PMID- 28771749 OWN - NLM STAT- MEDLINE DCOM- 20180523 LR - 20180523 IS - 2473-4209 (Electronic) IS - 0094-2405 (Linking) VI - 44 IP - 10 DP - 2017 Oct TI - Registration of pencil beam proton radiography data with X-ray CT. PG - 5393-5401 LID - 10.1002/mp.12497 [doi] AB - PURPOSE: Proton radiography seems to be a promising tool for assessing the quality of the stopping power computation in proton therapy. However, range error maps obtained on the basis of proton radiographs are very sensitive to small misalignment between the planning CT and the proton radiography acquisitions. In order to be able to mitigate misalignment in postprocessing, the authors implemented a fast method for registration between pencil proton radiography data obtained with a multilayer ionization chamber (MLIC) and an X-ray CT acquired on a head phantom. METHODS: The registration was performed by optimizing a cost function which performs a comparison between the acquired data and simulated integral depth-dose curves. Two methodologies were considered, one based on dual orthogonal projections and the other one on a single projection. For each methodology, the robustness of the registration algorithm with respect to three confounding factors (measurement noise, CT calibration errors, and spot spacing) was investigated by testing the accuracy of the method through simulations based on a CT scan of a head phantom. RESULTS: The present registration method showed robust convergence towards the optimal solution. For the level of measurement noise and the uncertainty in the stopping power computation expected in proton radiography using a MLIC, the accuracy appeared to be better than 0.3 degrees for angles and 0.3 mm for translations by use of the appropriate cost function. The spot spacing analysis showed that a spacing larger than the 5 mm used by other authors for the investigation of a MLIC for proton radiography led to results with absolute accuracy better than 0.3 degrees for angles and 1 mm for translations when orthogonal proton radiographs were fed into the algorithm. In the case of a single projection, 6 mm was the largest spot spacing presenting an acceptable registration accuracy. CONCLUSIONS: For registration of proton radiography data with X-ray CT, the use of a direct ray-tracing algorithm to compute sums of squared differences and corrections of range errors showed very good accuracy and robustness with respect to three confounding factors: measurement noise, calibration error, and spot spacing. It is therefore a suitable algorithm to use in the in vivo range verification framework, allowing to separate in postprocessing the proton range uncertainty due to setup errors from the other sources of uncertainty. CI - (c) 2017 American Association of Physicists in Medicine. FAU - Deffet, Sylvain AU - Deffet S AD - Institute of Information and Communication Technologies, Universite catholique de Louvain, Louvain-La-Neuve, 1348, Belgium. FAU - Macq, Benoit AU - Macq B AD - Institute of Information and Communication Technologies, Universite catholique de Louvain, Louvain-La-Neuve, 1348, Belgium. FAU - Righetto, Roberto AU - Righetto R AD - Proton Therapy Unit, Hospital of Trento, Trento, 38122, Italy. FAU - Vander Stappen, Francois AU - Vander Stappen F AD - Medical Accelerators Solutions - R&D, Ion Beam Applications (IBA), Louvain-La-Neuve, 1348, Belgium. FAU - Farace, Paolo AU - Farace P AD - Proton Therapy Unit, Hospital of Trento, Trento, 38122, Italy. LA - eng PT - Journal Article DEP - 20170831 PL - United States TA - Med Phys JT - Medical physics JID - 0425746 RN - 0 (Protons) SB - IM MH - Algorithms MH - Calibration MH - Image Processing, Computer-Assisted/*methods MH - Phantoms, Imaging MH - *Protons MH - Radiometry MH - Signal-To-Noise Ratio MH - *Tomography, X-Ray Computed OTO - NOTNLM OT - multilayer ionization chamber OT - particle imaging OT - proton radiography OT - range uncertainty OT - registration EDAT- 2017/08/05 06:00 MHDA- 2018/05/24 06:00 CRDT- 2017/08/04 06:00 PHST- 2017/02/13 00:00 [received] PHST- 2017/07/14 00:00 [revised] PHST- 2017/07/21 00:00 [accepted] PHST- 2017/08/05 06:00 [pubmed] PHST- 2018/05/24 06:00 [medline] PHST- 2017/08/04 06:00 [entrez] AID - 10.1002/mp.12497 [doi] PST - ppublish SO - Med Phys. 2017 Oct;44(10):5393-5401. doi: 10.1002/mp.12497. Epub 2017 Aug 31.