, Greeshma A. Agasthya, Paul Inman, Anuj J. Kapadia, Anthony Hong Cheol Lim, Jayasai Ram Rajagopal, Chris C. Wang

Affiliation: Oak Ridge National Laboratory, Georgia Institute of Technology

Abstract Preview: Purpose: Radiobiological simulation via TOPAS-nBio requires significant computational resources and time to provide meaningful results. This study aims to decrease simulation time and computational re...

Efficient Robustness Optimization in Intensity Modulated Proton Therapy for Head and Neck Cancer Via Visual State Space Attention Generative Adversarial Networks (VSSA-GAN)

Authors: Nan Li, Yaoying Liu, Shouping Xu, Gaolong Zhang

Affiliation: Department of Radiation Oncology, School of Physics, Beihang University, School of physics, Beihang University, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College

Abstract Preview: Purpose: In intensity-modulated proton therapy (IMPT) for head and neck cancer, CBCT registration ensures accurate setup, minimizing dose errors. Unlike IMRT, IMPT plans directly define tumor volumes ...

Empowering Knowledge Transfer in Global Radiotherapy Planning: An Educational Case Study of Knowledge-Based Models in Nepal

Authors: Rita Buono, Elisabetta Cagni, Roberta Castriconi, Surendra Bahadur Chand, Marco Esposito, Claudio Fiorino, Valeria Landoni, Aldo Mazzilli, Eugenia Moretti, Lorenzo Placidi, Giulia Rambaldi Guidasci, Alessia Tudda

Affiliation: IRCCS San Raffaele Scientific Institute, Department of Advanced Technology, IRCCS Regina Elena National Cancer Institute, ASU FC Medical Physics, University Hospital of Parma AOUP, ICTP, B.P. Koirala Memorial Cancer Hospital, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Fatebenefratelli Isola Tiberina – Gemelli Isola

Abstract Preview: Purpose: To explore the feasibility and educational impact of transferring knowledge-based planning (KBP) models—developed using Italian breast radiotherapy data—to a Nepalese hospital, thereby demons...

End-to-End Pre-Planning Needle Trajectory and Dwell Time Optimization for 3D Printable Cervical and Vaginal Templates

Authors: Deidre Batchelar, Michael Kudla, Stephanie Merkl, Tony Teke

Affiliation: BC Cancer - Kelowna

Abstract Preview: Purpose: Preplanning 3D-printed templates for cervical and vaginal brachytherapy is an iterative process, often taking hours to for an individual patient.
This study demonstrates an end-to-end auto...

Enhance Four-Dimension Cone-Beam Computed Tomography (4D-CBCT) from Sparse Views Using a Novel Deep Learning Model

Authors: Lei Ren, Jie Zhang

Affiliation: University of Maryland School of Medicine

Abstract Preview: Purpose: 4D-CBCT is valuable for imaging anatomy affected by respiratory motions to guide radiotherapy delivery. However, 4D-CBCT often has undersampled projections acquired in each respiratory phase ...

Enhanced Lung Function Assessment through Machine Learning Analysis of 4DCT Subregional Respiratory Dynamics

Authors: Jing Cai, Zhi Chen, Hong Ge, Yu-Hua Huang, Bing Li, Zihan Li, Ge Ren

Affiliation: Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Department of Radiation Oncology, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital

Abstract Preview: Purpose: Algorithms based on subregional respiratory dynamics (SRD) capture spatiotemporal heterogeneity in the ventilation process, though rely on empirical modelings to map surrogate ventilation. Gi...

Enhanced Pelvic Organ Segmentation Using LLM-Driven Prompts for Prostate Cancer Low-Dose-Rate Brachytherapy

Authors: Yang Lei, Tian Liu, Ren-Dih Sheu, Meysam Tavakoli, Jing Wang, Kaida Yang, Jiahan Zhang

Affiliation: Icahn School of Medicine at Mount Sinai, Department of Radiation Oncology, Emory University

Abstract Preview: Purpose:
The study aimed to improve target and organ at risk (OAR) segmentation in low-dose-rate brachytherapy (LDR-BT) for prostate cancer treatment, by integrating clinical guidelines into deep l...

Enhanced Prediction of Iroc Stereotactic Radiosurgery Phantom Audit Results with Treatment Parameters, Complexity Metrics, DVH, and Dosiomics Using Machine Learning

Authors: Lian Duan, Stephen F. Kry, Hunter S. Mehrens, Christine Peterson, Paige A. Taylor

Affiliation: The University of Texas MD Anderson Cancer Center, UT MD Anderson Cancer Center

Abstract Preview: Purpose: To develop predictive models for IROC SRS head phantom audits and to identify important factors influencing institutional performance.
Methods: The IROC SRS head phantom includes two TLDs ...

Enhanced Predictive Model for Toxicity and 3-Year Survival in HCC Patients Using Learning Health System Infrastructure and AI-Driven Statistical Profiling

Authors: Ameer Elaimy, Theodore Lawrence, Charles S. Mayo, Seyyedeh Azar Oliaei Motlagh, Benjamin S. Rosen

Affiliation: University of Michigan

Abstract Preview: Purpose: To analyze the impact of clinical features on short-term survival, toxicity, and poor outcomes in HCC patients treated with SBRT,using automated data aggregation and enhanced algorithms with ...

Enhanced Surface Dose Accuracy in Proton Treatment Planning: Optimizing External Volume HU Thresholding.

Authors: Michael Butkus, Camilo M. Correa Alfonso, Olga M. Dona Lemus, James Arthur Perez-Sanchez

Affiliation: University of Miami

Abstract Preview: Purpose: Accurate skin dose calculation is essential for treating superficial lesions such as those of the breast, chest wall, and scalp. Clinical treatment planning systems often rely on approximatio...

Enhancing Adaptive Radiotherapy Segmentation with a 3D Unet Framework and Prior Fraction Information

Authors: Jennifer L. Dolan, Chengyin Li, Parag Parikh, Doris N. Rusu, Kundan S Thind

Affiliation: Henry Ford Health, Cedars-Sinai Medical Center

Abstract Preview: Purpose: The time and resource demands of online Adaptive Radiation Therapy (ART) can limit its widespread clinical adoption and potentially impact patient throughput. To address this, we developed a ...

Enhancing CNN-Based Brain Metastasis Detection in MRI By Integrating Locoregional 3D Deformation Technique

Authors: Minbin Chen, Ke Lu, Kaizhong Shi, Chunhao Wang, Chuan Wu, Zhenyu Yang, Fang-Fang Yin, Jingtong Zhao

Affiliation: The First People's Hospital of Kunshan, Duke University, Medical Physics Graduate Program, Duke Kunshan University, Duke Kunshan University, Department of Radiation Oncology, Duke Kunshan University

Abstract Preview: Purpose: MRI-based automatic detection of brain metastases is often challenged by the small size and subtle nature of metastases. This study aimed to develop a novel deep learning-based brain metastas...

Enhancing Cyberattack Resiliency through the Radiotherapy Backup and Recovery Dashboard Tool

Authors: Yasin Abdulkadir, Justin Hink, James M. Lamb, Eric Nguyen, Justin Kyle Pijanowski, Yevgeniy Vinogradskiy

Affiliation: Department of Radiation Oncology, University of California, Los Angeles, Thomas Jefferson University

Abstract Preview: Purpose: To enhance a Radiation Oncology department’s cyberattack resiliency using a novel software that backs-up critical radiotherapy treatment information. The software returns essential informatio...

Enhancing Dose Conformity in Halcyon SRS Plans: A Novel Approach Using Optimized Collimator Angles and Sub-Arcs.

Authors: David Chighvinadze, Chieh-Wen Liu, Sugandima Weragoda, Ping Xia

Affiliation: Cleveland Clinic Sandusky, Cleveland Clinic

Abstract Preview: Purpose: To explore the feasibility of using coplanar beams with collimator angle optimization for brain SRS plans with Halcyon system.
Methods: This study used a dataset of 26 patients with 2-3 br...

Enhancing Dosimetric Conformity in Single-Energy Bragg Peak Flash Therapy Using Aperture-Based Techniqu

Authors: Chin-Cheng Chen, Chingyun Cheng, Longfei Diao, Benjamin Durkee, Minglei Kang, Haibo Lin, LeLe Liu, Yangguang Ma, Xuanqin Mou, YunTong Pei, Charles B. Simone, YuFei Wang, Xueqing Yan, Xingyi Zhao, Wang Zhengda

Affiliation: Peking University, St. Jude Children's Research Hospital, New York Proton Center, Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Department of Radiation Oncology, The First Affiliated Hospital of Zhengzhou University, School of Software Engineering, Xi’an Jiaotong University, School of information and communications engineering, Faculty of electronic and information engineering, Xi’an Jiaotong University, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Department of Human Oncology, University of Wisconsin-Madison

Abstract Preview: Purpose: This study evaluates the effectiveness of apertures in improving lateral dose falloff in proton pencil beam scanning (PBS) single-energy Bragg peak (SEBP) FLASH radiotherapy (RT). The approac...

Enhancing Image Quality in Acoustic Imaging Using the Segment Anything Model (SAM)

Authors: Jadon Buller, Zhuoran Jiang, Yankun Lang, Lei Ren, Leshan Sun, Liangzhong Xiang, Yifei Xu

Affiliation: University of Maryland School of Medicine, University of California, Irvine, University of California, Stanford University

Abstract Preview: Purpose: Electroacoustic tomography (EAT) and Protoacoustic (PA) imaging are novel modalities for treatment verification of electroporation and proton therapy. However, the limited acquisition angle i...

Enhancing Lung SBRT Planning Efficiency: A Template-Based Approach Using Chest Wall Overlapping Cases

Authors: Felicia Chu, Qiongge Li, Jian Liu

Affiliation: Inova Hospital, Brown University Rhode Island Hospital, Hofstra University Medical Physics Program

Abstract Preview: Purpose:
This study aims to enhance the efficiency of stereotactic body radiation therapy (SBRT) planning for lung cancer by developing and evaluating optimization templates derived from historical...

Enhancing Proton Treatment and Mitigating Radiation-Induced Lung Injury Using a Novel Cycle Diffusion Approach for Lung Ventilation Estimation

Authors: Yang Lei, Haibo Lin, Tian Liu, Charles B. Simone, Shouyi Wei, Ajay Zheng

Affiliation: Icahn School of Medicine at Mount Sinai, New York Proton Center

Abstract Preview: Purpose: Radiation-induced lung injury (RILI), encompassing pneumonitis and fibrosis, represents a critical dose-limiting factor in lung cancer radiation therapy. Variability in treatment outcomes is ...

Enhancing Radiotherapy Planning with Machine Learning: Correlating Anatomical Features and Planning Difficulty to Guide Optimal Plan Design

Authors: Li Chen, Shouliang Ding, Xiaoyan Huang, Lecheng Jia, Hua Li, Hongdong Liu, Yanfei Liu, Zun Piao, Guangyu Wang

Affiliation: State Key Laboratory of Oncology in South China, Guangdong Key Laboratory of Nasopharyngeal Carcinoma Diagnosis and Therapy, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Shenzhen United Imaging Research Institute of Innovative Medical Equipment

Abstract Preview: Purpose: Optimal radiotherapy planning is challenging, influenced by anatomical factors such as surrounding organs and tumor characteristics, which complicate dose distribution and target coverage. Wh...

Enhancing Urethral Visualization for Prostate SBRT Using Post-Void T2-Weighted Imaging on a Low-Field 0.35T MR-Linac System

Authors: Nebi Demez, Michael Kasper, Noufal Manthala Padannayil, Shyam Pokharel, Suresh Rana, Lauren A. Rigsby, Tino Romaguera, Nishan Shrestha, Somol Sunny

Affiliation: Lynn Cancer Institute, Boca Raton Regional Hospital, Baptist Health South Florida

Abstract Preview: Purpose: Accurate delineation of the urethra is critical for optimizing tumor control and minimizing urethral toxicity in prostate stereotactic body radiation therapy (SBRT). The purpose of this study...

Enhancing the CT Contrast Via Attention-Gated Contrast Enhancement Gan (AGCE-GAN)

Authors: Nan Li, Yaoying Liu, Shouping Xu, Xinlei Xu, Gaolong Zhang

Affiliation: School of Physics, Beihang University, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, School of physics, Beihang University, Beihang University, Department of Radiation Oncology

Abstract Preview: Purpose:
CT simulation is essential for radiation therapy preparation but has limitations in distinguishing lesions. Contrast-enhanced CT (CECT) improves lesion detection and characterization, but ...

Enhancing the Capability of Intrafractional Target Tracking for Prostate SBRT Via Tissue Decomposition Imaging

Authors: Sarah Burleson, Antonio L. Damato, Yabo Fu, Laura Happersett, Tianfang Li, Xiang Li, Himanshu Nagar, Pengpeng Zhang

Affiliation: Department of Medical Physics, Memorial Sloan Kettering Cancer Center, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose: An iodinated hydrogel perirectal spacer, injected between the prostate and rectum, reduces rectal high-dose exposure during prostate SBRT. We assessed the feasibility of tracking the spacer a...

Equivalent Uniform Dose and Duodenal Toxicity Correlation in Pancreatic Cancer Irradiation

Authors: Samira Dabaghmanesh, Beth A. Erickson, William Hall, Jason Hirshberg, An Tai

Affiliation: Department of Radiation Oncology, Medical College of Wisconsin

Abstract Preview: Purpose: Treatment plan evaluation for minimizing duodenal toxicity often involves multiple dose-volume constraints that vary based on fractionation. The Equivalent Uniform Dose (EUD) has emerged as a...

Establishing Comprehensive QA for Single-Isocenter Multiple Targets Stereotactic Radiosurgery

Authors: Angel Gomez, Titania Juang, Grace Gwe-Ya Kim, Boyu Meng

Affiliation: UC San Diego, UCSD, University of California San Diego

Abstract Preview: Purpose: Single-Isocenter Multiple Targets (SIMT) Stereotactic Radiosurgery (SRS) is widely used for its precision and effectiveness. However, standardized quality assurance (QA) protocols for SIMT SR...

Establishing Tumor Size-Dependent Contrast Requirements for Multi-Target Biology-Guided Radiation Therapy (BgRT)

Authors: Muhammad Ramish Ashraf, Girish Bal, Daniel Pham, Murat Surucu

Affiliation: RefleXion Medical, Department of Radiation Oncology, Stanford University School of Medicine, Stanford University

Abstract Preview: Purpose: To determine minimum target size and FDG contrast thresholds for reliable Biology-guided Radiation Therapy (BgRT) delivery using a systematic phantom study.
Methods: A custom 3D-printed ph...

Establishing a Protocol for Quality Assessment of Ultrasound Shear Wave Elastography (SWE) and Application to a Musculoskeletal (MSK) Task

Authors: Kevin M Brom, Jaydev K. Dave, Chunming Gu, Nicholas J. Hangiandreou, Zaiyang Long, Donald J Tradup

Affiliation: Mayo Clinic

Abstract Preview: Purpose: Ultrasound scanner onboard quality checks for shear wave elastography (SWE) rely on operator judgement and are insufficient. This study aims to establish a protocol for quality assessment and...

Estimating Organ Dose of Standard Pediatric CT Protocols to Computational Phantoms through the Dukesim CT Simulator

Authors: Dean Darnell, Iyanna M Lewis, Francesco Ria, William Paul Segars

Affiliation: Duke University, Duke University Medical Physics Graduate Program, Center for Virtual Imaging Trials, Carl E. Ravin Advanced Imaging Laboratories and Center for Virtual Imaging Trials, Duke University Medical Center, Duke University Medical Center

Abstract Preview: Purpose: To estimate radiation dose to pediatric patients during standard CT imaging of the chest and abdomen and determine how dose varies with patient age, height and weight and how measurements com...

Evaluating DNA Damage Efficacy for 90y and 225ac Based Radiotherapy

Authors: Ramin Abolfath, Alejandro Bertolet, Kofi M. Deh, Rao Khan, Vanessa Sanders, Daniel Suarez-Garcia

Affiliation: Massachusetts General Hospital and Harvard Medical School, University of Sevilla, Brookhaven National Laboratory, Howard University

Abstract Preview: Purpose: To compare the efficacy of 225Ac to 90Y for local cancer therapy by quantifying DNA damage using Monte Carlo simulations.
Methods: The TOPAS n-Bio toolkit was used to simulate the irradiat...

Evaluating Deep Learning Models for Accurate Segmentation of GTV and Oars in MR-Guided Adaptive Radiotherapy for Pancreatic Cancer

Authors: Christopher G. Ainsley, Pradeep Bhetwal, Yingxuan Chen, Wookjin Choi, Vimal K. Desai, Karen E. Mooney, Adam Mueller, Hamidreza Nourzadeh, Yevgeniy Vinogradskiy, Maria Werner-Wasik

Affiliation: Thomas Jefferson University

Abstract Preview: Purpose: MR-guided adaptive radiotherapy (MRgART) has demonstrated improved outcomes for patients with pancreatic cancer. However, the time-consuming re-segmentation of targets and organs-at-risk (OAR...

Evaluating Dose Variability in Bladder Contouring for MR-Guided Prostate Cancer Radiotherapy

Authors: Emily Helen Hayes, Chihray Liu

Affiliation: University of Florida

Abstract Preview: Purpose: To evaluate dosimetric discrepancies in bladder dose calculations among rigid, deformed, and manual contouring methods in prostate cancer patients and assess dose variations resulting from bl...

Evaluating Longitudinal Amyloid Burden Related to Alzheimer’s Disease When Transitioning between PET ÎČ-Amyloid Radiotracers

Authors: Brecca Bettcher, Tobey J Betthauser, Bradley T Christian, Sterling Johnson, Lisette LeMerise, Max McLachlan, Andrew McVea, Dhanabalan Murali, Ali Pirasteh, Matthew Zammit

Affiliation: University of Wisconsin-Madison School of Medicine and Public Health and Waisman Center

Abstract Preview: Purpose: The radiotracer [18F]NAV4694 is a desirable alternative to [11C]PiB for measuring amyloid neuropathology related to Alzheimer’s disease (AD), possessing similar imaging characteristics and fa...

Evaluating Phantom Usability for Thermal Imaging Localization in Radiation Therapy

Authors: Nema Bassiri, Kristen A. Duke, Neil A. Kirby, Thomas Wilson Klender, Christien Kluwe, Niko Papanikolaou, Holly Paschal, Karl H. Rasmussen, Daniel L. Saenz, Michelle de Oliveira

Affiliation: Miami Cancer Institute, University of Texas HSC San Antonio, UT Health San Antonio

Abstract Preview: Purpose: Determine the practical usability for three phantoms to be used with the ExacTrac Dynamic thermal imaging system. Thermal-guided imaging can be used for inter and intra motion management, pat...

Evaluating Planning Metrics for Biology-Guided Radiation Therapy (BgRT)

Authors: Emily Hansen, Jay Mistry, Alois M. Ndlovu, Niara Rowe, Roland Teboh

Affiliation: Hackensack University Medical Center

Abstract Preview: Purpose: SCINTIX Biology-guided radiotherapy (BgRT) on the RefleXion X1 relies on a new planning system and advanced planning techniques. The first patient SCINTIX BgRT plans are compared to similar c...

Evaluating Pulse Normalization for Enhanced Ion Chamber Signal Correction in Relative Dosimetry during Beam Scanning

Authors: Alejandro Cuadra, Paulina E. Galavis, Juan Leal, Enrique Lozano, Franklin Reggio, Gabriel Zelada

Affiliation: ClĂ­nica Iram, Clinica Alemana, Hospital ClĂ­nico de Magallanes, E&G Medical Systems Ltda, NYU Langone Health

Abstract Preview: Purpose: To investigate and compare the new method “Pulse Normalization” proposed by Sun Nuclear to correct ion chamber signal for fluctuations in the accelerator output while performing relative dosi...

Evaluating Uncertainty Estimation Models for Clinical Integration of AI-Generated Radiotherapy Dose Distributions

Authors: Jacob S. Buatti, Kristen A. Duke, Malena Fassnacht, Neil A. Kirby, Parker New, Niko Papanikolaou, Arkajyoti Roy, Yuqing Xia, Michelle de Oliveira

Affiliation: The University of Texas San Antonio, UT Southwestern Medical Center, UT Health San Antonio

Abstract Preview: Purpose:
Quantifying and visualizing uncertainty is critical for building clinical trust in AI-generated dose distributions. This study evaluates Monte Carlo Dropout (MCD), Snapshot Ensemble (SE), ...

Evaluating Variability in Luminance Measurements Among Calibrated Light Meters for Mammography Review Workstation Surveys

Authors: Weiyuan Wang

Affiliation: University of Oklahoma Health Sciences Center

Abstract Preview: Purpose:
This study investigates the variability between popular light meters by measuring mammography review workstation monitors using three calibrated light meters.
Methods:
Three calibrat...

Evaluating the Adequacy of Planning Target Volume Margins in Lung Stereotactic Body Radiation Therapy: Assessment of Intrafraction Motion Using a Fiducial Marker

Authors: Rashmi Benda, Qinghao Chen, Shifeng Chen, Giovanni Lasio, Peter Olivieri, Huijun Xu, Junliang Xu, Byong Yong Yi, Baoshe Zhang, Jinghao Zhou

Affiliation: University of Maryland Baltimore Washington Medical Group, Department of Radiation Oncology, University of Maryland School of Medicine, Capital Region Medical Center, University of Maryland Shore Regional Cancer Center

Abstract Preview: Purpose:
We investigated if the patients receiving lung stereotactic body radiation therapy (SBRT) have adequate planning target volume (PTV) margins by evaluating the intrafraction motion using a ...

Evaluating the Capabilities of Hypersight CBCT for Advanced Dual-Energy CBCT Imaging in Online Adaptive Radiotherapy

Authors: Yi-Fang Wang, Yading Yuan

Affiliation: Columbia University Irving Medical Center, Department of Radiation Oncology, Columbia University Irving Medical Center

Abstract Preview: Purpose: HyperSight, the latest CBCT technology from Varian Medical Systems, integrates rapid 6-second data acquisition with advanced iterative reconstruction and upgraded hardware. Previous studies h...

Evaluating the Impact of Beam Spot Spacing on Dose Rates and Field Uniformity for Small Animal Proton Ultra-High Dose Rate Irradiation

Authors: Jack Biondo, Audrey Magness, Anthony E. Mascia, Zhiyan Xiao, Yongbin Zhang

Affiliation: Cincinnati Children's Proton Therapy Center

Abstract Preview: Purpose: Proton FLASH-RT has shown promise reducing normal tissue toxicity while maintaining tumor control. However, in vivo experiments critically depend on achieving ultra-high dose rate (UHDR) and ...

Evaluating the Impact of Contour Variability on the Effectiveness of Deep Learning Features in Head and Neck Imaging

Authors: Hania A. Al-Hallaq, Xuxin Chen, Anees H. Dhabaan, Elahheh (Ella) Salari, Xiaofeng Yang

Affiliation: Emory University, Department of Radiation Oncology and Winship Cancer Institute, Emory University

Abstract Preview: Purpose:
Radiomics image analysis could lead to the development of predictive signatures and personalized radiotherapy treatments. However, variations in delineation are known to affect hand-crafte...

Evaluating the Impact of Reconstruction Algorithm on Wide-Angle Digital Breast Tomosynthesis System Optimization for Microcalcification Detection

Authors: Xiaoyu Duan, Xinyu Hu, Runqiu Li, Xiang Li

Affiliation: Dukekunshan University, Medical Physics Graduate Program, Duke Kunshan University

Abstract Preview: Purpose:
Accurate detection of small-sized microcalcifications (ΌCalcs) (< 500 ”m) is critical for early breast cancer diagnosis, requiring optimal imaging systems and reconstruction algorithms. Ho...

Evaluating the Impact of Spot Spacing on Dosimetric Outcomes in Dynamic Arc Proton Therapy for Prostate SBRT

Authors: Nebi Demez, Michael Kasper, Noufal Manthala Padannayil, Shyam Pokharel, Suresh Rana, Umesh Rana, Hina Saeed, Nishan Shrestha, Somol Sunny

Affiliation: Florida Atlantic University, Lynn Cancer Institute, Boca Raton Regional Hospital, Baptist Health South Florida

Abstract Preview: Purpose: DynamicARC is a novel pencil beam scanning (PBS) proton therapy technique with the potential to provide more conformal dose distributions and reduce treatment time. This study investigates th...

Evaluating the Performance and Limitations of an Automated Treatment Planning Tool for Intact Breast Radiotherapy across Diverse Patient Populations

Authors: Shatha Al Afifi, Hana Baroudi, Leonard Che Fru, Laurence Edward Court, Suzanne B. Evans, Kent A. Gifford, Adam D. Melancon, Melissa P. Mitchell, Issa Mohamad, Patricia Murina, Manickam Muruganandham, Tucker J. Netherton, Callistus M. Nguyen, Joshua S. Niedzielski, Deborah L. Schofield, Simona Shaitelman, Willie Shaw, Sanjay S. Shete, Adam Shulman, Brendon Smith, Sheeba Thengumpallil, Carlos Daniel Venencia, Conny Vrieling

Affiliation: University of Cape Town, MD Anderson Cancer Center, The University of Texas MD Anderson Cancer Center, University of the Free State, UT MD Anderson Cancer Center, King Hussein Cancer Center, Instituto Zunino - Fundacion Marie Curie, Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, Dra., Hirslanden Clinique des Grangettes, Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Department of Therapeutic Radiology, Yale University School of Medicine, Yale University, The University of Texas, MD Anderson, Houston TX

Abstract Preview: Purpose:
Automated contouring and planning tools are usually trained on single-institution datasets, seldom tested across diverse patient populations. This introduces a risk of population bias, res...

Evaluating the Radiological Safety of 64Cu-Macrin in PET/MRI Studies through Radiopharmaceutical Dosimetry

Authors: Alejandro Bertolet, Mislav Bobić, Carlos Huesa-Berral, Aileen O'Shea, Ralph Weissleder

Affiliation: Department of Radiation Oncology, Massachusetts General Hospital and Harvard Medical School, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Massachusetts General Hospital and Harvard Medical School

Abstract Preview: Purpose: To develop a pipeline for estimating the absorbed dose to various organs from positron emission tomography (PET) combined with magnetic resonance imaging (MRI). We use this pipeline to evalua...

Evaluating the Theranostic Potential of a Novel Shark Derived Anti-MET Vnar Antibody in NSCLC

Authors: Andrew M Baschnagel, Jonathan W. Engle, Jessica E. Griffin, Gihan Gunaratne, Reinier Hernandez, Randall J Kimple, Aaron M. LeBeau, Natalie Y. Luo, Rachel Minne, Caroline M. Mork, Kwangok P Nickel, Jayden West, Madalynn R. Wopat

Affiliation: University of Wisconsin, University of Wisconsin, Department of Pathology and Laboratory Medicine, Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin–Madison, University of Wisconsin - Department of Human Oncology, UW Madison, University of Wisconsin, Department of Medical Physics

Abstract Preview: Purpose: The Mesenchymal-Epithelial Transition gene (MET), a targetable cell surface receptor responsible for stimulating cell growth and proliferation, is altered in approximately 10% of non-small ce...

Evaluation of AI-Generated Synthetic 4DCT from 3DCT for Radiotherapy Planning

Authors: Shinichiro Mori, Isabella Pfeiffer, Chester R. Ramsey, Alexander Usynin

Affiliation: Thompson Proton Center, National Institutes for Quantum Science and Technology, Thompson Cancer Survival Center

Abstract Preview: Purpose: Four-dimensional CT imaging (4DCT) has become a standard tool for managing respiratory motion in radiation therapy. However, many treatment delivery systems and most diagnostic CT scanners la...

Evaluation of Charge Collection Performance in the A30 Prototype Parallel Plate Ion Chamber in Ultra-High Dose Rate Beam

Authors: Mervat A. Alharbi, Wesley S. Culberson

Affiliation: Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison, Medical Physics Department, School of medicine and Public Health, University of Wisconsin-Madison

Abstract Preview: Purpose: The charge collection using ionization chambers is challenging at ultra-high dose rates (UHDR) due to the high ion recombination The Exradin A30 prototype parallel-plate ion chamber manufactu...

Evaluation of Concomitant Imaging Dose in 4D-CBCT Guided Thoracic Radiotherapy

Authors: Yuchao Hu, Yajun Jia, Zhangmin Li, Yong Sang, Jianan Wu, Man Zhao

Affiliation: Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Department of Radiation Oncology, Guangzhou Concord Cancer Hospital, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital Chinese Academy of Medical Sciences and Peking Union Medical College

Abstract Preview: Purpose: To evaluate the imaging dose of 4D-CBCT in patients treated with thoracic radiotherapy.
Methods: A model of the Elekta XVI imaging system was created in TOPAS software. Percentage depth do...

Evaluation of Dosimetric Variations from Anatomical Changes in Head and Neck Cancer Patients Treated with Intensity Modulated Proton Therapy

Authors: Chia-Lung Chien, Wen C. Hsi, Romy Megahed, Kayla Schneider

Affiliation: Department of Radiation Oncology, University of Arkansas for Medical Sciences (UAMS), Department of Radiation Oncology, University of Arkansas for Medical Sciences

Abstract Preview: Purpose:
The dosimetric variations induced by inter-fractional anatomical changes in intensity-modulated proton therapy could impact the clinic outcomes for head-and-neck (HN) cancer patients. This...

Evaluation of Fast Monte Carlo Secondary Dose Calculation for Intensity Modulated Proton Therapy in Heterogeneous Materials

Authors: Ergun E. Ahunbay, Abdul Kareem Parchur, Eric S. Paulson, Ilaria Rinaldi, Angelo Schiavi, Li Zhao

Affiliation: Sapienza University of Rome, Department of Radiation Oncology (Maastro), GROW School for Oncology, Maastricht University Medical Centre+, Department of Radiation Oncology, Medical College of Wisconsin

Abstract Preview: Purpose: Secondary dose calculations (SDC) facilitate patient-specific quality assurance for online adaptive intensity-modulated proton therapy (IMPT). However, there is currently a lack of commercial...

Evaluation of Film and 3D Printed Patient-Specific Phantom for Minibeam Radiation Therapy (MBRT) Dosimetry

Authors: Darwin Abraham Garcia, Michael P. Grams, Scott C Lester, Maryam Mashayekhi, Douglas John Moseley, Robert W Mutter, Sean S Park, Chrystian Quintero Mateus

Affiliation: Mayo Clinic - Rochester, Mayo Clinic

Abstract Preview: Purpose: MBRT delivers sub-millimeter wide regions of high “peak” (~10s Gy) and low “valley” (~1 Gy) doses to treat cancer. MBRT commissioning is performed in flat, uniform plastic water. Thus, differ...

Evaluation of Four Different Dose Calculation Algorithms for Commissioning of a New Tyoe of Scanned Proton Therapy System

Authors: Nobukazu Fuwa, Masato Horita, Takahiro Kato, Ryo Tanokura, Yuki Tominaga

Affiliation: Medical Co. Hakuhokai, Osaka Proton Therapy Clinic, Central Japan International Medical Center, Department of Radiological Sciences, School of Health Sciences, Fukushima Medical University

Abstract Preview: Purpose:
We have installed a new type of scanned proton therapy system (Varian ProBeam 360°TM). This study aimed to evaluate the four different dose calculation algorithms.
Methods:
Sixteen b...

Evaluation of Fractional Variability in High-Risk Clinical Target Volume (HR-CTV) during High-Dose-Rate Brachytherapy for Cervical Cancer: A Retrospective Analysis for Adaptive Treatment Planning.

Authors: Olubunmi Odunola Aregbe, Clara Ferreira, Margaret Reynolds, David A. Sterling, Jianling Yuan

Affiliation: University of Minnesota, University of Minnesota Physicians, Department of Radiation Oncology, University of Minnesota, Minneapolis

Abstract Preview: Purpose: To analyze volume changes in the high-risk clinical target volume (HR-CTV) during high-dose rate (HDR) brachytherapy for cervical cancer patients. The study aims to evaluate the trend and cor...

Evaluation of Hybrid Dynamic Conformal Arc Planning for SRS and SBRT Treatment

Authors: Pat Esposito, Ashley Klein, Carmine Verna, Ling Zhuang

Affiliation: Northwestern Medicine

Abstract Preview: Purpose: To evaluate dosimetric parameters and treatment delivery efficiency between volumetric modulated arc therapy (VMAT) and hybrid dynamic conformal arc (HDCA) on SRS and SBRT planning through st...

Evaluation of Hypersight CBCT Scanning Techniques for Motion Management in Online Adaptive Radiotherapy: A Comparative Study of Slow, Fast, and Averaged Scans

Authors: Fan Liu, Adam C. Riegel, Yi-Fang Wang

Affiliation: Columbia University Irving Medical Center

Abstract Preview: Purpose: HyperSight, Varian Medical Systems' latest CBCT technology, integrates rapid 6-second data acquisition with advanced iterative reconstruction, enabling precise real-time contouring and dose c...

Evaluation of Lead Glasses Efficiency in Reducing Eye Radiation Exposure during Angiography Using Optically Stimulated Luminescence Dosimeters

Authors: Yu-Ying Lin, Yu Chen Shen

Affiliation: Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital at Linkou

Abstract Preview: Purpose: This study evaluates the protective efficiency of lead glasses against radiation exposure to the eyes during angiography using optically stimulated luminescence dosimeters (OSLDs).
Methods...

Evaluation of MR Proton Density Fat Fraction (PDFF) for Bone Marrow Protection in RT

Authors: Li Tong, Chuyan Wang, Zhengkui Wang, Yingli Yang, Jie Zhang

Affiliation: Shanghai United imaging Healthcare Advanced Technology Research Institute, Shanghai United Imaging Healthcare Co., LTD, Department of Radiology, Ruijin Hospital, Institute for Medical Imaging Technology, Ruijin Hospital

Abstract Preview: Purpose:
Pelvic radiotherapy (RT)-induced bone marrow (BM) damage affects patient prognosis by causing hematologic toxicity. However, consensus on BM-sparing (BMS) RT is still lacking, owing to the...

Evaluation of MRI Distortion across a Multi-Site Health System and the Importance of MRI Distortion QA in Stereotactic Radiosurgery (SRS)

Authors: Emel Calugaru, Jenghwa Chang, Sean T Grace, Nicholas Harvey, Jessica Jung, Ching-Ling Teng

Affiliation: Northwell, Hofstra University, Hofstra University Medical Physics Program

Abstract Preview: Purpose: To evaluate the consistency of MRI distortion corrections across Northwell Health system and evaluate the necessity and importance of distortion QA for MRIs used for stereotactic radiosurgery...

Evaluation of Nodule Volume Accuracy with Deep Learning-Based Reconstructions on Cdznte Photon-Counting and Energy-Integrating CT

Authors: Gisell Ruiz Boiset, Paulo ROBERTO Costa, Luuk J Oostveen, Elsa Bifano Pimenta, Ioannis Sechopoulos, Alessandra Tomal

Affiliation: Radboud University Medical Center, University of SĂŁo Paulo (USP), Institute of Physics, Universidade Estadual de Campinas. Instituto de FĂ­sica Gleb Wataghin

Abstract Preview: Purpose: This study aimed to evaluate the precision and accuracy of volume measurements for solid nodules (SNs) and ground-glass opacities (GGOs) in lung images acquired using energy-integrating CT (E...

Evaluation of Plan Quality and Optimal Isocenter Arrangement for Total Marrow and Lymphoid Irradiation on a Ring-Gantry Linac with Dual-Layer Mlc Using the Knowledge-Based Planning Technique

Authors: Chunhui Han, An Liu, Anthony Magliari, Lesley Rosa

Affiliation: Office of Medical Affairs, Varian, A Siemens Healthineers Company, Department of Radiation Oncology, City of Hope National Medical Center

Abstract Preview: Purpose: To evaluate the performance of a knowledge-based planning (KBP) optimization model for total marrow and lymphoid irradiation (TMLI) on a ring-gantry linac with a dual-layer MLC and to evaluat...

Evaluation of Radiomic Feature Robustness in Quantitative CBCT Imaging for Radiotherapy of Prostate Cancer

Authors: Cem Altunbas, Farhang Bayat, Roy Bliley, Brian Kavanagh, Uttam Pyakurel, Tyler Robin, Ryan Sabounchi

Affiliation: Department of Radiation Oncology, University of Colorado School of Medicine, Taussig Cancer Center, Cleveland Clinic

Abstract Preview: Purpose: The use of image features extracted from serial CBCT images to assess radiotherapy response and toxicity is an active research area. However, poor image quality often compromises reliability ...

Evaluation of Synaptive MRI Geometric Distortion with Sun Nuclear MR Distortion and Image Fusion Head Phantom

Authors: Michael Evan Chaga, Timothy Chen, Darra M. Conti, Jing Feng, Wenzheng Feng, Joseph Hanley, Jeff Stainsby, Tingyu Wang

Affiliation: Synaptive Medical, Hackensack Meridian Health, Jersey Shore University Medical Center

Abstract Preview: Purpose:
The Synaptive MRI is a 0.5T superconducting head only system (first US install 2023). This is the first study that evaluates the geometric accuracy using a Sun Nuclear MR Distortion and Im...

Evaluation of Target Localization Accuracy As a Function of CBCT Acquisition Speed

Authors: Kuan Ling Chen, Jiajin Fan, Maduka M. Kaluarachchi, Wei Nie

Affiliation: Inova Schar Cancer Institute

Abstract Preview: Purpose: This study evaluates the impact of CBCT acquisition speed on the accuracy of moving target alignment during image-guided radiotherapy. Additionally, the influence of target motion speed and r...

Evaluation of Thoracic Direct Dose Calculation Using Truebeam Linac with Hypersight Imaging CBCT Solution

Authors: Theodore Higgins Arsenault, Kenneth W. Gregg, Lauren E Henke, Rojano Kashani, Alex T. Price, Sagar Regmi, Atefeh Rezaei, Runyon C. Woods

Affiliation: University Hospitals Seidman Cancer Center

Abstract Preview: Purpose: To investigate the feasibility and accuracy of using a Hounsfield Unit(HU) calibrated cone-beam computed tomography(CBCT) for direct dose calculation in thoracic treatment settings. In combin...

Evaluation of Treatment Delivery Efficiency and Workflow Optimization in Prostate Stereotactic Body Radiation Therapy: A Comparative Study of C-Arm and O-Ring Linear Accelerators

Authors: Yijian Cao, Jenghwa Chang, Lyu Huang

Affiliation: Northwell, Hofstra University Medical Physics Program

Abstract Preview: Purpose: This study evaluates the treatment delivery efficiency and workflow of two advanced linear accelerator systems—Varian’s TrueBeam (C-arm) and Halcyon (O-ring)—for prostate Stereotactic Body Ra...

Evaluation of Treatment Planning Feasibility and Dosimetric Quality of the Reflexionℱ X1 System for Complex Spinal Targets

Authors: Thomas I. Banks, Bin Cai, Andrew R. Godley, Yang Kyun Park, Hao Peng, Rameshwar Prasad, Chenyang Shen, Shunyu Yan, Haozhao Zhang

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center, University of Texas Southwestern Medical Center

Abstract Preview: Purpose:
The RefleXionÂź X1 (RefleXion Medical, Inc., Hayward, CA) uniquely integrates KVCT and PET as on-board image guidance for radiotherapy. It has been installed and commissioned for clinical u...

Evaluation of a Commercial Metal Artifact Reduction Algorithm for IGRT in Patients with Hip Prostheses

Authors: Laura Bennett, Matthew Charles, Greg Cooley, John M. Floberg, Ryan Hutten, Elissa Khoudary, Nicholas Lynch, Kaili Ranta, Jordan M. Slagowski, Trevor Wilson

Affiliation: University of Pennsylvania, Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Department of Human Oncology, University of Wisconsin-Madison, University of Wisconsin-Madison

Abstract Preview: Purpose: To evaluate the impact of an iterative cone beam CT with metal artifact reduction (iCBCT+MAR) reconstruction algorithm (HyperSight TrueBeam 4.1, Varian Medical Systems) on image quality and s...

Evaluation of a New Radiation Imaging Survey Meter for Treatment Room Cleanup Following Lu-177 and I-131 MIBG Therapy.

Authors: Steven Brown, Mike Hopkins, Jerimy C. Polf, Scott Sawyer, Benjamin L. Viglianti

Affiliation: H3D, inc, University of Michigan, M3D, Inc, M3D Imaging

Abstract Preview: Purpose: To evaluate the potential of a radiation imaging survey meter (RISM) to improve detection and efficiency/speed for radiopharmaceutical therapy (RPT) suite clean up after patient treatment has...

Evaluation of a Novel Multimodal Deformable Image Registration Algorithm for Pelvic MRI-CT Fusion in Radiotherapy

Authors: Christian Fiandra, Marco Fusella, Gianfranco Loi, Silvia Pesente, Lorenzo Placidi, Claudio Vecchi, Orlando Zaccaria, Stefania Zara

Affiliation: Abano Terme Hospital, University of Turin, Maggiore della CaritĂ , Tecnologie Avanzate Srl, Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Abstract Preview: Purpose: Deformable-image-registration (DIR) is essential in modern radiotherapy for adaptive RT, re-irradiation, and other clinical applications. Multimodal DIR is especially important in MRI-only wo...

Evaluation of an Adaptive Denoising Diffusion Probabilistic Model (DDPM) for Fast MRI in Radiotherapy Planning of Pediatric Brain Tumors

Authors: Chia-Ho Hua, Jirapat Likitlersuang, Jinsoo Uh

Affiliation: St. Jude Children's Research Hospital

Abstract Preview: Purpose: AI-based fast MRI, which reconstructs images from undersampled k-space data, has not yet been tailored for RT planning. This study aims to evaluate the fast MRI performance of our recently pr...

Evaluation of an Analytical Simulation Technique By Comparing Transmitted Spectra Against GEANT4 through a Hafnium-Loaded Heterogeneous Phantom

Authors: Sabrina Campelo, Sandun Y. Jayarathna, Adam D. Melancon, Paige L. Nitsch, Christopher Ryan Peeler, Julianne M. Pollard-Larkin, Ramaswamy Sadagopan, Xiaochun Wang, George Zhao

Affiliation: The University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose: Development of an in-house analytical simulation for streamlining photon counting detector (PCD) system protocols through measuring transmitted photon energy spectra through a Hafnium (Hf)-lo...

Evaluation of the Extrapolated Output Factors of Varian's Halycon Beam Model for Fields Smaller Than 1 Cm with AAA and Acurosxb

Authors: Arjit K. Baghwala, Devin J. Olek, Parth K. Patel, Ramiro Pino, Adam Yanez

Affiliation: Houston Methodist Hospital, Kaiser Permanente

Abstract Preview: Purpose: The Halcyon beam model in Eclipse is immutable and only includes output factors (OF) for fields down to 1x1 cm2. The TPS must extrapolate OFs for smaller fields used in stereotactic (SRS/SBRT...

Evaluation of the Hyperscint RP-200 Plastic Scintillation Dosimetry System for Reference Dosimetry in Ultra-High Dose Rate Electron Beam Therapy: A Comparative Study

Authors: Julie Colnot, Eric Deutsch, Christelle Huet, Danahé LeBlanc, Pauline Maury, Charlotte Robert, Imane Saïd Mansour, Cathyanne Schott, Francois Therriault-Proulx

Affiliation: INSERM U1030, Gustave Roussy, University Paris-Saclay, LDRI, IRSN, Medscint, THERYQ / INSERM U1030, Gustave Roussy, University Paris-Saclay, Université Paris-Saclay, Gustave Roussy, Inserm U1030, Radiothérapie Moléculaire et Innovation Thérapeutique

Abstract Preview: Purpose: FLASH radiotherapy, using ultra-high dose rates (UHDR, >100 Gy/s), spares healthy tissues while maintaining tumor control compared to conventional radiotherapy (CONV). However, UHDR dosimetry...

Evaluation of the Imaging Performance of PET-Linac As Compared to a Diagnostic PET/CT System for Small Tumors

Authors: Muhammad Ramish Ashraf, Girish Bal, Daniel Pham, Murat Surucu

Affiliation: RefleXion Medical, Department of Radiation Oncology, Stanford University School of Medicine, Stanford University

Abstract Preview: Purpose: To systematically evaluate the relationship between Activity Concentration (AC) obtained from the RefleXion PET-Linac with the maximum standardized uptake value (SUVmax) derived from a diagno...

Evaluation of the Improvements of a New Leaf Model (Enhanced Leaf Model) for the Halcyon

Authors: Evan Barber, Gloria P. Beyer, Callum Hartley, Jordi Saez, Philip Wheeler

Affiliation: Department of Radiation Oncology, Hospital Clinic de Barcelona, Department of Radiotherapy Physics, Velindre University NHS Trust, Medical Physics Services, LLC

Abstract Preview: Purpose: To evaluate the Enhanced Leaf Model (ELM) in Eclipse v18 to the standard leaf model for the Halcyon multileaf collimator (MLC) using a measurement-based method.
Methods: The Halcyon’s doub...

Evaluation of the Inverse Planning Optimization with Leksell GammaplanÂź

Authors: Nina Burbure, Tawfik G. Giaddui, Shidong Li, Curtis Miyamoto, Jeremy Price, Bin Wang

Affiliation: FCCC at Temple University Hospital

Abstract Preview: Purpose: Our GammaKnife(GK) has been upgraded from 4C to ICON recently. In this study we evaluated the performance of Lightning IPO for ICON.
Methods: 10 cases with single brain metastasis previous...

