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Page 19

Oliver Jäkel

Medical Physics

Brad Oborn et al.

Med. Phys 2017

Hybrid system: MRI in a rotating gantry

At least one vendor is seriously investigating this possibility

Page 20

Oliver Jäkel

Medical Physics

Dose calculation – deflection of primaries

• Simple Monte Carlo and numerical

studies of proton beam deflection

• Deflection is predictable

• Deflection is moderate, needs

correction

• No electron return effect

B Raaymakers et al., Phys. Med. Biol. 2008

Feasibility of MRI guided proton therapy: magnetic field dose effects

,

CAX dose unchanged!

B=0

B=0.5T

B=3T

Air

90 MeV protons

Wolf and Bortfeld, Phys. Med. Biol. 2012

90MeV beam in B (3T)

Air Water