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SUMMARY:Beating the Diffraction Limit in Thermoacoustic Range Verification
  During Particle Therapy : theory and experimental reality - Sarah Patch (
 Acoustic Range Estimates)
DTSTART:20230517T103000Z
DTEND:20230517T113000Z
UID:TALK198112@talks.cam.ac.uk
DESCRIPTION:Range verification limits clinical utility of particle therapy
 \, which concentrates dose in space compared to x-ray radiation therapy. T
 reatment plans can be computed with sub-millimeter precision\, but treatme
 nt is delivered without a feedback loop to verify dose accuracy in vivo. T
 herefore\, margins of several millimeters are added and robust planning se
 lects beam angles that are robust to range errors. Large margins and robus
 t planning tend to increase collateral damage\, reducing clinical benefit.
 \n&nbsp\;\nAdding clinical benefit requires estimating range with millimet
 er accuracy. But thermoacoustic emissions are bandlimited below 100 kHz\, 
 which implies a diffraction limit of 7.5 mm. Incorporating a priori inform
 ation from the patient images and treatment plan can be used to estimate r
 ange shifts with submillimeter accuracy.\n&nbsp\;\nAs we retire technical 
 risks\, the greatest impediments to transitioning thermoacoustic range ver
 ification into the clinic become clinical. Mathematicians may be happy wit
 h a table of range shifts reported in millimeters\, but clinicians may pre
 fer plots of dose volume histogram\, or image volumes of dose error.\n&nbs
 p\;\nTime permitting\, we will also discuss sampling requirements and cont
 rast with other range verification techniques. Because thermoacoustic emis
 sions are weak\, vertical resolution is a challenge. Thermoacoustic and nu
 clear (PET\, prompt gamma) emissions are generated during treatment. Range
  verification based upon these emissions are inverse source problems. Thes
 e techniques can be implemented passively\, without requiring additional r
 adiation or contrast agents.
LOCATION:Seminar Room 1\, Newton Institute
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