A novel inverse-geometry CT based on multi-pixel thermionic emission x-ray (MPTEX) sources is under development. Inverse-geometry CT is capable of modulating x-ray flux based on region of interest (ROI) location and thus minimizing x-ray exposure to the patients. The variations of emission currents of the MPTEX source at each projection angle are predetermined based on ROI position and realized by varying filament heating powers. To power and control filament electron emissions, a 50-channel prototype MPTEX control unit was developed based on GaN switching power technology. The filament heating powers of electron sources are controlled individually by a microprocessor while electron emission is turned on and off by switching the bias voltages during inverse-geometry CT scans. The emission current was measured as a function of filament heating voltage. The result shows that magnitude of emission current can be controlled dynamically by varying filament heating voltages. Compared with pulse width modulation, this approach can effectively prolong the lifetime of the filaments by minimizing their working temperature. A simulation of electron emission current sinogram was conducted as well. This work is supported by NIH grant R42EB026401.
KEYWORDS: Proton radiography, Computed tomography, Physics, In vivo imaging, Machine learning, Proton therapy, Biology, Monte Carlo methods, Medicine, Material characterization
The current clinical practice for Monte Carlo (MC) treatment planning reserves a 3.5% margin to compensate for proton range uncertainty. Additionally, patient positional uncertainty is typically 3-5 mm for proton craniospinal irradiation (CSI) treatment planning. These two uncertainties compromise the sparing of spine vertebrae in proton CSI patients. Computer tomography (CT) material characterization contributes approximately 2.5% proton range uncertainty. Multiple CT-tomaterial conversion methods have been investigated using dual-energy CT or magnetic resonance imaging to improve the range uncertainty. However, there is a lack of experimental data to validate the credibility of those material characterization models. We aim to develop an in vivo proton range method using pseudo proton radiography to validate imaging-based material characterization models consistently. Proton radiography techniques, such as proton water equivalent thickness (WET) and dose maps, were used to evaluate the in vivo proton range accuracy. Anteroposterior proton beams were penetrated through an anthropomorphic phantom. Then the exit doses were measured from proton radiography imaging. The validation experiment applied a newly designed multi-layer strip ionization chamber (MLSIC) for the first time to perform four-dimensional (4D) measurement for depth doses from 625 proton spots in two minutes. The depth doses of each spot were post-processed into WET imaging. A MatriXX PT was applied for 2D measurement from 19x19 cm2 proton fields. We compared the performance of the empirical DECT model and physics-informed machine learning (PIML) models for material conversion. The results indicated that the PIML-based material characteristic method generated more accurate WET and dose imaging using DECT compared to conventional machine learning and empirical material inference methods. The proposed in vivo proton range validation method can be used to quantify the credibility of DECT-based material conversion models for proton range enhancement. The method can potentially provide in-room patient anatomy changes to accomplish online adaption for modification. This technique will significantly benefit proton flash therapy, which demands high accuracy.
Owing to poor characterization of implant and adjacent human tissues, the presence of metal implants has been shown to be a risk factor for clinical results for proton therapy. In this project we have developed a way of characterizing implant and human materials in terms of water-equivalent thicknesses (WET) and relative stopping power (RSP) using a novel proton counting detector. We tracked each proton using a fast spectral imaging camera AdvaPIX-TPX3 which operated in energy mode measures collected energy per-voxel to derive the deposited energy along the particle track across the voxelated sensor. We considered three scenarios: sampling of WET of a CIRS M701 Adult Phantom (CMAP) at different locations; measurements of energy perturbations in the CMAP implanted with metal rods; sampling of WET of a more complex spine phantom. WET and RSP information were extracted from energy spectra at position along the central axis by using the shift in the most probable energy (MPE) from the reference energy (either initial incident energy or energy without a metal implant). Measurements were compared to TOPAS simulation results. Measured WET of the CMAP ranged from 18.63 to 25.23 cm depending on the location of the sampling which agreed with TOPAS simulation results within 1.6%. The RSPs of metals from CMAP perturbation measurements were determined as 1.97, 2.98, and 5.44 for Al, Ti and CoCr, respectively, which agreed with TOPAS within 2.3%. RSPs for material composition of a more complex spine phantom yielded 1.096, 1.309 and 1.001 for Acrylic, PEEK and PVC, respectively. In summary, this work has shown a method to accurately characterize RSPs of metal and human materials of CMAP implanted with metals and a complex spine phantom. Using the data obtained by the proposed method, it may be possible to validate RSP maps provided by conventional photon computed tomography techniques. Owing to poor characterization of implant and adjacent human tissues, the presence of metal implants has been shown to be a risk factor for clinical results for proton therapy. In this project we have developed a way of characterizing implant and human materials in terms of water-equivalent thicknesses (WET) and relative stopping power (RSP) using a novel proton counting detector. We tracked each proton using a fast spectral imaging camera AdvaPIX-TPX3 which operated in energy mode measures collected energy per-voxel to derive the deposited energy along the particle track across the voxelated sensor. We considered three scenarios: sampling of WET of a CIRS M701 Adult Phantom (CMAP) at different locations; measurements of energy perturbations in the CMAP implanted with metal rods; sampling of WET of a more complex spine phantom. WET and RSP information were extracted from energy spectra at position along the central axis by using the shift in the most probable energy (MPE) from the reference energy (either initial incident energy or energy without a metal implant). Measurements were compared to TOPAS simulation results. Measured WET of the CMAP ranged from 18.63 to 25.23 cm depending on the location of the sampling which agreed with TOPAS simulation results within 1.6%. The RSPs of metals from CMAP perturbation measurements were determined as 1.97, 2.98, and 5.44 for Al, Ti and CoCr, respectively, which agreed with TOPAS within 2.3%. RSPs for material composition of a more complex spine phantom yielded 1.096, 1.309 and 1.001 for Acrylic, PEEK and PVC, respectively. In summary, this work has shown a method to accurately characterize RSPs of metal and human materials of CMAP implanted with metals and a complex spine phantom. Using the data obtained by the proposed method, it may be possible to validate RSP maps provided by conventional photon computed tomography techniques.
A tetrahedron beam CT (TBCT) benchtop system has been developed with linear array x-ray source with 48 focal spots in 4 mm spacing and a photon counting detector (PCD). The generated x-ray beams are collimated to fan beams by a multi-slot collimator and converge to the 6 mm wide multi-row photon counting detector. Due to its scatter rejection geometry, the scatter-to-primary ratio (SPR) is significantly reduced to 17% for fan beam comparing to 120% for cone beam in presence of a head phantom. We performed both 2D and 3D imaging study with the TBCT system. 2D radiography images have been obtained using shift-and-add method. Both analytical and iterative reconstruction methods were used in 3D image reconstruction. Head phantom and animal cadaver were scanned.
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