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Optimized I-values for the use with the Bragg additivity rule and their impact on proton stopping power and range uncertainty

Bär, E; Andreo, P; Lalonde, A; Royle, GJ; Bouchard, H; (2018) Optimized I-values for the use with the Bragg additivity rule and their impact on proton stopping power and range uncertainty. Physics in Medicine & Biology , 63 (16) , Article 165007. 10.1088/1361-6560/aad312. Green open access

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Abstract

Purpose: Novel imaging modalities estimate patient elemental compositions for particle treatment planning. The mean excitation energy (I-value) is a main contributor to the proton range uncertainty. To minimize their impact on beam range errors and quantify their uncertainties, the currently used I-values proposed in 1982 are revisited. The study aims at proposing a new set of optimized elemental I-values for use with the Bragg additivity rule (BAR) and establishing uncertainties on optimized I-values and the BAR. // Methods: We optimize elemental I-values for the use in compounds based on measured material I-values. We gain a new set of elemental I-values and corresponding uncertainties, based on the experimental uncertainties and our uncertainty model. We evaluate uncertainties on I-values and relative stopping powers (RSP) of 70 human tissues, taking into account statistical correlations between tissues and water. The effect of new I-values on proton beam ranges is quantified using Monte Carlo simulations. // Results: Our elemental I-values describe measured material I-values with higher accuracy than ICRU-recommended I-values (RMSE: 6.17% (ICRU), 5.19% (this work)). Our uncertainty model estimates an uncertainty component from the BAR to 4.42%. Using our elemental I-values, we calculate the I-value of water as 78.73+/-2.89 eV, being consistent with ICRU 90 (78+/-2 eV). We observe uncertainties on tissue I-values between 1.82-3.38 eV, and RSP uncertainties between 0.002%-0.44%. With transport simulations of a proton beam in human tissues, we observe range uncertainties between 0.31% and 0.47%, as compared to current estimates of 1.5%. // Conclusion: We propose a set of elemental I-values well suited for human tissues in combination with the BAR. Our model establishes uncertainties on elemental I-values and the BAR, enabling to quantify uncertainties on tissue I-values, RSP as well as particle range. This work is particularly relevant for Monte Carlo simulations where the interaction probabilities are reconstructed from elemental compositions.

Type: Article
Title: Optimized I-values for the use with the Bragg additivity rule and their impact on proton stopping power and range uncertainty
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1088/1361-6560/aad312
Publisher version: https://doi.org/10.1088/1361-6560/aad312
Language: English
Additional information: Original content from this work may be used under the terms of the Creative Commons Attribution 3.0 licence. Any further distribution of this work must maintain attribution to the author(s) and the title of the work, journal citation and DOI.(https://creativecommons.org/licenses/by/3.0/)
Keywords: mean excitation energy, particle therapy, range uncertainty
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Med Phys and Biomedical Eng
URI: https://discovery.ucl.ac.uk/id/eprint/10053364
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