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Updated: Mar 20, 2026

Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
Published on: February 6, 2019
Optimization of Proton CT Detector System and Image Reconstruction Algorithm for On-Line Proton Therapy
Chae Young Lee1, Hankyeol Song1, Chan Woo Park1
1Department of Radiological Science, Yonsei University, Wonju, Republic of Korea.
This study optimized a proton computed tomography (pCT) system and its reconstruction algorithm for proton range verification. The new system produces high-quality pCT images for image-guided proton therapy without increasing dose.
Area of Science:
- Medical Physics
- Imaging Technology
- Computational Science
Background:
- Proton computed tomography (pCT) is crucial for accurate proton range verification in image-guided proton therapy.
- Current pCT systems require optimization for image quality and reconstruction efficiency.
- Proton starvation and under-sampling can degrade pCT image quality.
Purpose of the Study:
- To optimize a pCT system's geometric parameters for proton range verification.
- To validate a compressed sensing (CS)-based image reconstruction algorithm for pCT.
- To demonstrate the potential of the optimized pCT system for on-line proton therapy.
Main Methods:
- Developed a new pCT scanner using the GEANT4 simulation toolkit.
- Optimized detector thickness and inter-detector distance via GEANT4 simulations.
- Employed a total variation-based CS convex optimization algorithm for image reconstruction.
Main Results:
- Achieved high-quality pCT image reconstruction with 72 projections in 20 iterations.
- The CS algorithm successfully avoided streaks and noise caused by under-sampling.
- Images reconstructed with the CS algorithm showed superior quality compared to other methods.
Conclusions:
- The optimized pCT system and CS reconstruction algorithm enable high-quality imaging for on-line proton therapy.
- This approach facilitates image-guided proton therapy without additional imaging dose.
- The developed system and algorithm offer significant potential for clinical application in proton therapy.
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