Copenhagen, Denmark
Onsite/Online

ESTRO 2022

Session Item

Saturday
May 07
14:15 - 15:15
Mini-Oral Theatre 1
05: Image acquisition & processing
Malin Kügele, Sweden;
Nanna Sijtsema, The Netherlands
Mini-Oral
Physics
Integral proton radiography scatter reduction through pencil beam pixel weighting and thresholding
Daniel Robertson, USA
MO-0214

Abstract

Integral proton radiography scatter reduction through pencil beam pixel weighting and thresholding
Authors:

Daniel Robertson1, Chinmay Darne2, Charles-Antoine Fekete3, Sam Beddar2

1Mayo Clinic, Radiation Oncology, Phoenix, USA; 2The University of Texas MD Anderson Cancer Center, Radiation Oncology, Houston, USA; 3University College London, Medical Physics and Biomedical Engineering, London, United Kingdom

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Purpose or Objective

The purpose of this study is to develop a new integral proton imaging approach using beam-by-beam processing with pixel weighting and thresholding (PWT) for proton scatter reduction.  


Proton radiography can improve image guidance, decrease stopping power uncertainty, and streamline adaptive radiotherapy workflows. Most proton radiography research focuses on single proton tracking detectors, but technical challenges including high count rates and the expense and complexity of detector assemblies have slowed clinical adoption of these systems. Integrating detectors employing scintillators and cameras circumvent these challenges, but proton scattering increases image noise and decreases contrast and water-equivalent thickness (WET) accuracyThe PWT imaging approach can improve image quality while maintaining the benefits of integrating proton imaging. 

Material and Methods

The detector comprises a cubic block of plastic scintillator with 20 cm side length and a camera facing the beam nozzle (Fig. 1a). A collection of calibration curves is formed by imaging a single pencil beam as a function of penetration depth in the scintillator and distance from the beam center (Fig. 1b-c). An object is imaged by interposing it between the nozzle and the scintillator and scanning a proton pencil beam across the object. The camera acquires one image per proton pencil beam. The intensity of each camera pixel is converted to a proton WET via the calibration curves (Fig. 1d). Several proton beams may contribute to a single pixel. The WET for each pixel is determined by weighting all pixel contributions by the fraction of the peak intensity of the reference pencil beam. Proton scattering is decreased through this weighting process and by rejecting pixel contributions whose baseline intensity is below 50% of the peak intensity of the reference pencil beam.

A Monte Carlo simulation of the detector was implemented in Geant4, including an aluminum “Las Vegas” contrast-detail phantom with a WET of 47.7 mm. Proton radiographs were reconstructed via the PWT method, by integral proton radiography without spot-by-spot PWT processing, and also by a simulated single particle tracking detector comprising two tracking planes and an energy calorimeter.


Results

Image contrast increased with the PWT method relative to integral imaging without PWT.  Using a contrast to noise ratio of 3.0 for the detection threshold, 18, 22, and 30 phantom holes were detectable with the integral, PWT, and single particle tracking image formation methods, respectively (Fig. 2a-c). PWT imaging decreased scattering artifacts at the phantom edge by 77% compared to integral imaging (Fig. 2d-e). The WET measurement error was 14% with integral imaging and <1% with the PWT method.



Conclusion

Single pencil beam imaging with pixel weighting and intensity thresholding provides improved image quality relative to standard integrating proton radiography. Some scattering artifacts persist with this approach, and further work on scatter reduction is needed.