Engineering challenges in protontherapy

Teacher(s)

Janssens Guillaume; Lee John; Sterpin Edmond;

Language

English

Main themes

Protontherapy gains more and more importance as an alternative treatment modality to radiotherapy with photons for specific types of patients and cancers.
Compared to photons, protons deposit their energy in a much more localized area, which allows for both more focused tumor targeting and reduced side effects, mainly regrading healthy tissues.
The course builds upon 4 pillars:
   Pillar 1: radiation oncology.
-          Basis of cancer and carcinogenesis
-          Treating cancer with radiations: principles and elements of radiobiology
-          Main steps of a radiotherapy workflow
-          Introduction to particle therapy: principles and current status
-          Radioprotection: treatment facility shielding, personnel and patient protection
-          Health economics: treatment options and patient referral, reimbursement and impact on social security services
Pillar 2: technologies for protontherapy. This pillar provides a specific focus on the proton beam delivery process, i.e. from proton generation and acceleration (synchrotron/cyclotron) to energy deposition into a well-defined location in the patient, including magnetic beam steering.
-          Producing and accelerating protons: cyclotrons and synchrotrons
-          Detailed design of cyclotrons (and synchro-cyclotrons)
-          Beamlines, magneto-optics
-          Robotics: rotating structures, positioning systems
-          Therapeutic beam: pencil beam scanning
-          Safety and quality assurance in medical technologies : safety automats, interlocks, redundancies, beam measurement devices (monitor ion chambers) and beam data analysis


Pillar 3: ancillary technologies for proton therapy. This pillar covers the devices and data flows associated with treatment preparation, execution, and verification, with all their specificities, compared to conventional radiotherapy treatment (X-rays).
-          Treatment planning system (TPS), oncology information system (OIS), imaging; the role of software integration
-          Dose calculation including analytical and Monte Carlo dose engines, treatment optimization, treatment robustness against uncertainties, and robust optimization
-          Imaging in or out of the room (computed tomography (CT), on-board cone-beam CT (CBCT), magnetic resonance imaging (MRI)). Image reconstruction and analyses.
-          Range verification: prompt gamma camera, proton radiography, positron emission tomography (PET))


Pillar 4: treatments of the future.
-          Image guidance: status and perspectives, and the way towards adaptive treatments
-          Overcoming challenges of PT: innovation tracks (range uncertainties, proton imaging, etc.)
-          Emerging treatments: introduction to ion beam therapy
-          Emerging treatments: combining radiations and medication

Content

Teaching methods

The course combines a series of ex-cathedra lectures - giving a strong emphasis on the system aspects of the proton therapy facility - and group projects (Problem-Based Learning, PBL) conducted by the students. Groups are made of X students (to be determined).
Possible topics for group projects (PBL):
-          Main equipment pre-design (accelerator, beam line magnets, global energy/power/mass ratios, ...)
-          Basic CT/CBCT reconstruction
-          Basic dose calculation engine
-          Strategies to manage uncertainties (e.g. with margins and/or robust planning)
-          Last but not least, some practical activities could be envisaged within the Leuven/Louvain protontherapy center in the horizon 2019-2020.
An on-site visit of a protontherapy facility in the neighborhood (max. 3 hours by car) might be planned.

Evaluation methods

Oral Exam

Online resources

See the Moodle website: https://moodleucl.uclouvain.be/course/view.php?id=11642

Bibliography

Haral Paganetti "Proton Therapy Physics" CRC Press

Faculty or entity

GBIO