Evaluation of the Latest Plastic Scintillating Detector System with Probe Sizes of 0.5 × 0.5 mm2 and 1.0 × 1.0 mm2 for Small Field Dosimetry

Authors: Milad BaradaranGhahfarokhi, Ashley Elizabeth Bonner, James R. Burns, Annie Cooney, George X. Ding, Kenneth L. Homann, Guozhen Luo

Affiliation: Corewell Health William Beaumont University Hospital, Vanderbilt University Medical Center

Abstract Preview: Purpose: The goal of this study was to evaluate the performance of a new plastic scintillating detector (PSD) system with 0.5×0.5 mm2 and 1.0×1.0 mm2 probes (referred to as Medscint0.5 and Medscint1.0...

Evaluation of the Reflexion X1 As a Standalone PET/CT Simulator for Treatment Planning and Treatment Adaptation

Authors: Chunhui Han, An Liu, William T. Watkins, Qiuyun Xu

Affiliation: Department of Radiation Oncology, City of Hope National Medical Center

Abstract Preview: Purpose: To evaluate the RefleXion X1 imaging system as a standalone positron emission tomography and computed tomography (PET/CT) simulator for radiotherapy treatment planning and adaptive re-plannin...

Evaluation on the Newest Automatic Isocenter Placement Function in ZAP-X Advanced TPS

Authors: Michael Evan Chaga, Timothy Chen, Darra M. Conti, Shabbar Danish, Jing Feng, Wenzheng Feng, Joseph Hanley, Tingyu Wang

Affiliation: Hackensack Meridian Health, Jersey Shore University Medical Center

Abstract Preview: Purpose: In August 2024, ZAP-X introduced automatic placement for isocenters in a DP-1010 upgrade for treatment planning. In this study, plans made by automatic placed isocenters are compared to those...

Evolution of Log File-Based Patient-Specific QA across Multiple Linac Replacements

Authors: Gweneth Andersen, Colleen M. Foote, David (Bo) McClatchy, Hannah McFarland

Affiliation: Massachusetts General Hospital

Abstract Preview: Purpose: To quantify the impact of MLC model differences and LINAC age on treatment plan evaluation by log file-based patient-specific QA (PSQA) through the lifetime of the machines.
Methods: 3D ga...

Expert Verification of AI-Generated Cardiac Substructures and Dosimetric Differences between Auto-Contoured and Manually Delineated Contours

Authors: Stephen R. Bowen, Richard Cheng, Kylie Kang, Janice Kim, Ana Paula Santos Lima, Dominic A. Maes, Juergen Meyer, Karen Ordovas, Kerry Reding

Affiliation: Department of Radiation Oncology, University of Washington, Department of Radiation Oncology, Fred Hutchinson Cancer Center, University of Washington, Department of Radiology, University of Washington, Division of Cardiology, University of Washington, Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington

Abstract Preview: Purpose: Artificial intelligence (AI)-based auto-segmentation tools can increase the efficacy and reproducibility of radiotherapy (RT) treatment planning. This study evaluates the quality of AI-genera...

Explainable AI with Attention Gates for Transparent and Interpretable Lung Radiotherapy Plan Evaluation

Authors: Jeffrey D. Bradley, Steven J. Feigenberg, Cole Friedes, Yin Gao, Xun Jia, Kevin Teo, Lingshu Yin, Jennifer Wei Zou

Affiliation: Department of Radiation Oncology, University of Pennsylvania, Johns Hopkins University

Abstract Preview: Purpose: Understanding how physicians evaluate plans is critical for automatic planning and ensuring consistent, high-quality care. While deep-learning models excel in complex decision-making, the lac...

Explainable Hybrid CNN-LLM Model to Guide Treatment Planning of Cervical Cancer High Dose Rate Brachytherapy

Authors: Adnan Jafar, Xun Jia, Michael B. Roumeliotis

Affiliation: Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Johns Hopkins University

Abstract Preview: Purpose: HDR brachytherapy (HDRBT) treatment planning is challenging due to the need for high-quality plans under time pressure, considering anatomy and applicator geometry. This study proposes an exp...

Explaining the Normal Tissue Sparing of Flash By Oxygen Fixation Hypothesis

Authors: Daisuke Kawahara, Yoichi Watanabe

Affiliation: Department of Radiation Oncology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Department of Radiation Oncology, University of Minnesota Medical School

Abstract Preview: Purpose: To theoretically demonstrate that FLASH dose delivery leads to higher normal tissue sparing than conventional dose rates.
Methods: A two-component kinetic model was built for target and da...

Exploiting the Glycerol CH2 Resonances for Estimating Relative Free Fatty Acid to Triglyceride Concentration Ratios

Authors: José Antonio Klautau Toffoli, Anthony G. Tessier, Atiyah Yahya

Affiliation: Department of Oncology, University of Alberta

Abstract Preview: Purpose: To demonstrate that magnetic resonance spectroscopy (MRS) methyl (≈0.9 ppm) to glycerol (≈4.1-4.3 ppm) resonance area ratios correlate with relative concentrations of free fatty acids to trig...

Exploring NSCLC Microenvironments: Multi-Score Survival Models Integrationg Radiomics-Based Regional Imaging Features and Genomics

Authors: Nobuki Imano, Daisuke Kawahara, Misato Kishi, Yuji Murakami

Affiliation: Department of Radiation Oncology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Graduate School of Biomedical and Health Sciences, Hiroshima University

Abstract Preview: Purpose: This study aims to develop a comprehensive Multi-score by integrating Radiomics-score (Rad-score), Gene-score derived from gene expression levels, and tumor environment Rad-score (TE-Rad-scor...

Exploring Perceptions of Global Medical Physics As a Viable Career Path in the Field of Medical Physics

Authors: Oi-Wai Chau, Beata Gontova Bernat, Mary Gronberg, Yao Hao, Amanda M. Jackson, Nupur Karmaker, Dishane Chand Luximon, Osama R. Mawlawi, Ikechi Samuel Ozoemelam, Deepak Shrestha, William Swanson, Md Tofiz Uddin, Joseph Weygand, Afua A. Yorke

Affiliation: University of Michigan, Mayo Clinic, Champion Cancer Center, UT MD Anderson Cancer Center, Department of Radiation Oncology and Applied Science, Dartmouth Health, University of Washington, Washington University in St Louis, Washington University School of Medicine, Department of Radiation Oncology, University of California, Los Angeles, National Institute of Cancer Research and Hospital, Emory University, Dept. of Medical Physics and Biomedical Engineering, Gono Bishwabidyalay, The University of Texas Southwestern Medical Center

Abstract Preview: Purpose: To evaluate perception and awareness of global medical physics (GMP) as a career path among medical physics professionals and trainees, identify opportunities to enhance professional developm...

Exploring the Compatibility of VMAT and Respiratory Beam Gating on MR-Linac: A Proof-of-Concept Study

Authors: Caiden Atienza, Pim T. S. Borman, Martin F. Fast, Daniel E. Hyer, Bas W. Raaymakers, Jeffrey E. Snyder, Prescilla Uijtewaal, Peter Woodhead

Affiliation: Department of Radiotherapy, University Medical Center Utrecht, Yale New Haven Health, University of Iowa

Abstract Preview: Purpose:
On conventional C-arm linacs, VMAT is the preferred delivery modality due to its superior efficiency and highly conformal dose distributions. MR-linacs offer superior soft-tissue imaging t...

Extremity Imaging with Cone-Beam CT (CBCT) Scanner Dedicated for Hip Imaging – What Are the Effective Doses?

Authors: Jeff Boob, Jaydev K. Dave, Tim Minch, Bhavyata Tanna

Affiliation: Dr. Ronald E. McNair Academic High School, Mayo Clinic, CurveBeam AI

Abstract Preview: Purpose: To compute effective doses associated with imaging of the extremities with a HiRise (CurveBeam AI, Hatfield, PA) cone-beam CBCT scanner specifically designed for weight-bearing imaging of the...

Eye-Tracking Analysis of Radiologist Preferences in PET Imaging: Comparing 5-Ring and 6-Ring Detector Configurations

Authors: Samuel L. Brady, Joseph G. Meier, Elanchezhian Somasundaram, Andrew T Trout

Affiliation: Cincinnati Children's Hospital Medical Ctr, Cincinnati Childrens Hospital Med Ctr

Abstract Preview: Purpose:
To analyze eye-tracker gaze data for insights into radiologists’ areas of focus in an observer study of whole-body PET images.
Methods:
For a comparative study of dose matched PET im...

FMEA for Direct to Unit Adaptive Radiotherapy

Authors: Haleem Azmy, Robbie Beckert, Farnoush Forghani, Dean Hobbis, Dan Hong, Hyun Kim, Eric Laugeman, Silpa Raju-Salicki, Domenic Sievert

Affiliation: Washington University in St. Louis School of Medicine, WashU Medicine, Washington University School of Medicine, Department of Radiation Oncology, Washington University School of Medicine in St. Louis, Washington University School of Medicine, Wash U Medicine, Washington University in St. Louis

Abstract Preview: Purpose: A novel radiation therapy (RT) workflow has recently emerged with the advent of online adaptive RT systems, direct-to-unit (DTU). DTU utilizes online adaptive platforms (MR and CT based) to o...

FMEA for Optimizing Patient-Specific QA Program in IMRT: Insights from Diverse Practices

Authors: Bing-Hao Chiang, Eric C. Ford, Juergen Meyer, Timothy D. Solberg

Affiliation: Department of Radiation Oncology, Fred Hutchinson Cancer Center, University of Washington

Abstract Preview: Purpose: This study evaluated the potential risk reduction of various pretreatment patient-specific quality assurance (PSQA) programs for Intensity Modulated Radiation Therapy (IMRT) in mitigating fai...

Failure Mode and Effects Analysis (FMEA) on Use of Surface Guided Imaging

Authors: Victoria Noelle Bry, Tamara Egan, Eric C. Ford, Angelia Landers, Juergen Meyer

Affiliation: Fred Hutch Cancer Center, University of Washington, Department of Radiation Oncology, Fred Hutchinson Cancer Center, University of Washington, University of Washington

Abstract Preview: Purpose: Surface guided radiation therapy (SGRT) can improve patient safety, however, its complex integration may expose processes to increased risk of error. This work identifies potential failures f...

Fast 3D Scintillation Dosimetry Using Single View Deep Learning Reconstruction

Authors: Louis Archambault, Nicolas Drouin, Alexis Horik, Simon Thibault

Affiliation: Département de Physique, de Génie Physique et D'optique, et Centre de Recherche sur le Cancer, Université Laval, Département de Physique, de Génie Physique et D'optique, et Centre d'optique, photonique et laser, Université Laval

Abstract Preview: Purpose: To develop a novel type of real-time 3D dosimeter for the quality assurance of linear accelerators used in external beam radiotherapy.
Methods: An experimental setup was constructed using ...

Fast Synthetic-CT-Free Dose Calculation in MR Guided RT

Authors: Claus Belka, Stefanie Corradini, George Dedes, Nikolaos Delopoulos, Christopher Kurz, Guillaume Landry, Ahmad Neishabouri, Domagoj Radonic, Adrian Thummerer, Niklas Wahl, Fan Xiao

Affiliation: Department of Radiation Oncology, LMU University Hospital, LMU Munich, Department of Medical Physics, LMU Munich, Department of Medical Physics in Radiation Oncology, German Cancer Research Center (DKFZ), National Center for Radiation Oncology (NCRO), Heidelberg Institute for Radiation Oncology (HIRO)

Abstract Preview: Purpose: In MR-guided online adaptive radiotherapy, MRI lacks tissue attenuation information necessary for accurate dose calculations. Instead of using deep learning methods to generate synthetic CT i...

Feasibility Analysis of Applying a Remote Magnetic Navigation System for Bowel Sparing during SBRT

Authors: Justus Adamson, Wesley Andrew Cunningham, Chang-Sei Kim, Yeongoh Ko

Affiliation: Duke University, Chonnam National University, Duke University Medical Center

Abstract Preview: Purpose: Toxicity to bowel remains a challenge for radiotherapy, particularly for abdominal SBRT . We propose a noninvasive method to reposition bowel using a remote magnetic navigation system (RMNS) ...

Feasibility Study of Ethos Artificial-Intelligence Online Adaptive Prostate SBRT

Authors: Miguel Albaladejo, Ana Corbalan, Aitor Ortega, Vicente Puchades, David Ramos, Alfredo Serna-Berna, Jonattan Suarez

Affiliation: Hospital General Universitario Santa Lucia

Abstract Preview: Purpose:
Prostate SBRT treatments are frequently delivered using standard VMAT IGRT technique. The aim of this study is to test the feasibility of Ethos Artificial Intelligence (AI) prostate SBRT b...

Feasibility Study of Single Gantry Angle Proton Minibeam Lattice Radiotherapy

Authors: Anthony Hong Cheol Lim, Rayyan L Mahmood, Alexander Stanforth, Chris C. Wang, Mingyao Zhu

Affiliation: Georgia Institute of Technology, Emory University

Abstract Preview: Purpose: The purpose of this project is to test the feasibility of proton minibeam lattice radiotherapy within an existing clinical setting.
Methods:
The TOPAS code is used to model a scenario i...

Feasibility Study of Using HDR1000+ Well-Type Ionization Chambers for Solution Based 90y Measurements

Authors: Denis Bergeron, Larry A. DeWerd, Sean Jollota, Peyton Alexandra Lalain, Likhitha Polepalli

Affiliation: Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison, National Institute of Standards and Technology

Abstract Preview: Purpose: 90Y is a challenging radionuclide to measure because it is a pure beta-emitter and is typically quantified using a radionuclide calibrator. These devices, such as the Capintec model used in t...

Feasibility and Consistency of a Quad Wedge with a 2D Detector Array for Routine Quality Assurance on a MR-Linac

Authors: Grace Hutchinson, Daniel E. Hyer, Samuel D. Rusu, Blake R. Smith, Joel J. St-Aubin

Affiliation: Iowa Health Care, University of Iowa

Abstract Preview: Purpose: To assess the feasibility and consistency of the Sun Nuclear Corporation (SNC) MR conditional Quad Wedge, as an accessory to the IC Profiler-MR, and to evaluate beam output and energy in the ...

Feasibility and Dosimetric Impact of Intensity-Modulated Radiotherapy for Cervical Cancer Patients in Nepal: A Retrospective Analysis

Authors: Daniela Branco, John M Bryant, Surendra Bahadur Chand, Pratiksha Shahi, Joseph Weygand

Affiliation: Department of Radiation Oncology and Applied Science, Dartmouth Health, B.P. Koirala Memorial Cancer Hospital, , B.P Koirala Memorial Cancer Hospital, University of California San Diego / California Protons, Department of Radiation Oncology, Moffitt Cancer Center

Abstract Preview: Purpose:
Cervical cancer remains a significant health burden in Nepal, with 2169 new cases and 1313 deaths recorded in 2022. This study evaluates the feasibility of implementing step-and-shoot IMRT...

Feasibility of Efficient Offline Adaptive Replanning with Hypersight High-Performance Cone-Beam CT on Truebeam for Pelvis RT

Authors: Jochen Cammin, Shifeng Chen, Arun Gopal, Kai Huang, Jason K Molitoris, Amit Sawant, Kai Wang

Affiliation: University of Maryland, Department of Radiation Oncology, University of Maryland School of Medicine, Maryland University Baltimore, Department of Radiation Oncology, University of Maryland Medical Center

Abstract Preview: Purpose: The HyperSight CBCT optional feature on Varian TrueBeam linacs offers a larger field-of-view, improved Hounsfield units (HU) accuracy, and overall improved image quality, including metal arti...

Feasibility of Extracting Diagnosis and Staging at Scale from Clinical Notes Via a Real-World Data Warehouse

Authors: Melissa Bronson, Elizabeth L. Covington, Robert T. Dess, Joseph R. Evans, William C. Jackson, Charles S. Mayo, Michelle L. Mierzwa, Benjamin S. Rosen, VG Vinod Vydiswaran, Grant Weyburne, Zheng Zhang, Henry Zocher

Affiliation: PCORnetÂź, The National Patient-Centered Clinical Research Network, University of Michigan

Abstract Preview: Purpose: Diagnosis and staging are an integral part of cancer care, but this information is often scattered across various electronic medical records. The fragmentation increases overall documentation...

Feasibility of Producing GRID Therapy Dosimetry Using a Compact Linac Treatment Head with Pencil Beam Scanning

Authors: Yiran Liu, Zhengzheng Liu, Fang-Fang Yin

Affiliation: Duke Kunshan Univeristy, Huazhong University of Science and Technology, Medical Physics Graduate Program, Duke Kunshan University

Abstract Preview: Purpose: To investigate the feasibility of producing high dose rate GRID therapy using a compact linear accelerator (LINAC) treatment head with scanning beam and stationary grid collimator.
Methods...

Feasibility of Rapidarc Dynamic for Lattice Radiation Therapy of Bulky Liver Tumors

Authors: Christine V. Chung, Laurence Edward Court, Meena S. Khan, Ethan B. Ludmir, Rachael M. Martin Paulpeter, Saurabh Shashikumar Nair, Callistus M. Nguyen, Joshua S. Niedzielski, Luis Augusto Perles

Affiliation: MD Anderson Cancer Center, The University of Texas MD Anderson Cancer Center, UT MD Anderson Cancer Center, Department of Radiation Physics, The University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose: Spatially Fractionated Radiation Therapy (SFRT) has re-emerged as an efficacious treatment approach for bulky solid tumors. RapidArc Dynamic (RAD) has unique beam delivery capabilities that m...

Feasibility of Real-Time Monitoring in Tumor Treating Fields Therapy Using Electrical Impedance Tomography: Analysis of Current Injection and Measurement Patterns

Authors: Sung Hwan Ahn, Yongha Gi, Jinju Heo, Jinyoung Hong, Yunhui Jo, Yousun KO, Hyeongjin Lim, Sang Yoon PARK, Myonggeun Yoon

Affiliation: Institute of Global Health Technology (IGHT), Korea University, Republic of Korea, Korea University, Samsung Medical Center

Abstract Preview: Purpose:
This study aims to evaluate the feasibility of real-time monitoring of conductivity changes induced by thermal variations during tumor treating fields (TTFields) therapy using Electrical I...

Feasibility of Using 68ga-PSMA for Biology-Guided Radiotherapy (BgRT) Treatment

Authors: Girish Bal, Thomas I. Banks, Bin Cai, Neil Desai, Aurelie Garant, Orhan Oz, Elizeva Phillips, Rameshwar Prasad, Chenyang Shen, Robert Timmerman

Affiliation: Department of Radiation Oncology, UT Southwestern Medical Center, University of Texas Southwestern Medical Center, UT Southwestern Medical Center, RefleXion Medical

Abstract Preview: Purpose: This study reports findings from the first-in-human imaging-only trial evaluating the feasibility of using the novel PET tracer 68Ga-PSMA-11 (Illuccix) to guide external beam radiotherapy on ...

Feasibility of Using a Convolutional Neural Network to Predict Physician Evaluation of Synthetic Medical Images

Authors: Sofia Beer, Menal Bhandari, Alec Block, Nader Darwish, Joseph Dingillo, Sebastien A. Gros, Hyejoo Kang, Andrew Keeler, Rajkumar Kettimuthu, Jason Patrick Luce, Ha Nguyen, John C. Roeske, George K. Thiruvathukal, Austin Yunker

Affiliation: Data Science and Learning Division, Argonne National Laboratory, Department of Radiation Oncology, Stritch School of Medicine, Loyola University Chicago, Stritch School of Medicine Loyola University Chicago, Cardinal Bernardin Cancer Center, Loyola University Chicago, Department of Computer Science, Loyola University of Chicago

Abstract Preview: Purpose: Artificial intelligence (AI) generated synthetic medical images are seeing increased use in radiology and radiation oncology. Physician observer studies are an ideal way to evaluate the usabi...

Feasibility of Using a Dynamic-Platform with High-Resolution Patient-Specific QA Device for Periodic and Patient-Specific-QA in Respiratory-Gated Radiotherapy Lung SBRT Treatment

Authors: Tae Kyu Lee

Affiliation: Allina Health

Abstract Preview: Purpose: To assess the feasibility of a dynamic-platform integrated with high-resolution patient-specific-quality-assurance (PSQ device for periodic quality assurance (PQA) and PSQA in respiratory-gat...

Feasibility of X-Ray Based Online Adaptive Dynamic Optimization with Integrated Knowledge-Based Planning for Head and Neck Cancer

Authors: Jacob S. Buatti, Mu-Han Lin, Dominic Moon, David D.M. Parsons, David Sher, Justin D. Visak, Hui Ju Wang

Affiliation: Department of Radiation Oncology, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center, Department of Radiation Oncology, UT Southwestern Medical Center, Dallas, TX

Abstract Preview: Purpose: Most current adaptive treatment planning systems (TPS) natively utilize static planning goals from the reference plan for online adaptive re-optimization. In complex head-and-neck cancer (HNC...

Feasibility of a Bench-Top Pcct Model for Electronic Density Measurements: A Monte Carlo Simulation Study

Authors: Gisell Ruiz Boiset, Paulo ROBERTO Costa, Renan Felix dos Santos, Gustavo Freire Pereira da Silva, Alessandra Tomal

Affiliation: University of SĂŁo Paulo (USP), Institute of Physics, Universidade Estadual de Campinas. Instituto de FĂ­sica Gleb Wataghin

Abstract Preview: Purpose: Evaluate the feasibility of a bench-top PCCT using Geant4 Monte Carlo simulations. The study applied the Geant4 framework on determining the electronic density of materials as a function of C...

Financial Viability Analysis of on-Table Simulation Enabled Halcyon Using Time Driven Activity-Based Costing

Authors: Xinyuan Chen, Geoffrey D. Hugo, Alex T. Price, Pamela Samson, Tianyu Zhao

Affiliation: University Hospitals Seidman Cancer Center, University of South Florida, Washington University School of Medicine, WashU Medicine

Abstract Preview: Purpose: This study evaluates the financial viability of on-table simulation (CBCTp) enabled Halcyon system in radiation therapy. By leveraging Time-Driven Activity-Based Costing (TDABC), the analysis...

Financial Viability of on-Table Simulation Enabled Halcyon System Using Time Driven Activity-Based Costing Analysis.

Authors: Xinyuan Chen

Affiliation: Washington University School of Medicine

Abstract Preview: Purpose: This study evaluates the financial viability of on-table simulation (CBCTp) enabled Halcyon system in radiation therapy. By leveraging Time-Driven Activity-Based Costing (TDABC), the analysis...

Finding the Best Match of 4D-CT Phases to Delineate Volumes for Bgrt

Authors: Resat Aydin, Joseph Barbiere, Brett Lewis, Roland Teboh

Affiliation: HUMC, Hackensack University Medical Center

Abstract Preview: Purpose:
Accurately compensating for respiratory-induced tumor motion is critical in BgRT, where precise delineation of volumes ensures effective dose delivery. We propose an integrated approach th...

First Beam Characterization of the Radiabeam FLEX-9 Electron Flash Linac

Authors: Robert Berry, John Buatti, Nathan Burger, Ryan T. Flynn, Greg Johns, Maksim Kravchenko, Sergey Kutsaev, Yen-Po Lee, Marcos Ruelas, Joel J. St-Aubin, Timothy J. Waldron

Affiliation: RadiaBeam Technologies, University of Iowa

Abstract Preview: Purpose: To report the factory acceptance tests of a preclinical linear accelerator, the FLEX-9 electron FLASH linac from RadiaBeam Technologies.
Methods: The FLEX-9 FLASH electron linac is designe...

First in-Vivo Proton Radiography Experiments for an Image-Guided Small Animal Irradiation Platform with a TimePix3-Based Detector Setup

Authors: Niels Bassler, Jonathan Bortfeldt, Carlos Granja, Guyue Hu, Margarita Kozak, Julie Lascaud, Kirsten Lauber, Grigory Liubchenko, Jasper Nijkamp, Cristina Oancea, Prasannakumar Palaniappan, Katia Parodi, Marco Pinto, Per R. Poulsen, Marco Riboldi, Brita Singers SĂžrensen, Matthias WĂŒrl

Affiliation: Department of Nuclear Medicine, LMU University Hospital, LMU Munich, Department of Radiation Oncology, LMU University Hospital, LMU Munich, Department of Medical Physics, Ludwig-Maximilians-UniversitĂ€t MĂŒnchen (LMU Munich), Danish Centre for Particle Therapy, Aarhus University Hospital, Department of Medical Physics, Ludwig-Maximilians-UniversitĂ€t (LMU) MĂŒnchen, Department of Experimental Clinical Oncology, Aarhus University, Department of Oncology, Aarhus University Hospital, Advacam

Abstract Preview: Purpose: To apply in-vivo proton radiography (pRad) to aid image registration and treatment plan refinement for a novel precision image-guided small animal proton irradiation platform.

Methods:...

Follow-the-Leader Framework for Adaptable Target Segmentation in Radiotherapy

Authors: Mingli Chen, Xuejun Gu, Mahdieh Kazemimoghadam, Weiguo Lu, Qingying Wang

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, Department of Radiation Oncology, Stanford University School of Medicine

Abstract Preview: Purpose: This study introduces a novel template-guided deep learning framework for primary gross tumor volume (GTVp) segmentation, addressing challenges posed by diverse tumor types and enabling a uni...

Foundation Model-Augmented Learning for Automatic Delineation in Precision Radiotherapy

Authors: Xianjin Dai, PhD, Michael Gensheimer, Praveenbalaji Rajendran, Lei Xing, Yong Yang

Affiliation: Department of Radiation Oncology, Stanford University, Massachusetts General Hospital, Harvard Medical School

Abstract Preview: Purpose: Recent advances in the automatic delineation of radiotherapy treatment targets, which incorporate linguistic clinical data extracted by large language models (LLMs) into traditional visual-on...

Foundation Models with Balanced Data Sampling Enhance Auto-Segmentation for Cardiac Substructures

Authors: Chloe Min Seo Choi, Nikhil Mankuzhy, Aneesh Rangnekar, Andreas Rimner, Maria Thor, Harini Veeraraghavan, Abraham Wu

Affiliation: Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, Department of Medical Physics, Memorial Sloan Kettering Cancer Center, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose: Cardiac substructure irradiation predisposes patients for poor outcomes in thoracic radiation therapy. A deep learning model was developed to segment the cardiac substructures invariant to co...

Four-Dimensional on-Beam Computed Tomography Reconstruction from Projection Image Differences Representing Motion Change

Authors: Kwang-Ho Cheong, Seungryong Cho, Joonil Hwang, Jae Won Jung, Hoyeon Lee, Raymond Hyunwoo Moon, Inhwan Yeo, Jihyung Yoon

Affiliation: East Carolina University, INOVA Schar Cancer Institute, University of Hong Kong, Hanllym University, KAIST, University of Rochester

Abstract Preview: Purpose: Monitoring a target and neighboring organs during beam delivery is crucial for successful radiotherapy (RT). Conventional transit imaging methods lack volumetric reconstruction capabilities, ...

Fractionation of Electron RT Reduces the Flash Effect in Murine Skin

Authors: Xu Cao, Wesley S. Culberson, Aleksandra Ilina, Kendall Jarvis, Brian W Pogue, Matthew Reed, William Scott Thomas, Nathaniel Van Asselt, Albert van der Kogel

Affiliation: University of Wisconsin: Madison, University of Wisconsin: Madison School of Veterinary Medicine, Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison, Department of Human Oncology, University of Wisconsin–Madison, University of Wisconsin-Madison, University of Wisconsin - Madison, UW-Madison

Abstract Preview: Purpose: While FLASH radiotherapy is known to reduce skin damage in vivo from ultra-high dose rate (UHDR) irradiation relative to conventional dose rates (CDR). Currently it is not clear whether this ...

Free Radical Irradiation Emergent (FIRE) MRI: Real-Time MR-Based Quantification of Radiation-Produced Free Radical Generation on a Clinical MR-Linac

Authors: Claire Keun Sun Park, Atchar Sudhyadhom, Veena Venkatachalam, Noah Warner

Affiliation: Harvard–MIT Program in Health Sciences and Technology, Massachusetts Institute of Technology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School,, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School

Abstract Preview: Purpose: Modern radiotherapy achieves sub-millimeter spatial accuracy but fails to account for patient- and spatially-specific variations in biological response. Free radical generation (FRG), particu...

Free-Breathing Spirometer-Gated Proton Pencil Beam Scanning Delivery Maintains Tumor Coverage with Improved Organ-at-Risk Sparing: A Motion Phantom Validation

Authors: Uriel Aura, Qing Chen, Arpit M. Chhabra, J Isabelle Choi, Chanda Guha, Meng Wei Ho, Sheng Huang, Minglei Kang, Stanislav Lazarev, Nancy Y Lee, Yang Lei, Haibo Lin, Hang Qi, Mahbubur Rahman, Charles B. Simone, Shouyi Wei, Irini Yacoub, Francis Yu, Anna Zhai, Ajay Zheng

Affiliation: DYN'R Medical System, New York Proton Center, Montefiore Medical Center and Albert Einstein College of Medicine, Icahn School of Medicine at Mount Sinai, Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, Tianjin Medical University Cancer Institute&Hospital, Department of Human Oncology, University of Wisconsin-Madison

Abstract Preview: Purpose: Managing tumor motion during pencil beam scanning proton therapy remains challenging. This study investigated the feasibility and dosimetric benefits of Free-Breathing Respiratory-Gated Deliv...

Free-Breathing VMAT and IMRT Versus Deep Inspiration Breath- Hold 3D-CRT Techniques for Left-Breast Cancer: A Practical Solution for Developing Countries

Authors: Md. Yousuf Ali, Parvin Akhter Banu, Ehteshamul Hoque, Qazi Mushtaq Hussain, Md Jobairul Islam, Md. Abdul Mannan, Sadia Afrin Sarah, Mostafa Aziz Sumon, Ahammad Al Mamun Sweet, AFM Kamal Uddin

Affiliation: Labaid Cancer Hospital & Superspeciality Centre

Abstract Preview: Purpose: Radiotherapy for left-sided breast cancer can induce cardiac injury. Deep Inspiration Breath Hold (DIBH) is a technique that minimizes cardiac exposure during treatment. This study compares d...

From Noisy Signals to Accurate Maps: Transforming Look-Locker MRI with an Intelligent T₁ Estimation

Authors: Prabhu C. Acharya, Hassan Bagher-Ebadian, Stephen L. Brown, James R. Ewing, Mohammad M. Ghassemi, Benjamin Movsas, Farzan Siddiqui, Kundan S Thind

Affiliation: Michigan State University, Oakland University, Henry Ford Health

Abstract Preview: Purpose: Accurate T1 quantification using T One by Multiple Read Out Pulse (TOMROP) sequences is essential for physiological assessments in dynamic-contrast-enhanced (DCE) MRI and T1 mapping studies. ...

Functional Liver Image Guided Radiation Planning Using MRI with a Contrast Agent

Authors: Kenneth L. Homann, Natalie A Lockney, Hong Zhang

Affiliation: Department of Radiation Oncology, Vanderbilt University Medical Center, Vanderbilt University Medical Center

Abstract Preview: Purpose: The aim of this study is to develop a treatment planning methodology utilizing liver functional imaging via contrast-enhanced Magnetic Resonance Imaging (MRI) in patients undergoing stereotac...

Functional MRI Guided Partial Tumor Irradiation to Improve Tumor Control and Spare Tumor Microenvironment

Authors: Bingqi Guo, Ping Xia

Affiliation: Cleveland Clinic

Abstract Preview: Purpose:
Spatially fractionated radiation therapy (SFRT) delivers a “GRID” or “lattice” of high and low doses to tumors to increase tumor control, minimize normal tissue damage, and preserve the im...

G4BraggReflection: Pioneering Wave-Particle Simulations for Convergent Radiotherapy and Beyond

Authors: Dirk A Bartkoski, Michael Kleckner, Dongyeon Lee, Reza Reiazi, Mohammad Reza Salehpour

Affiliation: The University of Texas MD Anderson Cancer Center, Convergent-RnR

Abstract Preview: Purpose:
To develop and validate G4BraggReflection, a novel physics process within Geant4, designed to incorporate diffraction properties resulting in Bragg reflection into Monte Carlo simulations....

GPU Accelerated Monte Carlo Simulation for Tset Dose Calculation

Authors: Veng Jean Heng, Jan P. Seuntjens, Timothy C. Zhu, Yifeng Zhu

Affiliation: Department of Radiation Oncology, Stanford University, Princess Margaret Cancer Centre & University of Toronto, University of Pennsylvania

Abstract Preview: Purpose: We have developed a GPU-accelerated Monte Carlo (MC) simulation to determine the cumulative dose distribution of patients undergoing Total Skin Electron Therapy (TSET) using the Stanford tech...

Gaze Angle Selection in Proton Therapy for Ocular Tumors with Machine Learning

Authors: Ling Chen, Alexei V. Trofimov, Yi Wang, Dufan Wu

Affiliation: Massachusetts General Hospital, MGH

Abstract Preview: Purpose:
Selecting gaze angles of the eye is an important part of set-up of proton therapy for ocular tumors, ensuring that the treatment beam could irradiate the tumor while maximally sparing impo...

Geant4-DNA Simulation of Human Breast Cancer Cells Line MCF7 Irradiation with 213bi As Targeted Radionuclides

Authors: Hamid Abdollahi Nasehabad, Mehrangiz Amiri, Mohammad Reza Deevband, Faraz Kalantari, Milad Peer-Firozjaei, Ali Shabestani Monfared, Ehsan Tajikmansoury

Affiliation: Biomedical Engineering and Medical Physics Department, School of Medicine, Shahid Beheshti University of Medical Sciences, Department of Radiology, University of British Columbia, Department of Radiation Oncology, University of Arkansas for Medical Sciences (UAMS), Department of Radiobiology and Medical Physics, Babol University of Medical Sciences, 1. Department of Radiobiology and Medical Physics, Babol University of Medical Sciences, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine

Abstract Preview: Purpose:
Targeted radionuclide therapy (TRNT) with 213Bi- labeled radiopharmaceuticals is a promising approach in targeted alpha and beta therapy for cancer. This study aims to assess double-strand...

Generalizable 7T T1 Map Synthesis from 1.5T and 3T T1W MRI for High-Resolution MRI-Guided Radiation Therapy

Authors: Zachary Buchwald, Chih-Wei Chang, Zach Eidex, Hui Mao, Richard L.J. Qiu, Justin R. Roper, Mojtaba Safari, Hui-Kuo Shu, Xiaofeng Yang, David Yu

Affiliation: Emory University and Winship Cancer Institute, Emory University, Department of Radiation Oncology and Winship Cancer Institute, Emory University, Emory University School of Medicine

Abstract Preview: Purpose: MRI-guided radiation therapy (MRgRT) benefits significantly from enhanced soft-tissue contrast and spatial resolution, which aid in accurately delineating tumors and organs at risk. Although ...

Generalization of the Conformity Index for Multi-Target Radiotherapy Plans

Authors: Jianrong Dai, Jun Dang, Enzhuo Quan, Yong Sang, Jianan Wu

Affiliation: Cancer Hospital Chinese Academy of Medical Sciences, Shenzhen Center, National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital & Shenzhen Hospital / Chinese Academy of Medical Sciences and Peking Union Medical College, Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College

Abstract Preview: Purpose: The current conformity index (CI) formula is distorted for radiotherapy plans with multiple, non-enclosing targets. We redefined the volume of reference isodose (VTV) parameter in the CI form...

Generalized 2D Cine Multi-Modal MRI-Based Dynamic Volumetric Reconstruction Using Motion-Aligned Implicit Neural Network with Spatial Prior Embedding

Authors: Ming Chao, Karyn A Goodman, Yang Lei, Tian Liu, Jing Wang, Jiahan Zhang

Affiliation: Icahn School of Medicine at Mount Sinai

Abstract Preview: Purpose: Real-time volumetric MRI is essential for motion management in MRI-guided radiotherapy (MRIgRT), yet acquiring high-quality 3D images remains challenging due to time constraints and motion ar...

Generating Brain Pseudo-CT from PET-Only Images Using Deep Learning Method

Authors: Pouya Azarbar, Nima Kasraie, Mahsa Shahrbabki Mofrad, Peyman Sheikhzadeh

Affiliation: UT Southwestern Medical Center, Shahid Beheshti University of Medical science, Imam Khomeini Hospital Complex,Tehran University of Medical Sciences, Tehran University of Medical Science

Abstract Preview: Purpose: PET imaging become crucial in diagnosing and managing various diseases, but its key limitation is the lack of detailed anatomical information. Integrating CT-scans with PET images enhances cl...

Generation of Virtual Lung PET Images from CT Data Via Deep Learning for Accelerated Tumor Detection and Preliminary Diagnosis

Authors: Pouya Azarbar, Nima Kasraie, Peyman Sheikhzadeh

Affiliation: UT Southwestern Medical Center, Shahid Beheshti University of Medical science, Imam Khomeini Hospital Complex,Tehran University of Medical Sciences

Abstract Preview: Purpose: Positron Emission Tomography (PET) is crucial for diagnosing and monitoring diseases due to its functional imaging capabilities. However, its high cost, significant radiation exposure, and li...

Geographic Disparities in Medical Physics Training and Employment: Implications for Rural Workforce Recruitment

Authors: Seth Amofa, Erli Chen, Samuel A. Einstein, Ekinadoese Imudia Frias, Nupur Karmaker, Yinus Kawthara, Dulguun Myagmarsuren, Travis C. Salzillo, Joseph Weygand, Afua A. Yorke

Affiliation: Department of Radiation Oncology and Applied Science, Dartmouth Health, University of Washington, Federal University Oye-Ekiti, Cheshire Medical Center, Dartmouth College, Penn State College of Medicine, Dept. of Medical Physics and Biomedical Engineering, Gono Bishwabidyalay, Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Virginia Tech Carilion School of Medicine

Abstract Preview: Purpose: Recent developments in the medical physics job market have made it increasingly difficult for radiotherapy centers, particularly in rural areas, to recruit qualified therapeutic medical physi...

Geometric Alignment of MV-CBCT and Dual-Layer Kv-CBCT Projections Using Deep Learning

Authors: Ross I. Berbeco, Vera Birrer, Raphael Bruegger, Pablo Corral Arroyo, Roshanak Etemadpour, Dianne M. Ferguson, Rony Fueglistaller, Thomas C. Harris, Yue-Houng Hu, Matthew W. Jacobson, Mathias Lehmann, Nicholas Lowther, Daniel Morf, Marios Myronakis

Affiliation: Brigham and Women's Hospital, Harvard Medial School, Dana-Farber Cancer Institute, Department of Radiation Oncology, Dana Farber/Brigham and Women's Cancer Center, Department of Radiation Oncology, Brigham and Women’s Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Brigham and Womens Hospital, Dana Farber Cancer Institute, Harvard Medical School, Brigham and Women's Hospital, Varian Imaging Laboratory, Dana-Farber Cancer Institute

Abstract Preview: Purpose: Applications of combined kV-MV CBCT include metal artifact correction and material identification. Difficulties arise, however, when the imagers have misaligned geometric perspectives of the ...

Geometrically Derived Density Compensation Function for 3D Non-Cartesian MRI Reconstruction

Authors: Oluyemi Bright Aboyewa, KyungPyo Hong, Daniel Kim

Affiliation: Department of Radiology, Northwestern University

Abstract Preview: Purpose: While non-Cartesian MRI is desirable for fast imaging with high spatial resolution and robustness to motion, it requires long post-processing times. Preconditioning with an adequate density c...

Global Needs Assessment of Medical Physicists Working in Low-and-Middle-Income Countries

Authors: Stephen M. Avery, Izabella L. Barreto, Oi-Wai Chau, Cesar Della Biancia, Beata Gontova Bernat, Amanda M. Jackson, Rao Khan, Eugene P. Lief, Osama R. Mawlawi, Wilfred F. Ngwa, Christopher F. Njeh, Peter Allan Sandwall, William Swanson, Joseph Weygand, Afua A. Yorke

Affiliation: Department of Medical Physics, Memorial Sloan Kettering Cancer Center, VA Medical Center, Johns Hopkins University, Mayo Clinic, Champion Cancer Center, Howard University, UT MD Anderson Cancer Center, Department of Radiation Oncology and Applied Science, Dartmouth Health, University of Washington, University of Florida College of Medicine, Washington University in St Louis, Emory University, University of Pennsylvania, OhioHealth, Indiana University School of Medicine, Department of Radiation Oncology

Abstract Preview: Purpose: To assess needs of medical physicists working in low-and-middle-income countries (LMICs)
Methods: A survey was developed by AAPM’s Global Needs Assessment Committee (GNAC) in partnership w...

Graph Neural Network with Long Short-Term Memory for CT-Based Macrotrabecular-Massive Hepatocellular Carcinoma Diagnosis

Authors: Enhui Chang, Yunfei Dong, Yifei Hao, Chengliang Jin, Shengsheng Lai, Yi Long, Mengni Wu, Yulu Wu, Ruimeng Yang, Zhenyu Yang, Yue Yuan, Lei Zhang, Wanli Zhang, Yaogong Zhang

Affiliation: Duke Kunshan University, Department of Radiology, The Second Affiliated Hospital, School of Medicine, South China University of Technology, Medical Physics Graduate Program, Duke Kunshan University

Abstract Preview: Purpose: Macrotrabecular-Massive Hepatocellular Carcinoma (MTM-HCC) is one type of liver cancer showed minimum image signature for accurate non-invasive diagnosis. This study aims to develop and evalu...

Graph-Based Feature Selection to Improve Stability and Reproducibility of CT-Based Radiomics in Head and Neck Squamous Cell Carcinoma: A Cross-Institutional Study

Authors: Daria Gaykalova, Ranee Mehra, Jason K Molitoris, Hajar Moradmand, Lei Ren, Amit Sawant, Phuoc Tran

Affiliation: University of Maryland School of Medicine, Maryland University Baltimore, University of Maryland, Department of Radiation Oncology, University of Maryland School of Medicine

Abstract Preview: Purpose: Radiomics extracts quantitative imaging biomarkers from medical images. However, maintaining the reproducibility and stability of selected features across institutions and parameter settings ...

Growing As Leaders Together – Results from the Medical Physics Leadership Academy Fundamentals of Leadership Cohort Program

Authors: Ashley Cetnar, Emily Y. Hirata, Cassandra Stambaugh

Affiliation: University of California San Francisco, Tufts Medical Center, The Ohio State University - James Cancer Hospital

Abstract Preview: Purpose: To provide results from the first four years of the Medical Physics Leadership Academy (MPLA) Fundamental of Leadership Cohort program
Methods: The MPLA Cohorts program began with the Fund...

Head and Neck Treatment Evaluation with Cone Beam Computed Tomotherapy

Authors: Varsha Jain, Jun Kang, Paul Sulivan, Kate E. Verma, Yevgeniy Vinogradskiy

Affiliation: Thomas Jefferson University

Abstract Preview: Purpose:
Patients undergoing treatment for head and neck(H&N) cancers experience significant body contour changes throughout treatment. Body contour changes are due to tumor shrinkage, weight loss,...

High Dose Rate Electron Beam Depth Dose Characterization

Authors: Fitria P Krisna, Mardon Limena, Supriyanto Ardjo Pawiro, Jhon H Saragih, Wahyu E. Wibowo, Poonam Yadav, Ummu M Zahro

Affiliation: Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, Radiation Oncology Dr. Cipto Mangunkusumo National Central Public Hospital, Department of Physics, Mathematics and Natural Sciences, University of Indonesia, Department of Radiotherapy, Mandaya Hospital, Department of Radiation Oncology, Mitra Keluarga Kenjeran Hospital, Department of Radiotherapy, Mandaya Royal Hospital, Radiation Oncology, Santosa Hospital

Abstract Preview: Purpose: To perform depth dose characteristics of High Dose Electron Beam and utility of various commercially available detectors.
Methods: The measurements were performed using an Elekta Versa HD ...

High Resolution Head Motion Correction Based on Pilot Tone Signals – a Calibration-Free Method

Authors: Cheng-Chieh Cheng, Jeffrey P Guenette, Yajun Li, Bruno Madore, Lei Qin

Affiliation: Brigham and Women's Hospital, National Sun Yat-sen University, Dana-Farber Cancer Institute

Abstract Preview: Purpose: Pilot tone (PT), a compact RF sensor, has been integrated into clinical practice for motion detection. Prior studies proposed mapping PT signals to head positions using a calibration step tha...

High-Energy Current Detectors for Proton Dose-Rate Beam Monitoring at Flash Dose-Rates.

Authors: Davide Brivio, Lia Carroll, Juliane Daartz, Jan PO Schuemann, Piotr Zygmanski

Affiliation: Massachusetts General Hospital, Department of Radiation Oncology, Brigham and Women’s Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Massachusetts General Hospital and Harvard Medical School

Abstract Preview: Purpose: We employ High-Energy Current (HEC) detectors for real-time monitoring of proton beams at conventional to FLASH dose rates. This would help overcome the need for fast and accurate dosimeters ...

