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Wieser, Hans-Peter ORCID logoORCID: https://orcid.org/0000-0002-2309-7963; Huang, Yuanhui; Schauer, Jannis; Lascaud, Julie ORCID logoORCID: https://orcid.org/0000-0002-7649-6909; Würl, Matthias ORCID logoORCID: https://orcid.org/0000-0003-3044-449X; Lehrack, Sebastian ORCID logoORCID: https://orcid.org/0000-0001-8888-2631; Radonic, D.; Vidal, Marie; Herault, Joel ORCID logoORCID: https://orcid.org/0000-0003-4155-6155; Chmyrov, Andriy; Ntziachristos, Vasilis ORCID logoORCID: https://orcid.org/0000-0002-9988-0233; Assmann, Walter; Parodi, Katia ORCID logoORCID: https://orcid.org/0000-0001-7779-6690 und Dollinger, Günther (16. Dezember 2021): Experimental demonstration of accurate Bragg peak localization with ionoacoustic tandem phase detection (iTPD). In: Physics in Medicine & Biology, Bd. 66, Nr. 24, 245020 [PDF, 7MB]

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Abstract

Accurate knowledge of the exact stopping location of ions inside the patient would allow full exploitation of their ballistic properties for patient treatment. The localized energy deposition of a pulsed particle beam induces a rapid temperature increase of the irradiated volume and leads to the emission of ionoacoustic (IA) waves. Detecting the time-of-flight (ToF) of the IA wave allows inferring information on the Bragg peak location and can henceforth be used for in-vivo range verification. A challenge for IA is the poor signal-to-noise ratio at clinically relevant doses and viable machines. We present a frequency-based measurement technique, labeled as ionoacoustic tandem phase detection (iTPD) utilizing lock-in amplifiers. The phase shift of the IA signal to a reference signal is measured to derive the ToF. Experimental IA measurements with a 3.5 MHz lead zirconate titanate (PZT) transducer and lock-in amplifiers were performed in water using 22 MeV proton bursts. A digital iTPD was performed in-silico at clinical dose levels on experimental data obtained from a clinical facility and secondly, on simulations emulating a heterogeneous geometry. For the experimental setup using 22 MeV protons, a localization accuracy and precision obtained through iTPD deviates from a time-based reference analysis by less than 15 μm. Several methodological aspects were investigated experimentally in systematic manner. Lastly, iTPD was evaluated in-silico for clinical beam energies indicating that iTPD is in reach of sub-mm accuracy for fractionated doses < 5 Gy. iTPD can be used to accurately measure the ToF of IA signals online via its phase shift in frequency domain. An application of iTPD to the clinical scenario using a single pulsed beam is feasible but requires further development to reach <1 Gy detection capabilities.

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