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    <record>
       <contributors>
          <authors>
             <author>Belikhin, Belikhin,&nbsp;M.A.</author>
             <author>Chernyaev, A.P.</author>
             <author>Pryanichnikov, A.A.</author>
             <author>Shemyakov, A.E.</author>
          </authors>
       </contributors>
       <titles>
          <title>
             Experimental Simulation of Volume Repainting Technique at Proton Synchrotron in Context of Spot Scanning Proton Therapy
          </title>
       </titles>
       <publisher>JACoW Publishing</publisher>
       <pub-location>Geneva, Switzerland</pub-location>
		 <isbn>2673-5539</isbn>
		 <isbn>978-3-95450-240-0</isbn>
		 <electronic-resource-num>10.18429/JACoW-RuPAC2021-MOPSA45</electronic-resource-num>
		 <language>English</language>
		 <pages>192-195</pages>
       <keywords>
          <keyword>target</keyword>
          <keyword>radiation</keyword>
          <keyword>proton</keyword>
          <keyword>HOM</keyword>
          <keyword>simulation</keyword>
       </keywords>
       <work-type>Contribution to a conference proceedings</work-type>
       <dates>
          <year>2021</year>
          <pub-dates>
             <date>2021-10</date>
          </pub-dates>
       </dates>
       <urls>
          <related-urls>
              <url>https://doi.org/10.18429/JACoW-RuPAC2021-MOPSA45</url>
              <url>https://jacow.org/rupac2021/papers/mopsa45.pdf</url>
          </related-urls>
       </urls>
       <abstract>
          Background: Reduction the influence of respiration-induced intrafractional motion of tissues is one of the main tasks of proton therapy with a scanning beam. Repainting is one of the techniques of motion compensation. It consists in multiple repeated irradiations of the entire volume or individual iso-energy layers with a dose that is a multiple of the prescribed dose. As a result, the dose is averaged, which leads to an increase in the uniformity of the dose field. Purpose: Experimental simulation of volume sequential repainting and dosimetric estimation of its capabilities in the context of spot scanning proton therapy (SSPT) using dynamic phantom. Materials and Methods: Simulation of respiration-like translational motion is performed using the non-anthropomorphic water dynamic phantom. Target of this phantom is compatible with EBT-3 films. Estimation of repainting technique is based on the analysis of average dose, dose uniformity in region of interests located within planning target volume, and dose gradients. Results: Repainting was estimated for motion with amplitudes of 2, 5, 10 mm with different number of iterations up to 10 at the prescribed dose of 6 Gy. This one increased the uniformity of the dose field from 85,9\% to 96,0\% at an amplitude of 10 mm and 10 iterations. Conclusions: Volume repainting improves the uniformity of dose distribution. However, the irradiation time increases, and the dose gradients deteriorate in proportion to the amplitude of motion.
       </abstract>
    </record>
  </records>
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