High-Fidelity Monte-Carlo Model Development and Validation of a 0.5T Bi-Planar Linac-MR Using Topas: Multileaf Collimator Modeling, Positioning, and Dose Verification in Slab Phantoms

Authors: B. Gino Fallone, Alireza Gazor, Andrei D. Ghila, Gawon Han, Patricia A. K. Oliver, Michael W. Reynolds, Keith D. Wachowicz, Tania Rosalia Wood, Shima Y. Tari, Eugene Yip

Affiliation: Medical Physics Division, Department of Oncology, University of Alberta, Nova Scotia Health, Dept. of Medical Physics and Dalhousie University, Dept. of Physics and Atmospheric Science, Dept. of Radiation Oncology, Dept. of Medical Physics, Cross Cancer Institute and Dept. of Oncology, University of Alberta; MagnetTx Oncology Solutions, www.magnetTX.com, Department of Medical Physics, Arthur J. E. Child Comprehensive Cancer Centre, Dept. of Medical Physics, Cross Cancer Institute and Dept. of Oncology, University of Alberta, Department of Medical Physics, BC Cancer, Medical Physics Division, Department of Oncology, University of Alberta and Department of Medical Physics, Cross Cancer Institute

Abstract Preview: Purpose: To develop and validate a high-fidelity Monte-Carlo (MC) model of a 0.5T bi-planar Linac-MR in TOPAS, focusing on accurate Multileaf Collimator (MLC) modelling and positioning for open apertu...

High-Fidelity Treatment Optimization for Online Adaptive Stereotactic Partial Breast Irradiation: Integrating Dose and Treatment Time Considerations

Authors: Drexell Hunter Boggs, Carlos E. Cardenas, Jingwei Duan, Joseph Harms, Joel A. Pogue, Richard A. Popple, Courtney Bosse Stanley, Dennis N. Stanley, Sean Xavier Sullivan, Natalie N. Viscariello

Affiliation: Washington University in St. Louis, The University of Alabama at Birmingham, University of Alabama at Birmingham

Abstract Preview: Purpose: CBCT-guided online adaptive radiation therapy (OART) with Ethos for stereotactic accelerated partial breast irradiation (APBI) can mitigate inter-fraction variation, leading to dosimetric adv...

Human-like Deep Learning-Based Whole-Brain Radiotherapy Treatment Planning

Authors: Adnan Jafar, Xun Jia, An Qin

Affiliation: Johns Hopkins University

Abstract Preview: Purpose: 3D whole-brain radiotherapy (WBRT) is widely used due to its simplicity and effectiveness. While modern treatment planning systems, like RayStation, offer automated Field-in-Field planning, p...

HyperArcTM Automated Radiosurgery Planning Enables Accurate a Priori Isotoxic Prescription Dose Selection

Authors: Rex A. Cardan, Carlos E. Cardenas, John B Fiveash, Joel A. Pogue, Richard A. Popple, Farnaz Rahim Li, Rodney J. Sullivan, Natalie N. Viscariello, Christopher Willey

Affiliation: The University of Alabama at Birmingham, University of Alabama at Birmingham

Abstract Preview: Purpose: vBrain radiosurgery toxicity-rate is estimated via clinically-relevant isodose volume (IDV) thresholds according to HyTEC (e.g., V12Gy≀10cc). HyperArcTM (HA) automated planning allows accurat...

Hyperbaric Oxygen Therapy Prior to SRS Does Not Enhance Radiosensitivity in the Murine Glioblastoma Model

Authors: Beverly Allen, Jay C. Buckey, David J. Gladstone, P. Jack Hoopes, David I Hunter, Armin Tavakkoli

Affiliation: Thayer School of Engineering, Dartmouth College, Geisel School of Medicine, Dartmouth College, Geisel School of Medicine, Thayer School of Engineering

Abstract Preview: Purpose: Hyperbaric oxygen (HBO) therapy immediately prior to radiation therapy has been proposed as treatment to enhance radiosensitivity of hypoxic tumors. A murine glioblastoma model was utilized t...

Hypersight-Archer Study: Improved Target Coverage and Organ-at-Risk Sparing Via Adaptive Radiotherapy of Head and Neck Cancer Using Direct-Dose Calculation on Cone Beam CT

Authors: Cheryl Anderson, Lara Best, Amanda Cherpak, Jennifer DeGiobbi, Marc C. LeBlanc, R. Lee MacDonald, Peter R. Martin, Natasha McMaster, Murali Rajaraman, James L. Robar, Lucy Ward, Derek Wilke, Kenny Zhan

Affiliation: Department of Radiation Oncology, QE2 Cancer Centre, Nova Scotia Health

Abstract Preview: Purpose: This work investigates the potential benefit of adaptive planning using the Ethos radiotherapy system (Varian Medical Systems) with direct-dose calculation on HyperSight cone beam CT (CBCT) f...

Icrp Mesh-Type Reference Computational Phantoms Representing Pregnant Women and Fetuses

Authors: Wesley E. Bolch, Chansoo Choi, Chan Hyeong Kim, Suhyeon Kim, Bangho Shin, Yeon Soo Yeom

Affiliation: Hanyang University, University of Florida, 2) Department of Radiation Convergence Engineering, Yonsei University

Abstract Preview: Purpose: Task Group 103 of International Commission on Radiological Protection (ICRP) recently released new-generation adult and pediatric mesh-type reference computational phantoms (MRCPs) via ICRP P...

Identification of Potential Patients for Resimulation and Adaptive Planning By Machine Learning

Authors: Mark Ashamalla, Renee Farrell, Jinkoo Kim, Kartik Mani, Xin Qian, Samuel Ryu, Yizhou Zhao

Affiliation: Stony Brook Medicine, Stony Brook University Hospital

Abstract Preview: Purpose: Adaptive planning is increasingly used in head and neck radiation therapy due to factors like tumor response or changes in patient anatomy. However, methods such as resimulation or offline re...

Identifying Candidates for Endobronchial Valve (EBV) Treatment for Patients with Moderate to Severe Emphysema: Exploring the Use of Estimated Lung Elasticity Using a Biomechanically Based Model Derived from CT Image Data

Authors: Ryan Andosca, Peter Boyle, Grace Hyun Kim, Minji Victoria Kim, Michael Vincent Lauria, Michael F. McNitt-Gray, Gabriel Melendez-Corres, Jack Neylon, Brad Stiehl, Pang Yu Teng

Affiliation: David Geffen School of Medicine at UCLA, University of California, Los Angeles, UCLA Department of Radiology, Department of Radiation Oncology, University of California, Los Angeles, UCLA, Cedars-Sinai Medical Center

Abstract Preview: Purpose: Endobronchial Valves (EBV) are one of the few treatment options for patients with moderate to severe emphysema. Eligibility is typically assessed from CT image data analysis including Emphyse...

Identifying Sustainability Initiatives for Medical Physicists in Clinical Radiology Practice

Authors: Christina Brunnquell, Diana Elizabeth Carver, Jaydev K. Dave, Hadley Anna DeBrosse, Hannah Grover, Andrew M. Hernandez, Youngkyoo Jung, Megan E. Lipford, Kevin J. Little

Affiliation: Wake Forest University School of Medicine, Oregon Health & Science University, University of California, Mayo Clinic, The Ohio State University, Vanderbilt University Medical Center, University of Minnesota

Abstract Preview: Purpose: Medical imaging physicists play a crucial role in ensuring patient safety, overseeing quality control (QC) of imaging systems, and enhancing diagnostic accuracy. Medical imaging physicists ha...

Iguard: A Fully Unsupervised Image-Guidance Anomaly Recognition and Detection Framework in CBCT-Guided Radiotherapy.

Authors: James M. Lamb, Dishane Chand Luximon, Jack Neylon, Rachel Petragallo, Moritz Ritter, Timothy Ritter

Affiliation: Department of Radiation Oncology, University of California, Los Angeles, ETH Zurich, VCU Health System, Department of Radiation Oncology, University of Colorado

Abstract Preview: Purpose: Anomalies in cone beam computed tomography (CBCT) radiotherapy image guidance can signal treatment deviations. Repetitive review of setup image registrations by humans is inefficient, prone t...

Image Guidance for Mitigating the Impact of Table Walkout on Delivered Dose in Non-Coplanar Stereotactic Radiotherapy

Authors: William E Burrell, Philip F. Durham, Anne N Hubbard, Yohan Akeakamai Walter, Hsinshun Terry Wu

Affiliation: Willis Knighton Cancer Center

Abstract Preview: Purpose: Linear accelerator (LINAC)-based single-isocenter, multi-target (SIMT) treatment has streamlined the stereotactic radiosurgery (SRS) workflow. However, off-isocenter treatment carries multipl...

Image Quality Enhancement for Transrectal Ultrasound Imaging of Prostate Brachytherapy Using Deep Learning: A Needle Eraser

Authors: Hilary P Bagshaw, Mark K Buyyounouski, Serdar Charyyev, Xianjin Dai, PhD, Yu Gao, Thomas R. Niedermayr, Lei Xing

Affiliation: Department of Radiation Oncology, Stanford University

Abstract Preview: Purpose: Real-time transrectal ultrasound imaging is the gold standard for needle placement and treatment planning of real-time based-ultrasound-based high dose-rate (HDR) prostate brachytherapy. Cumu...

Image Quality-Based Clinical CT Cohort Selection from Midrc Using a Multi-Institutional Phantom Dataset

Authors: John M. Boone, Andrew M. Hernandez, Paul E. Kinahan, Michael F. McNitt-Gray, Jeffrey H. Siewerdsen, Ali Uneri

Affiliation: University of California, Johns Hopkins Univ, UT MD Anderson Cancer Center, David Geffen School of Medicine at UCLA, University of Washington, UC Davis Health

Abstract Preview: Purpose: Measuring image quality (IQ) in large clinical databases, such as the Medical Imaging and Data Resource Center (MIDRC), is challenging due to the inherent complexity of image content and the ...

Image Similarity Measurement Based on Handcrafted and Deep Learning Radiomics

Authors: John Ginn, Chenlu Qin, Deshan Yang

Affiliation: Duke University, Department of Radiation Oncology, Duke University

Abstract Preview: Purpose: Clinical implementation of auto-segmentation tools has been hindered by poor interpretability and generalizability of AI models, necessitating the development of automated contour quality ass...

Image-Guided Adaptive Proton Therapy for Head and Neck Cancer Using a Novel Gantry-Less System

Authors: Philip Blumenfeld, Jon Feldman, Yair Hillman, Michael Marash, Aron Popovtzer, Alexander Pryanichnikov, Shimshon Winograd, Marc Wygoda, Vered Zivan

Affiliation: Institute of Biomedical Engineering, Karlsruhe Institute of Technology (KIT), P-Cure Ltd./Inc., Sharett Institute of Oncology, Hadassah Medical Center, Hebrew University of Jerusalem

Abstract Preview: Purpose:
Image-guided adaptive proton therapy (IGAPT) allows tailored dose adjustments to account for anatomical and physiological changes during treatment. Recent efforts have developed a cost-eff...

Imaging Performance of Direct-Indirect Dual-Layer Flat-Panel-Detector Prototypes for Contrast-Enhanced Digital Mammography

Authors: Salman M. Arnab, Yves Chevalier, Samuel Gagné, Adrian F. Howansky, Luc LaperriÚre, Xiangyi Wu, Wei Zhao

Affiliation: Stony Brook Medicine, Analogic Canada

Abstract Preview: Purpose: A direct-indirect dual-layer flat-panel-detector (DI-DLFPD) is under development for patient motion artifact-free contrast-enhanced digital mammography (CEDM). DI-DLFPD comprises a direct fro...

Imaging Preclinical Proton Flash Radiation Using a Small Animal PET System

Authors: Xun Jia, Heng Li, Wen Li, Devin Miles, Daniel Sforza, Lingshu Yin, Yuncheng Zhong

Affiliation: Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Johns Hopkins University

Abstract Preview: Purpose: FLASH therapy holds great potential to revolutionize radiotherapy by minimizing toxicities of normal tissues. The extraordinarily high dose rate of FLASH proton beam makes precise delivery to...

Immune Response on Ultra-High Dose Rate (FLASH) and Conventional Proton Radiation in a Mouse Xenograft Model

Authors: Ning Cao, Sunan Cui, Danielle P. Johnson Erickson, Juergen Meyer, Ramesh Rengan, Ben A Shaver, Jing Zeng

Affiliation: Department of Radiation Oncology, Fred Hutchinson Cancer Center, University of Washington, University of Washington and Fred Hutchinson Cancer Center, University of Washington

Abstract Preview: Purpose: To investigate the immune response in primary irradiated tumors and non-irradiated tumors in a mouse melanoma xenograft model, comparing 18Gy of conventional (CONV) and ultra-high dose rate (...

Impact of Arc Number Variation on VMAT Lattice Radiotherapy Plans

Authors: Minbin Chen, Gang Liu, Manju Liu, Weiwei Sang, Pulin Sun, Mingyuan Ye, Fang-Fang Yin, Lihua Zhang, Haiming Zhu

Affiliation: Jiahui International Hospital, Radiation Oncology, Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Medical Physics Graduate Program, Duke Kunshan University, Duke Kunshan University, The First People's Hospital of Kunshan

Abstract Preview: Purpose: This study aims to evaluate the effects of varying the number of arcs on treatment plans created using Volumetric Modulated Arc Therapy (VMAT) for Lattice radiotherapy (LRT).
Methods: Thre...

Impact of Breathing Trace on Gating Uncertainty

Authors: William P. Donahue, Lauren Smith, Shu (Stella) Xing

Affiliation: Department of Medical Physics, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose: To quantify the dosimetric uncertainty of end-exhale gating as a function of breathing pattern.

Methods: A Truebeam delivered AP square fields to EBT4 film placed in the Quasar MRI4D M...

Impact of Computed Tomography Noise Reference Levels in a Pediatric Hospital

Authors: Samuel L. Brady, Joseph G. Meier

Affiliation: Cincinnati Childrens Hospital Med Ctr

Abstract Preview: Purpose:
To establish noise reference levels for our pediatric hospital.
Methods:
Water equivalent diameter (Dw) and image noise was automatically measured by using a global noise algorithm i...

Impact of Diacetylene Polymer Chemistry on Real-Time Radiochromic Film Dosimetry

Authors: Rohith Kaiyum, Ozzy Mermut, Alexandra Rink

Affiliation: Department of Medical Biophysics, University of Toronto, Department of Physics and Astronomy, York University

Abstract Preview: Purpose: To investigate the relationship between chemical features and real-time response to ionizing radiation dose of radiochromic diacetylene crystals.
Methods: A number of radiochromic diacetyl...

Impact of IMRT Beam Scatter and Electronic Noise on Real-Time Kv and Fluoroscopy Image Quality

Authors: Wei Luo, Cameron Thayer-Freeman, Yifeng Zhao

Affiliation: University of Kentucky, Department of Radiation Medicine, University of Kentucky

Abstract Preview: Purpose: Real-time Kilovoltage (kV) imaging has emerged as a powerful clinical aid, providing high-precision localization of moving targets during treatment. However, the Megavoltage (MV) treatment be...

Impact of Ion Chamber Selection on Enhanced Leaf Modeling Predictions of Dosimetric Leaf Gap and Leaf Transmission Factors

Authors: Michael Ashenafi, Nicholas Becerra Espinosa, Mario Ramos Gallardo, Matthew Pacella, Sean M. Tanny

Affiliation: Department of Radiation Oncology, University of Rochester

Abstract Preview: Purpose: A new multileaf collimator (MLC) model has been introduced in Varian Eclipse v18.0, with the treatment planning system (TPS) explicitly modeling the leaf end effects. The vendor recommends a ...

Impact of Jaw Reproducibility and Source Occlusion on Small Field Dosimetry

Authors: Mylinh Dang, Indra J. Das, George X. Ding, Ahtesham Ullah U Khan, Andrew J. White

Affiliation: Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, Northwestern Medicine, Vanderbilt University Medical Center

Abstract Preview: Purpose: The large variability in field output factor (FOF) observed among various studies is speculated to be due to uncertainty in jaw reproducibility that is linked directly with source occlusion. ...

Impact of Lung Density on Plan Quality and Delivery Parameters in Lung Stereotactic Body Radiation Therapy (SBRT) Plans

Authors: David Chighvinadze, Indra J. Das, Jeremy D. Donaghue, Kevin Stephans, Gregory Videtic, Sugandima Weragoda, Ping Xia

Affiliation: Cleveland Clinic, Cleveland Clinic Sandusky, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, Cleveland Clinic Fairview

Abstract Preview: Purpose:: Evaluate the impact of lung density variations on plan quality and delivery parameters in lung SBRT Plans.
Methods: For a hypothetical case with a real patient anatomy, three GTVs with vo...

Impact of Mlc and Collimator Errors in Psqa Techniques for VMAT Breast Treatment Plans

Authors: Maria Jose Almada, Oscar Apaza, Carlos Bohorquez, Ezequiel Cabrera, Rogelio Diaz Moreno, Maximiliano Musso, Rosa Petit, Carlos Daniel Venencia, Lucy D. Wolfsberger

Affiliation: LAP, FaMAF, UNC, Instituto Zunino - Fundacion Marie Curie

Abstract Preview: Purpose:
PSQA employs gamma analysis to verify the planned versus delivered dose. Evaluating the effectiveness of PSQA techniques in identifying errors is crucial. This study aims to incorporate ML...

Impact of Nanoscale TEM-Based and Simplified 3D Modeling Approaches on Monte Carlo Studies of Radiosensitization Effects in Gnp-Laden Cells

Authors: Sang Hyun Cho, Sandun Y. Jayarathna, Amrit Kaphle

Affiliation: The University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose: To assess the effectiveness of various nanoscale models of gold nanoparticle (GNP)-laden cells for Monte Carlo (MC) studies of GNP-mediated radiation dose enhancement/DNA damage.

Metho...

Impact of Patient Size on the Choices of Dual and Single Energy CT for Accurate Liver Fat Volume Fraction Quantification

Authors: Xinhua Li, Jie Zhang, Yifang (Jimmy) Zhou

Affiliation: University of Kentucky, Cedars-Sinai Medical Center

Abstract Preview: Purpose: Fat volume fraction (FVF) is an important biomarker for non-alcoholic fatty liver disease. CT can be a good modality for FVF assessment if the accuracy is adequate. We aimed to study the impa...

Impact of Photon Beam Energy and Symmetry on the Radial Profile Correction Factor for FFF Beams

Authors: Wesley S. Culberson, Larry A. DeWerd, Ahtesham Ullah Khan, Zachary James Welchel

Affiliation: Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison, University of Wisconsin-Madison

Abstract Preview: Purpose: Flattening filter free (FFF) linac beams exhibit a centrally peaked beam profile due to the forward-directed bremsstrahlung production from MeV electrons, leading to volume averaging effects ...

Impact of Proton Beam Arrangements on LETd and RBE in Organs at Risk for Nasopharyngeal Cancer

Authors: Mauricio Acosta, Zachary Fellows, Alonso N. Gutierrez, Noah S. Kalman, Kristen A. McConnell, Rob Rohe, Andrew J. Wroe, Sreenija A Yarlagadda

Affiliation: Miami Cancer Institute, Baptist Health South Florida

Abstract Preview: Purpose:
Beam selection is crucial in proton therapy to ensure optimal physical and biological dose conformity to the target while maximizing sparing of normal tissue. This work investigates the im...

Impact of Respiratory Motion and MRI Sequences on Tumour Volume Determination in MR-Guided Radiotherapy

Authors: Kin Yin Cheung, Chen-Yu Huang, Chi Wa Kong, Pei-Xiong Li, Pak Hang Nam, Bin Yang, Siu Ki Yu, Chi To Yung

Affiliation: Medical Physics Department, Hong Kong Sanatorium and Hospital

Abstract Preview: Purpose:
The Elekta Unity system facilitates daily adaptive radiotherapy using MRI-based treatment planning. However, MR images are prone to motion artefacts caused by respiratory motion, potential...

Impact of Six Degrees of Freedom Intrafraction Motion on Target Coverage for Single-Isocenter Multi-Target Stereotactic Radiosurgery

Authors: Anupama Chundury, Hyejoo Kang, John C. Roeske, Iris A. Rusu

Affiliation: Loyola University Medical Center, Department of Radiation Oncology, Stritch School of Medicine, Loyola University Chicago, Stritch School of Medicine Loyola University Chicago, Cardinal Bernardin Cancer Center, Loyola University Chicago

Abstract Preview: Purpose: To quantify the dosimetric impact of six degrees of freedom (6DoF) intrafractional errors on gross tumor volume (GTV) and planning target volumes (PTV) for single-isocenter multi-target stere...

Impact of Source-to-Imager Distance on Patient-Specific Quality Assurance Using Epid

Authors: Hajee Reyaz Ali Sahib, Sangeeta Hazarika, Muthukumaran Manavalan, Jaswin Raj, Daya Nand Sharma, Seema Sharma, Subramani Vellaiyan

Affiliation: AIIMS NCI Jhajjar, PTW North America Corporation, All India Institute of Medical Sciences

Abstract Preview: Purpose:
Purpose is to investigate the effect of extended source-to-imager distances (SID) on the resolution of VMAT patient-specific quality assurance (PSQA) in portal dosimetry (PD).
Methods:<...

Impact of Time-of-Flight Reconstruction and Motion Correction on PET-Based Dosimetry in 90y Radioembolization for Hepatocellular Carcinoma

Authors: Spencer Behr, Joseph Grudzinski, Youngho Seo, Jaehoon Shin, Yiran Wang, Frederick J. Wilson

Affiliation: University of California San Francisco, University of California, San Francisco, Voximetry, Inc., Voximetry, Inc

Abstract Preview: Purpose: Voxel-level imaging-based dosimetry enables a significant improvement in accurate and personalized treatment planning in radiopharmaceutical therapy, potentially leading to optimized disease ...

Impact of Tissue Heterogeneity on Proton LET and RBE Distributions: A Monte Carlo Study

Authors: Xiangli Cui, Wei Han, Jie Li, Lingling Liu

Affiliation: Institute of Health and Medical Technology, Hefei Institutes of Physical Science, Chinese Academy of Sciences, Hefei, Hefei Cancer Hospital, Chinese Academy of Sciences, Institute of Health and Medical Technology, Hefei Institutes of Physical Science, Chinese Academy of Sciences

Abstract Preview: Purpose: To investigate the influence of tissue heterogeneity on proton beam linear energy transfer (LET) and relative biological effectiveness (RBE) using nine RBE models. This study quantifies the i...

Impact of Transfer Learning on Estimation of Intravoxel Incoherent Motion Parameters in the Liver

Authors: Marissa Brown, Geoffrey D. Clarke, Luke Norton

Affiliation: University of Texas Health Science Center at San Antonio

Abstract Preview: Purpose: To evaluate how different learning strategies affect convolutional neural network (CNN) estimates of the liver's intravoxel incoherent motion (IVIM) parameters.
Methods: A 3-stage U-Net wa...

Impact of Translucent Sheet Bolus and Melanin Concentration on Recorded Optical Signal during Cherenkov Imaging in External Beam Radiation Therapy

Authors: Jacqueline M. Andreozzi, Savannah Decker, Diego Hernandez, Iman R. Washington

Affiliation: UC San Diego, Department of Radiation Oncology, Moffitt Cancer Center, University of South Florida, Moffitt Cancer Center

Abstract Preview: Purpose: Recent advances in external beam radiation therapy have begun to explore the utility of Cherenkov radiation imaging as a beam delivery visualization tool. When sheet bolus is used during trea...

Impact of Tumor-to-Normal Ratio and Glass Microsphere Particle Density on Local Progression-Free Survival Following Lobar Yttrium-90 Radioembolization

Authors: Jason Chiang, Magnus Dahlbom, Veronica Hankil, Xinyi Li, Catherine (Caffi) Meyer, Kyung Hyun Sung

Affiliation: UCLA, University of California, Los Angeles

Abstract Preview: Purpose:
Yttrium-90 (90Y) radioembolization is a well-established therapy for large or multifocal liver tumors. Accurate dosimetry is critical but remains challenging, as low particle density risks...

Impact on image quality from reduced dose conebeam CT for pediatric fluoroscopy-guided interventional (FGI) imaging

Authors: Samuel L. Brady, Kevin Chen, Joseph G. Meier

Affiliation: University of Cincinnati, Cincinnati Childrens Hospital Med Ctr

Abstract Preview: Purpose: Conebeam-CT (CBCT) acquisition protocols typically do not distinguish between adults and pediatrics. In collaboration with a fluoroscopically-guided interventional (FGI) manufacturer, new, do...

Implementation of an Innovative Digital Competency Record System

Authors: Benjamin J. Sintay, Caroline Vanderstraeten, David B. Wiant

Affiliation: Fuse Oncology, Cone Health

Abstract Preview: Purpose: The Joint Commission (JC) mandates that healthcare organizations establish and evaluate staff competencies to ensure safe and effective patient care. In the context of increasing sub-speciali...

Implementing a Knowledge-Based Planning Model for Gastrointestinal (GI) Site-Specific Plans for Photon Radiation Therapy

Authors: Andreea Dimofte, Maksym Sharma, Weibing Yang, Timothy C. Zhu

Affiliation: Department of Radiation Oncology, University of Pennsylvania, University of Pennsylvania

Abstract Preview: Purpose:
To assess the effectiveness and dosimetric impact of utilizing a knowledge-based planning model for GI site-specific plans.
Methods:
Six knowledge-based planning models were develope...

Improve the Risk Prediction of Radiation-Induced Esophagitis in Lung IMRT By an Anisotropic Dose Convolution Neural Network

Authors: Ibtisam Almajnooni, Elisabeth Weiss, Lulin Yuan

Affiliation: Virginia Commonwealth University

Abstract Preview: Purpose: We developed a deep learning neural network (DLNN) to predict the risk of radiation-induced esophagitis (RE) during lung cancer radiation therapy based on the spatial dose distribution, for t...

Improved SNR and Estimation Accuracy for Deuterium-MRI Acquired with Chemical Shift Imaging at 7 Tesla

Authors: Muhammed AR Anjum, Andrew J. Fagan

Affiliation: Mayo Clinic

Abstract Preview: Purpose:
This study describes a novel post-processing method to boost image SNR for deuterium-MRI acquired using chemical shift imaging (CSI) at 7T. Deuterium MRI via exogenous administration of a ...

Improvements from Monte Carlo Simulations over Pencil Beam Algorithms for Normal Tissue Dose Reconstruction in Proton Therapy Patients

Authors: Amy Berrington de Gonzalez, Keith T Griffin, Jae Won Jung, Cari M Kitahara, Choonik Lee, Choonsik Lee, Aimee L McNamara, Matthew Mille, Harald Paganetti, Sergio Morato Rafet, Jan PO Schuemann, Jungwook Shin, Torunn I Yock

Affiliation: University of Michigan, East Carolina University, Massachusetts General Hospital, National Cancer Institute, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Massachusetts General Hospital and Harvard Medical School, Institute of Cancer Research

Abstract Preview: Purpose: Radiotherapy dose reconstruction enables retrospective epidemiological studies that connect late health effects to the organ-absorbed radiation doses received during treatment. Though clinica...

Improvements of Lateral Penumbra at Various Depth Regions in Scanned Proton Treatment System with a Multi-Leaf Collimator: Dose Verifications and Plan Comparisons

Authors: Takahiro Kato, Teiji Nishio, Masataka Oita, Robabeh Rahimi, Yuki Tominaga, Yushi Wakisaka

Affiliation: University of Maryland, Department of Radiological Sciences, School of Health Sciences, Fukushima Medical University, Medical Co. Hakuhokai, Osaka Proton Therapy Clinic, Medical Physics Laboratory, Division of Health Science, Osaka University Graduate School of Medicine, Faculty of Interdisciplinary Science and Engineering in Health Systems, Okayama University

Abstract Preview: Purpose: This study evaluated dose verifications and lateral penumbra improvements for scanned proton therapy plans with and without a multi-leaf collimator (MLC) under various air gaps.
Methods: E...

Improving Operational Efficiency in Head and Neck Proton Therapy through Adaptation Analysis

Authors: Laura Buchanan, Samantha G. Hedrick, Stephen L. Mahan, Isabella Pfeiffer, Chester R. Ramsey

Affiliation: Thompson Proton Center

Abstract Preview: Purpose: Proton therapy plans can be highly sensitive to both anatomical changes and positional errors, making the acquisition of Quality Assurance CT (QACT) images a routine clinical practice during ...

Improving Post-SRS Brain Metastasis Radionecrosis Diagnosis Accuracy Via Deep Feature Space Analysis

Authors: Evan Calabrese, Scott R. Floyd, Kyle J. Lafata, Zachary J. Reitman, Eugene Vaios, Chunhao Wang, Lana Wang, Deshan Yang, Zhenyu Yang, Jingtong Zhao

Affiliation: Duke University, Department of Radiation Oncology, Duke University, Duke Kunshan University

Abstract Preview: Purpose:
This study proposes a novel neural ordinary differential equation (NODE) framework to distinguish post-SRS radionecrosis from recurrence in brain metastases (BMs). By integrating imaging f...

Improving Quantitative Accuracy of Maximum-a-Posteriori Expectation Maximization Reconstruction By Optimizing Gibbs Prior Parameters in SPECT

Authors: Krishnendu Saha

Affiliation: Cleveland Clinic Foundation

Abstract Preview: Purpose: The goal is to improve quantitative accuracy of a Maximum-a-posteriori expectation maximization (MAPEM) reconstruction of SPECT phantom images by optimizing Gibbs prior parameters.
Methods...

Improving Stroke Treatment Using Magnetic Nanoparticle Sensors to Monitor Mechanical Thrombectomy

Authors: Clifford Eskey, Scott Gordon-Wylie, Scott Gordon-Wylie, Dhrubo Jyoti, Daniel Reeves, John B. Weaver

Affiliation: Flow Aluminum, Dartmouth College, Fred Hutch Cancer Center, University of Washington, Dartmouth-Health

Abstract Preview: Purpose: Mechanical thrombectomy (MT) is the preferred treatment for ischemic stroke from large vessel occlusion. The thrombus or clot is extracted from the vessel via a catheter using a stent retriev...

Improving the Robustness of AI-Based Detection and Segmentation for Brain Metastasis By Optimizing Loss Function and Multi-Dataset Training

Authors: Omar Awad, Alfredo Enrique Echeverria, Issam M. El Naqa, Daniel Allan Hamstra, Yiding Han, Ryan Lafratta, Abdallah Sherif Radwan Mohamed, Piyush Pathak, Zaid Ali Siddiqui, Baozhou Sun, Vincent Ugarte

Affiliation: H. Lee Moffitt Cancer Center, Harris Health, Baylor College of Medicine

Abstract Preview: Purpose:
Accurate detection and segmentation of brain metastases are critical for diagnosis, treatment planning, and follow-up imaging but are challenging due to labor-intensive manual assessments ...

In silico Evaluation Vs Standard Phantom Evaluation of a Deep Learning Reconstruction Algorithm

Authors: Naruomi Akino, Kirsten Lee Boedeker, Ilmar Hein, Dylan Mather, Akira Nishikori, Daniel W Shin

Affiliation: Canon Medical Systems Corporation, Canon Medical Research USA

Abstract Preview: Purpose: To validate the performance a deep learning reconstruction (DLR) algorithm in an anatomical background compared to a uniform phantom background.
Methods: An analytic forward projection mod...

In-Vivo Dosimetry in Positron-Guided Radiation Therapy

Authors: Davide Brivio, Erno Sajo, Ryan Williams, Piotr Zygmanski

Affiliation: University of Massachusetts Lowell, Brigham and Women's Hospital, Department of Radiation Oncology, Brigham and Women’s Hospital, Dana-Farber Cancer Institute, Harvard Medical School

Abstract Preview: Purpose: To develop a non-invasive 3D in-vivo dosimetry tool exploring the relationship between positron annihilations and dose per voxel using Monte Carlo simulation. The Positron Guided Radiation Th...

Inconsistencies in Methods for CMS Size-Adjusted Dose Measure

Authors: Alexander Alsalihi, Gary Y. Ge, Charles Mike Weaver, Jie Zhang

Affiliation: University of Kentucky

Abstract Preview: Purpose: The upcoming CMS regulation, titled “Excessive Radiation Dose or Inadequate Image Quality for Diagnostic Computed Tomography (CT) in Adults”, employs two measures, size-adjusted DLP (SAD) and...

Influence of the α/ß Ratio on Dose Constraints in Radiotherapy of Prostate Cancer

Authors: Marwa Y. Abdel Tawwab, Amin E Amin, Abdullah M. ElSharif, Somaia Metwally Elsayed, Magdy M. Khalil

Affiliation: School of Applied Health Science, Badr University in Cairo (BUC), Cairo, Egypt, Medical Physics, Radiation Oncology Department, Faculty of Medicine, Ain Shams University, Medical Biophysics, Department of Physics, Faculty of Science, Helwan University

Abstract Preview: Purpose: Prostate cancer radiotherapy typically employs conventional fractionation schedules over approximately eight weeks. This study investigates the effect of variations in the α/ÎČ ratio on dose c...

Inhibition of Metabolism Radiosensitizes Lung Cancer Cells to Photons and Protons

Authors: Scott James Bright, Hadil Elldakli, Mojtaba Hoseini-Ghahfarokhi, Rishab Kolachina, Poliana Marinello, Yogesh Rai, Marco Freitas Reis, Gabriel O. Sawakuchi, Walison Augusto Silva Brito, Mark Wasley

Affiliation: MD Anderson Cancer Center, MD Anderson, Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, Department of Radiation Physics, MD Anderson Cancer Center, Medical College of Georgia

Abstract Preview: Purpose:
Glutaminase 1 (GLS1) is an intracellular enzyme crucial for generating antioxidants such as glutathione (GSH). GSH neutralizes reactive oxygen species (ROS) induced by radiotherapy. About ...

Initial Comparison of 3D CBCT Performance: New Mobile C-Arm Vs. O-Arm Unit

Authors: Wendy Siman, Wei Zhou

Affiliation: University of Colorado Anschutz Medical Campus, School of Medicine

Abstract Preview: Purpose:
To compare the image quality and radiation dose of 3D cone-beam CT modes of a mobile C-arm and an O-arm unit for intraoperative imaging.
Methods:
A 50-”m tungsten wire was imaged at ...

Initial Phantom Studies Towards Implementation of Sequential Dual Energy CBCT on an Adaptive Radiotherapy Linac Platform

Authors: James M. Balter, Alexander Moncion, Ikechi S Ozoemelam

Affiliation: University of Michigan

Abstract Preview: Purpose: Sequential dual-energy cone beam computed tomography (DE-CBCT) integrated with an online adaptive platform could potentially improve soft tissue visualization for more accurate anatomical del...

Initial Three-Year Machine Performance Assessment of a Superficial Radiation Therapy Unit

Authors: Vibha Chaswal, Stephen D. Davis, Alonso N. Gutierrez, Noah S. Kalman, Yongsook C. Lee, William Romaguera, Ranjini P. Tolakanahalli, D. Jay J. Wieczorek

Affiliation: Miami Cancer Institute, Baptist Health South Florida

Abstract Preview: Purpose: To report machine performance of our superficial radiation therapy unit (SRT-100 Vision, Sensus Healthcare, Boca Raton, FL) for the first three years after commissioning of the unit.
Metho...

Innovative Deep Learning Network for Overall Survival Prediction for NSCLC: Outperforming Pre-Trained Models VGG16 and ResNet50

Authors: Ryan Alden, Tithi Biswas, Kaushik Halder, Felix Maria-Joseph, Michael Mix, Rihan Podder, Tarun Kanti Podder

Affiliation: SUNY Upstate Medical University, IIT-Roorkee, University of Florida

Abstract Preview: Purpose: Early-stage NSCLC patients undergoing SBRT often die due to intercurrent illnesses. However, prediction of overall survival (OS) remains crucial due to the risk of disease recurrence. This st...

Innovative Design and Simulation of a Pediatric-Dedicated SPECT: Enhancing Imaging Performance for a Healthier Scans in Children

Authors: Mohammadreza Ay, Nahal Daneshgar, Nima Kasraie, Abbas Monsef, Zeinab Peymani, Hadi Rezaei, Peyman Sheikhzadeh

Affiliation: University of Minnesota Medical School, Radiation Oncology, Department of Nuclear Medicine, Shariati Hospital, Tehran University of Medical Sciences, Shiraz University of Medical Sciences, Department of Medical Physics, Tehran University of Medical Sciences, Department of Medical Physics and Biomedical Engineering, UT Southwestern Medical Center, Imam Khomeini Hospital Complex,Tehran University of Medical Sciences

Abstract Preview: Purpose:
This study aims to design and simulate an innovative pediatric-dedicated SPECT scanner optimized for children’s unique anatomical and safety needs by enhancing sensitivity in data acquisit...

Innovative Workflow for Enhanced in-Vivo Dosimetry Using Gafchromic Film

Authors: Salim Balik, Nguyen Phuong Dang, Hualin Zhang

Affiliation: Radiation Oncology, Keck School of Medicine of USC

Abstract Preview: Purpose: An accurate and convenient monitoring of radiation dose delivery during treatment is essential for ensuring patient safety and treatment efficacy. This project aims to develop innovative algo...

Insights into Deep Learning Auto-Segmentation for Abdominal Organs in MR-Guided Adaptive Radiation Therapy: A Single-Institution CT-MR Comparison

Authors: Asma Amjad, Renae Conlin, Eric S. Paulson, Christina M. Sarosiek

Affiliation: Department of Radiation Oncology, Medical College of Wisconsin

Abstract Preview: Purpose:
MR-guided adaptive radiation therapy (MRgART) is transforming clinical workflows, requiring fast, accurate organs-at-risk (OARs) contouring. While deep learning auto-segmentation (DLAS) of...

Inspiring the Next Generation: A 4-Year Review of a Successful Medical Physics Undergraduate Internship Program

Authors: Manuel M. Arreola, Izabella L. Barreto, Amanda Schwarz

Affiliation: University of Florida, University of Florida College of Medicine

Abstract Preview: Purpose: In 2020, a medical physics undergraduate internship program was developed to attract competitive students to the field of medical physics.
Methods: The program offered a unique, immersive ...

Integrated Catheter Position and Dwell Time Optimization for Focal Dose Escalation in Prostate HDR Brachytherapy

Authors: Bryan Bednarz, John M. Floberg, Joseph B. Schulz, Jordan M. Slagowski

Affiliation: Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison, Department of Radiation Oncology, Stanford University School of Medicine, Department of Human Oncology, University of Wisconsin-Madison

Abstract Preview: Purpose: Catheter placement for high-dose-rate brachytherapy (HDR BT) is clinician dependent and potentially suboptimal for delivering simultaneous integrated boosts to intraprostatic gross tumor volu...

Integrating Clinical Knowledge Via Llms for Precise Organ-at-Risk Segmentation in Pancreatic Cancer SBRT

Authors: Karyn A Goodman, Yang Lei, Tian Liu, Pretesh Patel, Jing Wang, Kaida Yang, Jiahan Zhang

Affiliation: Icahn School of Medicine at Mount Sinai, Department of Radiation Oncology and Winship Cancer Institute, Emory University

Abstract Preview: Purpose: This study aims to improve organ-at-risk (OAR) segmentation in pancreatic cancer stereotactic body radiotherapy (SBRT) by integrating clinical guidelines into deep learning workflows. We use ...

Integrating Knowledge-Based Planning with Ethos 2.0 for High-Quality Online Adaptive Lung SABR

Authors: Shahed Badiyan, Chien-Yi Liao, Mu-Han Lin, Dan Nguyen, Justin D. Visak, Hui Ju Wang, Brien Timothy Washington, Kenneth Westover, Yuanyuan Zhang

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab & Department of Radiation Oncology, UT Southwestern Medical Center, Department of Radiation Oncology, UT Southwestern Medical Center, Dallas, TX, Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center, Department of Radiation Oncology, UT Southwestern Medical Center

Abstract Preview: Purpose: Knowledge-based planning (KBP) plays a crucial role in improving treatment plans by leveraging previous clinical data to guide new cases. KBP is applied to the Ethos 2.0 Intelligent Optimizat...

Integrating Large Kernel Attention Mechanism into Deep Learning Model for Automatic and Auccrate Segmentation of Gross Tumor Volume in Lung Cancer Patients

Authors: Xuezhen Feng, Li-Sheng Geng, Haoze Li, Xi Liu, Tianyu Xiong, Ruijie Yang

Affiliation: Department of Health Technology and Informatics, The Hong Kong Polytechnic University, School of Physics, Beihang University, School of Nuclear Science and Technology, University of South China, Department of Radiation Oncology, Peking University Third Hospital

Abstract Preview: Purpose: This study aimed to develop a deep learning-based algorithm for automatically delineate gross tumor volume (GTV) for lung cancer patients, alleviating the workload of radiologists and improvi...

Integrating Multiple Modalities with Pretrained Swin Foundation Model for Head and Neck Tumor Segmentation

Authors: Jue Jiang, Aneesh Rangnekar, Shiqin Tan, Harini Veeraraghavan

Affiliation: Department of Medical Physics, Memorial Sloan Kettering Cancer Center, Weill Cornell Graduate School of Medical Sciences

Abstract Preview: Purpose: Clinicians often use information from FDG-PET and CT to interpret and delineate gross tumor (GTVp) and nodal (GTVn) volumes for radiotherapy planning in head and neck (HN) cancer patients. He...

Integrating Neuroanatomic Knowledge in Clinical Target Volumes for Glioma Patients Using Deep Learning

Authors: Ali Ajdari, Thomas R. Bortfeld, Christopher Bridge, Gregory Buti, Marcela Giovenco, Fredrik Lofman, Gregory C. Sharp, Helen A Shih, Tugba Yilmaz

Affiliation: Massachusetts General Hospital, RaySearch Laboratories, Department Of Radiation Oncology, Massachusetts General Hospital (MGH), Massachusetts General Hospital & Harvard Medical School, Massachusetts General Hospital and Harvard Medical School

Abstract Preview: Purpose: Defining radiation target volumes with accurate integration of the neuroanatomy is one of the major difficulties in designing glioma treatments. We developed a deep learning network for norma...

Integrating Radiomics and ADC Ratio for Multicenter Prostate Cancer Diagnosis: A Harmonized Machine Learning Approach

Authors: George Agrotis, Marios Myronakis, Dimitrios Samaras, Kyriaki Theodorou, Ioannis Tsougos, Vassilios Tzortzis, Maria Vakalopoulou, Alexandros Vamvakas, Aikaterini Vassiou, Marianna Vlychou

Affiliation: Medical Physics Department, Medical School, University of Thessaly, Department of Radiology, University of Thessaly, Netherland Cancer Institute, Department of Urology, University of Thessaly, CentraleSupelec, University Paris-Saclay

Abstract Preview: Purpose: Prostate cancer (PCa) diagnosis remains challenging due to discrepancies in Gleason Scoring (GS) and risks of overdiagnosis and underdiagnosis. Multiparametric MRI (mpMRI), including Apparent...

Integration of Dosimetric Scorecard Analysis into Knowledge-Based Planning Improves Model Performance for VMAT Post-Mastectomy Radiation Therapy

Authors: Ryan Clark, Jon Cornelisse, Kenny Guida, Anthony Magliari, Lesley Rosa, Megan Smith, Shane R Stecklein

Affiliation: Office of Medical Affairs, Varian, A Siemens Healthineers Company, Department of Radiation Oncology, University of Kansas Medical Center

Abstract Preview: Purpose: Post-mastectomy radiation therapy (PMRT) can pose a challenge for planners of all levels of experience. For cases where 3D conformal therapy yields undesirable results (i.e., dose heterogenei...

Inter-Patient Registration Methods for Voxel-Based Analysis in Lung Cancer

Authors: Chloe Min Seo Choi, Joseph O. Deasy, Jue Jiang, Sudharsan Madhavan, Nikhil Mankuzhy, Nishant Nadkarni, Andreas Rimner, Maria Thor, Harini Veeraraghavan, Abraham Wu

Affiliation: University of Freibrug, Department of Medical Physics, Memorial Sloan Kettering Cancer Center, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose: Voxel-based analysis (VBA) requires accurate topology-preserving inter-patient deformable image registration (DIR). This study assessed whether guiding a DIR method with geometric priors of t...

Inter-System and Inter-Layer Dlg Variations in Halcyon/Ethos Mlcs: Implications for Dosimetric Matching and User-Adjustable TPS Models

Authors: Evan Barber, Gloria P. Beyer, Matthew J. Daniels, Callum Hartley, Jordi Saez, Philip Wheeler

Affiliation: TrueNorth Medical Physics, Department of Radiotherapy Physics, Velindre University NHS Trust, Department of Radiation Oncology, Hospital Clinic de Barcelona, Medical Physics Services, LLC

Abstract Preview: Purpose: To quantify inter-system and inter-layer dosimetric leaf gap (DLG) variations in Halcyon/Ethos multileaf collimators (MLCs) using custom sweeping gap tests, and to evaluate implications for c...

Interpretable Deep Learning Predicts Metastasis-Free Survival (MFS) from Conventional Imaging for Oligometastatic Castration-Sensitive Prostate Cancer (omCSPC) Using Multi-Modality PSMA PET and CT Imaging.

Authors: Yufeng Cao, Luigi Marchionni, William Silva Mendes, Cem Onal, Lei Ren, Amit Sawant, Nicole L Simone, Philip Sutera, Phuoc Tran

Affiliation: University of Maryland School of Medicine, 9Department of Radiation Oncology, Thomas Jefferson University, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins Medicine, University of Maryland, Baltimore, Baskent University Faculty of Medicine, Department of Radiation Oncology, Department of Radiation Oncology, University of Maryland School of Medicine, Maryland University Baltimore, 8Department of Pathology and Laboratory Medicine, Weill Cornell Medicine

Abstract Preview: Purpose: This study aims to predict 2-yr Metastasis-free survival (MFS) for oligometastatic castration-sensitive prostate cancer (omCSPC) patients treated by metastasis-directed therapy (MDT) by devel...

