ProTheRaMon—a GATE simulation framework for proton therapy range monitoring using PET imaging

Abstract

AbstractObjective.This paper reports on the implementation and shows examples of the use of theProTheRaMonframework for simulating the delivery of proton therapy treatment plans and range monitoring using positron emission tomography (PET).ProTheRaMonoffers complete processing of proton therapy treatment plans, patient CT geometries, and intra-treatment PET imaging, taking into account therapy and imaging coordinate systems and activity decay during the PET imaging protocol specific to a given proton therapy facility. We present theProTheRaMonframework and illustrate its potential use case and data processing steps for a patient treated at the Cyclotron Centre Bronowice (CCB) proton therapy center in Krakow, Poland.Approach.TheProTheRaMonframework is based on GATE Monte Carlo software, theCASToRreconstruction package and in-house developed Python and bash scripts. The framework consists of five separated simulation and data processing steps, that can be further optimized according to the user’s needs and specific settings of a given proton therapy facility and PET scanner design.Main results.ProTheRaMonis presented using example data from a patient treated at CCB and the J-PET scanner to demonstrate the application of the framework for proton therapy range monitoring. The output of each simulation and data processing stage is described and visualized.Significance.We demonstrate that theProTheRaMonsimulation platform is a high-performance tool, capable of running on a computational cluster and suitable for multi-parameter studies, with databases consisting of large number of patients, as well as different PET scanner geometries and settings for range monitoring in a clinical environment. Due to its modular structure, theProTheRaMonframework can be adjusted for different proton therapy centers and/or different PET detector geometries. It is available to the community via github (Boryset al2022).