PMID- 32268309 OWN - NLM STAT- MEDLINE DCOM- 20201030 LR - 20201030 IS - 1361-6560 (Electronic) IS - 0031-9155 (Linking) VI - 65 IP - 15 DP - 2020 Jul 27 TI - Experimental comparison of clinically used ion beams for imaging applications using a range telescope. PG - 155004 LID - 10.1088/1361-6560/ab87f6 [doi] AB - In particle therapy, the x-ray based treatment planning converting photon attenuation values to relative stopping power ratio (RSP) introduces clinically relevant range uncertainties. Recently, novel imaging technologies using transmission ion beams have been investigated to directly assess the water equivalent thickness (WET) of tissue, showing improved accuracy in RSP reconstruction, while potentially reducing the imaging dose. Due to their greater availability, protons have been mostly used for ion imaging. To this end, in this work, the influence of three ion species (protons, helium and carbon ions) on the image quality of radiographic WET retrieval has been explored with a dedicated experimental setup and compared to Monte Carlo (MC) simulations. Three phantom setups with different tissue interfaces and features have been irradiated with clinically validated proton, helium and carbon ion pencil beams under comparable imaging dose and beam settings at the Heidelberg Ion-Beam Therapy Center. Ion radiographies (iRADs) were acquired with an integration mode detector, that functions as a range telescope with 61 parallel plate ionization chambers. For comparison, experiments were reproduced in-silico with FLUKA MC simulations. Carbon ions provide iRADs with highest image quality in terms of normalized root mean square error, followed by helium ions and protons. All ions show similar capabilities of resolving WET for the considered phantoms, as shown by the similar average relative error < 3%. Besides for the slab phantom, MC simulations yielded better results than the experiment, indicating potential improvement of the experimental setup. Our results showed that the ability to resolve the WET is similar for all particles, intrinsically limited by the granularity of the detector system. While carbon ions are best suited for acquiring iRADs with the investigated integration mode detector, helium ions are put forward as a less technical challenging alternative. FAU - Kopp, Benedikt AU - Kopp B AD - Ludwig-Maximilians-Universitat Munchen, Department of Experimental Physics, Munich, Germany. Current address: Clinical Cooperation Unit Translational Radiation Oncology, National Center for Tumor Diseases (NCT), Heidelberg University Hospital (UKHD) and German Cancer Research Center (DKFZ), Heidelberg, Germany. Current address: Division of Molecular and Translational Radiation Oncology, Department of Radiation Oncology, Heidelberg Faculty of Medicine (MFHD) and Heidelberg University Hospital (UKHD), Heidelberg Ion-Beam Therapy Center (HIT), Heidelberg, Germany. Current address: German Cancer Consortium (DKTK) Core-Center Heidelberg, German Cancer Research Center (DKFZ), Heidelberg, Germany. Current address: Clinical Cooperation Unit Radiation Oncology, Heidelberg Institute of Radiation Oncology (HIRO), National Center for Radiation Oncology (NCRO), Heidelberg University and German Cancer Research Center (DKFZ), Heidelberg, Germany. Current address: Department of Physics and Astronomy, Heidelberg University, Heidelberg, Germany. FAU - Meyer, Sebastian AU - Meyer S FAU - Gianoli, Chiara AU - Gianoli C FAU - Magallanes, Lorena AU - Magallanes L FAU - Voss, Bernd AU - Voss B FAU - Brons, Stephan AU - Brons S FAU - Parodi, Katia AU - Parodi K LA - eng PT - Comparative Study PT - Journal Article DEP - 20200727 PL - England TA - Phys Med Biol JT - Physics in medicine and biology JID - 0401220 RN - 0 (Protons) RN - 059QF0KO0R (Water) RN - 206GF3GB41 (Helium) RN - 7440-44-0 (Carbon) SB - IM MH - Carbon MH - Helium MH - Humans MH - Monte Carlo Method MH - Phantoms, Imaging MH - Protons MH - Radiography/*instrumentation MH - Radiometry MH - *Telescopes MH - Water EDAT- 2020/04/09 06:00 MHDA- 2020/10/31 06:00 CRDT- 2020/04/09 06:00 PHST- 2020/04/09 06:00 [pubmed] PHST- 2020/10/31 06:00 [medline] PHST- 2020/04/09 06:00 [entrez] AID - 10.1088/1361-6560/ab87f6 [doi] PST - epublish SO - Phys Med Biol. 2020 Jul 27;65(15):155004. doi: 10.1088/1361-6560/ab87f6.