Intra-Organ Blood Vessel Mapping in Mice for Improved Pre-Clinical Radiation Dosimetry

Authors: Daylin Barroso, Chris Beekman, Wesley E. Bolch, Natalia Estefania Carrasco-Rojas, Robert Joseph Dawson, Walter Murfee, Harald Paganetti, Andrew Robert Sforza, Julia D. Withrow

Affiliation: Massachusetts General Hospital - Harvard Medical School, Massachusetts General Hospital, University of Florida

Abstract Preview: Purpose: To develop methods for quantifying the interaction of radiation with blood in the mouse whole body (MOBY) phantom for dosimetric applications. The most important of these are modeling the dis...

Introduce a Novel Spot-Scanning Proton Arc(SPArc) Optimization Algorithm for Single Energy Extraction(SEE) Synchrotron-Accelerator-Based Proton Therapy System (PTS)

Authors: Xiaoda Cong, Xuanfeng Ding, Gang Liu, Peilin Liu, Jiajian Shen

Affiliation: Department of Radiation Oncology, Mayo Clinic, Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Corewellhealth William Beaumont University Hospital

Abstract Preview: Purpose: This study aims to develop the first SPArc optimization algorithm based on the Dynamic Programming (SPArc-DP), to improve the treatment delivery efficiency for synchrotron-accelerator-based P...

Investigating Interstitial Fluid Pressure and Hydraulic Conductivity By Examining the Biophysical Properties of Drug Transport Using Cross Voxel Exchange Model and Dynamic Contrast Enhanced MRI

Authors: Catherine Coolens, Janny Yeyoung Kim, Michael Milosevic, Noha Sinno

Affiliation: Princess Margaret Hospital, University of Toronto

Abstract Preview: Purpose: In solid tumors, Interstitial fluid pressure (IFP) acts as a barrier to molecular transport to the tumor center and serves as a predictor of cancer patients’ treatment responsiveness. The nov...

Investigating Pitch Factor on Plan Quality in Patients Treated with Hippocampal Avoidance Whole Brain Radiotherapy Using Volo Ultra-Optimized Helical Tomotherapy Plans

Authors: Awens Alphonse, Nebi Demez, Noufal Manthala Padannayil, Shyam Pokharel, Suresh Rana, Lauren A. Rigsby, Gagandeep Saini, Nishan Shrestha, Somol Sunny

Affiliation: Lynn Cancer Institute, Boca Raton Regional Hospital, Baptist Health South Florida

Abstract Preview: Purpose: This study examined the impact of varying the pitch factor in hippocampal-avoidance whole-brain (HP-WB) radiotherapy treatments, utilizing the newly introduced VOLO Ultra optimization for Hel...

Investigating X-Ray Flash Effect on Plasmid DNA with Combined Microscopic Monte Carlo and Analytical Simulations

Authors: Xun Jia, Youfang Lai

Affiliation: Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Johns Hopkins University

Abstract Preview: Purpose: Ultrahigh dose rate FLASH (>40 Gy/s) radiotherapy (RT) has attracted significant attention. The mechanism remains unclear, hindering clinical translation. This study investigated the behavior...

Investigating in-Vivo Megavoltage Radiodynamic Therapy from 6 to 45MV Photon Beam Radiation Therapy with 5-Aminolevulinic Acid

Authors: Lili Chen, Dusica Cvetkovic, Chang Ming Charlie Ma, Dae-Myoung Yang

Affiliation: Fox Chase Cancer Center

Abstract Preview: Purpose: 5-aminolevulinic acid (5-ALA)-mediated radiodynamic therapy (RDT) has been shown to be an effective treatment option using high-energy photon beams. RDT utilizes tumoricidal capabilities caus...

Investigating the Dosimetric Benefits of Enhanced Solid Angle Accessibility in a Self-Shielded Radiosurgery System

Authors: Peter Jermain, Ying Niu, Abdul Rashid, Yuan Yuan, Mohammad Zarenia

Affiliation: Medstar Georgetown University Hospital, MedStar Georgetown University Hospital, Department of Radiation Medicine, MedStar Georgetown University Hospital

Abstract Preview: Purpose: ZAP-X is a self-shielded radiosurgery system that utilizes a linac-based isocentric technique and a compact gyroscopic gantry design. While it provides a large solid angle for beam orientatio...

Investigating the Dosimetric Impact of Margin Reduction for Head and Neck Sequential Boost Treatments with Online Adaptive Radiotherapy

Authors: Jimmy Caudell, Eduardo G. Moros, Nour Nasser, Gage H. Redler, George Yang

Affiliation: Moffitt Cancer Center

Abstract Preview: Purpose: Dosimetric evaluation of PTV margin reduction for Head and Neck(H&N) sequential boost plans using the Ethos online adaptive radiotherapy(oART) system to investigate the tradeoff in decreased ...

Investigating the Effect of Beam Flattening Filter on Dose Estimated with Varian’s Original and Enhanced Mlc Models

Authors: Kenny Guida, Hongyu Jiang, Harold Li, Hem Bahadur Moktan Tamang

Affiliation: University of Nebraska Medical Center, Department of Radiation Oncology, University of Kansas Medical Center

Abstract Preview: Purpose: Varian Eclipse v18.0 introduced Enhanced Leaf Model (ELM) of MLC, which provides better dose calculation accuracy than original DLG-based MLC model. The leaf-gap (LG) parameter for ELM repres...

Investigating the Flash Effect: Uncovering Brain Sparing and Cognitive Preservation across Varying Dose Rates in Whole-Brain Irradiation of in-Vivo Mouse Models

Authors: Denise Dunn, Scott R. Floyd, Tyler V. Kay, Anna Lynnette-Price, Eric L. Martin, Stepan Mikhailov, Taylor Nguyen, Mark Oldham, Victoria J. P. Radosova, Zachary J. Reitman, Ramona Rodriguiz, Andrew Thompson, William Wetsel, Seth Wilcox, Ying Wu

Affiliation: Duke University Mouse Behavior Core, Department of Physics, Duke University, Medical Physics Graduate Program, Duke University, Duke University Medical Physics Program, Duke University, Duke University Mouse Behavioral and Neuroendocrine Analysis Core Facility, Department of Radiation Oncology, Duke University Medical Center

Abstract Preview: Purpose: FLASH radiation therapy (RT) shows promise for reducing normal tissue damage, though its mechanisms remain unclear. Using an in-vivo model with the High Intensity Gamma-ray Source (HIGS) lina...

Investigating the Multimodal Fusion Techniques to Improve Prediction Accuracy of Biochemical Recurrence of Prostate Cancer

Authors: Clint Bahler, Ruchika Reddy Chimmula, Harrison Louis Love, Oluwaseyi Oderinde, Courtney Yong

Affiliation: Purdue University, Department of Urology, Indiana University School of Medicine, Advanced Molecular Imaging in Radiotherapy (AdMIRe) Research Laboratory, School of Health Sciences, Purdue University

Abstract Preview: Purpose: Prostate cancer (PCa) is a common malignancy in men, and predicting biochemical recurrence (BCR) is crucial for guiding treatment decisions. Integrating multimodal data, including clinical, i...

Investigation and Machine-Learning Modeling of Dosimetric Discrepancies in Eclipse-Calculated Head and Neck Treatment Plans

Authors: Andres Portocarrero Bonifaz, Ian Schreiber

Affiliation: CARTI Cancer Center

Abstract Preview: Purpose: To explore how calculation grid resolution, along with other planning factors, affects head and neck dose calculation accuracy and contributes to potential discrepancies in the Eclipse Treatm...

Investigation of 5-Aminolevulinic Acid and Acridine Orange in Radiodynamic Therapy: An in Vitro Study

Authors: Lili Chen, Dusica Cvetkovic, Tristan K. Gaddis, Chang Ming Charlie Ma, Dae-Myoung Yang

Affiliation: Fox Chase Cancer Center

Abstract Preview: Purpose:
Recent studies have shown that combining photosensitizers with radiation therapy can enhance tumor control while reducing damage to normal tissues, a technique known as Radiodynamic Therap...

Investigation of Flash Proton Irradiation Induced DNA Double Strand Breaks Under Different Free Radical Scavenger Environments

Authors: Hansong Bai, Peter Jermain, Xun Jia, Heng Li, Devin Miles, Daniel Sforza, Michael H. Shang, Daniel Robert Strauss, Keith Unger, Lingshu Yin

Affiliation: Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, MedStar Georgetown University Hospital, Johns Hopkins University, Department of Radiation Medicine, MedStar Georgetown University Hospital

Abstract Preview: Purpose: To investigate DNA Double Strand Break (DSB) induced by FLASH proton irradiation in a repair-free plasmid DNA model under different free radical scavenging conditions in plateau and Bragg pea...

Investigation of Fluorescent Probes for Real-Time ROS Detection Under Flash Radiotherapy

Authors: Yuqi Yang, Fang-Fang Yin

Affiliation: Duke Kunshan University, Medical Physics Graduate Program, Duke Kunshan University

Abstract Preview: Purpose: Reactive oxygen species (ROS) are unstable molecules which play important roles in the cellular process after Flash radiotherapy. The rapid changes in ROS levels during treatment may provide ...

Investigation of High Cumulative Doses and Dose Outliers in a Pediatric Hospital

Authors: Niki Fitousi, Stanley Thomas Fricke, Anna Romanyukha

Affiliation: Qaelum NV, Children's National Hospital

Abstract Preview: Purpose:
To identify opportunities for improvement through investigation of outliers in exam dose length product (DLP) and patients receiving high cumulative doses (CED), in the context of our “ped...

Investigation of Low Iodine Concentration Detectability of Dual-Energy CT Imaging Using a Customized 3D Printed Phantom

Authors: Michalis Aristophanous, Laura I. Cervino, Maria F. Chan, Puneeth Iyengar, Hsiang-Chi Kuo, Nancy Y Lee, Xiang Li, Seng Boh Gary Lim, Usman Mahmood, Jean M. Moran, Jason Ocana

Affiliation: Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, Department of Medical Physics, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose: To determine the limits of iodine concentration detection (LOD) and quantification (LOQ) in dual-energy computed tomography using a 3D printed phantom while considering different background, ...

Investigation of Prompt Gamma Imaging Using a Three Axis Rotating Compton Camera

Authors: Molokotima Kekana, Dennis S. Mackin, Stephen W. Peterson, Jerimy C. Polf

Affiliation: Department of Physics, University of Cape Town, M3D, Inc, The University of Texas MD Anderson Cancer Center, Houston

Abstract Preview: Purpose: To study the imaging characteristics of a prototype prompt gamma (PG) imaging system consisting of multiple rotating Compton cameras (CC).

Methods: The prototype CC imaging system is c...

Investigation of Treatment Planning System (TPS) Algorithms for Helical Tomotherapy Total Body Irradiation (TBI)

Authors: John T Barrett, Chulhaeng Huh, Farshad Mostafaei, Michelle Rocque, Austin Sanders

Affiliation: Department of Radiation Oncology, Medical College of Georgia, Augusta University, Department of Radiation Oncology, Augusta University, Georgia Radiation Therapy Center, Wellstar-MCG Health

Abstract Preview: Purpose: This study involved the use of Accuray’s TPS (Precision) and RayStation TPS for planning TBI treatments. TBI was delivered using Accuray’s Radixact machine, and dose calculation algorithm, do...

Investigation of a Novel Snout-Mounted Compton Camera System for Monitoring Dose Depth

Authors: Ananta Raj Chalise, Matthias K Gobbert, Hajar Moradmand, Sina Mossahebi, Stephen W. Peterson, Jerimy C. Polf, Lei Ren, Ehsan Shakeri, Vijay Raj Sharma, Jie Zhang

Affiliation: University of Maryland School of Medicine, University of Maryland Baltimore County, University of Maryland, University of Maryland, Baltimore County, University of Maryland, School of Medine, Department of Physics, University of Cape Town, M3D, Inc

Abstract Preview: Purpose: We are developing a novel Compton Camera (CC) system mounted orthogonally on the treatment nozzle for prompt gamma (PG) imaging-based proton range verification during treatment. This study in...

Investigation of the Correlation between Proton Linear Energy Transfer and Treatment Field Hinge Angles in Brain Tumor Patients Treated with Intensity Modulated Proton Therapy

Authors: Omer Gal, Alonso N. Gutierrez, Matthew D. Hall, Rupesh Kotecha, Minesh P. Mehta, Andrew J. Wroe, Jen Yu

Affiliation: Miami Cancer Institute, Baptist Health South Florida

Abstract Preview: Purpose: Linear energy transfer (LET) is directly related to relative-biological-effectiveness dose in proton therapy. This study aims to investigate how the treatment field hinge angles affect LET of...

Investigation of the Impact of Dlg Changes on Plan Quality and Patient Specific QA

Authors: Nicole C. Detorie, Steven M. Kirsner, Remy Y. Manigold

Affiliation: Scripps Cancer Center

Abstract Preview: Purpose:
Dosimetric Leaf Gap (DLG) is an important factor in obtaining the proper beam model in the Eclipse treatment planning system. The purpose of this study was to investigate the dosimetric im...

Investigation on Quantifying Chemical Species Post Electron and Proton Irradiation Using the Geant4-DNA 'UHDR' Example

Authors: Konstantinos Chatzipapas, George C. Kagadis, Panagiotis Konstas, Dimitris N. Mihailidis, Dimitris Visvikis

Affiliation: LaTIM, INSERM UMR1101, University of Pennsylvania, LaTIM, INSERM, University of Brest, University of Patras

Abstract Preview: Purpose: This study investigates the temporal evolution of radiolytic species (H3O+, OH‱, OH-) in water under electron and proton irradiation using the mesoscopic chemistry model that allows longer te...

Iodine Quantification on a Prototype Deep Silicon Photon-Counting Versus Dual-Energy Energy-Integrating Detector CT

Authors: Meghan Lubner, Aria M. Salyapongse, Teva Shapiro, Scott D. Slavic, Timothy P. Szczykutowicz, Giuseppe Toia, Zhye Yin

Affiliation: GE HealthCare, Departments of Radiology and Medical Physics, University Wisconsin-Madison, GE Healthcare, University of Wisconsin-Madison, University of Wisconsin - Madison, UW-Madison, University of Wisconsin Madison, Department of Radiology

Abstract Preview: Purpose:
To compare iodine quantification on a prototype deep silicon photon-counting detector (PCD) CT and conventional clinical energy-integrating (EID) dual-energy (DE) CT.
Methods:
A phan...

Ir-192 Percentage Depth Ionization of PLA and Ballistic Gelatin Compared to Water

Authors: ChangSeon Kim, Andrew Lukban, Mario Serrano-Sosa, Ching-Ling Teng, Nadia M. Vassell

Affiliation: Northwell, Mount Sinai Beth Israel

Abstract Preview: Purpose:
The flexible nature of ballistic gelatin and 3D printed material such as PLA lend themselves to phantom studies in brachytherapy. While these materials can allow for easy simulation of cat...

Is Simplicity Even Better: Deep Learning Algorithms for Breath Motion Phase Prediction in Motion Management

Authors: Amanda J. Deisher, Andrew YK Foong, Witold Matysiak, Jing Qian, Xueyan Tang, Erik J. Tryggestad, Mi Zhou

Affiliation: Mayo Clinic

Abstract Preview: Purpose: Phase gating is commonly employed to mitigate the impact of tumor motion in radiotherapy. Due to the machine-specific time delay between triggering and radiation delivery, the triggering sign...

JACK KROHMER EARLY-CAREER INVESTIGATOR COMPETITION WINNER: Direct Measurement of an Early Change in Tumor Oxygenation in Response to Radiation with Oxygen Enhanced Electron Paramagnetic Resonance Imaging (OE-EPRI)

Authors: Jorge De La Cerda, Andrew Joseph Fanning, Tianzhe Li, Xiaofei Liang, Grace Murley, Mark Pagel, William Schuler, Renee Tran, Shuo Wang, Su-Min Zhou

Affiliation: University of Wisconsin Madison, University of Nebraska Medical Center, University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose: Electron paramagnetic resonance imaging (EPRI) can be used to image partial pressure of oxygen (pO2) in tumor models. The goal of this study is to develop an Oxygen Enhanced EPRI protocol to ...

Joint Optimization of Patient-Specific Range Modulators and Beam Intensities for Conformal Flash Proton Therapy

Authors: Hao Gao, Jiayue Han, Wangyao Li, Yuting Lin, Jufri Setianegara, Aoxiang Wang, Yanan Zhu

Affiliation: Department of Biomedical Engineering, Huazhong University of Science and Technology, Department of Radiation Oncology, University of Kansas Medical Center

Abstract Preview: Purpose: Proton therapy leverages Bragg-peak-based dose delivery to achieve ultra-high-dose-rate FLASH with patient-specific range modulators (PSRM). Current proton FLASH (pFLASH) planning typically i...

Just-in-Time Quality Assurance Check for Yttrium-90 Radioembolization Therapy

Authors: Stewart J. Becker, Andrew Genuit, Mariana Guerrero, Yannick P. Poirier

Affiliation: University of Maryland School of Medicine, Department of Radiation Oncology, University of Maryland School of Medicine

Abstract Preview: Purpose: To introduce an additional quality assurance step to prevent human error in vial mix-ups during Yttrium-90 (Y90) radioembolization by verifying the local assay at the time of delivery. We pro...

Key Tumor Volume Zones for Advancing the Radiomics-Based Distant Recurrence Prediction

Authors: Ryan Alden, Tithi Biswas, Kaushik Halder, Felix Maria-Joseph, Michael Mix, Rihan Podder, Tarun Kanti Podder

Affiliation: SUNY Upstate Medical University, IIT-Roorkee, University of Florida

Abstract Preview: Purpose: Radiomics feature-based model for predicting distant recurrence can potentially provide critical insight for clinical decision-making and assistance in treatment strategies. This study focuse...

Knee Image Generation Based on Fine-Tuning Stable Diffusion Model

Authors: Xiangli Cui, Zilei Fu, Man Hu, Wanli Huo, Xiaoqing Wu, Jianguang Zhang, Yingying Zhang

Affiliation: Institute of Health and Medical Technology, Hefei Institutes of Physical Science, Chinese Academy of Sciences, Hefei, the Zhejiang-New Zealand Joint Vision-Based Intelligent Metrology Laboratory, College of Information Engineering, China Jiliang University, Departments of Radiation Oncology, Zibo Wanjie Cancer Hospital, Department of Oncology, Xiangya Hospital, Central South University, Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences

Abstract Preview: Purpose:
Using Stable Diffusion to generate images of the knee in different disease states can enrich the medical imaging database and inject new vitality into the field of medical imaging analysis...

Knowledge-Based Deep Residual U-Net for Synthetic CT Generation Using a Single MR Volume for Frameless Radiosurgery

Authors: Justus Adamson, John Ginn, Yongbok Kim, Ke Lu, Trey Mullikin, Xiwen Shu, Chunhao Wang, Zhenyu Yang, Jingtong Zhao

Affiliation: Duke University, Duke Kunshan University

Abstract Preview: Purpose:
To develop a knowledge-based deep model for synthetic CT (sCT) generation from a single MR volume in frameless radiosurgery (SRS), eliminating the need for CT simulation prior to the SRS d...

Knowledge-Based Planning for Chest Wall with Lymph Nodes Irradiation VMAT

Authors: Nesrin Dogan, Panagiota Galanakou, Robert Kaderka

Affiliation: University of Miami, Sylvester Comprehensive Cancer Center, University of Miami Sylvester Comprehensive Cancer Center

Abstract Preview: Purpose:
To develop knowledge-based treatment planning (KBP) for volumetric modulated arc therapy (VMAT) in chest wall treatments with regional nodal involvement. Given the challenges posed due to ...

Knowledge-Based Planning in Proton Therapy: Validation and Model Size Considerations with Limited Data

Authors: Gregory A Azzam, Michael Butkus, Nesrin Dogan, Robert Kaderka, Nhan Vu, Yihang Xu

Affiliation: University of Miami, Department of Radiation Oncology, University of Miami, University of Miami Sylvester Comprehensive Cancer Center, University of Miami, Sylvester Comprehensive Cancer Center

Abstract Preview: Purpose: Knowledge-based planning (KBP) has demonstrated potential for improving planning quality and efficiency. Adoption of KBP in particle therapy has been slow due to limited number of plans to tr...

LD-V1 Film Characterization for MV Beam Quality

Authors: Ruiming Chen Edmondson, Darwin Abraham Garcia, James A. Kavanaugh, Joseph John Lucido

Affiliation: Mayo Clinic

Abstract Preview: Purpose: Characterize the dose response and reproducibility of a low-dose film for 6 MV photon beam and assess the film’s energy dependence between kV and MV energies.
Methods: A single 8’x10’ LD-V...

LLM-Enhanced Multi-Modal Framework for Predicting Pain Relief of Stereotactic Body Radiotherapy for Spine Metastases Using Clinical Factors and Imaging Reports

Authors: John Byun, Steven D Chang, Mingli Chen, Cynthia Chuang, Xuejun Gu, Melanie Hayden Gephart, Yusuke Hori, Hao Jiang, Mahdieh Kazemimoghadam, Fred Lam, Gordon Li, Lianli Liu, Weiguo Lu, David Park, Erqi Pollom, Elham Rahimy, Deyaaldeen Abu Reesh, Scott Soltys, Gregory Szalkowski, Lei Wang, Qingying Wang, Zi Yang, Xianghua Ye, Kangning Zhang

Affiliation: Department of Radiation Oncology, Stanford University, Department of Neurosurgery, Stanford University, Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center, Department of Radiation Oncology, Stanford University School of Medicine

Abstract Preview: Purpose: Accurate prediction of pain relief is crucial in determining the clinical effectiveness of Stereotactic body radiotherapy (SBRT) regimen for spine metastases. We propose a deep-learning frame...

Large Language Model Agents for Automated Radiotherapy Planning: A Knowledge-Enhanced Reinforcement Learning Approach

Authors: Hassan Bagher-Ebadian, Anthony J. Doemer, Ryan Hall, Joshua P. Kim, Bing Luo, Benjamin Movsas, Humza Nusrat, Kundan S Thind

Affiliation: Department of Physics, Toronto Metropolitan University, Henry Ford Health

Abstract Preview: Purpose: This study investigates the development and feasibility of local LLM-based agents to automate radiotherapy treatment planning, aiming to improve planning efficiency and consistency, while pre...

Large Language Model-Driven Agentic System for Collaborative Decision-Making in Radiotherapy Treatment Planning

Authors: Yang Sheng, Qingrong Jackie Wu, Qiuwen Wu, Xin Wu, Dongrong Yang

Affiliation: Duke University Medical Center

Abstract Preview: Purpose:
This study aims to leverage large language model (LLMs) to develop a human-in-the-loop agentic framework, enhancing the efficiency of treatment planning in radiotherapy.
Methods:
A L...

Large Scale Deployment of a Tailored and Hybrid Educational Strategy for Wartime Capacity Building: Aapm/HUG/Uamp Initiative to Transition Ukraine from Co-60 to IMRT through a Comprehensive Medical Physics Training Program

Authors: Victoria Susan Ainsworth, Stephen M. Avery, Serhii Brovchuk, Thomas Brown, Sean A. Dresser, Matthew D. Goss, Viktor M. Iakovenko, Kelly Kisling, Nataliya Kovalchuk, Robert F. Krauss, Wilfred F. Ngwa, Jatinder R. Palta, Julie A. Raffi, Peter Allan Sandwall, Natalka Suchowerska, William Swanson, Shada J. Wadi-Ramahi, Ruslan Zelinskyi

Affiliation: Allegheny Hospital, Johns Hopkins University, Virginia Commonwealth University, Stanford University, O.O. Shalimov National Institute of Surgery and Transplantology, Department of Radiation Oncology, UT Southwestern Medical Center, School of Physics, The University of Sydney, MaineHealth, University of California, San Diego, Duke University, Emory University, University of Pennsylvania, University of Pittsburgh Medical Center, Medical Physics Department, Medical center of Yuriy Spizhenko, OhioHealth, University of Massachusetts Lowell, St. Francis Hospital

Abstract Preview: Purpose: The AAPM International Council, in collaboration with Help Ukraine Group (HUG) and Ukrainian Association of Medical Physicists (UAMP), developed a novel hybrid year-long training course to as...

Latent Diffusion Model-Driven Semi-Supervised Semantic Segmentation of Cell Nuclei

Authors: Mark Anastasio, Hua Li, Zhuchen Shao

Affiliation: Washington University School of Medicine, University of Illinois Urbana-Champaign

Abstract Preview: Purpose: Automated semantic segmentation of cell nuclei in microscopic images is vital for disease diagnosis and tissue microenvironment analysis. However, obtaining large annotated datasets for train...

Latent Diffusion for 3D CT Reconstruction from Biplanar X-Rays

Authors: Guha Balakrishnan, Osama R. Mawlawi, Yiran Sun, Ashok Veeraraghavan

Affiliation: RICE University, UT MD Anderson Cancer Center

Abstract Preview: Purpose:
Previous deep learning (DL) techniques such as X2CT-GAN [1] has shown great promise in reconstructing realistic CT volume from biplanar X-rays, however they introduce numerous artifacts in...

Learning from Failures – Case Studies into Failing Patient Specific Quality Assurance Plans

Authors: Christopher S. Melhus, Elizabeth Meyer, Cassandra Stambaugh

Affiliation: Tufts Medical Center

Abstract Preview: Purpose: To investigate the clinical treatment planning parameters that impact patient-specific quality assurance (PSQA) passing rates for hippocampal avoidance whole brain (HAWB) treatment plans.
...

Leveraging Hybrid Quantum Solvers for Eye Plaque Brachytherapy Treatment Planning Optimization

Authors: Xianjin Dai, PhD, Wu Liu, Eric Nguyen, Lei Xing, Lewei Zhao

Affiliation: Department of Radiation Oncology, University of California, Los Angeles, Department of Radiation Oncology, Stanford University

Abstract Preview: Purpose: Recent developments in hybrid quantum solvers, which combine quantum and classical processing, enable greater flexibility to tackle problems outside the limited scope of pure quantum computin...

Leveraging Photon Counting Detector CT and Advance Reconstructions to Improve the Accuracy of Vessel Tracing in Prostate Artery Embolization

Authors: Christopher P. Favazza, Andrea Ferrero, Taylor Froelich, Forrest Linch, Scott Thompson

Affiliation: Mayo Clinic

Abstract Preview: Purpose: Photon counting detector (PCD) CT is a promising tool to enhance pre-procedural planning and intra-procedural guidance for prostate artery embolization due to its unsurpassed ultra-high spati...

Liver Tumor Auto-Contouring Using Recurrent Neural Networks on MRI-Linac for Adaptive Radiation Therapy

Authors: Yan Dai, Jie Deng, Christopher Kabat, Weiguo Lu, Ying Zhang, Hengrui Zhao

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Lab & Department of Radiation Oncology, UT Southwestern Medical Center

Abstract Preview: Purpose:
MRI-guided adaptive radiotherapy (MRgART) using MR-LINAC systems offers significant advantages for liver cancer, enabling superior tumor delineation and online plan adaptation. However, ma...

Log File-Based Patient-Specific QA As a Viable Alternative to Measurement-Based QA in IMPT

Authors: Sina Mossahebi, Pouya Sabouri, Kayla Schneider, James W Snider

Affiliation: University of Maryland School of Medicine, Proton International, Department of Radiation Oncology, University of Arkansas for Medical Sciences (UAMS), Department of Radiation Oncology, University of Arkansas for Medical Sciences

Abstract Preview: Purpose:
Conventional patient-specific QA (PSQA) for intensity-modulated proton therapy (IMPT) requires extensive measurements, straining resources in single-room proton centers. This study evaluat...

Log-Based Predictive Modeling of the Dynamic Collimation System (DCS) Trimmer Dynamics for Efficient Proton Pbs Delivery

Authors: Wesley S. Culberson, Albert Du, Ryan T. Flynn, Ryan Gardner, Alonso N. Gutierrez, Patrick M Hill, Daniel E. Hyer, Eric Jensen, Kaustubh A. Patwardhan, Blake R. Smith, Nhan Vu, Karsten K. Wake

Affiliation: University of Wisconsin, Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison, Miami Cancer Institute, Baptist Health South Florida, Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Ion Beam Applications (IBA), University of Iowa, Iowa Health Care

Abstract Preview: Purpose: To develop an accurate predictive temporal model for the movement of Dynamic Collimation System (DCS) trimmers during collimated proton pencil beam scanning (PBS) deliveries using log data. T...

Long-Term Stability Assessment of an Imaging Ring System Using One Year of Monthly Quality Assurance Data

Authors: Awens Alphonse, Nebi Demez, Brian P. Laffey, Shyam Pokharel, Suresh Rana, Nishan Shrestha

Affiliation: Lynn Cancer Institute, Boca Raton Regional Hospital, Baptist Health South Florida

Abstract Preview: Purpose: The Imaging Ring is a mobile digital X-ray system capable of producing 2D planar X-rays, fluoroscopy, and 3D Cone-Beam Computed Tomography (CBCT) images. This study aimed to evaluate the long...

Longitudinal CMR Strain Analysis of Right Ventricular (RV) Function across Aging in Offspring of Baboons Exposed to Moderate Maternal Undernutrition

Authors: Geoffrey D. Clarke, Laura A. Cox, Alexander J Moody, Peter W Nathanielsz, Bowen Yang

Affiliation: Wake Forest University School of Medicine, University of Texas Health Science Center at San Antonio, Texas Biomedical Research Institute

Abstract Preview: Purpose:
Recent studies show diagnostic value of myocardial strain analysis for left ventricular (LV) function using cardiac magnetic resonance imaging (CMR). RV function analysis is more challengi...

Lu-177 Recovery Coefficients Using Tc-99m Surrogate Method: Intra- & Inter-Scanner Comparison

Authors: Ben Piacitelli, Celeste Winters

Affiliation: OHSU, Department of Diagnostic Radiology, Oregon Health & Science University

Abstract Preview: Purpose: To compare recovery coefficients measured with Lu-177 and Tc-99m with the goal of assessing accuracy of the Tc-99m surrogate method and comparing RC reproducibility between scanners of the sa...

Lung Mass Variability in Clinical Chest CT Imaging with Automatic Contouring Tool

Authors: Yasaman Anbari, Srinivas Cheenu Kappadath, Benjamin P. Lopez

Affiliation: University of Houston, UT MD Anderson Cancer Center

Abstract Preview: Purpose: To improve lung dosimetry for 90Y-radioembolization planning, CT-based techniques have been proposed for patient-specific lung mass estimation instead of assuming nominal 1 kg lung masses. He...

Lymph Node Dose Is Associated with Immune Suppression and Poor Overall Survival in Locally Advanced Non-Small Cell Lung Cancer (NSCLC)

Authors: Ryan Gentzler, Xin He, James Larner, J.T. Morgan, Cam Nguyen, Wendy Stewart, Krishni Wijesooriya, Grant Williams

Affiliation: Department of Physics, University of Virginia, Department of Radiation Oncology, University of Virginia, Division of Hematology & Oncology, Department of Medicine, University of Virginia

Abstract Preview: Purpose: Some recent studies have shown Overall Survival (OS) of advanced-stage lung cancer patients treated with chemo-radiation therapy (CRT) is correlated with heart dose [1-5], while in other stud...

Lymphocytic Feature Characterization Using a Deep Learning Algorithm on Post-Radiation Lymph Nodes

Authors: Rico Castillo, Katherine Gonzalez, Casey C. Heirman, Kyle J. Lafata, Casey Y. Lee, Xiang Li, Yvonne M Mowery, Yvonne M Mowery, Daniel Murphy, Allison Pittman, Ashlyn G. Rickard

Affiliation: Duke University, Department of Radiation Oncology, Duke University, University of Pittsburgh

Abstract Preview: Purpose: To evaluate the ability of a deep learning model to identify pathomic features in lymph nodes of preclinical head and neck squamous cell carcinoma (HNSCC) models as surrogates for predicting ...

MR-Based Functional Liver Imaging and Dosimetry to Predict Albi Change Post-SBRT

Authors: Madhava Aryal, James M. Balter, Yue Cao, Daniel T Chang, Kyle Cuneo, Joseph R. Evans, Theodore Lawrence, John Rice, Randall K. Ten Haken, Lise Wei

Affiliation: University of Michigan, Department of Radiation Oncology University of Michigan

Abstract Preview: Purpose: This study aims to identify predictors of global liver function change measured by albumin-bilirubin (ALBI) score following stereotactic body radiation therapy (SBRT) in hepatocellular carcin...

MRI Radiomics-Based Machine Learning Model for Predicting BNCT Treatment Response in Glioblastoma

Authors: Huang Chi-Shiuan, Wu Chih-Chun, Hui-Yu Cathy Tsai, Chen Yan-Han, Chen Yi-Wei, Pan Yi-Ying

Affiliation: Institute of Nuclear Engineering and Science, National Tsing Hua University, Taipei Veterans General Hospital, Tri-Service General Hospital

Abstract Preview: Purpose:
This study aims to develop and validate a machine learning (ML) model based on MRI-derived radiomic features to predict progressive disease (PD) in glioblastoma (GBM) patients four months ...

Machine Learning Knowledge Based Planning Model for Hypo Fractionated Prostate/Prostate Lymph Nodes Treatments

Authors: Nina Burbure, Tawfik G. Giaddui, Shidong Li, Curtis Miyamoto, Jeremy Price, Bin Wang

Affiliation: FCCC at Temple University Hospital

Abstract Preview: Purpose: To evaluate the performance of KBP models for hypo-fractionated prostate and pelvic lymph nodes (LN) VMAT plans.
Methods: A KBP model (TUH KBP) was developed in Eclipse treatment planning ...

Machine Learning Model for Early Prediction of Chemoradiotherapy Response in Oropharyngeal Cancer Patients

Authors: Waleed Mutlaq Almutairi, Ke Colin Huang, Vishwas Mukundan, Christopher F. Njeh, Oluwaseyi Oderinde, Yong Yue

Affiliation: Purdue University, Indiana University School of Medicine, Department of Radiation Oncology, Advanced Molecular Imaging in Radiotherapy (AdMIRe) Research Laboratory, Purdue University, West Lafayette, Indiana, USA

Abstract Preview: Purpose:
This study aimed to develop a machine learning (ML) model for early prediction of chemoradiotherapy (CRT) response in order to enhance personalized treatment selection for oral or orophary...

Management of 4D CBCT Dose for Patients with Implanted Cardiac Devices

Authors: Won Chang, Vadim L. Stakhursky, Yevgeniy Vinogradskiy

Affiliation: Jefferson Einstein, Alliance Cancer Specialists, Thomas Jefferson University

Abstract Preview: Purpose: 4DCBCT is a powerful tool for localization of moving targets when treating lung tumors with hypofractionated regimens (SBRT). However, for patients with implanted cardiac devices (ICD) in clo...

Mapping Dosimetry, Excision Probability, and Mpmri Pixel Data to Core-Needle Biopsy Tissue from HDR Prostate Brachytherapy

Authors: Jeffrey Andrews, Nathan E. Becker, Juanita Crook, Andrew Jirasek, Matthew Jonathan Muscat

Affiliation: UBC, BC Cancer Agency, BC Cancer

Abstract Preview: Purpose: To map dosimetry and imaging information to ultrasound and multi-parametric magnetic resonance (mpMR) guided trans-perineal core-needle biopsies, performed during two-fraction prostate high-d...

Margins to Account for Cardiac and Respiratory Motion in Cardiac Radioablation

Authors: Alanah M. Bergman, Marc W Deyell, Tania Karan, Jakob Marshall, Justin Poon, Devin Schellenberg, Steven Thomas, Richard Thompson

Affiliation: University of British Columbia, University of Alberta, BC Cancer

Abstract Preview: Purpose: A conservative approach to account for random errors due to intra-fraction cardiac and respiratory motion during cardiac radioablation (CR) is to define a margin equal to the amplitude of car...

Mask-Less Adaptable Headrest for Head-and-Neck Radiotherapy

Authors: Alyssa Capizzi, John J Dombrowski, Nabil N. Khater

Affiliation: Saint Louis University

Abstract Preview: Purpose: To evaluate a mask-less adaptable headrest (MAHR) prototype for head-and-neck IMRT designed to reduce random and systematic shifts of patients’ setups. MAHR complements current image-guidance...

Matching CT Numbers between a Photon-Counting CT and an Energy-Integrating Detector CT: A Phantom Study

Authors: Afrouz Ataei, Xinhui Duan, Mi-Ae Park, Liqiang Ren

Affiliation: Department of Radiology, UT Southwestern Medical Center, UT Southwestern Medical Center, Rush University

Abstract Preview: Purpose:
Photon-counting CT (PCCT) has become commercially available recently, offering significant potential to enhance patient care. However, it also introduces unique challenges. One such challe...

Material Decomposition with Propagation-Based X-Ray Phase Contrast: A Comparison of Multi-Energy and Multi-Distance Imaging

Authors: Giavanna Luisa Jadick, Patrick J La Riviere

Affiliation: University of Chicago

Abstract Preview: Purpose: We assess two multi-measurement acquisition schemes for material decomposition with x-ray phase-contrast imaging (XPCI); demonstrating for the first time that multi-distance imaging can match...

Maximizing Integrated Treatment Planning Tools to Increase Automation for X-Ray-Based Adaptive Lung Sabr

Authors: Shahed Badiyan, Chien-Yi Liao, Mu-Han Lin, David D.M. Parsons, Justin D. Visak, Brien Timothy Washington, Kenneth Westover, Yuanyuan Zhang

Affiliation: Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Lab & Department of Radiation Oncology, UT Southwestern Medical Center, Department of Radiation Oncology, UT Southwestern Medical Center, Dallas, TX

Abstract Preview: Purpose: Adaptive radiotherapy (ART) programs are resource-intensive due to their technical complexities, requiring highly skilled planners. Leveraging integrated automated treatment planning system (...

Maximum Conformity IMPT Planning with the Dynamic Collimation System

Authors: Wesley S. Culberson, Albert Du, Ryan T. Flynn, Alonso N. Gutierrez, Patrick M Hill, Daniel E. Hyer, Kaustubh A. Patwardhan, Blake R. Smith, Nhan Vu, Karsten K. Wake

Affiliation: University of Wisconsin, Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison, Miami Cancer Institute, Baptist Health South Florida, Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, University of Iowa, Iowa Health Care

Abstract Preview: Purpose:
To perform end-to-end treatment planning and delivery verification of energy-specific collimated treatments optimized to achieve the maximum obtainable high-dose conformity using the dynam...

Measurement of 90 Y Bremsstrahlung Dose with Thermoluminescent Dosimeters

Authors: David P. Adam, Bryan Bednarz, Tyler J Bradshaw, Wesley S. Culberson, Clifford G. Hammer, Sean Jollota, Ohyun Kwon, Jordan Teague

Affiliation: Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Department of Radiology, University of Wisconsin - Madison

Abstract Preview: Purpose: To quantify absorbed dose to water from 90YCl using thermoluminescent dosimeters (TLDs) and to acquire partial volume corrections for 90YCl positron emission tomography (PET).
Methods: Six...

Medical Physics Nextgen: Inspiring Undergraduate Students to Pursue Medical Physics in the Eastern Mediterranean Region By Focusing on Local Needs

Authors: Wamied T. Abdel-Rahman, Iqbal AlAmri, Lma Alahmare, Ghada Aldosary, Marwa Alghamdi, Lujain Aljadou, Yarah Alkhulaif, Abdullah A. Alshreef, Ohoud Alsubaie, Hoton Alsufyani

Affiliation: Loma Linda University Medical Center, Princess Nourah Bint Abdulrahman University, King Fahad Specialist Hospital, KAMC- Ministry of National Guard Health Affairs, SQCCCRC, KASCH- Ministry of National Guard Health Affairs

Abstract Preview: Purpose: The shortage of qualified medical physicists in many developing countries is due to multiple factors such as lack of awareness or access to graduate and residency training programs. An outrea...

Medical Physics Postdoctoral Research As an Entrée into the Profession: Results of a Survey Administered By the AAPM Medical Physics Graduate Education Subcommittee

Authors: Abdullah A. Alshreef, Elizabeth L. Bossart, Ashley Cetnar, Leonard H. Kim, Neil A. Kirby, Anna E. Rodrigues, Xin Wang, You Zhang

Affiliation: University of Miami, The University of Texas MD Anderson Cancer Center, Loma Linda University Medical Center, MD Anderson Cancer Center at Cooper, Cooper Medical School of Rowan University, The Ohio State University - James Cancer Hospital, UT Health San Antonio, Duke University, 5940 forest park road

Abstract Preview: Purpose: AAPM TG-298 reported several concerns regarding the training and education of alternative pathway candidates. Medical physics postdoctoral research, though not part of the certification pathw...

Memory-Efficient Deep Learning for Volumetric Cone-Beam CT Image Reconstruction

Authors: Ziqi Gao, Lei Xing, Siqi Ye, S. Kevin Zhou

Affiliation: Department of Radiation Oncology, Stanford University, University of Science and Technology of China (USTC)

Abstract Preview: Purpose: To address the challenge of high memory usage in volumetric cone-beam CT (CBCT) imaging, we propose a method that combines joint reconstruction and super-resolution for sparsely sampled CBCT ...

Mesial Temporal Tau-PET Is Related to Diffusion Tensor Imaging Outcomes in Adults with Down Syndrome

Authors: Andrew Alexander, Brecca Bettcher, Bradley T Christian, Jose Guerrero-Gonzalez, Steven Kecskemeti, Lisette LeMerise, Max McLachlan, Andrew McVea, Matthew Zammit

Affiliation: University of Wisconsin-Madison School of Medicine and Public Health and Waisman Center

Abstract Preview: Purpose: Individuals with Down syndrome (DS) develop Alzheimer’s Disease (AD) with very high prevalence (>90%). Neuropathology includes amyloid plaque (AÎČ) accumulation, followed by neurofibrillary ta...

Mid-Range Planning for Efficient and Robust Proton Arc Therapy

Authors: Mingli Chen, Xuejun Gu, Mahdieh Kazemimoghadam, Weiguo Lu, Qingying Wang, Zi Yang, Kangning Zhang, You Zhang

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, Department of Radiation Oncology, Stanford University School of Medicine

Abstract Preview: Purpose: Delivery efficiency and robustness are critical in spot-scanning proton arc therapy (SPAT), yet the conventional use of redundant energy layers (ELs) prolongs switching times and reduces effi...

Minimizing Positioning Errors in Intracranial SRS: The Role of Verification Imaging after 6-Dof Corrections

Authors: Anthony J. Doemer, Yimei Huang, Benjamin Movsas, Ellen Park, Mira Shah, Salim Siddiqui, Karen C. Snyder, Kundan S Thind, Bo Zhao

Affiliation: Henry Ford Health

Abstract Preview: Purpose: The 6 degrees-of-freedom (6-DoF) robotic couch is considered essential for linac-based stereotactic radiosurgery (SRS), particularly for irregularly shaped targets adjacent to critical organs...

Modality-Agnostic Image Cascade (MAGIC) for Multi-Modality Cardiac Substructure Segmentation

Authors: Ming Dong, Carri K. Glide-Hurst, Qisheng He, Anudeep Kumar, Alex Singleton Kuo, Joshua Pan, Chase Ruff, Nicholas R. Summerfield

Affiliation: Department of Computer Science, Wayne State University, Departments of Human Oncology and Medical Physics, University of Wisconsin-Madison, Department of Human Oncology, University of Wisconsin-Madison

Abstract Preview: Purpose: Recent evidence highlights the importance of incorporating cardiac substructures (CS) into treatment planning for thoracic cancers, however current segmentation methods are limited to a singl...

Modeling Alpha-Particle Dose from Diffusing Alpha-Emitters Radiation Therapy in Tissue with Inhomogeneous Diffusion

Authors: Lior Arazi, Gil'ad N. Cohen, Antonio L. Damato, Irene P. Zhang

Affiliation: Unit of Nuclear Engineering, Faculty of Engineering Sciences, Ben-Gurion University of the Negev, NYU Grossman School of Medicine, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose: Diffusing alpha-emitters Radiation Therapy (“Alpha DaRT”) is a promising new radiation therapy modality for treating bulky tumors. The dose delivered by Alpha-DaRT sources is dependent on the...

Modified Dehazenet for Scatter Correction in Triggered Imaging: Enhancing Visibility and Alignment Precision for Radiation Therapy

Authors: Hyosung Cho, Dae Yup Han, Duhee Jeon, Jiwon Park, Hyesun Yang

Affiliation: Department of Therapeutic Radiology, Yale University School of Medicine, Yonsei University

Abstract Preview: Purpose: Scatter in X-ray imaging degrades image quality, hindering the visibility of critical anatomical features and complicating patient alignment in radiation therapy. This study aims to improve s...

Monitor Unit (MU) Substructure Analysis for Low MU Deliveries

Authors: Indra J. Das, Ahtesham U. Khan, Andrew J. White, Poonam Yadav

Affiliation: Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine

Abstract Preview: Purpose: During intensity modulated radiotherapy (IMRT) planning, low MU segments (< 3 MU) are commonly avoided due to documented dosimetric nonlinearity and poor reproducibility. This work aims to ex...

