MLC tracking and dose accumulation validation on the MR-linac using a real-time deformable dosimeter

Online MRI on the MR-linac captures detailed anatomical movements, improving real-time radiotherapy adaptations. However, the lack of a suitable MRI-compatible phantom hinders workflow validation. This study introduces a deformable phantom with integrated real-time scintillation dosimeters, validating accuracy in MLC tracking and dose accumulation using the ELEKTA Unity MR-linac.

This study demonstrates the vast potential of this novel prototype deformable phantom with integrated PSDs for real-time dosimetry measurements on an MR-linac.

2024 ESTRO Annual Congress
Madelon van den Dobbelsteen (1), Pim T.S. Borman (1), Laurie J.M. de Vries (1), Sara L. Hackett (1), Kalin Penev (1), Rocco Flores (2), Stephanie Smith (2), Yoan LeChasseur (3), Simon Lambert-Girard (3), Benjamin Côté (3) , Peter L. Woodhead (1)(4), Lando S. Bosma (1), Cornel Zachiu (1), Bas W. Raaymakers (1), Martin F. Fast (1) | 1 University Medical Center Utrecht, Radiotherapy, Utrecht, Netherlands., 2 IBA QUASAR, Modus Medical Devices Inc. London ON, Canada. , 3 Medscint, -, Quebec City, Canada. , 4 Elekta AB, -, Stockholm, Sweden.

Experimental dosimetric verification of the intra-fraction drift correction on the 1.5 T MR-linac

MRI-guided online adaptive treatments can improve tumor targeting by adjusting treatment plans in real-time based on cine MR-scans. And to correct the intra-fraction motion, Elekta AB introduced the intra-fraction drift correction (IDC) functionality for the 1.5 T Unity MR-linac.

The IDC is a valuable functionality for fast intra-fraction adaptations and this research experimentally verifies the geometric and dosimetric accuracy of the IDC process using film, scintillation, and diode dosimetry.

ESTRO 2024 Annual Congress
Madelon van den Dobbelsteen, Sara L. Hackett, Stijn Oolbekkink, Bram van Asselen, Prescilla Uijtewaal, Martin F. Fast, Bas W. Raaymakers | University Medical Center Utrecht, Radiotherapy, Utrecht, Netherlands

Performance characterization of a novel hybrid dosimetry insert for simultaneous spatial, temporal, and motion-included dosimetry for MR-linac

The increased treatment complexity and the motion-delivery interplay during stereotactic body radiotherapy (SBRT) on an MR-linac treatments require MR-compatible motion phantoms with time-resolved dosimeters to validate end-to-end workflows. This study demonstrates the excellent suitability of a the Medscint novel hybrid film-scintillators cassette for simultaneous multi-spatial, temporal, and motion-included dosimetry.

MEDICAL PHYSICS
Prescilla Uijtewaal (1), Pim Borman (1), Benjamin Côté (2), Yoan LeChasseur (2), François Therriault-Proulx (2), Rocco Flores (3), Stephanie Smith (3), Grant Koenig (3), Bas Raaymakers (1), Martin Fast (1) | 1. Department of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands, 2. Medscint, Québec, Quebec, Canada, 3. Modus QA, London, Ontario, Canada

Performance of the HYPERSCINT scintillation dosimetry research platform for the 1.5 T MR-linac

This study demonstrates the suitability of the HYPERSCINT PSD for accurate time- resolved dosimetry measurements in the 1.5 T MR-linac. The excellent performance during continuous MR scanning and during dynamic movement indicates the great potential of the detector to validate end-to-end workflows of online adaptive radiotherapy

PHYSICS IN MEDICINE & BIOLOGY
Prescilla Uijtewaal (1), Benjamin Côté (2), Thomas Foppen (1), J H Wilfred de Vries (1), Simon J Woodings (1), Pim T S Borman (1), Simon Lambert-Girard (2), François Therriault-Proulx (2), Bas W Raaymakers (1), Martin F Fast (1) | 1 – UMC Utrecht, Netherland, 2 – Medscint, Canada

Plastic scintillation detectors: real-time dosimetry in the MR-Linac environment.

Optical innovation meets clinical translation : in the vanguard of adaptive MR/RT research effort, the UMC Utrecht research team works with plastic scintillation detectors to bring MR-Linac treatment to the next level.

PHYSICS WORLD
| UMC Utrecht, Medscint

First Experimental Demonstration of Time-Resolved Plastic Scintillation Dosimetry On An MR-Linac

In this study, UMC Utrecht research team demonstrates the feasibility of a hybrid experimental setup combining an innovative multipoint scintillator detector with film in a moving phantom quantifying MLC tracking for lung SBRT. The prototype cassette is capable of measuring dose (with film and 4 points scintillators simultaneously) during motion experiments, combining film dosimetry with time-resolved and absolute dosimetry.

2022 AAPM ANNUAL MEETING
P.Uijtewaal (1), P.Borman (1), B.Côté (2), Y.Lechasseur (2), J.Turcotte (2), S.Lambert-girard (2), P.Woodhead (1), S.Woodings (1), W.de Vries (1), R.Flores (3), S.Smith (3), B.Raaymakers (1), M.Fast (1) | 1 – UMC Utrecht, Netherland, 2 – Medscint, Canada, 3 – Modus Medical Devices, Canada

On the orientation independence of the HYPERSCINT scintillation dosimetry research platform in a MR-linac environment.

The purpose of this work was to characterize the HYPERSCINT scintillation dosimetry research platform in a MR-linac environment, particularly with respect to its orientation. This study shows that the HYPERSCINT scintillation dosimetry platform can be used regardless of its orientation in a magnetic field environment. Together with its linearity to dose and dose-rate, the detector shows great promises for development of dosimetry solutions dedicated to the MR-Linac environment.

2022 COMP ANNUAL SCIENTIFIC MEETING
B.Côté (1), B.Raaymakers (2), S.Woodings (2), P.Uijtewaal (2), W.de Vries (2), S.Lambert-girard (1), F.Therriault-Proulx (1), M.Fast (2) | Medscint, Canada (1), UMC Utrecht, Netherland (2)