PT2030 – Next generation proton therapy: online adaptive
The aim of the project PT2030 is to develop the physically best possible radiation therapy – the next-generation proton therapy. In this context, the advantage of tissue-sparing dose distribution of protons will be combined for the first time with the advantages of adapting the treatment in real time. This will be made possible with the help of a closed, fully automated feedback loop of imaging, treatment verification, adaptation and quality assurance in real time, supported by artificial intelligence. Figuratively speaking, PT2030 combines the sharp sword for cancer therapy, proton therapy, with sharp eyes (real-time monitoring) and a fast, precise hand to guide the sword (treatment adaptation).
The result would be an improved treatment outcome: Especially patients with highly variable and moving tumors could benefit from proton therapy. Overall, with online-adaptive proton therapy, more patients can benefit from the advantageous therapy option. In addition, the therapy will be even more gentle than it already is today due to the more targeted irradiation and the resulting reduction of the dose in healthy tissue.
Within the PT2030 project, not only individual components for the feedback loop are to be developed, but above all their interaction is to be integratively developed, optimized and integrally tested under clinically realistic conditions and thus made ready for actual clinical application in humans. This is made possible by the unique constellation of close cooperation between researchers, clinicians and industry.
The project would have a double benefit for healthcare systems worldwide: On the one hand, cancer therapy would be improved and, on the other hand, costs would be reduced in the long term through automation. Through cooperation with leading international medical technology companies, the innovations are to be applied to patient care in a timely manner.
More Details
Publications:
The partial adaptation strategy for online-adaptive proton therapy: A proof of concept study in head and neck cancer patients, Gembetta V. et all., Medical Physics 2024, https://doi.org/10.1002/mp.17178
Detectability of Anatomical Changes With Prompt-Gamma Imaging: First Systematic Evaluation of Clinical Application During Prostate-Cancer Proton Therapy, Berthold, Jonathan et al., International Journal of Radiation Oncology, Biology, Physics, Volume 117, Issue 3, 718 - 729, https://doi.org/10.1016/j.ijrobp.2023.05.002
Reduction of clinical safety margins in proton therapy enabled by the clinical implementation of dual-energy CT for direct stopping-power prediction, Peters, Nils et al., Radiotherapy and Oncology, Volume 166, 71 - 78, https://doi.org/10.1016/j.radonc.2021.11.002
Direct visualization of proton beam irradiation effects in liquids by MRI, Sebastian Gantz, et al., PNAS 2023, https://doi.org/10.1073/pnas.2301160120
Contact
Christian Richter
HZDR Dresden
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