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Standard 6 megavolt (MV) radiotherapy is limited by source size and secondary electron range to minimum radiological penumbra widths of ~2-3 mm. This study investigates sharper beams via upright radiotherapy with lower energies and extended…

Medical Physics · Physics 2026-03-10 Lloyd E Kamole Ghomsi , Clinton Gibson , Veng-Jean Heng , Ramish M Ashraf , Lawrie Skinner

Proton radiotherapy promises accurate dose delivery to a tumor and minimal dose deposition to all other tissues. However, in practice the planned dose distribution may not conform to the actual one due to noisy data and different types of…

Medical Physics · Physics 2018-09-07 Jaroslav Albert , Rudi Labarbe , Edmond Sterpin

Objective: To perform a comprehensive comparative analysis of proton, helium-ion, and carbon-ion computed tomography (CT) as direct imaging modalities for hadron therapy treatment planning, focusing on Relative Stopping Power (RSP)…

Medical Physics · Physics 2026-05-29 Zsófia Jólesz , Gábor Bíró , Gábor Papp , Gergely Gábor Barnaföldi

Purpose: Currently, calculations of proton range in proton therapy patients are based on a conversion of CT Hounsfield Units of patient tissues into proton relative stopping power. Uncertainties in this conversion necessitate larger…

Purpose: To develop the Ultimate Phantom Dog for Orthovoltage Glioma Treatment (UPDOG), an anatomically-correct phantom which mimics a dog's head, for quality assurance (QA) of kilovoltage (kV) radiotherapy treatments. Methods: A computed…

Medical Physics · Physics 2024-10-01 Sandhya Rottoo , Luke Frangella , Magdalena Bazalova-Carter , Olivia Masella

CT scanners that are commonly-used in hospitals nowadays produce low-resolution images, up to 512 pixels in size. One pixel in the image corresponds to a one millimeter piece of tissue. In order to accurately segment tumors and make…

Computer Vision and Pattern Recognition · Computer Science 2023-04-07 Mariana-Iuliana Georgescu , Radu Tudor Ionescu , Nicolae Verga

The design, construction, and preliminary testing of a second generation proton CT scanner is presented. All current treatment planning systems at proton therapy centers use X-ray CT as the primary imaging modality for treatment planning to…

Purpose: To verify dose delivery and quality assurance of volumetric modulated arc therapy (VMAT) for head and neck cancer. Method: The Imaging and Radiation Oncology Core Houston (IROC-H) head and neck phantom with thermo- luminescent…

Purpose: In this study, we present the creation of an anthropomorphic, head and neck, nuclear medicine phantom and its characterization for the validation of a Monte Carlo, SPECT image based, Iodine-131 RPT dosimetry workflow. Methods: 3D…

The purpose of this work is to provide a fast and accurate scatter artifacts correction algorithm for cone beam CT (CBCT) imaging. The method starts with an estimation of coarse scatter profiles for a set of CBCT data in either image domain…

Medical Physics · Physics 2016-04-27 Wei Zhao , Don Vernekohl , Jun Zhu , Luyao Wang , Lei Xing

In computed tomography (CT) reconstruction, scattering causes server quality degradation of the reconstructed CT images by introducing streaks and cupping artifacts which reduce the detectability of low contrast objects. Monte Carlo (MC)…

Image and Video Processing · Electrical Eng. & Systems 2022-02-01 Ammar Alsaffar , Steffen Kieß , Kaicong Sun , Sven Simon

Accurate radiotherapy dose calculation depends on converting CT Hounsfield Units (HU) to relative electron density (RED) using calibration curves. This study compared three different CT-to-RED calibration curves-two derived from physical…

Medical Physics · Physics 2025-05-12 Hossam Donya , Duong Thanh Tai , Islam G. Ali

Objective. The objective of the presented study was to evaluate the feasibility of a coded-mask (CM) gamma camera for real-time range verification in proton therapy, addressing the need for a precise and efficient method of treatment…

The interplay between the beam delivery time structure and the patient motion makes 4D dose calculation (4DDC) important when treating moving tumors with intensity modulated proton therapy. 4DDC based on phase sorting of a 4DCT suffers from…

Medical Physics · Physics 2023-10-13 Ivar Bengtsson , Erik Engwall , Albin Fredriksson , Lars Glimelius

X-ray CT dose measurement has mainly been performed using an ionization chamber dosimeter. Therefore, the dose distribution has not been sufficiently studied. We investigated the importance of evaluating the two or three-dimensional dose…

CT images are widely used in pathology detection and follow-up treatment procedures. Accurate identification of pathological features requires diagnostic quality CT images with minimal noise and artifact variation. In this work, a novel…

Medical Physics · Physics 2016-08-22 Maitham D Naeemi , Adam M Alessio , Sohini Roychowdhury

To improve the quality of cancer treatment with protons, a translation of X-ray Computed Tomography (CT) images into a map of the proton stopping powers needs to be more accurate. Proton stopping powers determined from CT images have…

Purpose: The aim of this phantom study was to evaluate the influence of patient alignment on the image quality by a C-arm flat-panel detector computer tomography (CACT). Materials and Methods: An ACR phantom placed in two opposite…

Medical Physics · Physics 2018-07-26 Babak Alikhani , Frank Wacker , Thomas Werncke

Purpose: Cone-beam CT (CBCT) projection images provide anatomical data in real-time over several respiratory cycles, forming a comprehensive picture of tumor movement. We developed and validated a method which uses these projections to…

Medical Physics · Physics 2015-01-15 Bernard L. Jones , David Westerly , Moyed Miften

Background: Ultra-high dose rate proton therapy shows promise in tissue sparing by enhancing therapeutic ratio through the FLASH effect. In radiotherapy, accurate in vivo dosimetry is crucial for quality assurance, but remains challenging…