Can we predict overall survival using machine learning algorithms at 3-months for brain metastases from non-small cell lung cancer after gamma knife radiosurgery?

Gamma knife radiosurgery (GRKS) is widely used for patients with brain metastases; however, predictions of overall survival (OS) within 3-months post-GKRS remain imprecise. Specifically, more than 10% of non-small cell lung cancer (NSCLC) patients died within 8 weeks of post-GKRS, indicating potential overtreatment. This study aims to predict OS within 3-months post-GKRS using machine learning algorithms, and to identify prognostic features in NSCLC patients.

Optimal mask fixation method for frameless radiosurgery with Leksell Gamma Knife Icon.

The Leksell Gamma Knife (LGK) Icon is used for mask-based and frame-based fixation. The mask fixation provides a noninvasive method. However, an optimal mask fixation method is yet to be established.

Avoiding a Collision in Gamma Knife Radiosurgery : A Modified Mask Fixation Method.

Objective: The latest version of the Leksell Gamma Knife IconTM allows for mask- and frame-based fixation. Although mask fixation provides fractionated treatment and immobilization using a noninvasive method, it is not free from collision. The authors investigated the collision problem with a modified mask fixation method.

Virtual randomized study comparing lobectomy and particle beam therapy for clinical stage IA non-small cell lung cancer in operable patients.

To the best of our knowledge there have been no randomized controlled trials comparing lobectomy-a standard treatment for patients with early-stage non-small cell lung cancer (NSCLC)-and particle beam therapy (PBT), the best performing existing radiotherapy. We conducted a virtual randomized trial in medically operable patients with stage IA NSCLC to compare lobectomy and PBT effectiveness. A Markov model was developed to predict life expectancy after lobectomy and PBT in a cohort of patients with stage IA NSCLC.

Signal Enhancement of Low Magnetic Field Magnetic Resonance Image Using a Conventional- and Cyclic-Generative Adversarial Network Models With Unpaired Image Sets.

In this study, the signal enhancement ratio of low-field magnetic resonance (MR) images was investigated using a deep learning-based algorithm. Unpaired image sets (0.06 and 1.

Low-dose CBCT reconstruction via joint non-local total variation denoising and cubic B-spline interpolation.

This study develops an improved Feldkamp-Davis-Kress (FDK) reconstruction algorithm using non-local total variation (NLTV) denoising and a cubic B-spline interpolation-based backprojector to enhance the image quality of low-dose cone-beam computed tomography (CBCT). The NLTV objective function is minimized on all log-transformed projections using steepest gradient descent optimization with an adaptive control of the step size to augment the difference between a real structure and noise. The proposed algorithm was evaluated using a phantom data set acquired from a low-dose protocol with lower milliampere-seconds (mAs).

Proton-radiography-based quality assurance of proton range compensator.

The aim of this work was to study the feasibility of proton radiography (pRad) as a patient-specific range compensator (RC) quality assurance (QA) tool and to validate its clinical utility by performing QA on RCs having three kinds of possible defects. In order to achieve pRad for a single EBT film, proton beam currents were modulated with new weighting factors, maximizing the linearity of optical-density-to-thickness ratio. Two RCs, examined to be accurately manufactured as planned, were selected to estimate the feasibility of our pRad.

Application of Cerenkov radiation generated in plastic optical fibers for therapeutic photon beam dosimetry.

A Cerenkov fiber-optic dosimeter (CFOD) is fabricated using plastic optical fibers to measure Cerenkov radiation induced by a therapeutic photon beam. We measured the Cerenkov radiation generated in optical fibers in various irradiation conditions to evaluate the usability of Cerenkov radiation for a photon beam therapy dosimetry. As a results, the spectral peak of Cerenkov radiation was measured at a wavelength of 515 nm, and the intensity of Cerenkov radiation increased linearly with increasing irradiated length of the optical fiber.

Estimation of the secondary cancer risk induced by diagnostic imaging radiation during proton therapy.

We have estimated the secondary cancer risk (SCR) introduced by image-guided procedures during proton therapy. The physical dose from imaging radiation and the corresponding organ equivalent dose were calculated for the case of a lumbar spine patient. The maximum physical dose delivered to the patient during the imaging procedure was estimated to be ~0.

Secondary radiation doses of intensity-modulated radiotherapy and proton beam therapy in patients with lung and liver cancer.

Purpose: To compare the secondary radiation doses following intensity-modulated radiotherapy (IMRT) and proton beam therapy (PBT) in patients with lung and liver cancer.

Methods And Materials: IMRT and PBT were planned for three lung cancer and three liver cancer patients. The treatment beams were delivered to phantoms and the corresponding secondary doses during irradiation were measured at various points 20-50 cm from the beam isocenter using ion chamber and CR-39 detectors for IMRT and PBT, respectively.

Development of a dual modality imaging system: a combined gamma camera and optical imager.

Several groups have reported the development of dual modality Gamma camera/optical imagers, which are useful tools for investigating biological processes in experimental animals. While previously reported dual modality imaging instrumentation usually employed a separated gamma camera and optical imager, we designed a detector using a position sensitive photomultiplier tube (PSPMT) that is capable of imaging both gamma rays and optical photons for combined gamma camera and optical imager. The proposed system consists of a parallel-hole collimator, an array-type crystal and a PSPMT.

Performance improvement of small gamma camera using NaI(Tl) plate and position sensitive photo-multiplier tubes.

The purpose of this study was to improve the performance of a small gamma camera, utilizing a NaI(Tl) plate and a 5" position sensitive PMT. We attempted to build a NaI(Tl) plate crystal system which retained all its advantages, while at the same time integrating some of the advantages inherent in an array-type scintillation crystal system. Flood images were obtained with a lead hole mask, and position mapping was performed by detecting hole positions in the flood image.