ESTRO 2024 - Abstract Book

S4597

Physics - Optimisation, algorithms and applications for ion beam treatment planning

ESTR0 2024

Conclusion:

LEOPARD was shown to be a very promising method of strongly increasing LET in selective subvolumes of a target, while keeping dosimetric quality. The arc boost was superior to conventional in-field boosts. Multi-ion LEOPARD could maintain very high LET to combat hypoxia, while further reducing the LET in the high dose falloff around the tumor for a potentially lower toxicity. Due to the low and homogeneous additional dose to the healthy tissue, LEOPARD could also serve as a tool to adapt to variable hypoxic subvolumes.

Keywords: particle arc therapy, LET boost, hypoxic VOI

References:

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[3] Y. Furusawa et al., ‘Inactivation of Aerobic and Hypoxic Cells from Three Different Cell Lines by Accelerated 3 He-, 12 C- and 20 Ne-Ion Beams’, Radiation Research, vol. 154, no. 5, pp. 485–496, Nov. 2000.

[4] G. Liu et al., ‘A novel energy sequence optimization algorithm for efficient spot-scanning proton arc (SPArc) treatment delivery’, Acta Oncol, vol. 59, no. 10, pp. 1178–1185, Oct. 2020.

[5] G. Liu et al., ‘Lung Stereotactic Body Radiotherapy (SBRT) Using Spot-Scanning Proton Arc (SPArc) Therapy: A Feasibility Study’, Front Oncol, vol. 11, p. 664455, Apr. 2021.

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