Monte Carlo Derived Correction Factors for Ion Chambers Used in the Calibration of Gamma Knife Perfexion Model: Impact of Phantom Materials and Chamber Orientation on Dosimetric Accuracy

Authors: Catherine Coolens, Robert K. Heaton, Lalageh Mirzakhanian, Tasnim Rahman, Jan P. Seuntjens

Affiliation: Princess Margaret Cancer Centre & University of Toronto, McGill University, Princess Margaret Cancer Centre, Princess Margaret Hospital, University of Toronto

Abstract Preview: Purpose: Commissioning of a Gamma KnifeÂź (GK) (Elekta, Sweden) unit requires precise dosimetric reference measurements, particularly for small fields. The IAEA TRS-483/AAPM TG-155 code of practice (20...

Monte Carlo Modeling of an Experimental X-Ray Fluorescence Computed Tomography (XFCT) System with a Pixelated CdTe Detector

Authors: Sang Hyun Cho, Sandun Y. Jayarathna, Neerajan Nepal

Affiliation: The University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose: To develop/validate a Monte Carlo (MC) model of an experimental benchtop x-ray fluorescence computed tomography (XFCT) system with a pixelated CdTe detector that can be used for MC simulation...

Monte Carlo Simulation of Dose Perturbations in HAM Applicator HDR Brachytherapy Treatments

Authors: Sam Beddar, Brett Bocian, David B. Flint, Benjamin Abraham Insley, Patrick James Jensen, Rachael M. Martin Paulpeter, Joshua S. Niedzielski, Luis Augusto Perles, Reza Reiazi, Gabriel O. Sawakuchi

Affiliation: University of Miami, MD Anderson Cancer Center, The University of Texas MD Anderson Cancer Center, Empyrean Medical Systems, UT MD Anderson Cancer Center, Department of Radiation Physics, The University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose: The Harrison-Anderson-Mick (HAM) applicator is an Ir-192 High-Dose-Rate (HDR) intraoperative radiotherapy device. It features a silicone body with embedded catheters that guide the Ir-192 sou...

Monte Carlo Simulation of Surface Radiation Dose for Cherenkov Imaging: Comparison with Commissioning Data for Truebeam and Halcyon

Authors: Hongjing Sun, Weibing Yang, Timothy C. Zhu, Yifeng Zhu

Affiliation: University of Pennsylvania

Abstract Preview: Purpose: This study aims to compare the commissioning results of TrueBeam and Halcyon linear accelerators with Monte Carlo (MC) simulations conducted using TOPAS. The ultimate goal is to leverage MC s...

Monte Carlo Verification of Field-Size Dependent Backscatter Effect in Superficial HDR Brachytherapy

Authors: Mandar S. Bhagwat, Casey Y. Lee

Affiliation: Duke University, Massachusetts General Hospital and Harvard Medical School

Abstract Preview: Purpose: TG43-based dose calculation leads to inaccurate field-size dependent dose calculation in superficial HDR brachytherapy, due to full-scatter condition accounted in TG43, but not during treatme...

Motion Management: Troubleshooting 101—Tips for a Successful Lung Sbrt Program

Authors: Julianne M. Pollard-Larkin

Affiliation: The University of Texas MD Anderson Cancer Center

Abstract Preview: N/A...

Moving Away from Measuring Everything - Implementing 3D Recalculation in a Large Networked Radiotherapy Institution to Replace Routine IMRT / VMAT QA

Authors: Eujin Chan, Christopher Colyer, Leon F Dunn, Jonathan Dunning, Michael Grace, Onno Kamst, Alex Livingstone, Thulani Nyathi, Vladimir Sashin, Philip Satory, Hilmar Schachenmayr, Brindha Subramanian, Lindsay J. Tremethick, Luke Webb

Affiliation: GenesisCare

Abstract Preview: Purpose: The purpose of this work is to outline the methodology and results from the implementation of a 3D recalculation software to replace IMRT/VMAT PSQA measurement across a large, networked radio...

Multi-Institutional Analysis of CT Dose Index Variability and Radiomics Features

Authors: Caroline Chung, Michael Knopp, Stephen F. Kry, Hunter S. Mehrens, John Rong

Affiliation: The University of Texas MD Anderson Cancer Center, UT MD Anderson Cancer Center, University of Cincinnati

Abstract Preview: Purpose: To evaluate the variability of CT dose index (CTDIvol) and radiomics features across a large cohort of radiotherapy simulation CT scans from multiple institutions.
Methods: Three IROC phan...

Multi-Modality Artificial Intelligence for Involved-Site Radiation Therapy: Clinical Target Volume Delineation in High-Risk Pediatric Hodgkin Lymphoma

Authors: Tyler J Bradshaw, Sharon M Castellino, Steve Y Cho, David Hodgson, Bradford S Hoppe, Kara M Kelly, Andrea Lo, Sarah Milgrom, Xin Tie

Affiliation: Department of Radiation Oncology, University of Toronto, Department of Radiology, University of Wisconsin, University of Colorado Anschutz, Department of Medical Physics, University of Wisconsin, Department of Radiation Oncology, Mayo Clinic, Department of Radiation Oncology, BC Cancer, Vancouver Center, Department of Radiology, University of Wisconsin - Madison, Roswell Park Comprehensive Cancer Center, Emory University School of Medicine

Abstract Preview: Purpose: Clinical target volume (CTV) delineation for involved-site radiation therapy (ISRT) in Hodgkin lymphoma (HL) is time-consuming due to the need to analyze multi-time-point PET/CT scans co-regi...

Multi-Organ Segmentation of Pelvic Cone-Beam Computed Tomography (CBCT) with Transformer Models to Enhance Adaptive Radiotherapy for Prostate Cancer

Authors: Ming Chao, Thomas Chum, Tenzin Kunkyab, Yang Lei, Tian Liu, Richard G Stock, Hasan Wazir, Junyi Xia, Jiahan Zhang

Affiliation: Icahn School of Medicine at Mount Sinai

Abstract Preview: Purpose:
This study aims to develop effective strategies for multi-organ segmentation of pelvic cone-beam computed tomography (CBCT) images based on transformer models to facilitate adaptive radiat...

Multi-Path Deep Learning Model for Predicting Post-Radiotherapy Functional Liver Imaging in Patients with Hepatocellular Carcinoma

Authors: Smith Apisarnthanarax, Stephen R. Bowen, Sunan Cui, Jie Fu, Clemens Grassberger, Yulun He, Yejin Kim, Matthew J. Nyflot, Sharon Pai

Affiliation: Department of Radiation Oncology, University of Washington and Fred Hutchinson Cancer Center, Department of Radiation Oncology, University of Washington, University of Washington, Department of Radiation Oncology, Fred Hutchinson Cancer Center, University of Washington, Department of Physics, University of Washington, University of Washington and Fred Hutchinson Cancer Center

Abstract Preview: Purpose: 99mTc-sulfur colloid SPECT imaging enables quantitative assessment of voxel-wise liver function in patients with hepatocellular carcinoma (HCC). Accurately predicting post-radiotherapy (RT) l...

Multi-Region Multiomic Features Improve Random Forest Toxicity Modeling of Radiation Pneumonitis

Authors: Laurence Edward Court, Alexandra Olivia Leone, Zhongxing Liao, Saurabh Shashikumar Nair, Joshua S. Niedzielski, Ramon Maurilio Salazar, Ting Xu

Affiliation: The University of Texas MD Anderson Cancer Center, Department of Radiation Physics, The University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose: Radiation Pneumonitis (RP) predictive models often rely on clinical and DVH parameters, but multiomic features from CT imaging and 3D dose distributions from various regions could provide add...

Multi-Scale, Multi-Task Framework with Jacobian Descent for Multi-Plan Dose Prediction in Sequential Boost Radiotherapy

Authors: Steve B. Jiang, Mu-Han Lin, Yu-Chen Lin, Austen Matthew Maniscalco, Dan Nguyen, David Sher, Xinran Zhong

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab & Department of Radiation Oncology, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center, Department of Radiation Oncology, UT Southwestern Medical Center, UT Dallas

Abstract Preview: Purpose:
Sequential boost radiotherapy (RT) poses a challenge in allocating dose across multiple plans while protecting organs at risk (OARs). Clinicians must decide whether OAR sparing should occu...

Multi-Sid Optimization for 4 Pi Robotic Radiotherapy

Authors: Qihui Lyu, Dan Ruan, Ke Sheng, Jingjie Yu

Affiliation: Department of Radiation Oncology, University of California, Los Angeles, University of California, San Francisco, Department of Radiation Oncology, University of California, San Francisco

Abstract Preview: Purpose: The robotic arm radiotherapy platform enables flexible delivery of non-coplanar and non-isocentric radiotherapy with variable Source-to-Isocenter Distances (SIDs). However, the high degrees o...

Multicentric Characterization of Organ-Based Tube Current Modulation in Thoracic and Abdominopelvic Computed Tomography: A Dosimetric and Image Quality Study

Authors: Corentin Desport, Dominique Iacchetti, Nicolas Kien, Ramiro Moreno, Melodie Munier, Séléna Pondard

Affiliation: Fibermetrix, Alara Expertise, Alara Group

Abstract Preview: Purpose: To evaluate the efficiency of organ-based tube current modulation (OBTCM) in thoracic and abdominopelvic Computed Tomography (CT) for different radiology departments and manufacturers. This s...

Multimodal Data Integration with Machine Learning for Predicting PARP Inhibitor Efficacy and Prognosis in Ovarian Cancer

Authors: Qianxi Ni, Xian Xiong

Affiliation: The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University

Abstract Preview: Purpose:
Poly(ADP)-ribose polymerase inhibitors (PARPi) have brought a significant breakthrough in the maintenance treatment of ovarian cancer. However, beyond BRCA mutation/HRD, the direct impact ...

Multimodal Framework for Predicting Radiation-Induced Severe Acute Esophagitis in Esophageal Cancer

Authors: Yeona Cho, Chloe Min Seo Choi, Joseph O. Deasy, Jue Jiang, Jihun Kim, Jin Sung Kim, Nikhil Mankuzhy, Aneesh Rangnekar, Andreas Rimner, Maria Thor, Harini Veeraraghavan, Abraham Wu

Affiliation: University of Freibrug, Department of Medical Physics, Memorial Sloan Kettering Cancer Center, Department of Radiation Oncology, Yonsei Cancer Center, Heavy Ion Therapy Research Institute, Yonsei University College of Medicine, Department of Radiation Oncology, Gangnam Severance Hospital, Yonsei University College of Medicine, Memorial Sloan Kettering Cancer Center, Yonsei University

Abstract Preview: Purpose: We hypothesized that combining clinical, imaging, and radiotherapy dose-distribution features could increase predictive model accuracy in radiation-induced severe acute esophagitis (SAE) in e...

Multiparametric and Low-Field MRI for Biomimetic MRI-Readable Gel Dosimeters

Authors: Kaitlyn M Betz, David Dunkerley, Eric Johnson, Kalina V Jordanova, Kathryn E. Keenan, Samuel D Oberdick, Gregory P. Penoncello, Stephen E Russek

Affiliation: Dept of Radiology, Stanford, University of Colorado School of Medicine, NIST, College of Wooster

Abstract Preview: Purpose: Examine use of low-field MRI and multiparametric analysis for 3D MRI-readable biomimetic gel dosimetry. Low-field MRIs are compact, inexpensive, and portable. They could be located within rad...

Multiple x-Ray Source Array (MXA) System Development for Better Ray Sampling in Large Coverage Axial CT Imaging

Authors: Craig K Abbey, John M. Boone, Richard E. Colbeth, Andrew M. Hernandez, Sarah E. McKenney, Vance Robinson, Paul Schwoebel, Jeffrey H. Siewerdsen, Alejandro Sisniega, Wojciech B. Zbijewski

Affiliation: UC Santa Barbara, University of California, UT MD Anderson Cancer Center, Johns Hopkins University, University of New Mexico Albuquerque, UC Davis Health, Varex Imaging Corporation

Abstract Preview: Purpose:
While wide coverage (160 mm) CT scanners can image whole organs (e.g. heart, brain, kidneys, etc.) in one axial scan, the peripheral regions of the field of view (along z) suffer from cons...

NA-Unetr: A Neighborhood Attention Transformer Network for Enhanced 3D Segmentation of the Left Anterior Descending Artery

Authors: Hassan Bagher-Ebadian, Ahmed I Ghanem, Joshua P. Kim, Chengyin Li, Rafi Ibn Sultan, Kundan S Thind, Dongxiao Zhu

Affiliation: Wayne State University, Department of Radiation Oncology, Henry Ford Health-Cancer, Detroit, MI and Alexandria Department of Clinical Oncology, Faculty of Medicine, Alexandria University, Henry Ford Health

Abstract Preview: Purpose: Accurate segmentation of the Left Anterior Descending (LAD) artery in free-breathing 3D treatment planning CT is crucial for radiotherapy but remains challenging due to its small size, comple...

NTCP Modeling and Dose-Volume Correlations for Rectal Symptoms Following Prostate Cyberknife SBRT.

Authors: Nicholas Joseph Casteloes, Brian T Collins, Sean P Collins, Shiva K. Das, Panayiotis Mavroidis, Michael Repka, Simeng Suy

Affiliation: University of South Florida, University of North Carolina

Abstract Preview: Purpose: To correlate four rectal symptoms with the dose to rectum in patients, who received SBRT with Cyberknife for prostate cancer. Also, to fit those dosimetric and outcome data by using a normal ...

NTCP Modeling of Dose to Bladder and Urethra with Urinary Symptoms Following Prostate Cyberknife SBRT.

Authors: Nicholas Joseph Casteloes, Brian T Collins, Sean P Collins, Shiva K. Das, Panayiotis Mavroidis, Michael Repka, Simeng Suy

Affiliation: University of South Florida, University of North Carolina

Abstract Preview: Purpose: To correlate two urinary symptoms with dose to bladder and urethra in patients who received SBRT with Cyberknife. Also, to use a normal tissue complication (NTCP) model to fit the dosimetric ...

NTCP Modeling of Skin Systemic Sclerosis 12 Months Post Radiotherapy for Head & Neck Cancer

Authors: Gregory A Azzam, Danielle Cerbon, Laura Huang, Panayiotis Mavroidis, Diana Molinares, Stuart E Samuels, Sotirios Stathakis

Affiliation: Mary Bird Perkins Cancer Center, University of Miami Sylvester Comprehensive Cancer Center, Mount Vernan Rehabilitation Medicine Associates, Department of Radiation Oncology, University of Miami, University of North Carolina

Abstract Preview: Purpose: This study aims at performing a normal tissue complication probability (NTCP) modeling by fitting the doses to the skin, sternocleidomastoid (SCM) muscle and subcutaneous tissue (subcut) stru...

Nausea, Heartburn, K-Edge Imaging: Pepto Bismol As a CT Contrast Agent

Authors: Magdalena Bazalova-Carter, Ross I. Berbeco, James Day, Xinchen Deng, Chelsea Amanda Saffron Dunning, Dianne M. Ferguson, Matthew W. Jacobson, Toby Morris, Marios Myronakis, Jericho Daniel O'Connell, Fides Schwartz, Jainil Shah, Aaron Sodickson

Affiliation: Brigham and Womens Hospital, University of Massachsetts Lowell and Dana-Farber Cancer Institute Boston, Medical Physics Department, Medical School, University of Thessaly, Brigham and Women's Hospital, Harvard Medial School, Dana-Farber Cancer Institute, Department of Radiation Oncology, University of Washington, University of Victoria, Siemens Healthineers, Dana Farber/Brigham and Women's Cancer Center, Brigham and Women's Hospital

Abstract Preview: Purpose: While CT imaging has advanced with improved machine design, we propose further gains can be achieved by enhancing sensitivity to contrast agents. Current CT sensitivity is limited to 1% bismu...

Neural Implicit K-Space for Accelerated Patient-Specific Non-Cartesian MRI Reconstruction

Authors: Daniel O Connor, Mary Feng, Hui Lin, Hengjie Liu, Xin Miao, Michael Ohliger, Jess E. Scholey, Ke Sheng, DI Xu, Wensha Yang, Yang Yang

Affiliation: UCSF, University of California, Los Angeles, Department of Radiation Oncology, University of California San Francisco, Department of Radiation Oncology, University of California, San Francisco, Department of Radiation Oncology, University of California at San Francisco, University of San Francisco, Department of Radiology, University of California, San Francisco, University of California San Francisco, Siemens Medical Solutions USA Inc.

Abstract Preview: Purpose: The scanning time for a fully sampled MRI is lengthy. Compressed sensing (CS) has been developed to minimize image artifacts in accelerated scans, but the required iterative reconstruction is...

Neural Network Based Differentiable Optimization for Volumetric Modulated Arc Therapy (VMAT)

Authors: Peng Dong, Lei Xing

Affiliation: Department of Radiation Oncology, Stanford University, Stanford University

Abstract Preview: Purpose: Volumetric Modulated Arc Therapy (VMAT) optimization is a complex, non-convex problem with numerous variables and intricate constraints. Traditional optimization methods often lack efficiency...

Neutron Dose Measurements with Multiple Dosimetry Techniques for Fetal Dose Estimation

Authors: Ahmet S. Ayan, Estelle Batin, Austin M. Faught, Peter E. Klages, Eunsin Lee, Collin Nappi, Mina Okello, Meghana Ramani, Zachary X. Richards, Parisa Sadeghi

Affiliation: Department of Radiation Oncology, The Ohio State University Wexner Medical Center, The Ohio State University Wexner Medical Center, Ohio State University, The Ohio State University

Abstract Preview: Purpose: Neutron doses are not modelled in proton treatment planning systems, so measurements were taken with two independent dosimeter types to quantify representative neutron fetal doses in pencil b...

New Insights into Automatic Treatment Planning for Cancer Radiotherapy Using Explainable Artificial Intelligence.

Authors: Md Mainul Abrar, Yujie Chi

Affiliation: University of Texas at Arlington, Department of Physics, University of Texas at Arlington

Abstract Preview: Purpose: Healthcare 5.0, proposed in 2021, includes interpretable healthcare analysis as a core component. Achieving this requires the application of explainable artificial intelligence (XAI) to overc...

Next Generation Nanoparticles for Fractionated MRI-Guided Radiation Therapy

Authors: Stephanie Bennett, Ross I. Berbeco, Guillaume Bort, Needa Brown, Lena Carmes, Sandrine Dufort, Michael John Lavelle, Geraldine Le Duc, Francois Lux, Toby Morris, Zeinaf Muradova, Andrea Protti, Olivier Tillement

Affiliation: University de Lyon, NH TherAGuIX, University of Massachsetts Lowell and Dana-Farber Cancer Institute Boston, Department of Radiation & Cellular Oncology, University of Chicago, University of Central Florida, Department of Radiation Oncology, Dana-Farber/Brigham and Women’s Cancer Center, Harvard Medical School, NH TherAguix, Universite de Lyon, Brigham and Women's Hospital, Dana-Farber Cancer Institute

Abstract Preview: Purpose: AGuIX is a theranostic Gd-based nanoparticle currently under phase-2 clinical testing where patients receive 2-3 doses at 1-week intervals prior to imaging and irradiation. AGuIX-Bi is a new ...

Nnae: Automating Anomaly Detection and Quality Assurance in Medical Image Segmentation

Authors: Mingli Chen, Xuejun Gu, Hao Jiang, Mahdieh Kazemimoghadam, Weiguo Lu, Qingying Wang, Kangning Zhang

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center, Department of Radiation Oncology, Stanford University School of Medicine

Abstract Preview: Purpose:
Deep learning-based automatic medical image segmentation is increasingly employed in clinical practice, significantly reducing manual workload. However, verifying segmentation results rema...

Noise Sensitivity of Benchmark Whole-Body CT Segmentation Models: Totalsegmentator and Vista3D Performance on an Independent Dataset

Authors: Samuel L. Brady, Shruti Hegde, Alexander Knapp, Usman Mahmood, Joseph G. Meier, Elanchezhian Somasundaram, Zachary Taylor

Affiliation: Cincinnati Children's Hospital Medical Ctr, Department of Medical Physics, Memorial Sloan Kettering Cancer Center, Cincinnati Children's Hospital Medical Center, Cincinnati Childrens Hospital Med Ctr

Abstract Preview: Purpose:
To assess how two benchmark multi-organ CT segmentation models respond to varying image noise levels.
Methods:
This study utilized the pediatric CT dataset from The Cancer Imaging Ar...

Nomogram Based on Interpretable Multiregional Radiomics of Cone-Beam Breast CT and Clinicopathologic Features for Predicting FISH Status in HER2 2+ Breast Cancer to Differentiate HER2-Low from -Positive: A Multi-Center Study

Authors: Keyi Bian, Marco Caballo, Wenxiu Guo, Haijie Li, Jiao Li, Aidi Liu, Yue Ma, Ioannis Sechopoulos, Yafei Wang, Yaopan Wu, Zhaoxiang Ye, Yuwei Zhang, Yueqiang Zhu, Daan van den Oever

Affiliation: Radboud University Medical Center, Tianjin Medical University Cancer Institute & Hospital, Sun Yat-Sen University Cancer Center

Abstract Preview: Purpose: To develop and validate a nomogram integrating intra- and peritumoral radiomics of contrast-enhanced cone-beam breast CT (CE-CBBCT) and clinicopathologic features for predicting fluorescence ...

Non-Invasive Ferumoxytol MRI Evaluation of Dual Tumors Response for Hypoxia Region after Radiotherapy

Authors: Deng-Yuan Chang, Matthew L. Scarpelli

Affiliation: Purdue University

Abstract Preview: Purpose: Tumor-associated macrophages (TAMs) can be assessed by Ferumoxytol-MRI in breast cancer because they are negatively correlated with the prognosis of patient outcome. However, some studies hav...

Non-Planar Narrow-Beam CT: Near Scatter-Free, High-Resolution Breast Imaging at Screening Mammography Doses.

Authors: Peymon Ghazi

Affiliation: MALCOVA Inc.

Abstract Preview: Purpose: To develop a near scatter‐free breast CT imaging system that expands coverage of the posterior breast anatomy and enhances contrast resolution for solid masses and microcalcifications, while ...

Normal Tissue Dosimetry during Intra-Cavitary HDR Brachytherapy

Authors: Palanisamy Karunanithi, Karthikeyan Perumal, Siva Subramanian Vadivel

Affiliation: Dr. Kamakshi Memorial Hospital

Abstract Preview: Purpose:
Recent advancements in high dose-rate (HDR) brachytherapy include the image guidance, new applicators, and dose calculation algorithms. Brachytherapy has steep dose gradient, hence relativ...

Novel 915 MHz Annular Phased Array Applicator for Hyperthermia Treatment of Brain Lesions

Authors: Jason Ellsworth, Mark Mishra, Jason K Molitoris, Lei Ren, Dario B. Rodrigues, Paul Turner, Graeme Woodworth

Affiliation: University of Maryland School of Medicine, Department of Neurosurgery, University of Maryland School of Medicine, University of Maryland, Department of Radiation Oncology, University of Maryland School of Medicine, Pyrexar Medical

Abstract Preview: Purpose: Hyperthermia therapy (HT) involves increasing tumor temperatures to 40-44°C and is a potent radio- and chemosensitizer for treating solid tumors. Current clinical strategies to heat deep-seat...

Novel Approach to Improve Treatment Planning Process for Mixed Fractionation Schemes on ZAP-X

Authors: Michael Evan Chaga, Timothy Chen, Darra M. Conti, Shabbar Danish, Jing Feng, Wenzheng Feng, Joseph Hanley, Tingyu Wang

Affiliation: Hackensack Meridian Health, Jersey Shore University Medical Center

Abstract Preview: Purpose: Using mixed fractionation schemes is a common technique in treating CNS lesions. This article describes an innovative plan-and-split approach for more efficient planning on the ZAP-X and thus...

Novel Automatic Detection of Surface Brachytherapy Applicators and Catheters on Vibe MR Images

Authors: Ivan M. Buzurovic, Evangelia Kaza

Affiliation: Department of Radiation Oncology, Dana-Farber/Brigham and Women’s Cancer Center, Harvard Medical School, Brigham and Women's Hospital, Harvard Medial School, Dana-Farber Cancer Institute, Department of Radiation Oncology

Abstract Preview: Purpose: Recent advances allow for depiction of surface brachytherapy flap applicators using MRI, with empty catheters detected by signal intensity reduction. As manual catheter detection is subjectiv...

Novel Fast Cone-Beam CT for Adaptive Radiotherapy: Assessment of Image Distortion, Auto-Contouring, and Dose Delivery Accuracy in the Presence of Periodic Subject Motion

Authors: David P. Adam, William T. Hrinivich, Taoran Li, Alexander Lu, Michael Salerno, Alejandro Sisniega, Boon-Keng Kevin Teo

Affiliation: Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Johns Hopkins University, University of Pennsylvania

Abstract Preview: Purpose: Cone beam CT (CBCT)-guided online adaptive radiotherapy (ART) is of growing interest, with recent improvements in image quality provided through larger detector panels and fast gantry rotatio...

Novel Methods to Select Patients for Functional Avoidance Radiotherapy

Authors: Vikas Aragam, Edward Castillo, Richard Castillo, Yingxuan Chen, Yevgeniy Vinogradskiy, Lydia J. Wilson

Affiliation: Thomas Jefferson University, Emory University, University of Texas at Austin

Abstract Preview: Purpose: 4DCT-based ventilation imaging (4DCT-ventilation) has been innovatively applied in radiotherapy treatment planning to minimize doses to functional portions of the lung, known as functional av...

Novel Use of 3D Printing for Pre-Operative Dose Estimation in the First Case of Gammatile Spine Implantation

Authors: Ali Al Asadi, Amanda Lynn DiCarlo, Anthony J. Doemer, Jessie Y. Huang, Ian Y Lee, Alexandra Moceri, Adam Robin, Lisa Scarpace, Mira Shah, Salim Siddiqui, Kundan S Thind

Affiliation: Henry Ford Innovations, Henry Ford Health

Abstract Preview: Purpose: For a patient who had two previous courses of external beam therapy for rectosigmoid adenocarcinoma and presented with painful, recurrent disease in the sacrum, this study describes the first...

Objective Verification of Mechanical and Radiation Isocenters Independent of Setup

Authors: Jonathan Dowell, Wei Luo, Shane McCarthy, Janelle A. Molloy, Markus Murphy

Affiliation: University of Kentucky, Department of Radiation Medicine, Iridesce Solutions, Inc.

Abstract Preview: Purpose: The novel machine quality assurance (QA) device nĂŒFilm (Iridesce Solutions, Lexington KY) allows for an objective assessment of light and radiation fields independent of setup. Herein, the ab...

Off-Axis Dependency of the Sun Nuclear MapCheck3 Diode Array

Authors: Alyssa Gadsby, William J. Godwin, Daniel G. McDonald, Jean L. Peng, Alek K. Rapchak, Sean A Roles, Austin M. Skinner, Stephanie Tan

Affiliation: Medical University of South Carolina

Abstract Preview: Purpose: The Sun Nuclear MapCheck3 device is used for patient-specific QA. While it is typically employed in perpendicular field-by-field delivery using the Isocentric Mounting Fixture, fields not ful...

On Designing a Vascular Flow Phantom for Contrast-Enhanced Ultrasound Imaging

Authors: Kevin M Brom, Josep Chorro Bas, RosaAnna Chorro Bas, Andres Climent Rubio, Jaydev K. Dave, Tobias Kummer, Larissa Shiue, Donald J Tradup

Affiliation: Mayo Clinic, Prehospital Critical Care Training Group

Abstract Preview: Purpose: To design and evaluate the functionality of a vascular flow phantom for contrast-enhanced ultrasound imaging (CEUS).

Methods: A microcontroller-generated signal was amplified by a cust...

On Estimating Effective Doses Associated with Different Imaging Protocols for Weight-Bearing Imaging of the Hip with a Dedicated Cone Beam CT (CBCT) Scanner

Authors: Jeff Boob, Jaydev K. Dave, Tim Minch, Bhavyata Tanna

Affiliation: Dr. Ronald E. McNair Academic High School, Mayo Clinic, CurveBeam AI

Abstract Preview: Purpose: To estimate effective doses associated with different imaging protocols for hip imaging with a cone beam CT (CBCT) scanner specifically designed for weight-bearing acquisitions.
Methods: A...

On the Development and Commissioning of an in-Vivo Dosimetry Program Using Small Pieces of Gafchromic Film

Authors: Slade J. Klawikowski, Natalya V. Morrow, Haidy G. Nasief, Eric S. Paulson, An Tai, Hualiang Zhong

Affiliation: Department of Radiation Oncology, Medical College of Wisconsin

Abstract Preview: Purpose: Gafchromic film is commonly used for quality assurance in SRS/SBRT. However, its application in low-dose measurements, such as monitoring doses on cardiac implantable electronic devices—where...

On the Spectral Changes of Magna-Field Photon Beams Used in Total Body Irradiation

Authors: Larry A. DeWerd, Ahtesham Ullah Khan

Affiliation: Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison

Abstract Preview: Purpose: Total body irradiation (TBI) technique uses high energy photon beams with extended source-to-surface distances (SSDs) to irradiate the entire patient to prepare them for bone marrow or stem c...

One Year Experience of Biology-Guided Radiotherapy (BgRT) on PET-Linac in an Academic Center

Authors: Shahed Badiyan, Girish Bal, Thomas I. Banks, Bin Cai, Tu Dan, Aurelie Garant, Andrew R. Godley, Steve Jiang, Orhan Oz, Arnold Pompos, Rameshwar Prasad, Chenyang Shen, David Sher, Robert Timmerman, Kenneth Westover

Affiliation: Department of Radiation Oncology, UT Southwestern Medical Center, University of Texas Southwestern Medical Center, UT Southwestern Medical Center, RefleXion Medical

Abstract Preview: Purpose: Biology-guided radiotherapy (BgRT) is a novel FDA-cleared technology for treating lung and bone tumors based on 18F-FDG PET uptake. This study summarizes the first-year experience treating 29...

Opentps: An Open-Source Radiotherapy Treatment Planning System to Foster Research, Innovation, and Education in Medical Physics

Authors: Ana Maria Barragan Montero, Damien Dasnoy, Sylvain Deffet, Valentine Dormal, Colin Gaban, Melanie Ghislaine, Valentin Hamaide, Guillaume Janssens, John A. Lee, Eliot Peeters, Danah Pross, Luciano Rivetti, Benjamin Roberfroid, Romain Schyns, Kevin Souris, Edmond S. Sterpin, Sophie Wuyckens

Affiliation: Ion Beam Applications SA, Hospital Riviera-Chablais, UCLouvain, Multitel, Université Catholique de Louvain, IBA, Faculty of Mathematics and Physics, University of Ljubljana, Universite Catholique de Louvain

Abstract Preview: Purpose: Treatment planning systems (TPSs) are essential for simulating and optimizing radiotherapy treatments. However, clinical TPSs are expensive software commercialized by private companies and of...

Optimal Choice of Companion Radiotracer for TAT 225Ac-Mti-201.

Authors: Vinay K Banka, Mikalai Budzevich, William R. Gibbons, Mark L. McLaughlin, Jacob Moriarty, Eduardo G. Moros, David L. Morse, Christopher J. Tichacek, Thad J. Wadas

Affiliation: Modulation Therapeutics Inc, Moffitt Cancer Center, University of Iowa

Abstract Preview: Purpose: A targeted alpha therapy drug, 225Ac-MTI-201, has been developed targeting the Melanocortin 1 Receptor for metastatic uveal melanoma and is currently in FIH clinical trials. Since alpha emiss...

Optimization of the U-Net Model for the Radiation Dose Prediction in Lung Cancer RT Plans and Its Uncertainty Quantification

Authors: Ibtisam Almajnooni, Victor Cobilean, Milos Manic, Harindra Sandun Mavikumbure, Elisabeth Weiss, Lulin Yuan

Affiliation: Virginia Commonwealth University

Abstract Preview: Purpose: This study aims to optimize the 3D U-Net architecture for dose prediction in lung cancer radiation therapy (RT) plans, particularly in scenarios with limited clinical data, as well as to quan...

Optimized Dosimetric Planning for Trigeminal Neuralgia Using Cyberknife S7 Precision TPS with Volo Optimizer

Authors: Amy Fitzpatrick, Kim Howard, Julius G. Ojwang, Neelu Soni

Affiliation: Mercy Hospital Springfield

Abstract Preview: Purpose: This study evaluates the dosimetric advantages and workflow improvements of the CyberKnife S7 Precision Treatment Planning System (TPS) with the VOLO optimizer for stereotactic radiosurgery (...

Optimized Methodology for Accurate Half-Value Layer Measurement in Preclinical X-Ray Cabinet Systems

Authors: Paolo Pellicioli, Mohammad Rezaee, Ehsan Tajikmansoury, John W. Wong

Affiliation: Institute of Anatomy, University of Bern, Baltzerstrasse, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine

Abstract Preview: Purpose: Half-value layer (HVL) is a critical parameter for commissioning and quality assurance of preclinical x-ray irradiators. However, measuring HVL in cabinet systems presents challenges due to s...

Optimizing Calibration Radioisotope and Activity for Dose Calibrator Linearity Testing in Radiopharmaceutical Therapy and Theranostic Facilities

Authors: Kimyli Lemieux, Xingyu Nie

Affiliation: University of Kentucky/UK HealthCare

Abstract Preview: Purpose: To optimize the selection of calibration radioisotope and its activity for dose calibrator (DC) linearity testing, adhering to ALARA (As Low As Reasonably Achievable) principles while conside...

Optimizing Dose Coverage and Mitigating Electron Return Effects and Electron Stream Effects in MR-Linac Treatment of Extremity Malignancies: The Impact of Bolus and Gel Use

Authors: Kin Yin Cheung, Chen-Yu Huang, Chi Wah Kong, Ka Ki Lau, Pei-Xiong Li, Darren M. C. Poon, Bin Yang, Siu Ki Yu, Jing Yuan, Chi To Yung, Shang Peng Felix Yung

Affiliation: Comprehensive Oncology Centre, Hong Kong Sanatorium and Hospital, Medical Physics Department, Hong Kong Sanatorium and Hospital, Research Department, Hong Kong Sanatorium and Hospital

Abstract Preview: Purpose: This study investigates optimal treatment strategies utilizing MR-linac for extremity lesions, with a specific focus on a 0.6 cm deep lesion in the right palm. The magnetic field-induced dose...

Optimizing Low-Dose Imaging Parameters for Dual-Energy Cone-Beam Computed Tomography in Image-Guided Radiation Therapy

Authors: Sebastien A. Gros, Hyejoo Kang, Andrew Keeler, Luke Layman, Jason Patrick Luce, Ha Nguyen, John C. Roeske

Affiliation: Department of Radiation Oncology, Stritch School of Medicine, Loyola University Chicago, Stritch School of Medicine Loyola University Chicago, Cardinal Bernardin Cancer Center, Loyola University Chicago

Abstract Preview: Purpose:
This study aims to optimize virtual monoenergetic (VM) images obtained from dual-energy (DE) cone-beam computer tomography (CBCT) protocols for Image-Guided Radiation Therapy (IGRT). The o...

Optimizing Lung SBRT Delivery: Role of Multiple Cbcts in Managing Intra-Fraction Motion

Authors: Anthony J. Doemer, Ian Gallagher, Yimei Huang, Jeff A. Riess, Kundan S Thind, Bo Zhao

Affiliation: Henry Ford Health

Abstract Preview: Purpose: Stereotactic body radiation therapy (SBRT) is commonly used for early-stage lung cancer. While pre-treatment CT captures some tumor motion, it may not fully represent intra-fraction motion du...

Optimizing Motion Profiles of a Dynamic Collimator in Proton Therapy

Authors: Simona Cacciatore, Albert Du, Ryan T. Flynn, Alonso N. Gutierrez, Patrick M Hill, Daniel E. Hyer, Eric Jensen, Kaustubh A. Patwardhan, Julien Smeets, Blake R. Smith, Nhan Vu, Karsten K. Wake

Affiliation: University of Wisconsin, Miami Cancer Institute, Baptist Health South Florida, Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Ion Beam Applications (IBA), University of Iowa, Iowa Health Care

Abstract Preview: Purpose: To evaluate time reduction strategies for the Dynamic Collimation System (DCS) using an IBA (Louvain-la-Neuve, Belgium) proton therapy system. Delivery time for a multi-energy-layer patient s...

Optimizing PTV Coverage in VMAT Breast Plans: A Robust Evaluation of Motion and Flash Margins

Authors: William N. Duggar, John C. White

Affiliation: UMMC, University of Mississippi Medical Center

Abstract Preview: Purpose:
To evaluate the impact of patient motion on PTV coverage for 95% and 90% target volumes in VMAT breast treatment plans and to determine the appropriate flash margins required to maintain r...

Optimizing Prostate Cancer Radiotherapy: Comprehensive Analysis of Automated Planning with Neural Network-Based Dose Prediction

Authors: Seungtaek Choi, Laurence Edward Court, Eun Young Han, Yusung Kim, Hunter S. Mehrens, Tucker J. Netherton, Shiqin Su

Affiliation: The University of Texas MD Anderson Cancer Center, Department of Radiation Physics, The University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose: Automated treatment planning is gaining traction for its enhanced consistency and efficiency. A key challenge, however, lies in the inability of neural network dose predictions directly trans...

Optimizing Timing of Physics Consults for Proton Prostate Therapy: Improving Patient Experience and Operational Efficiency

Authors: Charles D. Bloch, Stephen R. Bowen, Bing-Hao Chiang, Alex Egan, Eric C. Ford, Sharareh Koufigar, Dominic A. Maes, Juergen Meyer, Sharon Pai, Frank Rafie, Rajesh Regmi, Jatinder Saini, George A. Sandison, Marco Schwarz, Bishwambhar Sengupta, Tony P. Wong

Affiliation: Department of Radiation Oncology, Fred Hutchinson Cancer Center, University of Washington, Department of Physics, University of Washington

Abstract Preview: Purpose: This study aimed to optimize the strategy and timing of physics consults for proton prostate patients to improve the patient experience and resource utilization in our radiation oncology depa...

Optimizing Vessel Wall Visualization Using a Novel Black-Blood CT Technique on Craniocervical CT Angiography

Authors: Xiaohu Li, Jianjun Shen, Guozhi Zhang, Sihua Zhong, Jingjie Zhou

Affiliation: United Imaging Healthcare

Abstract Preview: Purpose:
Visualization of carotid artery vessel wall on computed tomography angiography (CTA) imaging is challenging. This study aims to develop a novel post-processing technique, black-blood compu...

Optimizing the Collimator Angles in Radiation Isocenter Localization Using Winston-Lutz Tests

Authors: Weiliang Du

Affiliation: The University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose: Winston-Lutz (WL) tests are often used to localize the radiation isocenter of a linac. The selection of gantry and collimator angles can affect the accuracy of the resulting isocenter. The ef...

Optimizing the Design for a Directional Brachytherapy Source

Authors: Akire Trestrail

Affiliation: University of Wisconsin

Abstract Preview: Purpose: To investigate the feasibility of using 125I as a HDR directional brachytherapy source.
Methods: Monte Carlo (MC) simulations were performed using the EGSnrc software toolkit. Dose rate di...

Organ Dose Estimation from Successive CBCT Imaging for Patients Undergoing Radiation Therapy for Prostate Cancer

Authors: Panagiotis Iliopoulos, Marios Myronakis, Kyriaki Theodorou

Affiliation: Medical Physics Department, Medical School, University of Thessaly

Abstract Preview: Purpose: To estimate individualized absorbed dose at Organs at Risk (OARs) from kV Cone Beam CT (CBCT) imaging in the pelvic area, prior radiotherapy, and assess excess risk for secondary malignancies...

PCA-Based Future Frame Prediction for Real-Time MRI-Guided Radiotherapy

Authors: B. Gino Fallone, Gawon Han, Keith D. Wachowicz, Mark G. Wright, Eugene Yip, Jihyun Yun

Affiliation: Medical Physics Division, Department of Oncology, University of Alberta, Dept. of Medical Physics, Cross Cancer Institute and Dept. of Oncology, University of Alberta, Medical Physics Division, Department of Oncology, University of Alberta and Department of Medical Physics, Cross Cancer Institute, Dept. of Medical Physics, Cross Cancer Institute and Dept. of Oncology, University of Alberta; MagnetTx Oncology Solutions, www.magnetTX.com

Abstract Preview: Purpose: MRI-radiotherapy hybrid systems can guide the therapeutic beam, dynamically adjusting to a moving tumor in real-time. However, there is a time delay from imaging and beam control, requiring p...

PET Guided Radiation Therapy for Large Planning Target Volume Expansions of Small PET-Active Gross Tumor Volumes

Authors: Sarah Dumont, Trevor Ketcherside, An Liu, William T. Watkins, Qiuyun Xu

Affiliation: RefleXion Medical, Department of Radiation Oncology, City of Hope National Medical Center

Abstract Preview: Purpose:
The RefleXion X1 SCINTIX algorithm convolves beam fluence with real-time PET distributions for tracking and plan adaptation, but radiotherapy Planning Target Volumes (PTVs) are often signi...

PET Imaging and Novel Cardiac Radiomics to Predict Pre-Radiotherapy Cardiac Conditions for Lung Cancer Patients Undergoing Radiotherapy.

Authors: Wookjin Choi, Michael Dichmann, Adam Dicker, Nilanjan Haldar, Yingcui Jia, Nicole L Simone, Eugene Storozynsky, Yevgeniy Vinogradskiy, Maria Werner-Wasik

Affiliation: Thomas Jefferson University, 9Department of Radiation Oncology, Thomas Jefferson University

Abstract Preview: Purpose: Cardiotoxicity remains a significant limitation for lung cancer patients treated with radiotherapy. Pre-radiotherapy cardiac conditions increase the probability of patients developing cardiot...

Pancrea-Seg-Net: A Semi-Supervised Deep Learning Framework for Pancreatic Tumor and Vessel Segmentation

Authors: Manju Liu, Ning Wen, Fuhua Yan, Yanzhao Yang, Zhenyu Yang, Haoran Zhang, Lei Zhang, Yajiao Zhang

Affiliation: Department of Radiology, Ruijin Hospital Shanghai Jiaotong University School of Medicine, Duke Kunshan University, Medical Physics Graduate Program, Duke Kunshan University

Abstract Preview: Purpose: Pancreatic ductal adenocarcinoma (PDAC) is a highly aggressive malignancy where precise segmentation of tumors and adjacent vessels is crucial for effective treatment planning. This study dev...

Parameterized Dosimetric Models of the Lumbar Vertebrae for Patient-Informed Active Marrow Dosimetry in Radiopharmaceutical Therapy

Authors: Wesley E. Bolch, Chansoo Choi, Robert Joseph Dawson, Michael Lassmann, Maikol Salas-Ramirez, Bangho Shin, Johannes Tran-Gia, Yitian Wang

Affiliation: Department of Nuclear Medicine, University Hospital WĂŒrzburg, University of Florida

Abstract Preview: Purpose: Conduct a parameterized library of mesh-type skeletal models across the lumbar vertebrae. In radiopharmaceutical dosimetry, the hematopoietic active bone marrow is typically a dose-limiting n...

Patient Specific Protocol Optimization in Cardiac CT: A Practical Approach to Its Validation

Authors: Zhihua Qi

Affiliation: Henry Ford Health

Abstract Preview: Purpose: State of the art cardiac CT has built-in automated, patient specific optimization, taking into account a number of factors including patient size, heart rate and others. It is crucial to deve...

Patient-Specific Bio-Morphological Features in Cherenkov Imaging for Positioning Verification: A Retrospective Analysis in Accelerated Partial Breast Irradiation (aPBI) VMAT Radiotherapy

Authors: Yao Chen, Lesley A Jarvis, Allison Matous, Rongxiao Zhang

Affiliation: Dartmouth College, University of Missouri, Dartmouth Cancer Center, Dartmouth Health

Abstract Preview: Purpose: Precise patient positioning is critical in accelerated partial breast irradiation (aPBI) to ensure accurate dose delivery to the tumor bed while minimizing exposure to surrounding healthy tis...

Patient-Specific Coronary Artery Habitat Model for Enhanced Cardiac Sparing

Authors: Blessing Akinro, Soumyanil Banerjee, Ming Dong, Carri K. Glide-Hurst, Prashant Nagpal, Chase Ruff, Nicholas R. Summerfield, Timothy P. Szczykutowicz

Affiliation: Departments of Human Oncology and Medical Physics, University of Wisconsin-Madison, Departments of Radiology and Medical Physics, University Wisconsin-Madison, Department of Radiology, University of Wisconsin-Madison, Department of Computer Science, Wayne State University, Department of Human Oncology

Abstract Preview: Purpose: Radiation dose to coronary arteries (CAs) during thoracic radiotherapy (RT) is linked to cardiotoxicity. However, precise CA delineation for avoidance is limited by image quality and CA compl...

Patient-Specific Orthogonal Projection Based Real-Time Volumetric X-Ray Imaging for Proton Therapy

Authors: Hao Chen, Kai Ding, Xiaoyu Hu, Xun Jia, Heng Li, Devin Miles

Affiliation: Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Johns Hopkins University

Abstract Preview: Purpose: Accurately delivering radiation dose is critical in intensity-modulated proton therapy (IMPT), where intrafraction motion management plays a pivotal role. Our proton therapy system equipped x...

