Imaging, automation and workflow challenges for online adaptive proton therapy

Radiotherapy with protons has the potential to spare healthy tissue and reduce the integral dose compared with conventional photon-based radiotherapy. Still, the same peaked depth-dose profile that underpins this advantage makes proton treatments highly sensitive to anatomical changes, positioning variations and systematic uncertainties. To remain safe, current proton therapy workflows rely mainly on robust optimisation, inevitably sacrificing part of the potential gain.

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Publication Details

Journal
Physics and Imaging in Radiation Oncology
Published
2025-10-01
DOI
https://doi.org/10.1016/j.phro.2025.100875
Primary Topic
Radiation Therapy and Dosimetry
Type
article
Field-Weighted Citation Impact
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article

Imaging, automation and workflow challenges for online adaptive proton therapy

L.P. Muren, Barbara Knäusl, Francesca Albertini, Dirk Wagenaar
Physics and Imaging in Radiation Oncology
Radiation Therapy and Dosimetry
article

Imaging, automation and workflow challenges for online adaptive proton therapy

L.P. Muren, Barbara Knäusl, Francesca Albertini, Dirk Wagenaar
article en

Abstract

Radiotherapy with protons has the potential to spare healthy tissue and reduce the integral dose compared with conventional photon-based radiotherapy. Still, the same peaked depth-dose profile that underpins this advantage makes proton treatments highly sensitive to anatomical changes, positioning variations and systematic uncertainties. To remain safe, current proton therapy workflows rely mainly on robust optimisation, inevitably sacrificing part of the potential gain.

Physics and Imaging in Radiation OncologyVol. 36
University Medical Center Groningen (NL), University of Groningen (NL), Aarhus University (DK), Paul Scherrer Institute (CH), Aarhus University Hospital (DK), Christian Doppler Laboratory for Thermoelectricity (AT)
Openalex Percentile: Top 46%
Radiation Therapy and Dosimetry
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Imaging, automation and workflow challenges for online adaptive proton therapy — L.P. Muren, Barbara Knäusl, et al. · Physics and Imaging in Radiation Oncology (2025) | TGRS Research Map | TGRS