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Updated: Apr 12, 2026

Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
Published on: February 6, 2019
Proton beam deflection in MRI fields: Implications for MRI-guided proton therapy
B M Oborn1, S Dowdell2, P E Metcalfe3
1Illawarra Cancer Care Centre (ICCC), Wollongong, NSW 2500, Australia and Centre for Medical Radiation Physics (CMRP), University of Wollongong, Wollongong, NSW 2500, Australia.
Proton beam delivery inside a split-bore MRI system is complex due to magnetic fringe fields. Significant rotation and deflection/distortion necessitate advanced techniques like pencil beam scanning for accurate proton therapy.
Area of Science:
- Medical Physics
- Radiotherapy Technology
- Magnetic Resonance Imaging
Background:
- MRI-guided proton therapy offers advanced precision in cancer treatment.
- Split-bore MRI systems present unique challenges for beam delivery due to complex magnetic fields.
Purpose of the Study:
- To investigate proton beam delivery within a split-bore 1 Tesla (T) MRI-guided proton therapy system.
- To model magnetic effects on proton trajectories using Monte Carlo simulations.
Main Methods:
- Utilized field maps from a 1 T split-bore MRI-Linac system.
- Employed Geant4 Monte Carlo simulations to track proton paths.
- Simulated both inline and perpendicular beam orientations at various energies and starting points.
- Recorded proton spatial locations at the isocenter.
Main Results:
- Inline orientation: Proton rotation (up to 19° at 90 MeV) and minor focusing observed due to solenoidal fringe fields.
- Perpendicular orientation: Significant deflection (up to 135 mm at 90 MeV) and phase space distortion (up to 10 mm at 90 MeV) caused by main and fringe fields.
- Observed subtle differences between parallel and point-source beams, indicating 3D field variations.
Conclusions:
- MRI fringe fields significantly impact proton beam transport, causing rotation, deflection, and distortion.
- Pencil beam scanning is likely the only viable delivery method for MRI-guided proton therapy.
- Advanced correction strategies are essential to compensate for magnetic field effects.
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