Patient-Specific Treatment Plan Optimization through Intentional Deep Overfit Learning As a Warm Start for Longitudinal Adaptive Radiotherapy

Authors: Wouter Crijns, Frederik Maes, Loes Vandenbroucke, Liesbeth Vandewinckele

Affiliation: Department of Oncology, Laboratory of Experimental Radiotherapy, KU Leuven; Department of Radiation Oncology, UZ Leuven, Department ESAT/PSI, KU Leuven; Medical Imaging Research Center, UZ Leuven, Department of Oncology, Laboratory of Experimental Radiotherapy, KU Leuven

Abstract Preview: Purpose: To explore intentional deep overfit learning (IDOL) to exploit the initial treatment plan to predict an adaptive radiotherapy plan.
Methods: A conditional generative adversarial network is...

Patient-Specific Ultra-Sparse k-Space Reconstruction Using Motion Decomposition and Sinusoidal Representation Networks for Dynamic Volumetric MRI in Radiotherapy

Authors: Karyn A Goodman, Yang Lei, Tian Liu, Charlotte Elizabeth Read, Jing Wang, Qian Wang, Jiahan Zhang

Affiliation: Icahn School of Medicine at Mount Sinai, Department of Radiation Oncology, Beth Israel Deaconess Medical Center

Abstract Preview: Purpose: Accurate motion management in MRI-guided radiotherapy (MRIgRT) relies on real-time volumetric MRI to track intra-fractional anatomical changes. Dense k-space sampling, while capable of produc...

Performance Comparison of Artificial Intelligence-Based Auto-Segmentation Software on Pediatric CT Image Datasets for the Creation of Patient Specific Computational Phantoms

Authors: Wesley E. Bolch, Emily L. Marshall, Dhanashree Rajderkar, Wyatt Smither

Affiliation: University of Florida

Abstract Preview: Purpose: To determine the accuracy of TotalSegmentator, an AI-based automatic segmentation toolkit, on pediatric CT scans as the original software was trained on adult image datasets with a mean patie...

Performance Evaluation of Patient Demographics Model-Based Liver Volumetry

Authors: Yasaman Anbari, Srinivas Cheenu Kappadath, Benjamin P. Lopez, Armeen Mahvash, Ali Yousefi

Affiliation: University of Houston, UT MD Anderson Cancer Center

Abstract Preview: Purpose: Patient-demographics-model-based liver volumetry is well-established for determining the future liver remnant following hepatectomy. We used gold-standard CT liver segmentation to validate th...

Performance Evaluation of an Upright, Short-Scan, Cone-Beam, Dedicated Breast CT System.

Authors: Stephen Araujo, Jing-Tzyh Alan Chiang, Cynthia E. Davis, Eri Haneda, Andrew Karellas, Thomas C Larsen, William Ross, Hsin Wu Tseng, Srinivasan Vedantham, Pengwei Wu

Affiliation: Department of Biomedical Engineering, The University of Arizona, GE Aerospace Research, Department of Medical Imaging, The University of Arizona, GE HealthCare Technology & Innovation Center

Abstract Preview: Purpose: The purpose of this work is to describe the design and development of a newly developed upright-geometry dedicated breast CT system and to quantitatively and qualitatively evaluate its imagin...

Performance of Photon Counting Detector in a Clinical PCD-CT: A Novel Image-Based Evaluation

Authors: Frank F. Dong, Megan C. Jacobsen, Ke Li, Xinming Liu, John Rong

Affiliation: UT MD Anderson Cancer Center

Abstract Preview: Purpose: We aimed to understand the physical performance of a CdTe PCD-based detector system within a whole-body PCD-CT scanner, with the goal of optimizing its clinical application. Instead of relyin...

Personalized Anisotropic Margin Strategy for Cervical Cancer Online Adaptive Radiation Therapy

Authors: Jian Chen, Qiufen Guo, Aihua Li, Jing Liu, Junjie MA, Qian WU, Haonan Xiao, Peng Xie, Xiaohui Yan, Yong Yin, Zhe Zhang

Affiliation: Department of Radiation Oncology, Peking University Shenzhen Hospital, Department of Radiation Oncology and Physics, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Department of Radiation Oncology Physics and Technology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Department of Obstetrics and Gynaecology, Liao Cheng People’s Hospital

Abstract Preview: Purpose: Online Adaptive radiation therapy (ART) has been an effective technique to manage patient’s inter-fractional anatomical changes and therefore reduces planning target volume (PTV). However, on...

Personalized Dosimetric Workflow for 177Lu-PSMA Treatments Considering the Cross-Irradiation from Bone Metastases to Red Bone Marrow

Authors: NadÚge Anizan, David Broggio, Désirée Deandreis, Didier Franck, Camilo Garcia, Stéphanie Lamart, Sébastien Leygnac, Alexandre Pignard

Affiliation: Gustave Roussy, Service de Physique Médicale, Institut Bergonié, Service de Physique Médicale, Gustave Roussy, Service de Médecine Nucléaire, Autorité de Sûreté Nucléaire et de Radioprotection (ASNR), PSE-SANTE/SDOS/LEDI, Autorité de Sûreté Nucléaire et de Radioprotection (ASNR), PSE-SANTE/SDOS

Abstract Preview: Purpose: This work aimed at developing an innovative workflow for 177Lu-PSMA personalized dosimetry to lesions and organs at risk (OAR) simultaneously, considering the cross-irradiation from bone meta...

Personalized Radiotherapy: A Novel Approach to Multi-Criteria Optimization with Patient-Specific Risk Integration

Authors: Ali Ajdari, Thomas R. Bortfeld, Zhongxing Liao, Mara Schubert, Katrin Teichert

Affiliation: The University of Texas MD Anderson Cancer Center, Department Of Radiation Oncology, Massachusetts General Hospital (MGH), Massachusetts General Hospital & Harvard Medical School, Fraunhofer ITWM

Abstract Preview: Purpose: Radiotherapy (RT) treatment planning often involves solving a multi-criteria optimization (MCO) problem. Conventionally, MCO considers a set of generic (population-wide) dosimetric criteria, ...

Phantom-Based Dosimetric Comparison of Multiple CT Metal Artifact Reduction Algorithms for Head-and-Neck Radiotherapy

Authors: Loren Bell, Charles S Cathcart, Brett William Eckroate, Harold Y Hu, Joshua Kilian-Meneghin, Ke Nie, Fredrick Warburton, Zhenyu Xiong, Keying (Karen) Xu, Ning J. Yue, Yin Zhang, Lili Zhou

Affiliation: RWJBarnabas Health, Basis Scottsdale, Rutgers Cancer Institute of New Jersey

Abstract Preview: Purpose: This study compares the dosimetric impact of multiple metal artifact reduction (MAR) algorithms from different CT simulator vendors using an anthropomorphic head phantom for head-and-neck (H/...

Photon Counting CT Method for Accurate Effective Atomic Number and Electron Density Measurement

Authors: Mohammed Alzaabi, Abderaouf Behouch, Nabil Maalej, Aamir Raja, Briya Tariq

Affiliation: Khalifa University

Abstract Preview: Purpose: Spectral Photon Counting CT (SPCCT) has emerged as a transformative technology in CT imaging capable of producing images from distinct energy windows, allowing improved material characterizat...

Photon-Counting CT Versus Dual Energy CT for Liver Fat Volume Fraction Assessment

Authors: Chao Guo, Xinhua Li, Michael F. McNitt-Gray, Di Zhang, Yifang (Jimmy) Zhou

Affiliation: UCLA, David Geffen School of Medicine at UCLA, Cedars-Sinai Medical Center

Abstract Preview: Purpose: The objective was to quantify the liver fat volume fraction (FVF) with virtual monochromatic imaging (VMI) using photon-counting CT (PCCT) and dual energy CT (DECT).
Methods: A custom desi...

Physics and Geometry Input-Based Neural Network Dose Engine

Authors: Ricardo Garcia Santiago, Narges Miri, Daryl P. Nazareth, Ankit Pant, Mukund Seshadri

Affiliation: Roswell Park Comprehensive Cancer Center

Abstract Preview: Purpose: To develop a transformer-based deep learning network framework for predicting VMAT dose distributions. This can provide fast and efficient calculations with accuracies potentially comparable ...

Physics-Informed Neural Network for In Vivo Dosimetry during Proton Therapy Using Protoacoustic Tomography

Authors: Kristina Bjegovic, Yong Chen, Gilberto Gonzalez, Yankun Lang, Lei Ren, Leshan Sun, Liangzhong Xiang, Yifei Xu

Affiliation: University of Maryland School of Medicine, University of California, Irvine, University of Oklahoma Health Sciences Center, University of Oklahoma Health Science Center

Abstract Preview: Purpose: Proton therapy is becoming an increasingly popular choice for cancer treatment due to its precision, reduced side effects, and effectiveness. While dosimetry is fundamental to the success of ...

Pilot Clinical Implementation of Auto-Planning Using Multicriteria Optimization for Pelvis Radiotherapy

Authors: Shifeng Chen, Erica Fisler, Arun Gopal, Mariana Guerrero, Jason Hendershot, Kai Huang, Eric Kusmaul, Adam Schrum, Megan Steinberg, Kai Wang

Affiliation: University of Maryland School of Medicine, Department Radiation Oncology, Kaufman Cancer Center, Upper Chesapeake Medical Center, University of Maryland Medical System Central Maryland Radiation Oncology, Department of Radiation Oncology, University of Maryland Medical Center, Baltimore Washington Medical Center Radiation Oncology, Department of Radiation Oncology, University of Maryland School of Medicine

Abstract Preview: Purpose:
Our goal is to develop and clinically deploy an automated planning tool using multicriteria optimization (MCO) for VMAT in prostate only, whole pelvis radiotherapy treatments.
Methods:<...

Planning Study of Spatially Fractionated Radiotherapy (SFRT) for Treating Recurrent Glioblastoma Multiforme (GBM)

Authors: Hyunuk Jung, Fiona Li, Brian Marples, Michael Milano, Sean M. Tanny, Dandan Zheng, Yuwei Zhou

Affiliation: Department of Radiation Oncology, University of Rochester, University of Rochester Medical Center, University of Rochester

Abstract Preview: Purpose:
Recurrent GBM remains one of the most challenging cancers, with limited treatment options. We investigated potential planning parameters of SFRT, a novel radiotherapy technique that delive...

Plastic Scintillating Detector Assisted Spot Mapping for Patient Specific Quality Assurance in Proton Beam Therapy

Authors: Saad Bin Saeed Ahmed, Marcos Feijoo, Wazir Muhammad, Charles Shang, Naseem Ud Din

Affiliation: South Florida Proton Therapy Institute, Miami Cancer Institute, Blue Physics LLC, Florida Atlantic University

Abstract Preview: Purpose: This study introduces a novel approach for patient-specific quality assurance in proton beam therapy, utilizing new plastic scintillator detectors with high temporal resolutions to create det...

Poisson Decay in Pharmacokinetics with Imaging in Targeted Alpha Therapy

Authors: Lars R Furenlid, Chiao Huang, Matthew A. Kupinski, Brian W. Miller

Affiliation: University of Arizona, Departments of Radiation Oncology and Medical Imaging, University of Arizona

Abstract Preview: Purpose: To sample random numbers of decay of radiotracers in a pharmacokinetic compartment model for Monte-Carlo simulation of imaging in targeted alpha therapy.
Methods: Time-activity curves (TAC...

Post-Implant Dosimetry (PID) between 1D and 2D Cs-131 Seed Models for Post-Op Cavities in Recurrent GBM Patients

Authors: Cindy Pham, Anurag Sharma, John Starner, Ching-Ling Teng, Michael A. Trager, Gabriella Wernicke

Affiliation: Northwell, Northwell Health, Radiation Medicine, Northwell Health

Abstract Preview: Purpose: Precisely identifying orientation of implanted seeds on post-implant CTs is challenging. This research addresses the dosimetric uncertainties stemming from uncertainties in identifying seed o...

Posterior-Mean Diffusion Model for Realistic PET Image Reconstruction

Authors: Osama R. Mawlawi, Yiran Sun

Affiliation: RICE University, UT MD Anderson Cancer Center

Abstract Preview: Purpose: Conventional PET reconstruction methods often produce noisy images with artifacts due to data/model mismatches and inconsistencies. Recently, deep learning-based conditional denoising diffusi...

Precise Measurement of Leaf Open Time in Tomotherapy Using Advanced Plastic Scintillators

Authors: Marcos Feijoo, Mamoru Ichiki, Tatsuya Maeda, Tatsuhiro Makino, Tomonori Megumi, Tadashi Nakabayashi, Yukino Nakata, Shuichi Ozawa, Daishi Takayama

Affiliation: Hiroshima High-Precision Radiotherapy Cancer Center, Blue Physics LLC, Imamura General Hospital, Accuray Inc.

Abstract Preview: Purpose: This study aims to accurately measure the leaf open time (LOT) of the multi-leaf collimator (MLC) in tomotherapy using an advanced plastic scintillator detector (PSD) with high time resolutio...

Preclinical Assessment of 68ga-Dotatate As a Surrogate for 177lu-Dotatate Dose Distribution in Radionuclide Therapy

Authors: Payman Hejazi, Faraz Kalantari, Milad Peer-Firozjaei, Romina Pourhashem, Ehsan Tajikmansoury

Affiliation: Department of Radiobiology and Medical Physics, Babol University of Medical Sciences, Department of Radiation Oncology, University of Arkansas for Medical Sciences (UAMS), Department of Medical Physics, Semnan University of Medical Sciences, Department of Medical Physics, Semnan University of Medical Sciences, Semnan, Iran, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine

Abstract Preview: Purpose:
Pretreatment biodistribution imaging play a crucial role in optimizing tumors and organ absorbed doses estimation in radionuclide therapy. Surrogating radionuclides for more efficient trea...

Preclinical Assessment of Novel Targeted Chelate-Based Radiopharmaceuticals for Aggressive Cancer Detection

Authors: David Alcorta, Joseph Farina, Timothy Haystead, Yiping He, Philip Hughes, David Loiselle, Marybeth Nedrud, Victoria J. P. Radosova, Jianpeng Yu

Affiliation: Duke University Department of Pharmacology and Cancer Biology, Medical Physics Graduate Program, Duke University, Duke University Department of Medicine, Duke University, Duke University Pharmacology and Cancer Biology, Duke University School of Medicine, Duke Cancer Institute

Abstract Preview: Purpose: Targeted radiopharmaceuticals have become of widespread interest in the scientific community given their ability to detect and treat metastatic disease. We aim to validate the use of novel ch...

Predicting Brain V60% in Linac-Based Single-Isocenter-Multiple-Targets (SIMT) Stereotactic Radiosurgery Using Machine Learning

Authors: John Ginn, Zhuoyun Huang, Yongbok Kim, Ke Lu, Chunhao Wang, Yibo Xie, Zhenyu Yang, Jingtong Zhao

Affiliation: Duke University, Duke Kunshan University

Abstract Preview: Purpose: This study aims to develop and validate a machine learning model for predicting V60%, a critical dosimetric metric in LINAC-based Single-Isocenter-Multiple-Targets (SIMT) stereotactic radiosu...

Predicting Hematologic Toxicity in Advanced Cervical Cancer Patients Using Interpretable Machine Learning Models Based on Radiomics and Dosimetrics

Authors: Qianxi Ni, Qionghui Zhou

Affiliation: The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University

Abstract Preview: Purpose:
This study aims to develop and evaluate interpretable machine learning models that use radiomic and dosimetric features to predict HT in advanced cervical cancer patients.
Methods:
R...

Predicting Prostate Cancer Recurrence Using an Atlas-Based Tumor Control Probability Model

Authors: Jeremy T. Booth, Martin Andrew Ebert, Robert Finnegan, Annette Haworth, George Hruby, Burhan Javed, Kazi Ridita Mahtaba, Leyla Moghaddasi, Yutong Zhao

Affiliation: Northern Sydney Cancer Centre, Royal North Shore Hospital, The University of Sydney, The University of Western Australia, Genesis Care, Rockhampton Hospital

Abstract Preview: Purpose:
To evaluate the efficacy of an atlas-based tumor control probability (TCP) model in predicting prostate cancer (PCa) recurrence by retrospectively integrating patient-specific primary radi...

Predicting Proton Therapy Dose Delivery Accuracy: A Machine Learning Approach Using Iroc’s Proton Phantom Data

Authors: Lian Duan, Stephen F. Kry, Hunter S. Mehrens, Paige A. Taylor

Affiliation: The University of Texas MD Anderson Cancer Center, UT MD Anderson Cancer Center

Abstract Preview: Purpose: To develop a machine learning model for predicting dose delivery accuracy and identifying its key factors in IROC’s proton phantom program.
Methods: IROC’s proton QA program has six proton...

Predicting Reactive Oxygen Species Generated through Photoactivation of Targeted Laser Therapy in-Silico

Authors: David Alcorta, Joseph Farina, Timothy Haystead, Philip Hughes, Keshav Jha, Mark Oldham, Victoria J. P. Radosova

Affiliation: Duke University Department of Pharmacology and Cancer Biology, Medical Physics Graduate Program, Duke University, Duke University Department of Medicine, Duke University, Duke University Pharmacology and Cancer Biology, Department of Radiation Oncology, Duke University Medical Center

Abstract Preview: Purpose: This study attempts to simulate the activation of targeted photodynamic molecules using visible laser light and characterize the direct Reactive Oxygen Species (ROS) generated by Cherenkov an...

Predicting and Monitoring Response to Head and Neck Cancer Radiotherapy Using Multi-Modality Imaging and Radiobiological Digital Twin Simulations

Authors: Eric Aliotta, Michalis Aristophanous, Joseph O. Deasy, Bill Diplas, Milan Grkovski, James Han, Vaios Hatzoglou, Jeho Jeong, Nancy Y Lee, Ramesh Paudyal, Nadeem Riaz, Heiko Schoder, Amita Shukla-Dave

Affiliation: Department of Radiology, Memorial Sloan Kettering Cancer Center, Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, Department of Medical Physics, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose: To forecast radiotherapy treatment response for head and neck cancer (HNC) using multimodality imaging and personalized radiobiological modeling.
Methods: Multi-modality imaging data from ...

Prediction of Metastasis-Free Survival in Patients with Prostate Adenocarcinoma Using Primary Tumor and Lymph Node Radiomics from Pre-Treatment PSMA PET/CT Scans.

Authors: Ozan Cem Guler, William Silva Mendes, Sangbo Oh, Cem Onal, Lei Ren, Apurva Singh, Phuoc Tran

Affiliation: University of Maryland School of Medicine, Baskent University Faculty of Medicine, Department of Radiation Oncology, Department of Radiation Oncology, University of Maryland School of Medicine

Abstract Preview: Purpose: To predict metastasis-free survival (MFS) for patients with prostate adenocarcinoma treated with androgen deprivation therapy and external radiotherapy using clinical factors and radiomics ex...

Prediction of Vertebral Compression Fracture after Stereotactic Body Radiotherapy for Spinal Metastases Using Clinical, Radiomic and Dosiomic Features

Authors: Yukio Fujita, Syoma Ide, Kei Ito, Tomohiro Kajikawa, Satoshi Kito, Keiko Murofushi, Yujiro Nakajima, Yuhi Suda, Kentaro Taguchi, Naoki Tohyama, Fumiya Tsurumaki

Affiliation: Komazawa University Graduate School, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Department of Radiology, Kyoto Prefectural University of Medicine

Abstract Preview: Purpose: Stereotactic body radiotherapy (SBRT) for spine metastases is more effective for pain relief and local control than conventional radiotherapy. However, it is associated with vertebral compres...

Predictive Quality of Differing Body Size Measurands for Radiation Risk Estimation in CT Imaging: A Virtual Trial Study

Authors: Njood Alsaihati, Francesco Ria, Ehsan Samei, Justin B. Solomon, Martina Talarico, Jered Wells

Affiliation: Duke University, Clinical Imaging Physics Group, Department of Radiology, Duke University Health System

Abstract Preview: Purpose: Radiation dose and associated risk in X-ray imaging is principally informed by patient size, further used in Computed Tomography (CT) to achieve prescribed image quality levels through tube c...

Preliminary Clinical Experience with MRI-Guided Online Adaptive Radiotherapy for Esophageal Cancer Patients

Authors: Ali Hosni, Oleksii Semeniuk, Andrea Shessel, Teo Stanescu

Affiliation: Princess Margaret Hospital, Princess Margaret Cancer Centre, Brown University Health

Abstract Preview: Purpose: To report on early clinical experience with a two-phase radiotherapy approach for esophageal cancer patients, utilizing CBCT-based conventional C-arm linear accelerator radiotherapy and MR-gu...

Preliminary Evaluation of Ultrasound-Derived Fat Fraction Reliability in a Pediatric Cohort

Authors: Lizbeth Ayala-Dominguez, Aaron L Carrel, Diego Hernando, Gabrielle L Hoffmann, Amber Possell, Ivan M. Rosado-Mendez, Jiayi Tang, Andrew Wentland

Affiliation: Department of Pediatrics, University of Wisconsin-Madison, Department of Radiology, University of Wisconsin-Madison, Department of Medical Physics, University of Wisconsin-Madison, Departments of Medical Physics and Radiology, University of Wisconsin-Madison

Abstract Preview: Purpose: Metabolic dysfunction-associated steatotic liver disease (MAFLD) is the leading cause of chronic liver disease in children. While biopsy remains the diagnostic standard, non-invasive imaging ...

Preplanning Physics Consultation with Voxelized EQD2: A Proactive Approach for Streamlined Dose Management in High-Risk Re-Irradiation Patients

Authors: Katja M. Langen, Mark McDonald, Bill Stokes, Yinan Wang, Suk Whan (Paul) Yoon

Affiliation: Emory University, Department of Radiation Oncology and Winship Cancer Institute, Emory University

Abstract Preview: Purpose: Effective dose management in high-risk re-irradiation (ReRT) patients entails early, detailed special physics consultation (SPC) to mitigate risks from cumulative radiation dose. SPCs have tr...

Presenting a Novel Treatment Scheme for Debulking Unresectable Large Tumors: Feasibility, Safety and Patient Reported Early Clinical Outcomes of SBRT Immediately Post-Spatially Fractionated Radiotherapy Delivery

Authors: James Knight II, Joshua Misa, Damodar Pokhrel, William St Clair, Eddy S Yang

Affiliation: University of Kentucky, Department of Radiation Medicine, University of Kentucky, Radiation Medicine

Abstract Preview: Purpose: Highly-heterogenous sieve-like dose distribution via SFRT to large/bulky tumors (≄6 cm) could enhance tumor cell-death via both direct/indirect cell-kill mechanisms. Adding highly-conformal S...

Prior-Adapted Progressive Motion-Resolved CBCT Reconstruction Using a Dynamic Reconstruction and Motion Estimation Method

Authors: Hua-Chieh Shao, You Zhang, Ruizhi Zuo

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, UT Southwestern Medical Center

Abstract Preview: Purpose: Cone-beam CT (CBCT) provides on-board patient anatomy for image guidance and treatment adaptation in radiotherapy. However, to compensate for respiration-induced anatomical motion, motion-res...

Prior-Informed Neural Super-Resolution Dosimetry for Radiotherapy QA from Sparse Dosimeter Arrays

Authors: Muhammad Ramish Ashraf, Clinton Gibson, Gregory Szalkowski, Lei Wang, Siqi Wang, Lei Xing

Affiliation: Department of Radiation Oncology, Stanford University, Department of Radiation Oncology, Stanford University School of Medicine, Stanford University

Abstract Preview: Purpose: To develop a neural network-based super-resolution framework for enhancing the resolution of sparse dosimetry measurements in patient-specific radiotherapy QA. Sparse detector arrays, such as...

Proposed Method for Optimization of Lattice Radiation Therapy Using an Advanced Ring Gantry Linac

Authors: Eduardo Florian, Osmar Obdulio Hernandez, Otto Hurtarte, Milton Ixquiac, Erick Orlando Montenegro, Franky Eduardo Reyes, Edgar Aparicio Ruiz, Kevin Vega, Vicky de Falla

Affiliation: Liga Nacional Contra el Cancer, Liga Nacional Contra el Cancer/INCAN, Liga Nacional Contra el Cancer / INCAN, Liga Nacional Contra el Cancer and Universidad de San Carlos de Guatemala, Liga Nacional Contra el CĂĄncer / INCAN

Abstract Preview: Introduccion:
Lattice Radiation Therapy (LRT) is a form of spatially fractionated radiation therapy (SFRT) designed to improve control of large tumors by delivering ablative doses while minimizing ...

Prospective Hazard Analysis in Radiation Therapy – a Systematic Review

Authors: Jeremy T. Booth, Sonja Dieterich, Jonathan Hindmarsh, Paul J. Keall

Affiliation: Northern Sydney Cancer Centre, Royal North Shore Hospital, UC Davis Medical Center, Image X Institute, Faculty of Medicine and Health, The University of Sydney

Abstract Preview: Purpose: Prospective hazard analysis (PHA) is a core medical physics function. PHA was investigated by AAPM Task Group 100 for the purpose of keeping patients safe and assessing the risks of novel tec...

Prospective Organ-Level Dose Estimation in CT Imaging Using Scout-Net: A Comparison with Established Methods

Authors: Maria Jose Medrano, Grant Stevens, Liyan Sun, Justin Ruey Tse, Adam S. Wang, Sen Wang

Affiliation: Department of Radiology, Stanford University, GE HealthCare, Stanford University

Abstract Preview: Purpose: Patient exposure to ionizing radiation is a major concern in CT imaging. Size-specific dose estimation methods can prospectively estimate organ-level radiation doses based on patient sizes an...

Prostate Dosimetric Comparison between Cyberknife and Radixact Modalities Using Precision and Raystation Planning Systems

Authors: Mireille Conrad, Cédric De Marco, Marie Fargier-Voiron, Maud Jaccard, Oscar Matzinger, Nicolas Joel Lionel Perichon

Affiliation: Clinique De Genolier

Abstract Preview: Purpose: The Accuray Synchrony real-time motion fiducial tracking solution allows for prostate stereotactic treatment on both Cyberknife and Radixact machines. In our radiotherapy department, two solu...

Prostate SBRT Motion Study and PTV Margin Evaluation with Exactrac Fiducial Tracking

Authors: Ahmad K. Al-Basheer, Andrew Clarke Grice, Kelly E. Hosier, Mark Logsdon, Evan A. Silverstein, Chris Tunnicliff, Chuan Wu

Affiliation: Sutter Medical Foundation, Sutter Health

Abstract Preview: Purpose: For Prostate SBRT Boost treatments, determine whether a uniform 2mm CTV to PTV margin is sufficient to give 95% dose coverage to the CTV in 90% of patients via a modified Van Herk Margin Form...

Protocol for In Vivo Dosimetry Using Myoslchip System: Characterization and Clinical Application

Authors: Jeremy S. Bredfeldt, Daniel W. Cail, Maria A. Czerminska, Cindy I. Hancox, David Hu, Benjamin Karasko, Claire Keun Sun Park

Affiliation: Department of Radiation Oncology, Brigham and Women's Hospital, Harvard Medical School, Brigham and Women's Hospital, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School

Abstract Preview: Purpose: To develop a robust clinical protocol for in vivo dosimetry in radiotherapy using the myOSLchip Optically Stimulated Luminescent Dosimeter (OSLD) system by performing characterization and eva...

Proton Minibeam Radiotherapy: Commissioning, Treatment Planning, and Delivery

Authors: Stephen M Corner, Daiki Hara, Jiasen Ma, Robert W Mutter, Mark D. Pepin, Nicholas B. Remmes, Hok Seum Wan Chan Tseung

Affiliation: Mayo Clinic - Rochester

Abstract Preview: Purpose: Proton minibeam radiotherapy (pMBRT) is a form of spatially fractionated radiation therapy leveraging submillimeter beams to improve the therapeutic ratio. We report on collimator design, com...

Proton Pencil Beam Scanning Ultra-High Dose Rate 3D Lattice Radiotherapy: A Proof-of-Concept Flash Sfrt Study

Authors: Richard Bakst, Arpit M. Chhabra, J Isabelle Choi, Chanda Guha, Minglei Kang, Nancy Y Lee, Haibo Lin, Hang Qi, Charles B. Simone, Pingfang Tsai, Milo Vermeulen, Shouyi Wei, Xiaodong Wu, Lee Xu, Irini Yacoub, Xingyi Zhao, Ajay Zheng

Affiliation: University of Miami, Peking University, New York Proton Center, Montefiore Medical Center and Albert Einstein College of Medicine, icahn school of medicine at mount sinai, Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, Department of Human Oncology, University of Wisconsin-Madison

Abstract Preview: Purpose:
Three-dimensional lattice radiation therapy (3D-LRT) effectively achieves local tumor control with limited morbidity. Pencil beam scanning (PBS) proton therapy provides precise dose confor...

Python Scripts for Film-Based PDD and Profile Analyses of HDR Surface Applicators

Authors: Jack Neylon

Affiliation: Department of Radiation Oncology, University of California, Los Angeles

Abstract Preview: Purpose: Commissioning surface applicators is notoriously laborious. In addition, when commissioning Varian surface applicators with vertically positioned source, we found limited data and resources a...

Qualitative Assessment of Low-Dose 4D Cone-Beam CT Protocols for Daily Lung SBRT Patient Alignment

Authors: Yussuf A. Abdelal, Junguo Bian, Michael Delafuente, Sebastien A. Gros, Hyejoo Kang, Luke Layman, M Mahesh, John C. Roeske

Affiliation: Department of Radiology and Medical Imaging, Stritch School of Medicine, Loyola University Medical Center, Department of Radiation Oncology, Stritch School of Medicine, Loyola University Chicago, Johns Hopkins Univ

Abstract Preview: Purpose: This study evaluates the feasibility of optimizing 4DCBCT imaging protocols for gated lung SBRT, by reducing dose while maintaining the image quality required for accurate patient alignment.<...

Quality Assurance Program for Dual Energy Subtraction Imaging-Based Markerless Tumor Tracking

Authors: Hyejoo Kang, Andrew Keeler, Mathias Lehmann, Jason Patrick Luce, Ha Nguyen, John C. Roeske

Affiliation: Varian Imaging Laboratory, Department of Radiation Oncology, Stritch School of Medicine, Loyola University Chicago, Stritch School of Medicine Loyola University Chicago, Cardinal Bernardin Cancer Center, Loyola University Chicago

Abstract Preview: Purpose: Markerless tumor tracking (MTT) using dual-energy (DE) subtraction imaging is being considered as a non-invasive method to track tumors during lung cancer treatment. Prior to clinical impleme...

Quality Assurance for Prior Radiotherapy Using a Large Language Model

Authors: Douglas John Moseley, David M. Routman, Satomi Shiraishi, Donald C Smith, Mark R. Waddle

Affiliation: University of Denver, Mayo Clinic

Abstract Preview: Purpose: About 6% of patients treated for the first time in our department have received radiotherapy previously at an outside institution. We aim to provide an automatic quality assurance of identify...

Quality Assurance of Four-Dimensional Computed Tomography (4DCT)

Authors: Teh Lin, Anna Oneil

Affiliation: Fox Chase Cancer Center

Abstract Preview: Purpose: Four-dimensional computed tomography(4DCT) is often required to assess organ motions for thoracic and abdominal cancer patients. This study proposes a quality assurance (QA) procedure for two...

Quality Monitoring of Temporal Performance Degradation in Clinical Use of AI Auto-Segmentation

Authors: Ali Ammar, Quan Chen, Jingwei Duan, Yi Rong, Nathan Y. Yu, Libing Zhu

Affiliation: Mayo Clinic Arizona, University of Alabama at Birmingham

Abstract Preview: Purpose: Clinical performance of deep learning-based auto-segmentation (DLAS) can degrade over time due to AI “aging” from unseen data input compared to the initial model training data. This study aim...

Quality and Performance Advantages of a Machine Learning-Assisted Framework for IMRT Fluence Map Optimization

Authors: Yang Sheng, Qingrong Jackie Wu, Qiuwen Wu, Xin Wu, Dongrong Yang

Affiliation: Duke University Medical Center

Abstract Preview: Purpose: Gradient-based optimization is the standard approach for IMRT fluence map optimization (FMO). Recently, a machine learning (ML)-assisted framework using a one-layer neural network was propose...

Quantification of Chemical Species Yield and Radiation Damage Patterns for Radiopharmaceutical Therapy Isotopes: Lu-177, Y-90 and I-131

Authors: Zakaria Aboulbanine, Greeshma A. Agasthya, Paul Inman, Anuj J. Kapadia, Anthony Hong Cheol Lim, Jayasai Ram Rajagopal

Affiliation: Oak Ridge National Laboratory, Georgia Institute of Technology

Abstract Preview: Purpose: The fundamental concept of radiopharmaceutical therapy involves binding radioisotopes to molecules with a known biokinetic distribution, which ensures that the targeted organs receive higher ...

Quantification of Wet Towel As Bolus on Skin Dose for VMAT Partial Breast Irradiation

Authors: Haiqa Arain, Ping Xia, Zhexuan Zhang

Affiliation: Cleveland Clinic

Abstract Preview: Purpose: To quantify water contents and thickness of wet towel (as a flexible bolus) on curved surface dose for partial breast irradiation.

Methods: Two VMAT partial breast plans (3000 cGy in 5...

Quantifying Cervical Cancer Radiotherapy Care Gap in Uganda: Baseline Assessment Prior to Implementation of a Custom Mobile Health App.

Authors: Eric C. Ford, Awusi Kavuma, Solomon Kibudde, Lilie Lin, Apollo Muramuzi, Nibedita Paul, Peniel T Twum, Afua A. Yorke

Affiliation: Uganda Cancer Institute, MD Anderson Cancer Center, University of Washington, Department of Radiation Oncology, Fred Hutchinson Cancer Center, University of Washington, University of Nebraska, Global Communities

Abstract Preview: Purpose: Sub-Saharan Africa accounts for over one-third of global cervical cancer deaths, despite representing only 14% of the world’s female population. At the only RT center in Uganda, prior studies...

Quantifying Respiratory Motion Effects in Lung Cancer Radiotherapy Using 4DCT Voxel Analysis

Authors: Chih-Chiang Chang, Chingyun Cheng, Ben Durkee, Minglei Kang, Elissa Khoudary, Yangguang Ma, Xuanqin Mou, YuFei Wang, Tengda Zhang, Wang Zhengda

Affiliation: Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Department of Radiation Oncology, The First Affiliated Hospital of Zhengzhou University, School of Software Engineering, Xi’an Jiaotong University, School of information and communications engineering, Faculty of electronic and information engineering, Xi’an Jiaotong University, Department of Medical Physics, Columbia University, University of Pennsylvania, Department of Human Oncology, University of Wisconsin-Madison

Abstract Preview: Purpose: This study presents a voxel-based analysis method based on deformable image registration to accurately quantify respiratory-induced motion and deformation of both targets and organs at risk (...

Quantifying Uncertainties in Radiation Risk and Performance-Based Clinical Risk Assessment in Clinical Computed Tomography

Authors: Em Harkness, Francesco Ria, Ehsan Samei

Affiliation: Duke University, Clinical Imaging Physics Group, Department of Radiology, Duke University Health System

Abstract Preview: Purpose:
A recently introduced mathematical method quantifies performance-based clinical risk to create a risk-to-risk assessment with radiation risk, rendering the so-called total risk. However, t...

Quantifying the Impact of Tissue Inhomogeneities on Calculated Dosimetry within LDR Brachytherapy

Authors: Fatemeh Akbari, Deidre Batchelar, Luc Beaulieu, Nathan E. Becker, Juanita Crook, Dakota Mckeown, Matthew Jonathan Muscat, Rowan M. Thomson

Affiliation: Département de physique, de génie physique et d'optique, Université Laval, BC Cancer Agency, UBC, Carleton University, BC Cancer - Kelowna, BC Cancer

Abstract Preview: Purpose:
To study the effects of inter-seed attenuation and tissue inhomogeneities on dose-volume metrics of critical structures in prostate low-dose-rate (LDR) permanent seed implant brachytherapy...

Quantitative Accuracy in Iodine Measurements and CT Numbers Using Standard and Ultra-High Resolution Photon-Counting CT in Coronary CTA

Authors: Afrouz Ataei, Victor Moy, Mark P. Supanich

Affiliation: Rush University

Abstract Preview: Purpose: To evaluate iodine quantification and CT number accuracy in coronary CT angiography (CTA) using standard and ultra-high resolution (UHR) modes of photon-counting CT (PCCT) across different do...

Quantitative Analysis of Dose Perturbation from Gantry Rotational Errors in Dynamic Spot-Scanning Proton Arc Therapy (SPArc)

Authors: Xiaoda Cong, Xuanfeng Ding, Gang Liu, Peilin Liu, Lewei Zhao

Affiliation: Department of Radiation Oncology, Stanford University, Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Corewellhealth William Beaumont University Hospital

Abstract Preview: Purpose:
This study investigates the dosimetric impact of systematic and random gantry position errors (GPE) during dynamic Spot-Scanning Proton Arc Therapy (SPArc) delivery.
Methods:
Four ca...

Quantitative Analysis of Long-Term Optical Density Variations of Irradiated and Un-Irradiated EBT3 Films

Authors: Rick Holly, Sumudu Katugampola

Affiliation: Gesinger Medical Center, Geisinger Medical Center

Abstract Preview: Purpose:
To quantitatively analyze long term variations in optical density of un-irradiated and irradiated EBT3 radio-chromic films and their effects on dose calibration curves in a clinical settin...

Quantitative Analysis of Three Strategies for CTPA Scan Timing Optimization

Authors: Zahra Alyani Nezhad, Carrie Bartels, Rachel Bladorn, Sean D. Rose, Kelsey Schluter, Timothy P. Szczykutowicz

Affiliation: Departments of Radiology and Medical Physics, University Wisconsin-Madison, University of Wisconsin Madison, University of Wisconsin-Madison, University of Texas at Houston Medical School, University of Wisonsin-Madison

Abstract Preview: Purpose: Pulmonary embolism is a life-threatening condition, and computed tomography pulmonary angiography (CTPA) is the gold standard for diagnosis. Inadequate contrast enhancement often leads to a h...

Quantitative Fluorescence Imaging and Spatial Transcriptomics Reveal Compartment-Specific Immune Dynamics in HPV+ Oropharyngeal Cancer

Authors: Casey C. Heirman, Kyle J. Lafata, Xiang Li, Breylon Riley, Jack B Stevens, Tammara Watts

Affiliation: Duke University, Department of Radiation Oncology, Duke University

Abstract Preview: Purpose: To leverage quantitative fluorescence imaging and spatial transcriptomics for characterizing the spatial and molecular heterogeneity of the tumor microenvironment (TME) in HPV+ head and neck ...

Quantitative Forward Modeling of Propagation-Based X-Ray Phase-Contrast Imaging at Clinical Scale

Authors: Giavanna Luisa Jadick, Patrick J La Riviere, Cailey Riggs

Affiliation: University of Chicago

Abstract Preview: Purpose: We explore the accuracy of physics models for propagation-based x-ray phase-contrast imaging (XPCI) with an eye to future clinical implementation, providing a practical assessment of detectio...

Quantitative Image Review Metric for Vertebral Body Misalignment

Authors: Luis E. Fong de los Santos, Douglas John Moseley, Satomi Shiraishi, Cenji Yu

Affiliation: Mayo Clinic

Abstract Preview: Purpose: To quantitatively detect errors in vertebral body localization using normalized cross correlation (NCC)

Methods: Volumetric images of a thoracic end-to-end SBRT phantom with a removabl...

Radial Waveguide Structures for Enhanced Power Transmission Efficiency in Dielectric Wall Accelerators

Authors: Julien Bancheri, Chau Giang Bui, David G Cooke, Christopher M Lund, Morgan J Maher, Jan P. Seuntjens, Jason Z Yuan

Affiliation: Princess Margaret Cancer Centre & University of Toronto, Medical Biophysics, University of Toronto, University of Toronto, Medical Physics Unit, McGill University, Department of Physics, McGill University

Abstract Preview: Purpose: The dielectric wall accelerator (DWA) offers a low-cost solution for proton therapy, using non-resonant waveguides to accelerate particles. Radial waveguides (RWGs), consisting of a dielectri...

Radiation Dosimetry Using Optically Stimulated Luminescence Detection from Luxel with a CCD Camera System

Authors: Mohammad Nazmul Alim, Regina DeWitt

Affiliation: Department of Physics, East Carolina University,, Department of Physics, East Carolina University

Abstract Preview: Purpose: This study quantifies the ability of Luxel (Al₂O₃:C) to measure radiation dose from a Moxtek X-ray source. Key aspects of OSL dosimetry, including OSL curves, dose response, depth dose, and b...

Radiation Shielding Considerations for Ultra-High Dose Rate Electron Flash Radiation Therapy

Authors: Alexandru Badalan, Peter Petric, I. Antoniu Popescu, Andrew Kyle Henderson Robertson

Affiliation: Bc Cancer, BC Cancer - Vancouver, BC Cancer

Abstract Preview: Purpose: Ultra-high dose rate (>40 Gy/s) or “FLASH” radiation therapy (RT) has the potential to improve cancer treatment through reduced radiation side effects. While electron FLASH beams can be produ...

Radiation Sub-Segmentectomy in 90y Radioembolization: Post-Therapy Dosimetry, Treatment Response, and Pathological Necrosis

Authors: Guilherme Rosa Ferreira, Dan Giardina, John Karageorgiou, Chris Malone, Allan Thomas

Affiliation: Washington University School of Medicine, Mallinckrodt Institute of Radiology, Washington University School of Medicine

Abstract Preview: Purpose: Radiation segmentectomy has become a primary strategy in 90Y radioembolization, with localized treated volumes that can include up to two liver segments. The goal is complete pathological nec...

Radiobiological Calculations of Daily Doses Using Pseudo CT (pCT)

Authors: Chloe DiTusa, Panayiotis Mavroidis, Christopher W. Schneider, Sotirios Stathakis

Affiliation: Louisiana State University, Mary Bird Perkins Cancer Center, University of North Carolina

Abstract Preview: Purpose:
To calculate radiobiological metrics of daily dose delivered for head and neck (HN) patients using the daily cone beam CT (CBCT) to generate a pseudo CT (pCT). Moreover, this work compares...

Radiobiological Modeling of Tumor Control and Normal Tissue Response Following Mlc-Based Sfrt to Extensive Breast and Chest Wall Tumors

Authors: Ramesh Boggula, Yash Somnay, Hualin Zhang

Affiliation: Radiation Oncology, Keck School of Medicine of USC, Wayne State University

Abstract Preview: Purpose: Spatially fractionated radiation therapy (SFRT) allows delivery of therapeutic doses to bulky tumors otherwise limited by dose-volume effects that threaten organ-at-risk tolerances. For negle...

Radiodynamic Therapy: Inhibiting Metastases of Small Cell Lung Cancer In Vivo

Authors: Lili Chen, Andy T. Clark, Dusica Cvetkovic, Chang Ming Charlie Ma, Dae-Myoung Yang

Affiliation: Fox Chase Cancer Center

Abstract Preview: Purpose: Radiodynamic therapy (RDT) shows promise as a strategy to inhibit the metastasis of premetastatic small cell lung cancer (SCLC). This study evaluates the therapeutic effect of RDT in inhibiti...

Radiomics Changes in MR Images of Prostate and Dominant Intra-Prostate Lesions during SBRT on MR-Linac

Authors: David L. Barbee, David Byun, Ting Chen, Paulina E. Galavis, Siming Lu, Sarah Rosemary Morris, Hesheng Wang, Michael J Zelefsky

Affiliation: NYU Langone Health

Abstract Preview: Purpose: MR-Linac enables dose escalation in prostate SBRT on accurately defined dominant intra-prostate lesion (DIL) on daily MR images. This study aims to evaluate inter-fraction changes in the radi...

Radiopathomic Characterization of Chemoradiation Resistance in Preclinical Models of Head and Neck Cancer

Authors: Rico Castillo, Katherine Gonzalez, Casey C. Heirman, Kyle J. Lafata, Xiang Li, Yvonne M Mowery, Yvonne M Mowery, Allison Pittman, Ashlyn G. Rickard, Breylon Riley

Affiliation: Duke University, Department of Radiation Oncology, Duke University, University of Pittsburgh

Abstract Preview: Purpose: To evaluate the relationships between quantitative imaging biomarkers and chemoradiation resistance in head and neck squamous cell carcinoma (HNSCC) using preclinical mouse models.

Met...

Radiopharmaceutical-Free Assessment of Tumor Vasculature Condition in Particle Therapy By Means of Range-Verification PET: A Feasibility Rat Study

Authors: Go Akamatsu, Han Gyu Kang, Chie Seki, Hitomi Sudo, Hideaki Tashima, Chie Toramatsu, Hidekatsu Wakizaka, Iwao Yamaya, Taiga Yamaya

Affiliation: National Institutes for Quantum Science and Technology

Abstract Preview: Purpose:
Tumor oxygen status, which provides important information to optimize particle therapy, may constantly change during a treatment period of several weeks. However, it is impractical to perf...

