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Journal Articles

Development of whole-body dose assessment system for carbon ion radiotherapy; RT-PHITS for CIRT

Furuta, Takuya

Isotope News, (787), p.20 - 23, 2023/06

Carbon ion radiotherapy has an advantage over conventional radiotherapy such that its superior dose concentration on the tumor helps to reduce unwanted dose to surrounding normal tissues. Nevertheless, a little dose to normal tissues, which is a potential risk of secondary cancer, is still unavoidable. In the current dose assessment, however, only assessment around target volume is performed for the tumor control and prevention of acute radiation injury of fatal organs. We therefore developed a system called RT-PHITS for CIRT to reproduce the carbon ion radiotherapy including the production and transport of secondary particles based on treatment planning data using PHITS. Using this system, whole-body dose assessment of patients in the past carbon ion radiotherapy can be performed. By comparing the dose assessment to the epidemiologic records of the patients, the relation between dose exposure of non-target organs and incidence of side effects such as secondary cancer will be elucidated.

Journal Articles

Development of the DICOM-based Monte Carlo dose reconstruction system for a retrospective study on the secondary cancer risk in carbon ion radiotherapy

Furuta, Takuya; Koba, Yusuke*; Hashimoto, Shintaro; Chang, W.*; Yonai, Shunsuke*; Matsumoto, Shinnosuke*; Ishikawa, Akihisa*; Sato, Tatsuhiko

Physics in Medicine & Biology, 67(14), p.145002_1 - 145002_15, 2022/07

 Times Cited Count:3 Percentile:44.25(Engineering, Biomedical)

Carbon ion radiotherapy has an advantage over conventional radiotherapy such that its superior dose concentration on the tumor helps to reduce unwanted dose to surrounding normal tissues. Nevertheless, a little dose to normal tissues, which is a potential risk of secondary cancer, is still unavoidable. The Monte Carlo simulation is a good candidate for the tool to assess secondary cancer risk, including the contributions of secondary particles produced by nuclear reactions. We therefore developed a new dose reconstruction system implementing PHITS as the engine. In this system, the PHITS input is automatically created from the DICOM data sets recorded in the treatment planning. The developed system was validated by comparing to experimental dose distribution in water and treatment plan on an anthropomorphic phantom. This system will be used for retrospective studies using the patient data in National Institute for Quantum and Science and Technology.

Journal Articles

Technical Note: Validation of a material assignment method for a retrospective study of carbon-ion radiotherapy using Monte Carlo simulation

Chang, W.*; Koba, Yusuke*; Furuta, Takuya; Yonai, Shunsuke*; Hashimoto, Shintaro; Matsumoto, Shinnosuke*; Sato, Tatsuhiko

Journal of Radiation Research (Internet), 62(5), p.846 - 855, 2021/09

 Times Cited Count:3 Percentile:25.1(Biology)

With the aim of developing a revaluation tool of treatment plan in carbon-ion radiotherapy using Monte Carlo (MC) simulation, we propose two methods; one is dedicated to identify realistic-tissue materials from a CT image with satisfying the well-calibrated relationship between CT numbers and stopping power ratio (SPR) provided by TPS, and the other is to estimate dose to water considering the particle- and energy-dependent SPR between realistic tissue materials and water. We validated these proposed methods by computing depth dose distribution in homogeneous and heterogeneous phantoms composed of human tissue materials and water irradiated by a 400 MeV/u carbon beam with 8 cm SOBP using a MC simulation code PHITS and comparing with results of conventional treatment planning system (TPS). Our result suggested that use of water as a surrogate of real tissue materials, which is adopted in conventional TPS, is inadequate for dose estimation from secondary particles because their production rates cannot be scaled by SPR of the primary particle in water. We therefore concluded that the proposed methods can play important roles in the reevaluation of the treatment plans in carbon-ion radiotherapy.

Journal Articles

Detection of a gas region in a human body across a therapeutic carbon beam by measuring low-energy photons

Yamaguchi, Mitsutaka; Nagao, Yuto; Kawachi, Naoki; Sato, Takahiro; Fujimaki, Shu; Kamiya, Tomihiro; Torikai, Kota*; Shimada, Hirofumi*; Sugai, Hiroyuki*; Sakai, Makoto*; et al.

International Journal of PIXE, 26(1&2), p.61 - 72, 2016/00

no abstracts in English

Oral presentation

Simulation study of detection of a cavity across a trajectory of a therapeutic carbon beam by measuring low energy photons

Yamaguchi, Mitsutaka; Nagao, Yuto; Sugai, Hiroyuki*; Sakai, Makoto*; Kawachi, Naoki; Sato, Takahiro; Kamiya, Tomihiro; Fujimaki, Shu; Arakawa, Kazuo*; Narumi, Kazumasa

no journal, , 

no abstracts in English

Oral presentation

Comparison of physical dose and dose-averaged linear energy transfer between treatment planning system and Monte Carlo simulation in carbon-ion radiotherapy

Ishikawa, Akihisa*; Koba, Yusuke*; Furuta, Takuya; Chang, W.*; Hashimoto, Shintaro; Yonai, Shunsuke*; Matsumoto, Shinnosuke*; Sato, Tatsuhiko

no journal, , 

There found to be a relationship between the dose-averaged linear energy transfer LETd and local tumor control in carbon-ion radiotherapy (CIRT). However, only physical dose and biological dose are registered in the past treatment records of CIRT in QST hospital and LETd can not be deduced directly. There is a method to estimate LETd based on RBE-LETd-fitted function but some problems such as non-singularity at the end point of carbon ions are known. On the other hand, we propose a method to reproduce the CIRT by reconstructing the beam transport geometry based on the treatment planning data and conduct Monte Carlo simulation. The LETd can be also computed directly. We therefore compared LETd obtained by Monte Carlo simulation with estimated LETd using the treatment planning data. We found that underestimation around the end point of carbon ions but the influence was local and thus the LETd estimates are valid for the purpose computing in organ scale.

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