Three-dimensional MRI-based treatment planning approach for non-invasive ocular proton therapy.
E Fleury, P Trnková, E Erdal, M Hassan, B Stoel, M Jaarma-Coes, G Luyten, J Herault, A Webb, J-W Beenakker, J-P Pignol, M Hoogeman
Med Phys | Published : 2021
PURPOSE: To develop a high-resolution three-dimensional (3D) magnetic resonance imaging (MRI)-based treatment planning approach for uveal melanomas (UM) in proton therapy. MATERIALS/METHODS: For eight patients with UM, a segmentation of the gross tumor volume (GTV) and organs-at-risk (OARs) was performed on T1- and T2-weighted 7 Tesla MRI image data to reconstruct the patient MR-eye. An extended contour was defined with a 2.5-mm isotropic margin derived from the GTV. A broad beam algorithm, which we have called πDose, was implemented to calculate relative proton absorbed doses to the ipsilateral OARs. Clinically favorable gazing angles of the treated eye were assessed by calculating a global..View full abstract