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This study introduces a rotating open-ring PET scanner and a modified MLEM algorithm for real-time proton therapy monitoring. The system enables field-by-field verification, improving image quality and enabling precise range verification.

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Area of Science:

  • Medical Physics
  • Nuclear Medicine
  • Radiotherapy Physics

Background:

  • In-beam positron emission tomography (PET) is crucial for non-invasive proton therapy monitoring.
  • Open-ring scanner designs are being developed for in-beam PET due to design constraints.
  • The PETITION project offers opportunities for immediate imaging post-proton therapy delivery.

Purpose of the Study:

  • To introduce computational techniques for reconstructing data from a rotating open-ring PET system for proton therapy verification.
  • To enable 3D imaging of induced activity for field-by-field verification during proton therapy.
  • To assess the feasibility of a rotating open-ring PET device for clinical implementation in treatment verification.

Main Methods:

  • A modified maximum likelihood expectation maximization (MLEM) algorithm was developed to handle multiple isotopes with a rotating open-ring PET system.
  • Pre-calculated system matrices were used for timely reconstructions for inter-field and post-irradiation imaging.
  • Simulations included a Derenzo-like phantom and the treatment of a superatentorial neoplasm with three fields.

Main Results:

  • The rotating open-ring design demonstrated improved image quality compared to fixed-position open-ring imaging, comparable to full-ring systems.
  • Normalized root mean square error was 40-47% lower than fixed open-ring imaging.
  • The modified MLEM algorithm achieved range verification within 1mm along the beam direction for all fields.

Conclusions:

  • Imaging with a rotating open-ring PET device offers a clinically feasible approach for proton therapy treatment verification.
  • The developed modified MLEM algorithm is suitable for low count rate imaging in rotating PET systems.
  • This technology enables precise, field-by-field verification of proton therapy delivery.