Raman Spectroscopy Identifies Biomolecular Differences between Caucasian and African American Prostate Cancer Patients

Authors: Nrusingh C. Biswal, Manas R. Gartia, Maria Iftesum, Sanjit K. Roy, Gyana Ranjan Sahoo, Elnaz Sheikh, Hem D. Shukla, Madhur Srivastava

Affiliation: Department of Chemistry and Chemical Biology, Cornell University, Department of Radiation Oncology, University of Maryland School of Medicine, Department of Mechanical and Industrial Engineering, Louisiana State University

Abstract Preview: Purpose: Prostate cancer incidence and mortality levels in African-American men are the highest among all ethnic groups. This points to the role of biological factors in driving disparate outcomes. He...

Rapid CBCT Imaging with Ultra-Sparse X-Ray Projections for Head & Neck Cancer Radiotherapy

Authors: Hania A. Al-Hallaq, Chih-Wei Chang, Anees H. Dhabaan, Yuan Gao, Shaoyan Pan, Junbo Peng, Richard L.J. Qiu, Keyur Shah, Sibo Tian, Zhen Tian, Xiaofeng Yang, David Yu, Jun Zhou

Affiliation: Emory University, Whinship Cancer Institute, Emory University, University of Chicago, Department of Radiation Oncology and Winship Cancer Institute, Emory University

Abstract Preview: Purpose: Traditional cone-beam computed tomography (CBCT) often requires multiple angular projections, increasing radiation exposure and extending scanning times, which may lead to heightened patient ...

Rapid Reconstruction of Extremely Accelerated Liver 4D MRI Via Chained Iterative Refinement

Authors: Mary Feng, Yi Lao, Hui Lin, Hengjie Liu, Xin Miao, Michael Ohliger

Affiliation: University of California, Los Angeles, Department of Radiation Oncology, University of California San Francisco, Department of Radiation Oncology, City of Hope National Medical Center, University of California San Francisco, Siemens Medical Solutions USA Inc.

Abstract Preview: Purpose: 4D MRI with high spatiotemporal resolution is vital to characterize the tumor/tumor motion for liver radiotherapy. However, high-quality 4D MRI requires an impractically long scanning time fo...

Ratoguide: Evaluation of AI-Driven Fully Automated Treatment Planning Support System for Lung SBRT

Authors: Keiichi Jingu, Noriyuki Kadoya, Takafumi Komiyama, Takeru Nakajima, Hikaru Nemoto, Hiroshi Onishi, Masahide Saito, Ryota Tozuka

Affiliation: Department of Radiology, University of Yamanashi, Department of Radiation Oncology, Tohoku University Graduate School of Medicine, Department of Advanced Biomedical Imaging, University of Yamanashi

Abstract Preview: Purpose: We evaluated the accuracy of a new AI-based fully automated planning software in stereotactic body radiotherapy (SBRT) for early-stage lung cancer.
Methods: We collected data from 125 pati...

Real Time Monte Carlo Dose Calculation for Clinical Cyberknife Radiation Therapy Based on Deep Learning Diffusion Model

Authors: Ruiyan Du, He Huang, Mingzhu Li, Ying Li, Hongyu Lin, Wei Liu, Shihuan Qin, Yiming Ren, Hui Xu, Lian Zhang, Xiao Zhang, Zunhao Zhang

Affiliation: Department of Radiation Oncology, Mayo Clinic, Medical AI Lab, The First Hospital of Hebei Medical University, Hebei Provincial Engineering Research Center for AI-Based Cancer Treatment Decision-Making, The First Hospital of Hebei Medical University, Department of Oncology, The First Hospital of Hebei Medical University

Abstract Preview: Purpose: Monte Carlo (MC) dose calculation is the gold standard in clinical CyberKnife radiation therapy (RT), considering its steep dose gradients and high-freedom non-coplanar beam angles, but extre...

Real-Time 3D Dose Verification for MR-Guided Online Adaptive Radiotherapy (ART) Via Geometry-Encoded Deep Learning Framework

Authors: Steve B. Jiang, Dan Nguyen, Chenyang Shen, Fan-Chi F. Su, Jiacheng Xie, Shunyu Yan, Daniel Yang, Ying Zhang, You Zhang

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Lab & Department of Radiation Oncology, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, UT Southwestern Medical Center, The University of Texas at Dallas

Abstract Preview: Purpose: Fast dose verification is essential for the safety and efficiency of MR-guided adaptive radiotherapy (ART) as patients anxiously waiting on the treatment couch. Conventional tools often requi...

Real-Time Proton and Carbon Ion Monte Carlo Dose Calculation through GPU-Acceleration and DL-Based Denoising Algorithms

Authors: Yankui Chang, Shijun Li, Xi Pei, Ripeng Wang, Xuanhe Wang, X. George Xu, Qing Zhang, Jingfang Zhao

Affiliation: University of Science and Technology of China, Shanghai proton and heavy ion center, School of Nuclear Science and Technology, University of Science and Technology of China, Anhui Wisdom Technology Co., Ltd.

Abstract Preview: Purpose:
This paper describes disruptive methods using both GPU-based MC simulation and deep-learning (DL)-based MC denoising algorithms, as well as clinical tests involving more than 560 patient p...

Realistic Modeling of Vasculature Flow and Oxygen Distribution in Normal Tissue and Glioblastoma

Authors: Yi Fan, Andrew Friberg, Costas Koumenis, Kevin Teo, Ioannis I Verginadis, Ledi Wang, Jennifer Wei Zou

Affiliation: Department of Radiation Oncology, University of Pennsylvania, University of Pennsylvania

Abstract Preview: Purpose: Glioblastomas (GBM) are aggressive and lethal malignancies characterized by their highly refractory nature, contributing to a five-year survival rate of approximately 7%. Physically, GBM exhi...

Reasoning-Driven Prompts Improve EHR-Based Outcome Prediction and Clinical Interpretability in Large Language Models

Authors: Shreyas Anil, Jason Chan, Arushi Gulati, Yannet Interian, Hui Lin, Benedict Neo, Andrea Park, Bhumika Srinivas

Affiliation: Department of Otolaryngology Head and Neck Surgery, University of California San Francisco, Department of Data Science, University of San Francisco, Department of Radiation Oncology, University of California San Francisco, University of San Francisco

Abstract Preview: Purpose: As Large Language Models (LLMs) continue to evolve, their ability to analyze Electronic Health Record (EHR) notes for clinical decision support expands. Chain of Thought (COT) reasoning, an e...

Reconstructing Radiopharmaceutical Distributions Using Coded Aperture Tomography with Photon Counting Detector

Authors: David P. Adam, Xun Jia, Youfang Lai, Yuncheng Zhong

Affiliation: Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Johns Hopkins University

Abstract Preview: Purpose: Radiopharmaceutical therapy is experiencing a resurgence in interest due to its potential of treating widespread metastatic disease in a patient-specific manner. Accurately measuring and desc...

Rectal Spacer Injection on the Day of HDR Prostate Brachytherapy Enhances Dosimetry and Reduces Rectal Dose for Patients Receiving Combined Brachytherapy and EBRT.

Authors: Francis A Asamoah, David D. Campos, Jordan A Holmes, Ke Colin Huang, Omar Ishaq, Sook Kien Ng, Arpan Prabhu, Edwin Quashie, Yong Yue

Affiliation: Indiana University School of Medicine, Department of Radiation Oncology

Abstract Preview: Purpose: Evaluate a novel rectal spacer workflow with spacer injection during brachytherapy to streamline logistics, reduce hospital visits and costs, and compare the benefits of SpaceOAR Vue and Barr...

Reducing Distal-Edge Toxicity in Breast Proton Therapy Via LETd and Track-End Optimization

Authors: Matthew Case, Richard Castillo, Sunil Dutta, Edgar Gelover, Katja M. Langen, Alexander Stanforth, Mingyao Zhu

Affiliation: Emory University

Abstract Preview: Purpose: To evaluate the application of LETd and track-end (TE) objective functions during the optimization of breast proton therapy plans to decrease the risk of lung toxicity and rib fractures.
M...

Reducing Radiation Exposure in Building COMS Eye Plaque with a Dental Resin Carrier Template

Authors: Andrew Lukban, Kiran Pant, Charlotte Elizabeth Read, Ren-Dih Sheu

Affiliation: Icahn School of Medicine at Mount Sinai, Mount Sinai Health System, Icahn School of Medicine at Mount Sinai, Department of Radiation Oncology

Abstract Preview: Purpose: Ophthalmic brachytherapy relies on Collaborative Ocular Melanoma Study (COMS) protocol and its updated reports. Their reports provide standardized methods for eye plaque brachytherapy, descri...

Refined Nnu-Net Training for Practice-Specific Autosegmentation of APBI Targets

Authors: Daniel A. Alexander, Jonathan Baron, Brook Kennedy Byrd, William Ross Green, Bolin Li, Rafe A. McBeth, Abigail Pepin, Steven Philbrook

Affiliation: Department of Radiation Oncology and Applied Sciences, Department of Radiation Oncology, University of Pennsylvania, Thayer School of Engineering, University of Pennsylvania

Abstract Preview: Purpose: As accelerated partial breast irradiation (APBI) gains traction, the prospect of a rapid sim-to-completion of treatment workflow is an attractive option for patients. While OAR autocontouring...

Refining the in-House Modified COMS Eye Plaque Workflow

Authors: Vishruta A. Dumane, Andrew Lukban, Kiran Pant, Charlotte Elizabeth Read, Ren-Dih Sheu, Nadia M. Vassell

Affiliation: Icahn School of Medicine at Mount Sinai, Mount Sinai Beth Israel, Icahn School of Medicine at Mount Sinai, Department of Radiation Oncology

Abstract Preview: Purpose: This work introduces a refined in-house modified COMS eye plaque management system to streamline processes, reduce redundancies, and enhance usability.
Methods: A web-based application wit...

Reinforcement Learning Based Machine Parameter Optimization for Two-Arc Prostate VMAT Planning

Authors: William T. Hrinivich, Junghoon Lee, Lina Mekki

Affiliation: Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Department of Biomedical Engineering, Johns Hopkins University, Johns Hopkins University

Abstract Preview: Purpose: Volumetric modulated arc therapy (VMAT) planning is a computationally expensive process. In this work, we propose a reinforcement learning (RL) framework to automatically optimize dose rate a...

Relative Optimized Linearization for Film Dosimetry with Non-Uniformity Correction

Authors: Piotr Pater, Nicholas G. Zacharopoulos

Affiliation: McGill University, Medical Physics Unit, Gerald Bronfman Department of Oncology, McGill University

Abstract Preview: Purpose: To develop a method for accurate relative film dosimetry that incorporates non-uniformity
corrections.
Methods: The accuracy of Devic’s [1] linearization approach was evaluated using si...

Remote Evaluation of Flash Beamlines for Electron, Proton, and MV Photons

Authors: Alexander Baikalov, Luke Connell, Nolan M. Esplen, Michele M. Kim, Stephen F. Kry, Emil Schueler, Hayden Scott, Ryan Sun, Paige A. Taylor, Uwe Titt

Affiliation: The University of Texas MD Anderson Cancer Center, University of Pennsylvania, UT MD Anderson Cancer Center, Department of Radiation Physics, The University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose: to develop an affordable, portable device for accurately measuring FLASH dose rates from protons, electrons, and photons. 4 detectors were utilized to measure the temporal structure of proton...

Repeatability of Quantitative 3D T1ρ Imaging in Head and Neck Cancer

Authors: Sandeep Panwar Jogi, Nancy Lee, Ricardo Otazo, Ramesh Paudyal, Qi Peng, Akash Shah, Amita Shukla-Dave, Can Wu

Affiliation: Department of Radiology, Memorial Sloan Kettering Cancer Center, Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, Department of Medical Physics, Memorial Sloan Kettering Cancer Center, Department of Radiology, Albert Einstein College of Medicine and Montefiore Medical Center

Abstract Preview: Purpose: Quantitative T1ρ imaging provides enhanced tissue characterization beyond standard T1 and T2 parameters, potentially supporting early-stage longitudinal monitoring of head and neck cancer. Th...

Reproducibility of Target Position during Surface-Guided Breath-Hold Adaptive SBRT of Liver Cancer

Authors: Lili Chen, Xiaoming Chen, Chang Ming Charlie Ma, Joshua Meyer

Affiliation: Fox Chase Cancer Center

Abstract Preview: Purpose: Fast CBCT (HyperSight) acquisition technique together with a surface-guided breath-hold (SGBH) would allow a better image quality for accurate target/organ delineation. It facilitates breath-...

Research on the Target Current Pulse Counting Method for Measuring the Output Dose of Medical Standing Wave Electronic Linear Accelerator

Authors: Shixiong Huang, Daming Li

Affiliation: The Affiliated Nanhua Hospital, University of South China, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital

Abstract Preview: Purpose: To assess the feasibility of using target current pulse signals to evaluate the output dose of medical standing wave electronic linear accelerators.
Methods: The Target I signal of the acc...

Retrospective Analysis of Shape and Dosage Changes in Structures during Radiotherapy for Head and Neck Cancer Patients Based on Velocity

Authors: Daming LI, Jinsen Xie, Zhe Zhang

Affiliation: Peking University Shenzhen Hospital Radiotherapy Department, School of Nuclear Science and Technology, University of South China

Abstract Preview: Purpose: To analyze the actual doses received during radiotherapy for head and neck cancers (HNC) using Velocity, providing insights for adaptive radiotherapy decision-making.
Methods: Thirty-three...

Retrospective Analysis of Treatment Pauses Due to Intrafraction Movement for Frameless Single Fraction Gamma Knife Icon Radiosurgery

Authors: Nina Burbure, Tawfik G. Giaddui, Shidong Li, Curtis Miyamoto, Jeremy Price, Bin Wang

Affiliation: FCCC at Temple University Hospital

Abstract Preview: Purpose: Frameless gamma knife (GK) treatments use a thermoplastic mask coupled with high-definition motion management system that utilizes an infrared camera, and a reflective marker placed on the pa...

Retrospective Comparison of Treatment Plan Quality As a Function of Delivery Time for SBRT Thoracic Tumors

Authors: Danielle Renee Daiger, Nicholas N. Sperling

Affiliation: University of Toledo, University of Toledo Medical Center

Abstract Preview: Purpose:
To retrospectively evaluate the impact of planned delivery time on plan quality metrics for breath-hold VMAT SBRT thoracic cancer patients.
Methods:
Patients treated for SBRT thoraci...

Retrospective Evaluation of Combined Photon SBRT and Radium-223 SPECT Based Radiopharmaceutical Therapy Tumor Dosimetry in Clinical Trial Patient Cases

Authors: David P. Adam, Allison Cartee, Eric C. Frey, Michael Ghaly, Bin He, Robert Francois Hobbs, Natalie Rose Kania, Ana Kiess, Ian Marsh, Bonnie N. C. President, Steven Rowe, George Sgouros, Phuoc Tran, Hao Wang

Affiliation: Johns Hopkins University, Radiopharmaceutical Imaging and Dosimetry, LLC (Rapid), 2The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins Medicine, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Johns Hopkins Medical Institute, Department of Radiation Oncology, University of Maryland School of Medicine, Department of Oncology, Johns Hopkins University, School of Medicine, Department of Radiology, University of North Carolina, Chapel Hill

Abstract Preview: Purpose: Advanced treatment paradigms combining SPECT/CT imageable, alpha emitting, radiopharmaceutical therapy (RPT) and stereotactic body radiotherapy (SBRT) can provide the potential of dose escala...

Retrospective Planning Study for the Evaluation of Biological Effectiveness of Spatially Fractionated Radiation Therapy with Gamma-Knife Radiosurgery on Brain Metastases

Authors: Brankica Andelic, Young-Bin Cho, Tara M. Gray, Bingqi Guo, Andrew Robert Hadfield, Hakan Nordstrom, Jacob Scott, John Suh, Nara Yoon

Affiliation: Adelphi University, Elekta, Cleveland Clinic

Abstract Preview: Purpose: To investigate the biological effect of Spatially Fractionated Radiation Therapy (SFRT) within Gamma-Knife (GK) using retrospective planning for brain metastases patients. This study presents...

Retrospective Postimplant Dosimetry: Comparison of Line and Point Source for 131cs Low Dose Rate Intracranial Implant Brachytherapy

Authors: Tirthraj Adhikari, Timothy J Allen, Abdullah A. Alshreef, Clara Ferreira

Affiliation: Medical School Department of Radiation Oncology University of Minnesota, University of Minnesota, Loma Linda University Medical Center

Abstract Preview: Purpose: GammaTile Brachytherapy with 131Cs is an effective treatment for glioblastomas, offering local control with minimal radiation necrosis. While the line source model is preferred for dose distr...

Robust Estimation of Cell Microstructure Parameters Via Diffusion MRI Cytometry

Authors: Yan Dai, Jie Deng, Xun Jia, Wen Li

Affiliation: Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Johns Hopkins University, Medical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Lab & Department of Radiation Oncology, UT Southwestern Medical Center

Abstract Preview: Purpose: Cell microstructure information is critical for radiotherapy response assessment. Diffusion MRI (dMRI) offers great potential in deriving cell parameters. Yet parameters estimated in existing...

Robust Evaluation of Rotational Uncertainties on Single-Isocenter Multi-Target Stereotactic Radiosurgery Hyperarc Treatment

Authors: Albert Admasu, Kayla Alfonso, Maria de la Luz De Ornelas, Nesrin Dogan, Eric Mellon, Yunze Yang

Affiliation: University of Miami, Department of Radiation Oncology, University of Miami, University of Miami Sylvester Comprehensive Cancer Center

Abstract Preview: Purpose: Rotational uncertainties in single-isocenter multi-target (SIMT) stereotactic radiosurgery (SRS) HyperArc treatments can cause additional target displacement, potentially degrading overall pl...

Robust Evaluation of the Pronumbra Immobilization System for Proton Therapy HN Treatment

Authors: Laura Buchanan, Samantha G. Hedrick, Stephen L. Mahan, Isabella Pfeiffer, Chester R. Ramsey

Affiliation: Thompson Proton Center

Abstract Preview: Purpose: The CQ Medical kVue Pronumbra Head & Neck (HN) System is a new immobilization device for proton therapy. The mask includes 4 large knobs that attach to the board with built-in shims. These kn...

Robust and Radiobiologically Accurate Dose Summation Strategy for Multiple Courses of Stereotactic Re-Irradiation of Metastatic Brain Cancer Patients with Previous WBRT

Authors: Garrett Russell Hamilton, Joshua Misa, Damodar Pokhrel, William St. Clair

Affiliation: University of Kentucky, Department of Radiation Medicine, University of Kentucky, Radiation Medicine

Abstract Preview: Purpose: Recurrent brain metastasis is very common, and patients who previously received whole-brain radiotherapy (WBRT) may receive an additional course(s) of stereotactic radiosurgery (SRS) to selec...

Robustness Enhancement for VMAT-TBI Planning and Treatment Delivery

Authors: Courtney R. Buckey, Quan Chen, Suzanne J. Chungbin, Edward L. Clouser, Yi Rong, Jun Tan, Jennifer Yan, Xiang Sheng Yan

Affiliation: Mayo Clinic Arizona, Mayo Clinic

Abstract Preview: Purpose:
To identify planning techniques that consistently result in robust VMAT-TBI plans that allow for larger patient setup errors.
Methods:
Conventional planning method often results in p...

Robustness Evaluation of Aperture Shape Controller in Postmastectomy Radiotherapy of Breast Cancer Using Volumetric Modulated Arc Therapy

Authors: Yukio Fujita, Satoshi Ishikura, Fumiki Ito, Yujiro Nakajima, Takumi Sakamoto, Naoki Tohyama, Ryohei Yamauchi

Affiliation: Komazawa University Graduate School, St. Luke's International Hospital

Abstract Preview: Purpose: The aperture shape controller (ASC) is an Eclipse feature that increases muti-leaf collimator (MLC) aperture size. This study aimed to evaluate the effects of ASC settings on the robustness o...

Role of Medical Physicists in CT Contrast Optimization: A Case Study

Authors: Zahra Alyani Nezhad, Carrie Bartels, Rachel Bladorn, Sean D. Rose, Kelsey Schluter, Timothy P. Szczykutowicz

Affiliation: Departments of Radiology and Medical Physics, University Wisconsin-Madison, University of Wisconsin Madison, University of Wisconsin-Madison, University of Texas at Houston Medical School, University of Wisonsin-Madison

Abstract Preview: Purpose: This study presents a scientifically quantified case study that underscores the importance of the medical physicist’s contribution to contrast enhancement optimization.
Methods: CT pulmona...

S Values for a Monkey Computational Model for Internally Distributed Radiation Sources

Authors: Jae Won Jung, Daniel Lee

Affiliation: Thomas S. Wootton High School, East Carolina University Brody School of Medicine

Abstract Preview: Purpose: Monkeys have played a key role in enhancing our understanding of the behavior of radioactive materials within living organisms in the field of nuclear medicine. However, detailed dosimetric d...

SPECT/CT Multimodal Segmentation of Bone Marrow for Theranostic Dosimetry

Authors: Tommaso Frigerio, Joshua Genender, John M. Hoffman, Catherine (Caffi) Meyer

Affiliation: UCLA, David Geffen School of Medicine at UCLA

Abstract Preview: Purpose: Accurate bone marrow segmentation is required for bone marrow dosimetry to monitor for dangers in PSMA-Lu177 radioligand therapy. We introduce a hybrid (AI/semantic knowledge) segmentation pi...

SRS Treatment Planning for Brain Metastases on Varian Truebeam and Elekta Gamma Knife Icon

Authors: Carl D. Elliston, Lawrence Koutcher, Michael J. Price, Adam C. Riegel, Michael B Sisti, Tony J.C. Wang, Andy (Yuanguang) Xu

Affiliation: Columbia University Irving Medical Center

Abstract Preview: Purpose: An inverse treatment planning software was recently introduced to Gamma Knife radiosurgery. The purpose of this study is to compare the plan quality of the Gamma Knife ”Lightning” with that o...

Safety of Off-Axis Treatment for Selection of Optimal Beam Angles in SBRT of the Posteriorly Located Lung Lesions

Authors: Reza Farjam, Russell K Hales, Todd R. McNutt, Mohammad Rezaee, Ehsan Tajikmansoury, K. Ranh Voong

Affiliation: Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Johns Hopkins University

Abstract Preview: Purpose: Optimal beam angles and off-axis isocenter selection are important to achieve high quality plan and collision-free delivery in stereotactic body radiotherapy (SBRT) of the posteriorly located...

Salvage High-Dose-Rate Brachytherapy for Locally Recurrent Prostate Cancer Treating Whole Gland with Focal Boost in Two Fractions

Authors: Elizabeth K. Butker, Cara Cimmino, Jenna L. Fair, David Matthew Giles, Bruce Hershatter, Shadab Momin, Sagar Patel, John Pattaras, Kamran Salari Salari, Aaron Weiss

Affiliation: Department of Radiation Oncology and Winship Cancer Institute, Emory University, Emory University School of Medicine

Abstract Preview: Purpose: Prostate cancer patients may experience a local-only failure after radiation. While high-dose-rate (HDR) brachytherapy may have more favorable toxicity profile and cancer control compared to ...

Scissor-Beam Based Carbon Ion Minibeam Treatment Planning Method

Authors: Hao Gao, Qiang Li, Yuting Lin, Wei Wang, Wei Wu, Weijie Zhang

Affiliation: Institute of Modern Physics, Chinese Academy of Sciences, China, Department of Radiation Oncology, University of Kansas Medical Center

Abstract Preview: Purpose: Carbon minibeam radiation therapy (cMBRT) offers high peak-to-valley dose ratio (PVDR) and relative biological effectiveness. A key challenge is balancing uniform target coverage with PVDR pr...

Secondary Neutron Dosimetry of Cieds Exposed to Neutron-Producing Photon Radiation Therapy

Authors: Angela Gearhardt, Stephen F. Kry, Christopher Ryan Peeler, Julianne M. Pollard-Larkin

Affiliation: The University of Texas MD Anderson Cancer Center UTHealth Houston Graduate School of Biomedical Sciences; The University of Texas MD Anderson Cancer Center, The University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose: A growing number of radiation therapy (RT) patients have cardiovascular implantable electronic devices (CIEDs). Patients with CIEDs must be carefully managed because the devices are susceptib...

Sentinel: Development and Implementation of an Automated, Passive Varian Log File and Treatment Plan Analysis

Authors: Leon Dunn

Affiliation: IsoAnalytics Pty. Ltd.

Abstract Preview: Purpose: The purpose of this work is to present the development and results of an automated Varian Trajectory Log file processing software platform called Sentinel (IsoAnalytics Pty. Ltd.).
Methods...

Shape-Optimized Radiation-Induced Acoustic Computed Tomography for In Vivo online Monitoring of Radiation Therapy

Authors: Yong Chen, Gilberto Gonzalez, Omprakash Gottam, Liangzhong Xiang

Affiliation: University of California, Irvine, Koneru Lakshmaiah Education Foundation, University of Texas at San Antonio., University of Oklahoma Health Science Center

Abstract Preview: Purpose: Clinics currently lack techniques for real-time, in vivo monitoring of radiation therapy (RT), which is desirable for precise treatment. Radiation-induced acoustic computed tomography (RACT) ...

Signal-to-Noise Ratio Estimation from Polynomial Fitting of Acr MRI Phantom Images

Authors: Alex Lindgren-Ruby, Jeffrey M. Moirano, Joseph Everett Wishart

Affiliation: University of Washington

Abstract Preview: Purpose:
To evaluate polynomial fitting of signal intensity for signal-to-noise ratio (SNR) estimation from weekly QC ACR MRI phantom images and compare against other SNR estimation methods as well...

Significantly Limiting Posterior Gantry Angles in Prostate VMAT Optimization: A Dosimetric Assessment of Plan Quality

Authors: Yijian Cao, Sean T Grace, Marissa Joyce Vaccarelli

Affiliation: Northwell

Abstract Preview: Purpose:
This study investigates the dosimetric efficacy of significantly limiting gantry angles in prostate radiation therapy to as a promising strategy to maintain plan quality while enhancing ma...

Simplified Method of Assessing Lung Volume Limits during the Planning Process in the Re-Treatment Environment

Authors: Sameera Kumar, Chang Ming Charlie Ma, Robert A. Price

Affiliation: Fox Chase Cancer Center

Abstract Preview: Purpose:
Difficulty assessing lung limits during treatment planning in the retreatment environment can be compounded as limits are volume-based (ie. VxGy<37%) and require a critical volume with a m...

Simultaneous Synthesis of Lung Perfusion and Ventilation Images from CT Using a Dual-Decoder Residual Attention Network for Lung Disease Diagnosis

Authors: Li-Sheng Geng, David Huang, Haoze Li, Xi Liu, Meng Wang, Tianyu Xiong, Ruijie Yang, Weifang Zhang, Meixin Zhao

Affiliation: School of Physics, Beihang University, Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Department of Radiation Oncology, Peking University Third Hospital, Department of Nuclear Medicine, Peking University Third Hospital, Medical Physics Graduate Program, Duke Kunshan University

Abstract Preview: Purpose: This study aimed to develop a deep learning-based framework for simultaneously generating lung perfusion and ventilation images from three-dimensional computed tomography (3D CT) images.
M...

Single Plane Positioning Tracking Proton and Helium Pencil Beam Radiographs: Phantom Study

Authors: Anahita Bakhtiari Moghaddam, Don F. DeJongh, Ethan DeJongh, Jennifer Hardt, Oliver JĂ€kel, Lukas Martin, Alexander Pryanichnikov, Joao Seco, Christina Stengl, Niklas Wahl

Affiliation: Department of Medical Physics in Radiation Oncology, German Cancer Research Center (DKFZ), Division of Biomedical Physics in Radiation Oncology, German Cancer Research Center (DKFZ), ProtonVDA LLC, Department of Physics and Astronomy, Heidelberg University, Division of Medical Physics in Radiation Oncology, German Cancer Research Center (DKFZ), Institute of Biomedical Engineering, Karlsruhe Institute of Technology (KIT)

Abstract Preview: Purpose:
To evaluate the feasibility and performance of single-plane position tracking for proton and helium pencil beam radiography using a prototype imaging system, with the goal of providing a c...

Skin Lesion Subtype Classification Using Lesion and Border Radiomic Features

Authors: Rituparna Basak, Maede Boroji, Renee F Cattell, Vahid Danesh, Imin Kao, Kartik Mani, Xin Qian, Samuel Ryu, Tiezhi Zhang

Affiliation: Stony Brook Medicine, Stony Brook University, Washington University in St. Louis, Stony Brook University Hospital

Abstract Preview: Purpose: Fundamental qualitative characteristics physicians use to differentiate skin lesion subtypes include asymmetry, border irregularity, and color. Radiomic features have potential to quantify th...

Slit Scanning Delivery Simulation for Flash Radiotherapy

Authors: Muhammad Ramish Ashraf, Dixin Chen, Aaron Garza, Lloyd Emmanuel Kamole Ghomsi, Edward Elliot Graves, Billy W Loo, Stavros Melemenidis, Joseph B. Schulz, Lawrie Skinner, Murat Surucu

Affiliation: Department of Radiation Oncology, Department of Radiation Oncology, Stanford University School of Medicine

Abstract Preview: Purpose: FLASH radiotherapy, supported by robust preclinical evidence showing an improved therapeutic index, is advancing toward clinical trials. Clinical FLASH treatments will likely require scanning...

Sources of Magnetic Susceptibility Artifacts in MR Imaging of the Jaw and Facial Nerves

Authors: Avneesh Chhabra, Zhiyue J. Wang, Qing Yuan

Affiliation: University of Texas Southwestern Medical Center

Abstract Preview: Purpose: Magnetic susceptibility artifacts from dental arches and hardware often compromise MRI neurography of jaw and facial nerves. This study aims to characterize these artifacts and provide insigh...

Sources of Variability in Evaluating Ultrasound Imaging Performance Using Randomly-Distributed Hypoechoic Sphere Phantom

Authors: Cristel Baiu, Zheng Feng Lu, Dufan Wu, Baihui Yu

Affiliation: University of Wisconsin, Massachusetts General Hospital, University of Chicago

Abstract Preview: Purpose: IEC TS 62791:2022 specified a clinically meaningful and quantitative framework for evaluating diagnostic ultrasound performance by measuring the lesion signal-to-noise ratio (LSNR) using rand...

Spatial Dosimetric-Based Prediction of Long-Term Urinary Toxicity after Permanent Prostate Brachytherapy

Authors: Rajeev K. Badkul, Ronald C Chen, Ying Hou, Harold Li, Chaoqiong Ma, Jufri Setianegara

Affiliation: Department of Radiation Oncology, University of Kansas Medical Center

Abstract Preview: Purpose:
Postimplant urinary toxicity is common in prostate low-dose-rate (LDR) brachytherapy. We developed a machine learning (ML) model to explore the correlation between spatial dose distributio...

Spatial Resolution Degradation in Weekly Computed Tomography Quality Control and Implications for X-Ray Tube Replacement

Authors: Hadley Anna DeBrosse, Kevin J. Little

Affiliation: The Ohio State University

Abstract Preview: Purpose: This work examines the consistency and pattern of spatial resolution degradation in weekly quality control (QC) testing prior to CT tube failure and replacement and investigates potential cor...

Spatially Informed Auto-Segmentation of Cardiac Nodes for Radiotherapy Treatment Planning

Authors: Ming Dong, Carri K. Glide-Hurst, Joshua Pan, Nicholas R. Summerfield

Affiliation: Department of Computer Science, Wayne State University, Departments of Human Oncology and Medical Physics, University of Wisconsin-Madison, Department of Human Oncology, University of Wisconsin-Madison

Abstract Preview: Purpose: Radiation dose to the cardiac nodes is more strongly associated with conduction disorders and arrythmias than whole heart (WH) metrics. However, node segmentation is challenging due to comple...

Spectral CT Assessment of 3D Printing Techniques for Improving the Uniformity and Reproducibility of Models Applied in Medical Imaging

Authors: Izabella L. Barreto, Benjamin Taylor Heggie, Stephanie M. Leon

Affiliation: University of Florida College of Medicine, University of Florida

Abstract Preview: Purpose: Filament deposition modeling (FDM) 3D printers may utilize proprietary calibration methods inadequate for medical imaging. Proper techniques are necessary to achieve imaging uniformity standa...

Spectrometry-Based Determination of X-Ray Tube Endpoint Potentials

Authors: Wesley S. Culberson, Ryan Gardner, John Thomas Stasko

Affiliation: Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison, University of Wisconsin

Abstract Preview: Purpose: X-ray tube voltage is a critical parameter in influencing an X-ray tube’s beam quality. The endpoint tube potential, the potential difference between the X-ray tube’s cathode and anode, is pa...

Spot Map Modification for Planning Optimization on a Spot Scanning Proton System with Adaptive Aperture

Authors: Austen N. Curcuru, Winter Green, Yao Hao, Jiayi Liu, Yuting Peng, Tiezhi Zhang, Xiandong Zhao

Affiliation: Washington University School of Medicine, Department of Radiation Oncology, WashU Medicine, Virginia Commonwealth University, Washington University School of Medicine, Washington University in St. Louis

Abstract Preview: Purpose: We proposed a treatment planning optimization method that utilizes customized spot map modification to achieve less dosimetry uncertainty, monitor unit ratio (MUR) and neutron dose in a spot ...

Spot Scanning Gantry-Based Gaze-Gated Ocular Proton Treatment Planning at Mayo Clinic Rochester

Authors: Amanda J. Deisher, Susannah V. Hickling, Shima Ito, Jon J. Kruse

Affiliation: CancerCare Manitoba, Mayo Clinic

Abstract Preview: Purpose:
To date, 11 ocular patients were treated with spot scanning gantry-based gaze-gated ocular proton program at Mayo Clinic, Rochester MN since 2023. Treatments are done in the half-arc gantr...

Standardized Immobilization and Setup Procedure Improves Accuracy of Multi-Time Point SPECT/CT Image Registration for Radiopharmaceutical Therapy (RPT) Dosimetry

Authors: Bryan Bednarz, Laura Bennett, Abby E. Besemer, Tyler J Bradshaw, Steve Y Cho, John M. Floberg, Joseph Grudzinski, Elissa Khoudary, Michael J. Lawless

Affiliation: Department of Radiology, University of Wisconsin, University of Wisconsin-Madison Department of Medical Physics, Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison, Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Voximetry, Inc, University of Pennsylvania, Department of Radiology, University of Wisconsin - Madison, Department of Human Oncology, University of Wisconsin-Madison

Abstract Preview: Purpose: To assess the impact of using a standardized immobilization setup for multi-time-point SPECT/CT imaging on radiopharmaceutical therapy (RPT) dosimetry image registration.

Methods: Ten ...

Standardized MRI-CT Hybrid Workflow for High-Dose-Rate Image-Guided Adaptive Brachytherapy in Cervical Cancer: Aapm TG-303 Implementation

Authors: Kim Creach, Kim Howard, Julius G. Ojwang, Richard A. Shaw, Neelu Soni

Affiliation: Mercy Hospital Springfield

Abstract Preview: Purpose: To present a standardized MRI-CT hybrid workflow for High-Dose-Rate (HDR) Image-Guided Adaptive Brachytherapy (IGBT) in cervical cancer, aligned with AAPM TG-303, as a model to assist with im...

Stereotactic Body Radiosurgery for Refractory Ventricular Tachycardia: Presenting Efficient Clinic Workflow, Dosimetric Analysis and Patients Reported Clinical Results

Authors: Karam Ayoub, Aaron B Hesselson, Ronald C McGarry, Joshua Misa, Damodar Pokhrel

Affiliation: University of Kentucky, Department of Radiation Medicine, University of Kentucky, Department of Cardiology

Abstract Preview: Purpose: Noninvasive stereotactic body radiosurgery (SBRS) is emerging treatment option for advanced heart failure patients with refractory-ventricular tachycardia (rVT) who experienced recurrent impl...

Streamlining Direct-to-Unit Clinical Set-Ups for Radiation Therapy

Authors: Lori Buchholtz, Alison Garda, Chris L. Hallemeier, Kathryn L. Kolsky, Han Liu, Joseph John Lucido, Marisa Schinter, Andrew J. Veres, Sara Walerak

Affiliation: Mayo Clinic

Abstract Preview: Purpose: The C_START initiative aims to streamline and simplify the Direct-to-Unit (DtU) clinical setup and treatment planning process for photon radiation therapy, particularly for emergent cases suc...

Streamlining Hippocampal-Sparing Whole-Brain VMAT Planning: Enhancing Efficiency and Plan Quality with an Automated Workflow

Authors: Eric C. Ford, Yulun He, Minsun Kim, Dustin Melancon, Juergen Meyer, Dong Joo Rhee, Yinghua Tao

Affiliation: Department of Radiation Oncology, Fred Hutchinson Cancer Center, University of Washington, MD Anderson Cancer Center, University of Washington

Abstract Preview: Purpose: To develop and evaluate an automated-planning technique capable of generating high-quality treatment plans for hippocampal-sparing-whole-brain radiation therapy.
Methods: An auto-planning ...

Streamlining Quad-Shot Radiotherapy: Automated Workflow Enables Same-Day Treatment for Palliative Lung Cancer

Authors: Laura I. Cervino, Sharif Elguindi, Yu-Chi Hu, Licheng Kuo, Xiaoning Liu, Jennifer Ma, Pengpeng Zhang

Affiliation: Department of Medical Physics, Memorial Sloan Kettering Cancer Center, Radiation Oncology, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose:
Quad-shot radiotherapy (QSRT) is an emerging paradigm in palliative cancer treatment. This study aimed to streamline the QSRT workflow using automation to improve efficiency while maintain...

Streamlining Quality Control for Radiographic and Fluoroscopic Systems

Authors: Caroline Cheney, Patricia G Collins, Allen R. Goode, Preston Le, Andrew M. Polemi, Angela Snyder

Affiliation: UVA Health, Atirix Medical Systems

Abstract Preview: Purpose: Optimize ongoing quality control (QC) for radiographic (DR) and fluoroscopic (FL) systems by identifying metrics most sensitive to hardware disruptions among regional noise, pooled noise, sig...

Structure-Based Diffusion Model for CT Synthesis from MR Images for Radiotherapy Treatment Planning

Authors: Samuel Kadoury, Redha Touati

Affiliation: Polytechnique Montréal

Abstract Preview: Purpose:
Generating synthetic CT images from MR acquisitions for radiotherapy planning allows to integrate soft tissue contrast alongside density information stemming from CT, thus improving tumor ...

Supercomputing-Enabled CT Virtual Imaging Trials: A Population-Scale Pilot Study

Authors: Ehsan Abadi, Zakaria Aboulbanine, Nicholas D Felice, David Fenwick, Anuj J. Kapadia, Cindy Marie McCabe, Jayasai Ram Rajagopal, Ehsan Samei

Affiliation: Duke University, Oak Ridge National Laboratory, Center for Virtual Imaging Trials, Duke University, Clinical Imaging Physics Group, Department of Radiology, Duke University Health System

Abstract Preview: Purpose:
Virtual imaging trials (VITs) offer a computational alternative to clinical imaging trials leveraging virtual patients, scanners, and interpreters to assess imaging questions. To provide m...

Support for Radiotherapy in Ukraine: Help Ukraine Group Activities and the Importance of International Collaboration

Authors: Serhii Brovchuk, Viktor M. Iakovenko, Nataliya Kovalchuk, Yuliia Lozko, Zoia Shepil, Natalka Suchowerska, Ruslan Zelinskyi

Affiliation: Kyiv Regional Oncology Dispensary, Stanford University, O.O. Shalimov National Institute of Surgery and Transplantology, School of Physics, The University of Sydney, Medical Physics Department, Medical center of Yuriy Spizhenko, Department of Radiation Oncology, UT Southwestern Medical Center, Stanford Cancer Center

Abstract Preview: Purpose: The full-scale russian invasion of Ukraine has caused the largest humanitarian disaster in Europe since World War II. This study identifies gaps in RT services caused by the war and outlines ...

Synthetic Vs. Conventional Planar Imaging: Performance and Clinical Feasibility

Authors: Jennifer Kwak, Chelsea Manica, Justin K. Mikell, Michael Silosky, Wendy Siman

Affiliation: Washington University School of Medicine in St. Louis, University of Colorado Anschutz Medical Campus, School of Medicine, Rocky Vista University

Abstract Preview: Purpose:
This study evaluates synthetic planar imaging (synP) from SPECT projections against conventional planar imaging, focusing on detectability, spatial resolution, and feasibility. SynP allows...

TCP Modeling of Regional Recurrencies and Dose to Nodal GTV after Radiotherapy for Head & Neck Cancer

Authors: Brian M. Anderson, Simon A. Brundage, Xuguang Scott Chen, Shiva K. Das, Felice Dong, Spencer Lynch, Panayiotis Mavroidis, Ryan Morse Morse, Heidi Urquidi

Affiliation: University of North Carolina Chapel Hill, University of North Carolina at Chapel Hill, University of North Carolina

Abstract Preview: Purpose: This study aims at correlating different dosimetric indices of nodal GTV with the regional recurrencies observed after head and neck radiotherapy. Also, to perform a tumor control probability...

Tackling the Challenge of Multi-Target Metastases Treatment: Evaluation of Ethos Treatment Planning System

Authors: Avery Antes, Bulent Aydogan, Rama Chicfeh, Erik Pearson, Neslihan Sarigul

Affiliation: The University Of Chicago, The University of Chicago

Abstract Preview: Purpose: This study evaluates the performance of the Ethos Treatment Planning System (TPS) in managing oligometastatic cancer patients previously treated using multiple isocenter plans.
Methods: Th...

Tailor-TS System: Tailored Tumor Segmentation System with Facility-Specific Semi-Supervised Learning

Authors: Gong Vincent Hao, Daisuke Kawahara, Jokichi Kawazoe, Yuji Murakami, Ikuno Nishibuchi, Peiying Colleen Ruan, Daguang Xu, Dong Yang

Affiliation: Department of Radiation Oncology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Graduate School of Biomedical and Health Sciences, Hiroshima University, NVIDIA

Abstract Preview: Purpose:
Accurate tumor segmentation in head and neck cancer is critical for effective treatment planning, but variability in practices across medical facilities poses challenges for standardizatio...

Target Region-Specific Dose-Volume Parameters for Estimate of Brain Toxicity in Single-Isocenter Multiple-Metastases Linac-Based Stereotactic Radiosurgery

Authors: David L. Barbee, Jose R. Teruel Antolin, Jinyu Xue

Affiliation: NYU Langone Health

Abstract Preview: Purpose: This work introduces a method of regional dose evaluation of normal brain tissue using local target-specific evaluation and compares to global dose evaluation for linac-based single-isocenter...

Targeted Multi-Criteria Optimization for Rapid Improvement of Organ-at-Risk Dose in the Setting of Prostate Stereotactic Body Radiation Therapy

Authors: Alyssa Gadsby, William J. Godwin, Daniel G. McDonald, Jean L. Peng, Alek K. Rapchak, Sean A Roles, Austin M. Skinner, Stephanie Tan

Affiliation: Medical University of South Carolina

Abstract Preview: Purpose: To utilize multi-criteria optimization (MCO) in a targeted fashion to quickly and easily improve dose to the rectum when treating the prostate with stereotactic body radiation therapy (SBRT)....

Task Specific Image Quality Assessment Using Spectral Photon-Counting CT.

Authors: Azza Mohamed Ahmed, Nadine Francis, Osama Khan, Nabil Maalej, Aamir Raja, Briya Tariq

Affiliation: Khalifa University

Abstract Preview: Purpose: The study aims to evaluate the task-specific diagnostic performance of spectral photon-counting CT (SPCCT) using application-specific phantoms.
Methods:
Parameters such as linearity res...

Task-Specific Deep-Neural-Network Architecture Optimization for CBCT Scatter Correction

Authors: Hoyeon Lee

Affiliation: University of Hong Kong

Abstract Preview: Purpose: Deep-learning approaches are widely investigated for Cone-Beam CT (CBCT) scatter correction to improve the quality of the linear-accelerator mounted CBCT. This study aims to optimize the deep...

Technical Feasibility and Accuracy of Dynamic Longitudinal Couch Motion during Beam Delivery

Authors: Chonthicha Bunchuailuea, David Geeler, Martin Sabel, Claas Wessels

Affiliation: Varian Medical Systems

Abstract Preview: Purpose: Elongated treatment sites, such as craniospinal treatments, pose multiple challenges in today’s practices, requiring multiple CBCTs for position verifications per fraction, which might increa...

Technique Factors Optimization and Radiation Dosimetry of an Upright, Short-Scan, Cone-Beam, Dedicated Breast CT System

Authors: Stephen Araujo, Jing-Tzyh Alan Chiang, Cynthia E. Davis, Eri Haneda, Andrew Karellas, Thomas C Larsen, William Ross, Hsin Wu Tseng, Srinivasan Vedantham, Pengwei Wu

Affiliation: Department of Biomedical Engineering, The University of Arizona, GE Aerospace Research, Department of Medical Imaging, The University of Arizona, GE HealthCare Technology & Innovation Center

Abstract Preview: Purpose: To determine the system parameters and technique factors for image acquisition needed so that the mean glandular dose (MGD) of approximately 4.5 mGy is not exceeded for a recently developed, ...

