Abstract

ObjectivesThe beam output of a double scattering proton system varies for each combination of beam option, range, and modulation and therefore is difficult to be accurately modeled by the treatment planning system (TPS). This study aims to design an empirical method using the analytical and machine learning (ML) models to estimate proton output in a double scattering proton system.Materials and MethodsThree analytical models using polynomial, linear, and logarithm–polynomial equations were generated on a training dataset consisting of 1,544 clinical measurements to estimate proton output for each option. Meanwhile, three ML models using Gaussian process regression (GPR) with exponential kernel, squared exponential kernel, and rational quadratic kernel were also created for all options combined. The accuracy of each model was validated against 241 additional clinical measurements as the testing dataset. Two most robust models were selected, and the minimum number of samples needed for either model to achieve sufficient accuracy ( ± 3%) was determined by evaluating the mean average percentage error (MAPE) with increasing sample number. The differences between the estimated outputs using the two models were also compared for 1,000 proton beams with a randomly generated range, and modulation for each option.ResultsThe polynomial model and the ML GPR model with exponential kernel yielded the most accurate estimations with less than 3% deviation from the measured outputs. At least 20 samples of each option were needed to build the polynomial model with less than 1% MAPE, whereas at least a total of 400 samples were needed for all beam options to build the ML GPR model with exponential kernel to achieve comparable accuracy. The two independent models agreed with less than 2% deviation using the testing dataset.ConclusionThe polynomial model and the ML GPR model with exponential kernel were built for proton output estimation with less than 3% deviations from the measurements. They can be used as an independent output prediction tool for a double scattering proton beam and a secondary output check tool for a cross check between themselves.

Highlights

  • Proton therapy is rapidly becoming one of the primary cancer treatment modalities in the recent decade

  • We propose three analytical models and three machine learning algorithms for output estimation

  • Out of the six models presented in this paper, the polynomial model and Machine learning (ML) Gaussian process regression (GPR) model with the exponential kernel both show accurate estimation, and the accuracy meets the clinical requirement

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Summary

Introduction

Proton therapy is rapidly becoming one of the primary cancer treatment modalities in the recent decade. In order to obtain the output of a proton beam conveniently and verify the output measurement, Kooy et al proposed a semiempirical analytical method to estimate the output as a function of r = (R - M)/M, where R and M denote the beam range and modulation, respectively [8, 9]. This formula implements a basic model as a function of r and corrects for the effective source position based on the inverse square law. Sun et al compared the accuracy of output from machine learning and

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