Cherenkov imaging provides a valuable tool for the quality assurance of dose homogeneity in total skin electron therapy (TSET), in which patients were treated in six different postures using the Stanford standing technique. The emitted Cherenkov signals can be captured by three Cherenkov cameras, converted to 2D dose maps after certain corrections, and projected onto the patient specific 3D model to evaluate the cumulative total skin dose distribution. This study aims to improve the accuracy and reliability of Cherenkov converted dose obtained from the combination of multi-view Cherenkov images. The extra correction factors are investigated by conducting manikin phantom experiments as well as GAMOS based Monte Carlo simulations, and validated with in vivo dosimetry (IVD). We have also calibrated the side cameras and achieved a straightforward conversion of all Cherenkov images into doses using only the front camera. We have improved the Cherenkov-to-dose correction and conversion method, significantly reducing the deviation between the Cherenkov-converted dose and IVD measurements.
Cherenkov images can be used for the quality assurance of dose homogeneity in total skin electron therapy (TSET). For the dose mapping purpose, this study reconstructed the patient model from 3D scans using registration algorithms and computer animation techniques. The Cherenkov light emission of the patient’s surface was extracted from multi-view Cherenkov images, converted into dose distribution, and projected onto the patient’s 3D model, allowing for dose cumulation and evaluation. The projected result from multiple Cherenkov cameras provides additional information about Cherenkov emission on the sides of the patients, which improves the agreement between the Cherenkov converted dose and the OSLD measurements.
Total Skin Electron Therapy (TSET) utilizes high-energy electrons to treat cancers on the entire body surface. The otherwise invisible radiation beam can be observed via the optical Cherenkov photons emitted from interaction between the high-energy electron beam and tissue. Cherenkov emission can be used to evaluate the dose uniformity on the surface of the patient in real-time using a time-gated intensified camera system. Each patient was monitored during TSET by in-vivo detectors (IVD) as well as Scintillators. Patients undergoing TSET in various conditions (whole body and half body) were imaged and analyzed. A rigorous methodology for converting Cherenkov intensity to surface dose as products of correction factors, including camera vignette correction factor, incident radiation correction factor, and tissue optical properties correction factor. A comprehensive study has been carried out by inspecting various positions on the patients such as vertex, chest, perineum, shins, and foot relative to the umbilicus point (the prescription point).
Total Skin Electron Therapy (TSET) utilizes high-energy electrons to treat cancers on the entire body surface. The otherwise invisible radiation beam can be observed via the optical Cherenkov photons emitted from interaction between the high-energy electron beam and tissue. Cherenkov emission is used to evaluate the dose uniformity on the surface of the patient in real-time. We have utilized a structured light sensor to determine the surface contour of each patient. Each patient was also monitored during TSET via in-vivo detectors (IVD) and/or scintillating discs in nine locations. The Cherenkov image is converted to dose distribution after a two-dimensional perspective geometry correction and the IVD measured dose at umbilicus. Cumulative dose on patient surface is obtained by projecting the two-dimensional dose distribution onto a cylindrical geometry representing the patient anatomic geometry. Patients undergoing TSET in various conditions (whole body and half body) were imaged and analysed, and the cumulative dose based on Cherenkov imaging was evaluated on various patients.
Total Skin Electron Therapy (TSET) utilizes high-energy electrons to treat cancers on the entire body surface. The otherwise invisible radiation beam can be observed via the optical Cherenkov photons emitted from interaction between the high-energy electron beam and tissue. Using a specialized camera-system, the Cherenkov emission can thus be used to evaluate the dose uniformity on the surface of the patient in real-time. Each patient was also monitored during TSET via in-vivo detectors (IVD) in nine locations. Patients undergoing TSET in various conditions (whole body and half body) were imaged and analyzed, and the viability of the system to provide clinical feedback was established.
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