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University of Groningen Towards an optimal clinical protocol for the treatment of moving targets with pencil beam scanned proton therapy Ribeiro, Cássia O. DOI: 10.33612/diss.126443635 IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below. Document Version Publisher's PDF, also known as Version of record Publication date: 2020 Link to publication in University of Groningen/UMCG research database Citation for published version (APA): Ribeiro, C. O. (2020). Towards an optimal clinical protocol for the treatment of moving targets with pencil beam scanned proton therapy. University of Groningen. https://doi.org/10.33612/diss.126443635 Copyright Other than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons). The publication may also be distributed here under the terms of Article 25fa of the Dutch Copyright Act, indicated by the “Taverne” license. More information can be found on the University of Groningen website: https://www.rug.nl/library/open-access/self-archiving-pure/taverne- amendment. Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Download date: 21-05-2022

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Page 1: University of Groningen Towards an optimal clinical

University of Groningen

Towards an optimal clinical protocol for the treatment of moving targets with pencil beamscanned proton therapy Ribeiro, Cássia O.

DOI:10.33612/diss.126443635

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite fromit. Please check the document version below.

Document VersionPublisher's PDF, also known as Version of record

Publication date:2020

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):Ribeiro, C. O. (2020). Towards an optimal clinical protocol for the treatment of moving targets with pencilbeam scanned proton therapy. University of Groningen. https://doi.org/10.33612/diss.126443635

CopyrightOther than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of theauthor(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons).

The publication may also be distributed here under the terms of Article 25fa of the Dutch Copyright Act, indicated by the “Taverne” license.More information can be found on the University of Groningen website: https://www.rug.nl/library/open-access/self-archiving-pure/taverne-amendment.

Take-down policyIf you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediatelyand investigate your claim.

Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons thenumber of authors shown on this cover page is limited to 10 maximum.

Download date: 21-05-2022

Page 2: University of Groningen Towards an optimal clinical
Page 3: University of Groningen Towards an optimal clinical

Cover and chapter separators: Jorge Oliveira [email protected]

Layout: Lovebird design. www.lovebird-design.com

Financial support for the publication of this thesis was kindly provided by:• University of Groningen and the Graduate School of Medical

Sciences• University Medical Center Groningen• RaySearch Laboratories

Printed by: Eikon+

ISBN: 978-94-034-2749-2ISBN (e-book): 978-94-034-2750-8

Copyright @C.Oraboni Ribeiro, Groningen, the Netherlands, 2020All rights reserved. No part of this thesis may be reproduced in any form or by any means without prior permission of the author.

Page 4: University of Groningen Towards an optimal clinical

Towards an optimal clinical protocol for the treatment of

moving targets with pencil beam scanned proton therapy

Proefschrift

ter verkrijging van de graad van doctor aan de Rijksuniversiteit Groningen

op gezag van de rector magnificus prof. dr. C. Wijmenga

en volgens besluit van het College voor Promoties.

De openbare verdediging zal plaatsvinden op

dinsdag 9 juni 2020 om 11.00 uur

door

Cássia Oraboni Ribeiro

geboren op 7 januari 1991 te Curitiba, Brazilië

Page 5: University of Groningen Towards an optimal clinical

PromotoresProf. dr. A.C. Knopf Prof. dr. J.A. Langendijk

CopromotorDr. ir. E.W. Korevaar

BeoordelingscommissieProf. dr. S. Brandenburg Prof. dr. B.W. Raaymakers Prof. dr. J. Widder

Page 6: University of Groningen Towards an optimal clinical

CONTENTS

Chapter 1 General Introduction .............................................................7

Chapter 2 Comprehensive 4D robustness evaluation for pencil beam scanned proton plans ................................27

Chapter 3 Assessment of dosimetric errors induced by deformable image registration methods in 4D pencil beam scanned proton treatment planning for liver tumours ...................................................................45

Chapter 4 Towards the clinical implementation of intensity- modulated proton therapy for tho-racic indications: evaluation of 3D vs. 4D robust optimisation by means of patient and machine specific information.............................................................77

Chapter 5 Evaluation of intrinsic ‘rescanning’ (pulsed beam) versus scaled rescanning (continuous beam) for the treatment of moving targets with pencil beam scanned proton therapy ......................... 109

Chapter 6 Deformable image registration uncertainty for inter-fractional dose accumulation of lung can-cer proton therapy ............................................................. 129

Chapter 7 Discussion and future perspectives ............................. 159

Appendices .................................................................................... 183 Summary ...............................................................................185 Samenvatting .......................................................................191 Acronyms .............................................................................. 197 Publications ......................................................................... 199 Acknowledgements ...........................................................202 Curriculum Vitae ................................................................211