Real-time proton therapy range verification is a technique that can potentially reduce uncertainty margins around the treatment volume and enable prompt corrections during treatment, making proton therapy a safer cancer treatment modality. Imaging secondary particles resulting from proton-beam nuclear interactions with tissue serves as a means of range verification. The NOVO project recently (2023) presented a compact detector array (NOVCoDA) range verification system designed to image secondary prompt-gamma rays (PGs) and fast neutrons (FNs). The position resolution and arrangement of detector elements within the NOVCoDA influences the reconstructed particle distributions and in turn the system's range shift detection capabilities. Through Monte-Carlo simulations, we investigate the effects of four different detector element arrangements and the utilization of optically segmented scintillator volumes within detector elements, for improved position resolution, on NOVCoDA's range shift determination capability for proton therapy. We limit our study to the detection of FNs produced by an 85-MeV proton beam interacting within a homogeneous water phantom. Results indicate that a parallel array with detector elements oriented perpendicular to the proton beam axis and line-of-sight direction yields the highest double FN scattering efficiency, on order of 10−6 per proton. Furthermore, optically segmented detector elements resulted in improved minimum detectable range shift, reducing required proton intensity by 30%–60% to discern a 1 mm shift.@en

This study aims to investigate the capability of U-Nets in improving image reconstruction accuracy for proton range verification within the framework of the NOVO (Next generation imaging for real-time dose verification enabling adaptive proton therapy) project. NOVO aims to enhance the accuracy of proton range verification by imaging the distribution of prompt gamma-rays (PGs) and fast neutrons (FNs) produced by nuclear interactions within tissue. In this work, focus lies on FNs, leaving PGs as future work. A dataset consisting of Monte Carlo-based simple back-projection and ground truth images of FN production distributions in a homogeneous water phantom was utilized. Various U-Net models were trained to predict FN distributions, and a set of range landmark (RL) metrics were computed for evaluation. Linear regression models were established to correlate shifts in mean RL with true range shift magnitudes. Our findings demonstrate a strong linear correlation between the shifts in mean RL in U-Net predictions and the true range shift magnitudes. Multiple RL metrics, including weighted average, inflection point, edge, and peak, were explored. This study highlights the potential utility of U-Nets in enhancing image reconstruction accuracy for proton range verification. The observed correlations between RL shifts and true range shifts provide evidence of the ability of U-Nets to accurately predict images containing range information. Future research will focus on generating more realistic training data incorporating more clinically relevant phantoms, including tissue heterogeneities.@en

Particle therapy (PT) used for cancer treatment can spare healthy tissue and reduce treatment toxicity. However, full exploitation of the dosimetric advantages of PT is not yet possible due to range uncertainties, warranting development of range-monitoring techniques. This study proposes a novel range-monitoring technique introducing the yet unexplored concept of simultaneous detection and imaging of fast neutrons and prompt-gamma rays produced in beam-tissue interactions. A quasi-monolithic organic detector array is proposed, and its feasibility for detecting range shifts in the context of proton therapy is explored through Monte Carlo simulations of realistic patient models and detector resolution effects. The results indicate that range shifts of 1mm can be detected at relatively low proton intensities (22.30 (13) × 10 ⁷ protons/spot) when spatial information obtained through imaging of both particle species are used simultaneously. This study lays the foundation for multi-particle detection and imaging systems in the context of range verification in PT.

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