Temporal Drift in Ir-192 Source Strength Measurements: A Braphyqs Multi-Center Analysis

Authors: Åsa K. Carlsson Tedgren, Taran Hellebust, Antonio Herreros, Jacob Johansen, Christian Kirisits, Panagiotis Papagiannis, Mark J. Rivard, Frank-Andre Siebert, Frank Verhaegen, Javier Vijande, Jan Wiersma, Marisol de Brabandere, Ruud van Leeuwen

Affiliation: UKSH, Campus Kiel, Klinik fĂŒr Strahlentherapie (Radioonkologie), Department of Oncology, The Norwegian Radium Hospital, Oslo University Hospital, Radiation Physics, Department of Medicine and Health (IMH), Linköping University, Radiation Oncology Department, Hospital ClĂ­nic-Universitat de Barcelona, IDIBAPS, IFIC-UV, Radiation Oncology, Amsterdam UMC location University of Amsterdam, Department of Radiation Oncology, Radboud University Medical Center, Department of Oncology, Aarhus University Hospital, University Hospital Gasthuisberg, Dept. of Radiation Oncology, Medical Physics Laboratory, Medical School, National and Kapodistrian University of Athens, Department of Radiation Oncology (MAASTRO), GROW – School for Oncology and Reproduction, Maastricht University Medical Centre+, Department of Radiation Oncology, Comprehensive Cancer Center, Medical University of Vienna, Warren Alpert Medical School of Brown University

Abstract Preview: Purpose: This study, which was carried out by the GEC-ESTRO BRAPHYQS working group, reports the increasing divergence between clinical reference air kerma rate (RAKR) measurements and vendor-provided ...

Testing Experience in Dose Monitoring Solutions: Automation Aberrations in Automated Organ Dose Estimation

Authors: Lawrence T. Dauer, Yusuf Emre Erdi, Yiming Gao, Dustin W. Lynch, Usman Mahmood

Affiliation: Department of Medical Physics, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose: Radiation dose to patients in CT examinations (CTDIvol, DLP) is tracked in dose monitoring solutions. Some solutions push for automatically estimating patient organ doses based on exam images...

Testing the Performance of Rbe Models Using a Comprehensive Panel of Pancreatic Cancer Cell Lines

Authors: Joana Antunes, Scott James Bright, David B. Flint, Mojtaba Hoseini-Ghahfarokhi, Mandira Manandhar, Poliana Marinello, Gabriel O. Sawakuchi, Tingshi Su

Affiliation: MD Anderson Cancer Center, The University of Texas MD Anderson Cancer Center, Laboratory of Instrumentation and Experimental Particle Physics; Faculty of Science of University of Lisbon, Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, Department of Radiation Physics, MD Anderson Cancer Center

Abstract Preview: Purpose: To study the accuracy of relative biological effectiveness (RBE) models to predict the RBE of a comprehensive panel of pancreatic cancer cell lines.

Methods: Clonogenic cell survival w...

The Analysis of the Bifurcation from Immune-Limited to Immune-Escape Mode in Tumor Size

Authors: Young-Bin Cho, Jacob Scott, Nara Yoon

Affiliation: Adelphi University, Cleveland Clinic

Abstract Preview: Purpose: The immune system plays a critical role in determining cancer prognosis. Based on our prior study (Cho et al., 2023) about the bystander effect induced by immune responses in spatially design...

The Biological TCP/NTCP Modelling on Oropharyngeal Head-and-Neck Cancer for Patients Treated with Proton Beam Therapy

Authors: Wen C. Hsi, Tae Kyu Lee, Biniam Yo Tesfamicael

Affiliation: Allina Health, Department of Radiation Oncology, University of Arkansas for Medical Sciences (UAMS), Oklahoma Proton Center

Abstract Preview: Purpose: When minimal dose-variations induced by inter-fractional anatomical-changes and positioning-deviation were found for having limited impact on clinic-outcomes of oropharyngeal head-and-neck (H...

The Development of Large Field MR Guided Radiotherapy for Pelvic Lymph Node SBRT and Its Dosimetry Improvement

Authors: David Byun, Ting Chen, Paulina E. Galavis, Allison McCarthy, Hesheng Wang, Michael J Zelefsky

Affiliation: NYU Langone Health

Abstract Preview: Purpose: To summarize a MR guided adaptive workflow developed for pelvic lymph nodes (PLN) stereotactic radiotherapy using large field size on Elekta Unity© MR Linac system, and to quantitatively anal...

The Dosimetric Impact of the Incremental Discontinuation of Bolus during Postmastectomy Chest Wall Radiation Treatment for Breast Cancer.

Authors: Anthony R Bardwell, Dong Won Kim, Faith S Kim, Isaac Y Kim, Juying Zhang

Affiliation: Kaiser Permanente

Abstract Preview: Purpose: When a patient develops a significant skin reaction at some point during postmastectomy radiotherapy, a clinical decision is often made to discontinue the planned daily use of bolus. The aim ...

The Dosimetric and Dose RATE Characteristics for Bragg Peak Proton MINI-Ridge Filter Flash in Comparison to Conventional Proton and Filter Free Flash for Breast and Prostate

Authors: Jenghwa Chang, Chingyun Cheng, J Isabelle Choi, Muhammad Hamza, Minglei Kang, Tyler Kaulfers, Grant Lattery, Haibo Lin, Charles B. Simone, Xingyi Zhao

Affiliation: Peking University, Hofstra University Medical Physics Program, New York Proton Center, Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Physics and Astronomy, Hofstra University, Physics Resident at Montefiore Einstein, Department of Human Oncology, University of Wisconsin-Madison

Abstract Preview: Purpose: In terms of high dose rate FLASH, the question remains on how to properly deliver treatment and what clinical sites are feasible to deliver such treatment. The novel Bragg peak (BP-FLASH) and...

The Effect of 2D Antiscatter Grid-Based CBCT on Tissue Visualization in the Prostate Region: An Observer Study on Tissue Delineation Accuracy

Authors: Cem Altunbas, Adam Avant, Farhang Bayat, Roy Bliley, Ian Boor, Brian Kavanagh, Uttam Pyakurel, Tyler Robin, Ryan Sabounchi

Affiliation: Department of Radiation Oncology, University of Colorado School of Medicine, Taussig Cancer Center, Cleveland Clinic

Abstract Preview: Purpose: Improved soft tissue visualization plays an important role in target localization and treatment plan adaptation in CBCT-guided radiotherapy. In this work, a novel CBCT approach, 2D antiscatte...

The Feasibility of Ethos-Based Pulsed Reduced Dose-Rate (PRDR) Radiotherapy

Authors: Chia-Lung Chien, Renteng Hou, Wen C. Hsi, Faraz Kalantari, Ganesh Narayanasamy, Zhong Su

Affiliation: University of Arkansas for Medical Sciences, Department of Radiation Oncology, University of Arkansas for Medical Sciences (UAMS)

Abstract Preview: Purpose:
PRDR is an effective re-irradiation treatment for patients who have already reached the tolerance dose to their organs at risk (OARs). While PRDR is implemented on TrueBeam by limiting the...

The Gatekeeping of Medical Physics Leading to the Underrepresentation of Black and Hispanic Women in the Field

Authors: Emily Hansen, Tyler Kaulfers, Alois M. Ndlovu, Niara Rowe, Roland Teboh

Affiliation: Montefiore Einstein University Hospital, Hackensack University Medical Center

Abstract Preview: Purpose: A topic often discussed is the disparity of women in medical physics, overlooking the absence of Black and Hispanic women in the field. The intersectionality within marginalized communities i...

The Impact of Implant Position and Different Radiotherapy Techniques on Dosimetry in Post-Mastectomy Breast Reconstruction for Breast Cancer

Authors: Xiu tong Lin

Affiliation: Department of Radiation physics and technology, Shandong Second Provincial General Hospital

Abstract Preview: Purpose: To compare the dosimetric differences between the photon and proton plans and between the different target according to the placement of the implants for patients undergoing radiotherapy afte...

The Role of 3D Vane MRI in Accurate Phase Matching with 4D-CT for Motion Representation in Liver Cancer Radiotherapy

Authors: Jiayun Chen, Shengqi Chen, Junchao Li, Fei Liu, Jianan Wu

Affiliation: Cancer Hospital Chinese Academy of Medical Sciences, Shenzhen Center, Tongji Medical College, Huazhong University of Science & Technology, School of Electronic Engineering, Beijing University of Posts and Telecommunications, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College

Abstract Preview: Purpose: To assess if 3D Vane MRI can accurately depict the motion of the target volume and OARs.
Methods: This retrospective study included 54 liver cancer patients who underwent both 3D Vane MRI ...

The Root Cause of Large Differences in Calculated Beam Monitor Units between a Treatment Planning System and a QA Software

Authors: George X. Ding, Kenneth L. Homann

Affiliation: Vanderbilt University Medical Center

Abstract Preview: Purpose: It is standard practice that the beam monitor units (MUs) calculated by a commercial treatment planning system (TPS) is verified by a secondary dose calculation (SDC) software that independen...

The Topas Monte Carlo Framework – Status and Outlook after 15 Years of Development

Authors: Alejandro Bertolet, Jorge Naoki Dominguez Kondo, Bruce A. Faddegon, Thongchai Masilela, Isaac Meyer, Victor V. Onecha, Harald Paganetti, Jose A. Ramos-Mendez, Jan PO Schuemann, Wook-Geun Shin

Affiliation: University of California San Francisco, Massachusetts General Hospital and Harvard Medical School, Massachusetts General Hospital

Abstract Preview: Purpose: To present the results of 15 years of developments of the TOPAS TOol for PArticle Simulation framework, and to highlight recent and new developments.

Methods: Fundamental understanding...

The Z Dimension Matters: 3D Noise Power Spectrum of a Clinical Photon Counting Detector CT System

Authors: Frank F. Dong, Megan C. Jacobsen, Ke Li, Xinming Liu, Humberto Monsivais, John Rong

Affiliation: Purdue University, UT MD Anderson Cancer Center

Abstract Preview: Purpose: To investigate the noise characteristics of a clinical photon counting detector CT (PCD-CT) system along axial and through-plane (Z) dimensions using 3D NPS measurements.
Methods: This stu...

Three-Dimensional Reconstruction of Triggered Images with Dehazing Algorithm for Precise Intrafraction Motion Detection in Spine SBRT

Authors: Hyosung Cho, Dae Yup Han, Duhee Jeon, Jiwon Park, Hyesun Yang

Affiliation: Department of Therapeutic Radiology, Yale University School of Medicine, Yonsei University

Abstract Preview: Purpose: To precisely detect intrafraction patient motion during spine stereotactic body radiotherapy (SBRT) treatment delivery, we propose an optimized technique for three-dimensional reconstruction ...

Through in-House Software and Customized Phantom to Perform and Analyze Daily Quality Assurance of Proton Treatment System More Efficiently and Monitor the Stability of Its Performance

Authors: Liang-Hsin Chen, Li-Chien Wei

Affiliation: National Taiwan University Cancer Center

Abstract Preview: Purpose: For proton therapy treatment, it is essential to ensure that the treatments are delivered safely and accurately. Quality assurance (QA) programs of proton treatment system is needed and proto...

Tin-Filtered Spectral Shaping Technique in Clinical Photon-Counting CT: Impact on Noise Magnitude By Object Size, Radiation Dose, and Spectral Reconstruction Type

Authors: Xinhui Duan, Vivek Nair, Liqiang Ren, KyuHo Song, Kuan Zhang, Yue Zhang

Affiliation: Department of Radiology, UT Southwestern Medical Center

Abstract Preview: Purpose: To evaluate how tin-filtered spectral shaping in clinical photon-counting computed tomography (PCCT) affects noise magnitude across varying object sizes, radiation doses, and spectral reconst...

To Assess and Monitor the Characteristics of Scanning Proton Beam Utilizing the Xrv-124 Scintillator Device

Authors: Liang-Hsin Chen, Hsiang-Kuang Tony Linag

Affiliation: National Taiwan University Cancer Center, Department of Biomedical Engineering, National Taiwan University

Abstract Preview: Purpose: The characteristics of scanning proton beam is one of crucial factors to affect dose delivering accuracy in proton theray. Therefore, this study aims to evaluate and monitor the stability of ...

Total Body Irradiation Using Field-in-Field Treatment Planning Techniques

Authors: Kazi Towmim Afrin, Imad M. Ali, Jordan West

Affiliation: University of Oklahoma Health Sciences Center, University of Oklahoma

Abstract Preview: Purpose: To simulate total-body-irradiation (TBI) with field-in-field treatment planning techniques and test portal dosimetry for dose verification and quality assurance.
Methods: CT images of full...

Toward Harmonized AI-Based Quantitative CT: A Voxel-Printed, Patient Specific Phantom for Cross-Platform Harmonization

Authors: Aditya P. Apte, Joseph O. Deasy, Yusuf Emre Erdi, Anqi Fu, Johannes Hertrich, Andrew Jackson, Usman Mahmood, Jason Ocana, Trahan Sean, Amita Shukla-Dave

Affiliation: Department of Medical Physics, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose: Automated AI-based quantitative CT tools hold immense promise for advancing clinical decision-making, yet their reproducibility and generalizability remain vulnerable to variability in imagin...

Towards Achieving Quantitative Attenuation Values in CT with Energy-Integrated and Photon-Counting Detectors

Authors: Zijia Guo, Viktor Haase, Michael F. McNitt-Gray, Frederic Noo

Affiliation: Siemens Healthineers, University of Utah, David Geffen School of Medicine at UCLA

Abstract Preview: Purpose: The attenuation values in CT hold strong potential for disease diagnosis. However, they lack reliability, which has limited their use to clinical trials where variability can be controlled. S...

Towards Optimal Target Dose Conformity and Dose Drop-Off: Evaluation of a New Optimization Approach for Biology-Guided Radiotherapy Treatment Planning

Authors: Grant Gibbard, Chunhui Han, An Liu

Affiliation: RefleXion Medical, Department of Radiation Oncology, City of Hope National Medical Center

Abstract Preview: Purpose: To evaluate the efficacy of a new approach to streamline treatment planning for biology-guided radiotherapy (BgRT) of fluorodeoxyglucose (FDG)-avid bony lesions on a BgRT machine with real-ti...

Towards Penile Small Vessel Imaging with Ferumoxytol-Enhanced MRI

Authors: Darren Fang, Amar Kishan, Justin McWilliams, Dan Ruan, Xiaodong Zhong

Affiliation: Department of Radiation Oncology, University of California, Los Angeles, Department of Radiology, University of California, Los Angeles, Department of Radiological Sciences, University of California, Los Angeles

Abstract Preview: Purpose: Prostate radiotherapy can malform penile vasculature, contributing to erectile dysfunction and compromising quality of life. To detect, quantify, and preferably avoid such occurrences, this p...

Transformer-Based Proton Dose Prediction with and without Diffusion Process

Authors: Jing Qian, Brandon Reber, David M. Routman, Satomi Shiraishi

Affiliation: Mayo Clinic

Abstract Preview: Purpose: The dose distribution in proton radiotherapy (PRT) is characterized by sharp gradients, posing a challenge for machine learning-based dose prediction. While denoising with diffusion processes...

Transforming CT Technologist Training: Real-Time Feedback, Gamification, and Phantom-Based Education for Accurate Patient Positioning

Authors: Rebecca Lamoureux, Zahra (Zara) Razi, Zachary Whipps

Affiliation: University of New Mexico Hospital

Abstract Preview: Purpose: Patient mispositioning in CT imaging contributes to inconsistent radiation dose delivery and suboptimal image quality, impacting patient safety and diagnostic outcomes. This study evaluates a...

Treatment Dose Reconstruction of Digitized Deliveries on Reflexion X1 System Based on Megavoltage Imager and Dose Monitor Chamber

Authors: Angela J Da Silva, Andrew Groll, Gopinath Kuduvalli, Thomas Laurence, David W. Meer, Manoj Narayanan, Mingshan Sun, Don Vernekohl, Ray Yang

Affiliation: RefleXion Medical

Abstract Preview: Purpose: To implement post-treatment review of delivered dose fractions on RefleXion X1 accounting for independent detection of transmitted beamlets and transient dose fluctuations of individual pulse...

Treatment Machine Matching for ELM in Eclipse v18.0 By Adjusting Physical Leaf Gap

Authors: Quyen Duong, Si Young Jang, Soyoung Lee, Samuel Ming Ho Luk

Affiliation: Boston University, Department of Radiation Oncology, University of Vermont Medical Center, Boston Medical Center

Abstract Preview: Purpose: To investigate the clinical impact of physical MLC gaps changes with Millennium 120 MLC on Enhanced Leaf Modeling (ELM) and patient plans, and to establish a new MLC model in Eclipse v18.0 on...

Treatment Plan Evaluation of the Patient-Tailored Architect Applicator for Cervical Cancer Brachytherapy

Authors: Jenny Dankelman, Ben J. M. Heijmen, Inger-Karine K. Kolkman-Deurloo, Remi A. Nout, Linda Rossi, Robin Straathof, Linda Wauben, Henrike Westerveld, Nick J. van De Berg, Sharline M. van Vliet - Perez

Affiliation: Department of BioMechanical Engineering, Delft University of Technology, Department of Gynecological Oncology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Department of Radiotherapy, Erasmus MC Cancer Institute, University Medical Center Rotterdam

Abstract Preview: Purpose:
To quantify the dosimetric advantages of the 3D-printed patient-tailored ARCHITECT applicator with optimized needle channel configurations compared to clinically used intracavitary/interst...

Treatment Planning System Modelling of a New Commercial Rotational Table

Authors: Michael Armstrong, Courtney R. Buckey, Quan Chen, Suzanne J. Chungbin, Mirek Fatyga, Yi Rong, Jun Tan, Xiang Sheng Yan

Affiliation: Mayo Clinic Arizona, Mayo Clinic

Abstract Preview: Purpose: To model a commercial rotational table in treatment planning system (TPS) for accurate dose optimization and calculation.

Methods: A commercial rotational table (CDR EquilibriumÂź) is r...

Tumor Density on Time-Weighted Mid-Position Images for Thoracic Tumors

Authors: Katrinus Keijnemans, Eric S. Paulson, An Tai

Affiliation: Department of Radiotherapy, University Medical Center Utrecht, Department of Radiation Oncology, Medical College of Wisconsin

Abstract Preview: Purpose: Time-weighted mid-position images (MidPs), derived from four-dimensional computed tomography (4DCT) via deformable image registration (DIR), are frequently selected for treatment planning due...

Tumor Dose Escalation for Recurrent Head and Neck SRT Via a Hyperarc-Based Rapidplan Model

Authors: Shane McCarthy, Damodar Pokhrel, William St. Clair, Eddy S Yang

Affiliation: University of Kentucky, Department of Radiation Medicine

Abstract Preview: Purpose: Demonstrating the feasibility of dose escalation for stereotactic recurrent head and neck (RHN) cancers through the deployment of a Hyper-Arc Based RapidPlan (HARP) model through an Eclipse S...

Twin Table-Tilt Imaging: Rapid Metal Artefact Reduction Intraoperative CBCT Imaging during Pedicle Screw Spinal Fixation

Authors: Owen Thomas Dillon, Andrew Kanawati, Tess Reynolds

Affiliation: Westmead Hospital, Image X Institute, Faculty of Medicine and Health, The University of Sydney

Abstract Preview: Purpose: Metal artefacts from implanted hardware and surgical tools remain a limitation for widespread adoption of intraoperative CBCT imaging. Gantry-based non-circular imaging trajectories have emer...

Two's Company, Three's a Crowd? a Bayesian Approach to Optimizing the Number of Measurement Readings in Radiation Therapy QA

Authors: Siyong Kim, Ava Paek, Joseph B. Schulz, James J. Sohn, Eric D. Stolen, Ethan D. Stolen

Affiliation: Department of Radiation & Cellular Oncology, University of Chicago, University of Central Florida, Virginia Commonwealth University, Department of Radiation and Cellular Oncology, University of Chicago, Department of Radiation Oncology, Stanford University School of Medicine

Abstract Preview: Purpose: The American Association of Physicists in Medicine Task Group 142 (AAPM TG-142) guidelines recommend three measurements during monthly quality assurance to keep results within two standard de...

Ultra-Fast Commissioning and Quality Assurance with Plastic Scintillation Detector

Authors: Saad Bin Saeed Ahmed, Marcos Feijoo, Wazir Muhammad, Charles Shang, Naseem Ud Din

Affiliation: South Florida Proton Therapy Institute, Miami Cancer Institute, Blue Physics LLC, Florida Atlantic University

Abstract Preview: Purpose: Accurate, efficient, and reliable commissioning of linear accelerator (LINAC) is critical for ensuring high-quality radiation therapy treatments. The study uses advanced detector technology a...

Ultrafast Proton Delivery with Pin Ridge Filters (pRFs): A Novel Approach for Motion Management in Proton Therapy

Authors: Zachary Diamond, Pretesh Patel, Sibo Tian, Yinan Wang, Xiaofeng Yang, David Yu, Ahmal Jawad Zafar, Jun Zhou

Affiliation: Emory University, Department of Radiation Oncology and Winship Cancer Institute, Emory University

Abstract Preview: Purpose: Active breath-hold techniques effectively mitigate respiratory motion but poses challenges for patients who are unable to tolerate the procedure. Conventional planning relies on multiple ener...

Ultrasonic Detection of Flash-Level Dose Pulses from a Medical Linac

Authors: Fred B. Bateman, Ilaria M. Luna, Ronald E. Tosh

Affiliation: Sidwell Friends School, NIST, Dosimetry Group, Radiation Physics Division, National Institute of Standards and Technology

Abstract Preview: Purpose: To exploit the rapid response time and dose sensitivity of ultrasonic detection methods for resolving pulse structure in FLASH-level beams.

Methods: Two ultrasonic transducers position...

Uncertainties on Synthetic-CT Generation from CBCT: Another Layer of Complexity in Abdominal Adaptive Radiotherapy

Authors: Laura I. Cervino, Wendy B. Harris, Paulo Quintero, Hao Zhang

Affiliation: Department of Medical Physics, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose: To evaluate the impact of the prediction uncertainty from CBCT-based synthetic CT (sCT) generation in abdominal adaptive radiotherapy.

Methods: CT and CBCT images from 65 abdominal pat...

Uncertainty Analysis for Effective Dose Conversion Factors in CT

Authors: Renxin Chu, Jelena Mihailovic, Kai Yang, Lifeng Yu, Da Zhang

Affiliation: Massachusetts General Hospital, Mayo Clinic, Boston Children's Hospital, UVA Health University Hospital, University of Missouri Health Care

Abstract Preview: Purpose:
A frequently used method to estimate effective dose (ED) in CT is by multiplying the dose length product (DLP) by a conversion factor, known as k-factor. The k-factor in this method is sus...

Universal MR-to-Synthetic CT: A Streamlined Framework for MR-Only Radiotherapy Planning

Authors: Mingli Chen, Xuejun Gu, Hao Jiang, Mahdieh Kazemimoghadam, Weiguo Lu, Qingying Wang, Kangning Zhang

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center, Department of Radiation Oncology, Stanford University School of Medicine

Abstract Preview: Purpose:
Converting MR images to synthetic CT (MR2sCT) is highly desirable as it streamlines the radiotherapy treatment planning workflow. This approach leverages the superior soft tissue visibilit...

Universal Range Modulators for Flash Proton Therapy: 3D Printing of Stackable Variable Density Units

Authors: Eric S. Diffenderfer, Lei Dong, Alejandro Garcia, Wenbo Gu, Michele M. Kim, Alexander Lin, Kai Mei, Peter B. Noël, Boon-Keng Kevin Teo, Lingshu Yin, Jennifer Wei Zou

Affiliation: Department of Radiation Oncology, University of Pennsylvania, University of Pennsylvania

Abstract Preview: Purpose: We present a novel 3D-printed range-modulating devices with spatially modulated density for FLASH particle therapy. By varying density distributions, spread-out Bragg peaks(SOBPs) can be gene...

Uprightvision: A Deep-Learning Toolkit for Transforming Supine Anatomy to Upright

Authors: Ming Dong, Carri K. Glide-Hurst, Behzad Hejrati, Joshua Pan, Yuhao Yan

Affiliation: Department of Computer Science, Wayne State University, Departments of Human Oncology and Medical Physics, University of Wisconsin-Madison, Department of Human Oncology, University of Wisconsin-Madison

Abstract Preview: Purpose: Upright patient positioners and vertical CT reduce tumor motion and stabilize internal anatomy during treatment delivery. Yet, to fully exploit the advantages of upright, translation of stand...

Use of Gold Nanoparticles As Shielding during Eye Plaque Brachytherapy

Authors: Clara Ferreira, Tomas Agustin Montenegro, Courtney C. Oare

Affiliation: University of Minnesota

Abstract Preview: Purpose: This work provides a simulated proof of concept for the use of intravitreal gold nanoparticle (AuNP) during eye plaque brachytherapy as a radiation shield to critical structures in the eye us...

Using Machine Learning to Predict Esophagitis Risk in Lung Cancer Radiotherapy Based on Clinical and Dosimetric Factors

Authors: Ibtisam Almajnooni, Siyong Kim, Nathaniel Miller, Elisabeth Weiss, Lulin Yuan

Affiliation: Virginia Commonwealth University

Abstract Preview: Purpose: Radiation-induced esophagitis (RE) is a common concern in lung cancer IMRT. Recent studies have indicated that the risk of radiation side effects varies greatly with patients’ baseline clinic...

Using Multi-Peak Reconstructions for Dosimetry of Fast and Quantitative Lutetium-177 SPECT/CT

Authors: Julia Brosch-Lenz, Munir Ghesani, Francesc Massanes, Michael Morris, Babak Saboury, Eliot Siegel, Alexander Hans Vija

Affiliation: Institute of Nuclear Medicine, Siemens Medical Solutions USA Inc., Molecular Imaging

Abstract Preview: Purpose: Quantitative imaging of the radiopharmaceutical distribution is crucial for treatment evaluation and dosimetry. However, as patient numbers for Lutetium-177-(177Lu)-labelled therapies continu...

Using Multiple Sequences MRI for Synthesizing CT Based on a Deep Learning Approach

Authors: Jie Hu, Nan Li, Chuanbin Xie, Shouping Xu, Xinlei Xu, Gaolong Zhang, Zhilei Zhang

Affiliation: School of Physics, Beihang University, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Department of Radiation Oncology, the First Medical Center of the People's Liberation Army General Hospital, National Cancer Center/ National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, PeopleÊŒs Republic of China, Department of Radiation Oncology, School of Physics, Beihang University, Beijing, 102206, PeopleÊŒs Republic of China

Abstract Preview: Purpose: This study aims to synthesize CT images for MRI-only radiation therapy using a deep learning approach that integrates information from the T1- and T2-weighted MRI sequence.
Methods: 97 hea...

Using Radiotherapy Dose Accumulation Routine (RADAR) for Deformable Offline Adaptive Head and Neck Dose Accumulation

Authors: Shira Abraham, Eric Aliotta, Michalis Aristophanous, Laura I. Cervino, Yu-Chi Hu, Phillip G. Lichtenwalner, Chuan Zeng, Pengpeng Zhang

Affiliation: Department of Medical Physics, Memorial Sloan Kettering Cancer Center, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose:
We have developed a tool that uses deformable image registrations to perform deformable dose accumulation. In this work we evaluate use of this tool for adaptive head and neck dose accumul...

Using Single-Energy Bragg Peak (SEBP) Flash Combined with Intensity-Modulated Proton Therapy (IMPT) for Flash Treatment in a Clinical Synchrotron-Based Proton System

Authors: Chingyun Cheng, Ben Durkee, Carri K. Glide-Hurst, Minglei Kang, Haibo Lin, Bhudatt R. Paliwal, Charles B. Simone, Zhizhen Wei, Tengda Zhang, Xingyi Zhao

Affiliation: University of Wisconsin, Department of Mechanical Engineering, University of Wisconsin-Madison, Departments of Human Oncology and Medical Physics, University of Wisconsin-Madison, New York Proton Center, Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Department of Human Oncology, University of Wisconsin-Madison

Abstract Preview: Purpose: Transmission Beam (TB), Single-Energy Bragg Peak (SEBP), and Single-Energy Spread-Out Bragg Peak (SESOBP) are primary proton conformal FLASH techniques. However, each comes with significant l...

Using Varian’s Obi Tools to Develop a CBCT Workflow with Triggered Imaging for Spine SBRT Intrafraction Motion Monitoring

Authors: Yi An, David J. Carlson, Zhe (Jay) Chen, Jun Deng, Dae Yup Han, Sameer Taneja

Affiliation: Yale School of Medicine, Yale University School of Medicine, Department of Therapeutic Radiology, Yale University School of Medicine

Abstract Preview: Purpose: Spine Stereotactic radiosurgery (SSR) delivers a large radiation dose and utilizes narrow PTV margins, on the order of 1 mm, to avoid excess dose to the spinal cord. Because of this, intrafra...

Using a Generative Adversarial Network (GAN) for Source Particle Generation in Monte Carlo Radiation Therapy Simulations

Authors: Jiankui Yuan, Dandan Zheng, Tingliang Zhuang

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, UT Southwestern Medical Center, University of Rochester, Varian Medical Systems, Advanced Oncology Solutions

Abstract Preview: Purpose: In Monte Carlo (MC) radiation therapy dose calculations, latent variance exists when directly applying phase-space files (PSF) with a finite number of source particles, while the latter is pr...

Using a-Si 1200 Epid Portal Dosimetry for VMAT Commissioning

Authors: Ryan Burri, Nazanin Hoshyar, Jerry W. McCoy, Yulin Song, Huma Syed

Affiliation: Bay Pines VA Medical Center

Abstract Preview: Purpose: The study aimed to streamline traditionally manual, iterative, and time-consuming VMAT commissioning process. The goal was to identify an optimal set of MLC dosimetric parameters that minimiz...

Utilizing Bladder Ultrasound to Estimate on-Table Bladder Volume in Prostate Cancer SBRT: Impact on Treatment Setup Consistency and Dosimetric Outcomes

Authors: Minsong Cao, Amar Kishan, Dylan P. O'Connell, Jonathan Pham, Michael Steinberg, Luca F Valle, Michael Xiang

Affiliation: Department of Radiation Oncology, University of California, Los Angeles

Abstract Preview: Purpose: To evaluate bladder ultrasound as a surrogate for estimating on-table bladder volume in prostate cancer patients undergoing stereotactic body radiation therapy (SBRT). The study aimed to asse...

Utilizing Large Language Models for Efficient and Accurate Clinical Data Enrichment

Authors: Ara Alexandrian, Jessica Ashford, Jean-Guy Belliveau, Allison Dalton, Nathan Dobranski, Krystal M. Kirby, Garrett M. Pitcher, David E. Solis, Hamlet Spears, Angela M. Stam, Sotirios Stathakis, Jason Stevens, Rodney J. Sullivan, Sean Xavier Sullivan, Natalie N. Viscariello

Affiliation: Louisiana State University, Mary Bird Perkins Cancer Center, The University of Alabama at Birmingham, University of Alabama at Birmingham

Abstract Preview: Purpose: To improve retrospective risk analysis in radiation oncology by leveraging Large Language Models (LLMs) to extract richly annotated data from unstructured clinical incident reports.
Method...

Validating a Pre-Existing CT HU-to-Mass Density Curve for Direct Dose Calculation on High Quality Cbcts

Authors: Casey E. Bojechko, Tricia Chinnery, Grace Gwe-Ya Kim, Xenia Ray

Affiliation: University of California San Diego

Abstract Preview: Purpose: To evaluate the use of a calibration curve generated from the CT simulator for direct dose calculation on cone beam computed tomography (CBCT) images taken with the on-board imaging system. T...

Validation and Benchmarking of Mirdct Software for Organ Dose Estimation in Routine CT Protocols

Authors: Jared Baggett, Wesley E. Bolch, Lukas M. Carter, Robert Joseph Dawson, Laura Dinwiddie, Gunjan Kayal, Adam Leon Kesner, Harry Marquis, Juan Camilo Ocampo Ramos, Stefan Wehmeier

Affiliation: Department of Medical Physics, Memorial Sloan Kettering Cancer Center, University of Florida, MD Anderson

Abstract Preview: Purpose: Accurate organ dose estimation in computed tomography (CT) has gained attention due to the increasing global utilization of CT imaging. MIRDct, a specialized CT dosimetry software, has recent...

Validation of 3D Pseudo-Dose Map Reconstructed from Multi-View Cherenkov Images in Total Skin Electron Therapy

Authors: Brook Byrd, Lisha Chen, Michael LaRiviere, Baozhu Lu, John Plastaras, Brian W Pogue, Emily Xiong, Timothy C. Zhu, Yifeng Zhu

Affiliation: Department of Radiation Oncology, University of Pennsylvania, University of Pennsylvania, University of Wisconsin - Madison

Abstract Preview: Purpose: For total skin electron therapy (TSET), achieving optimal dose distribution depends on precise patient positioning, which is often influenced by daily variability. Cherenkov imaging offers a ...

Validation of SRS Mapcheck for Patient-Specific Quality Assurance of Cyberknife

Authors: Dong Wook Kim, Hojae Kim, Hojin Kim, Jin Sung Kim, Tae Ho Kim, Sangmin Lee

Affiliation: Department of Radiation Oncology, Yonsei Cancer Center, Heavy Ion Therapy Research Institute, Yonsei University College of Medicine

Abstract Preview: Purpose: The CyberKnife system, designed for stereotactic radiosurgery (SRS) and stereotactic body radiotherapy (SBRT), considers SRS MapCHECK an effective tool for patient-specific QA (PSQA). This wo...

Validation of Synthetic CT-Based Online Monitoring for Adaptive Proton Therapy

Authors: Ozgur Ates, Chin-Cheng Chen, Chia-Ho Hua, Matthew J. Krasin, Thomas E. Merchant

Affiliation: St. Jude Children's Research Hospital

Abstract Preview: Purpose: To validate the use of synthetic CTs generated from CBCT images for online monitoring, ensuring accurate and reliable daily plan quality assessments in adaptive proton therapy (APT).
Metho...

Validation of Updated CT-to-SPR Calibration Method with Icrp-145 Data for Carbon-Ion Radiotherapy

Authors: Min Cheol Han, Soorim Han, Chan Hyeong Kim, Jin Sung Kim, Seok-Ho Lee, Gahee Son, Yongdo Yun

Affiliation: Department of Radiation Oncology, Yonsei Cancer Center, Heavy Ion Therapy Research Institute, Yonsei University College of Medicine, Hanyang University, Department of Integrative Medicine, Yonsei Cancer Center, Heavy Ion Therapy Research Institute, Yonsei University College of Medicine

Abstract Preview: Purpose: The stoichiometric calibration method proposed by Kanematsu et al. (2016) has been widely adopted for CT number to stopping-power ratio (SPR) conversion in carbon-ion radiotherapy. With the r...

Validation of a Novel Dielectric Layer-Based Detector for Linear Accelerator Quality Assurance

Authors: Dong Wook Kim, Jin Sung Kim, Dongho Lee, Sangmin Lee

Affiliation: Department of Radiation Oncology, Yonsei Cancer Center, Heavy Ion Therapy Research Institute, Yonsei University College of Medicine, Department of Radiation Oncology, Yonsei Cancer Center, Heavy Ion Therapy Research Institute, Yonsei University College of Medicine, Seoul, Korea, Republic of (South)

Abstract Preview: Purpose:
This study aims to analyze the characteristics of a novel detector based on a dielectric layer (Vieworks Co., Korea), which demonstrates high tolerance to high radiation doses and light tr...

Validation of a Pharmacokinetic Model for Dosimetry in Nuclear Medicine

Authors: Farhad Jafari, Brandon Hai Nguyen

Affiliation: Department of Radiation Oncology, University of Minnesota Medical School, Department of Radiology, University of Minnesota

Abstract Preview: Purpose: To validate a bottom-up approach to dosimetry in nuclear medicine.

Methods: A pharmacokinetic model is developed to represent the flow of activity between different compartments of the...

Validation of a Simulation Tool and in-Silico Assessment of Low Contrast Detectability for Super-Resolution Deep Learning Reconstruction

Authors: Naruomi Akino, Kirsten Lee Boedeker, Ilmar Hein, Akira Nishikori, Daniel W Shin

Affiliation: Canon Medical Systems Corporation, Canon Medical Research USA

Abstract Preview: Purpose: To validate a simulation tool using physics-based image quality metrics in both phantom and patient data, and to assess the low contrast detectability (LCD) of Super Resolution-Deep Learning ...

Validation of an Independent Dose Calculation Software for ZAP-X Stereotactic Radiosurgery

Authors: Michael Evan Chaga, Timothy Chen, Shabbar Danish, Jesse Feng, Joseph Hanley, Georg A. Weidlich

Affiliation: Zap Surgical, Tenafly High School, Jersey Shore University Medical Center

Abstract Preview: Purpose: ZapMU is the first independent monitor unit check software freely available supporting ZAP-X. In this study, the validation of ZapMU for independent check of dose calculation is performed, ut...

Validation of an Ivim Tool for Liver Hypoxia Assessment for an Online Adaptive MR-Linac System

Authors: Jean-Pierre Bissonnette, Catherine Coolens, Laura Dawson, Ryan A Kuhn, Michael Maddalena, Teo Stanescu

Affiliation: Princess Margaret Hospital, The Princess Margaret Cancer Centre - UHN, University of Toronto, Princess Margaret Cancer Centre

Abstract Preview: Purpose: To investigate the generation and reproducibility of 3D hypoxia maps in liver hepatocellular carcinoma (HCC) patients using data derived from an Intravoxel Incoherent Motion (IVIM) MR sequenc...

Validation of an Open Source Automatic Segmentation Tool for Personalized Dosimetry

Authors: Klaus Bacher, Louise D'hondt, Jeff Rutten, Gwenny Verfaillie

Affiliation: Ghent University

Abstract Preview: Purpose: Manual organ segmentation is a very time-consuming but necessary process in personalized dosimetry. Automatic segmentation tools may alleviate this task. In this study the impact of automatic...

Variations in Radiation Isocenter Offsets from the Winston-Lutz Test Performed on Different Photon Energies

Authors: Cambridge L Bui-Nguyen, Alexander S. Nguyen, Liqiang (Lee) Tao

Affiliation: Varian AOS @Epic Care, UC Berkeley

Abstract Preview: Purpose: To quantity variations in Winston Lutz (WL) test results due to different energies used in SBRT, SRT or SRS.
Methods: A WL phantom with a 6.4 mm diameter center radio-opaque sphere is used...

Virtual Monoenergetic Imaging for Radiotherapy: A Single CT Acquisition for Both Target Delineation and Dose Calculation

Authors: Harold Y Hu, Yanle Hu, Shuai Leng, Maryam Sadeghian, Joe Swicklik

Affiliation: Mayo Clinic Arizona, Basis Scottsdale, Mayo Clinic

Abstract Preview: Purpose: Radiotherapy CT simulation often requires two scans: a non-contrast scan for dose calculation and a contrast-enhanced scan for target delineation. Photon-counting-detector (PCD) CT allows the...

Visualization of Irradiation Field in Carbon-Ion Therapy By Openpet: Preliminary Analysis of Clinical Data

Authors: Go Akamatsu, Hiroaki Ikawa, Yuma Iwao, Han Gyu Kang, Masashi Koto, Hideyuki Mizuno, Akram Mohammadi, Makoto Shinoto, Minoru Tajiri, Hideaki Tashima, Chie Toramatsu, Taiga Yamaya

Affiliation: National Institutes for Quantum Science and Technology

Abstract Preview: Purpose: In-beam positron emission tomography (PET), in which positron emitters produced through fragmentation reactions are visualized, is a practical method for range verification in particle therap...

Volumetric-Modulated Arc Therapy (VMAT) Is Associated with Improved Dose Homogeneity, but More Normal Tissue Irradiation Compared to Three-Dimensional Conformal Radiation Therapy (3DCRT) for Breast Cancer

Authors: Laura I. Cervino, Linda X. Hong, Jessica Pagan, Angelica A. Perez-Andujar, Maria Thor

Affiliation: Department of Medical Physics, Memorial Sloan Kettering Cancer Center, Memorial Sloan Kettering Cancer Center, Memorial Sloan-Kettering Cancer Center

Abstract Preview: Purpose: Three-dimensional conformal radiotherapy (3DCRT) and Volumetric-Modulated Arc Therapy (VMAT) are used to treat locally advanced breast cancer. The 3DCRT treatment plans use the treatment fiel...

Voxel-Based Radiobiological Modelling for Evaluating Radiotherapy Treatment Plans in Relation to Radiation-Induced Acute Mucosal Toxicity (including oral and pharyngeal mucositis): A Single-Institutional Study Focused on Head-and-Neck Carcinoma.

Authors: Rama Bhawani, Mary Joan, Ajay Katake, Munish Kumar, Chhape Ram, Megha Sharma, Balbir Singh, Vikram Singh

Affiliation: SLBSGMC & HOSPITAL, MOHANDAI OSWAL HOSPITAL, WOCKHARDT HOSPITAL, Christian Medical College and Hospital,, AMERICAN ONCOLOGY INSTITUTE

Abstract Preview: Purpose: This study aims to evaluate the utility of voxel-based radiobiological modelling in assessing IMRT radiotherapy treatment plans concerning radiation-induced acute mucosal toxicity, specifical...

Water-Equivalent Thickness Mapping (WET-MAP) – a Potential Alternative to 4D Robust Optimization for Motion Management in Proton Treatment Planning

Authors: Duncan Henry Bohannon, Pretesh Patel, Sibo Tian, Yinan Wang, Xiaofeng Yang, Ahmal Jawad Zafar, Jun Zhou

Affiliation: Emory University, Department of Radiation Oncology and Winship Cancer Institute, Department of Radiation Oncology and Winship Cancer Institute, Emory University

Abstract Preview: Purpose:
4D robust optimization, incorporating additional images (e.g., maximum inhale/exhale phases), is commonly used to account for target motion in proton treatment planning. However, the incre...

Weakly Supervised Spatial Implicit Neural Representation Learning for 3D MRI-Ultrasound Deformable Image Registration in HDR Prostate Brachytherapy

Authors: Michael Baine, Yang Lei, Yu Lei, Ruirui Liu, Tian Liu, Jing Wang

Affiliation: Icahn School of Medicine at Mount Sinai, University of Nebraska Medical Center

Abstract Preview: Purpose: Accurate 3D deformable registration of MRI and ultrasound (US) is essential for real-time image guidance during high-dose-rate (HDR) prostate brachytherapy. However, MRI-US registration of th...

Weekly Changes in Ventilation Response for Photon and Proton Patients during Radiotherapy

Authors: Kristy K. Brock, Austin Castelo, Yulun He, Zhongxing Liao, Rebecca Lim, Radhe Mohan, Caleb O'Connor, Tien T Tang, Uwe Titt

Affiliation: University of Washington, The University of Texas MD Anderson Cancer Center, Department of Imaging Physics, The University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose: Conformal dose distributions in proton radiotherapy promise to reduce normal tissue toxicity such as radiation-induced pneumonitis, but this has not been fully realized in clinical trials. To...

What Do We Do with Our Old Pinnacle Data?

Authors: Caiden Atienza, Daniel E. Hyer, Samuel D. Rusu, Blake R. Smith, Joel J. St-Aubin

Affiliation: Iowa Health Care, University of Iowa

Abstract Preview: Purpose: Pinnacle3 TPS (Philips Radiation Oncology Systems, Fitchburg, WI, USA) support is set to end by December 31, 2026. This work presents a validated method to archive Pinnacle data, which may be...

When Protons Are Unavailable: Study of High Quality Knowledge-Based Planning Models for the Treatment of Unilateral Head and Neck Patients

Authors: Kenny Guida, Daniel Johnson, Wesley Tucker

Affiliation: University of Kansas Medical Center, Department of Radiation Oncology, University of Kansas Medical Center

Abstract Preview: Purpose: Intensity modulated proton therapy (IMPT) has emerged as a standard of care for unilateral head and neck (HN) cancers due to superior OAR sparing. With the increase of proton centers national...

Year-Long Evaluation of Online Dwell Position Corrections on a Remote Afterloader with Automatic Length Measurements for HDR Brachytherapy

Authors: Michael B. Altman, Sharbacha Edward, Jose L. Garcia Ramirez, Anamaria Guta, Elizabeth Gaines Jeong, Justin K. Mikell, Phillip D. H. Wall, Jacqueline Esthappan Zoberi

Affiliation: Washington University School of Medicine in St. Louis, Washington University School of Medicine, WashU Medicine

Abstract Preview: Purpose: Modern HDR remote afterloaders (RAL) are equipped with enhanced safety features for accurate source positioning. However, little guidance is provided on the use of these features. We have cli...

“See” through Surface: Transforming Surface Imaging into a Real-Time Three-Dimensional Imaging Solution for Intra-Treatment Image Guidance

Authors: Steve B. Jiang, Ruiqi Li, Hua-Chieh Shao, Kenneth Westover, You Zhang, Tingliang Zhuang

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Lab & Department of Radiation Oncology, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, UT Southwestern Medical Center

Abstract Preview: Purpose:
Respiratory motion is a long-standing challenge for lung SBRT, particularly for centrally-located lung tumors where increased toxicity demands more precise motion management during treatme...

“You Can’t Unsee It”: Clinical Scintillation Imaging Enables First Localized Comparison between In Vivo dosimetry Measurements and the Treatment Plan

Authors: Petr Bruza, Megan Clark, David J. Gladstone, Lesley A Jarvis, Allison Matous

Affiliation: Thayer School of Engineering, Dartmouth College, Dartmouth Cancer Center, Dartmouth Health

Abstract Preview: Purpose: In vivo dosimetry (IVD) is underutilized, in part, because measured point doses cannot be accurately localized to the patient or treatment planning system (TPS), complicating the clinical and...