Bibliography “About the proton therapy center”cincinnatichildrens.org N.p., n.d Web. 12 Oct. 2015 This site provide information about the new Proton therapy center of Cincinnati Children’s medical center. Bishop, Andrew J., Brad Greenfield, Anita Mahajan, Arnold C. Paulino, M. Fatih Okcu, Pamela K. Allen, Murali Chintagumpala, Lisa S. Kahalley, Mary F. Mcaleer, Susan L. McGovern, William E. Whitehead, and David R. Grosshans. "Proton Beam Therapy versus Conformal Photon Radiation Therapy for Childhood Craniopharyngioma: Multiinstitutional Analysis of Outcomes, Cyst Dynamics, and Toxicity." International Journal of Radiation Oncology*Biology*Physics 90.2 (2014): 354-61. Web. The authors compared proton beam therapy with intensity modulated radiation therapy for pediatric craniopharyngioma in terms of disease control cyst dynamic and toxicity. They concluded that for disease control PBRT and IMRT have the same outcomes. Burke, Ben, Andrei Ghila, B. G. Fallone, and Satyapal Rathee. "Radiation Induced Current in the RF Coils of Integrated Linac-MR Systems: The Effect of Buildup and Magnetic Field." Med. Phys. Medical Physics 39.8 (2012): 5004-5014. Web. The authors studied how imagine can be improved to help cancer treatment. This current is call the RIC or radiation induced current. The RIC was measured with copper, aluminum, in a cylindrical form and in a linear form, to measure the radiation induced by it. Using a method call the Monte Carlo. Concluding that, theMonte Carlo simulation is a useful tool for practical coil design where radiation effects must be considered. The SNR is improved in the images obtained concurrently with radiation if buildup is applied to the coil. Caporaso, G.j., S. Sampayan, Y.-J. Chen, J. Harris, S. Hawkins, C. Holmes, M. Krogh, S. Nelson, W. Nunnally, A. Paul, B. Poole, M. Rhodes, D. Sanders, K. Selenes, J. Sullivan, L. Wang, and J. Watson. "Compact Accelerator Concept for Proton Therapy." Nuclear Instruments and Methods in Physics Research Section B: Beam Interactions with Materials and Atoms 261.1-2 (2007): 777- 81 Web. The authors provide information about a smaller machine for proton therapy call DWA or Dialectic Wall accelerator. This machine is what they called the future for proton therapy and it could be less expensive to have this type of machines in hospitals. It is not the machine that is cheaper is the fact that it is smaller and it is capable to be in one room versus the big gantries, that the actual cyclotron are. Canter, Daniel, Mark Buyyounouski, Alexander Kutikov, Jinsheng Li, Richard E. Greenberg, Eric M. Horwitz, and Stephen A. Boorjian. "2014 Ultrasound-Guided Implantation Of Electromagnetic Transponders Into The Prostate Bed For Localization And Tracking During Intensity Modulated Radiation Therapy Following Radical Prostatectomy." The Journal of Urology 183.4 (2010): n. 781. Web. Radiation therapy (RT) after radical prostatectomy (RRP) has been associated with a survival benefit in both the adjuvant (applied after initial treatment for cancer, especially to suppress secondary tumor formation) and salvage (Treatment that is given after the cancer has not responded to other treatments settings). The authors studied seventeen patients presenting for radiotherapy following RRP (2 adjuvant, 15 salvage) underwent trans-rectal ultrasound-guided placement of Calypso transponders (is a target positioning device that continuously monitors the location of three implantable electromagnetic transponders) prior to radiotherapy. Finding that it was safe and efficacious and excellent for toxicity profile. “Childhood Brain Tumors”childhoodbraintumor.org. N.p., n.d Web. 12 Oct. 2015 This website provide information on Children brain tumors. Ellis, Frank. "Dose, Time and Fractionation: A Clinical Hypothesis." Clinical Radiology 20.1 (1969): 1-7. Web. This paper is an analysis of radiation therapy, toxicity and doses. And the damages to healthy tissue. Goldin, Gregg H. "Intensity-Modulated Radiation Therapy, Proton Therapy, or Conformal Radiation Therapy and Morbidity and Disease Control in Localized Prostate Cancer." Jama 307.15 (2012): 1611. Web. This study is a comparison between IMRT (intensity-modulated radiation therapy), Proton therapy and conformal radiation, in treating prostate cancer and the gastrointestinal morbidity, hip fracture and sexual dysfunction. Where the use of IMRT have less morbidity in gastrointestinal side effects. Hunniford, C. Adam, Robert W. Mccullough, R. Jeremy H. Davies, and David J. Timson. "DNA Damage by Low-energy Ions." Biochemical Society Transactions 37.4 (2009): 893-96. Web. The authors studied strand breakage in plasmid DNA, by energy carbon ions, irradiation with low energy carbon ions multiple damages to the molecules. Double charge in carbon Ions produces more damage than single charge. This is relevant, although the ionization cross sections of low energy ions are low, our study indicates that other processes may be important in properly understanding their role within a biological environment. More detailed studies of the damage induced by low energy ions will enable their effects to be included in radiotherapeutics regimes. Nickoloff Jac A., Allen, Christopher, Thomas B. Borak, and Hirohiko Tsujii. "Heavy Charged Particle Radiobiology: Using Enhanced Biological Effectiveness and Improved Beam Focusing to Advance Cancer Therapy." Mutation Research/Fundamental and Molecular Mechanisms of Mutagenesis 711.1-2 (2011): 150-57. Web This research paper is about the used heavier particle like (proton and carbon ions), for ionization therapy and the opening of new high costly facilities. The authors points out the room for more investigation on this therapies. “Proton therapy testimonials”cho.edu. N.p., n.d Web. 12 Oct. 2015 Children’s hospital of Philadelphia website, this is a hospital with a Proton center, and also testimonials. “Radiology." Cancer.Net. N.p., n.d. Web. 12 Oct. 2015. Radiology definition and whole concept. Rong, Yi, and James Welsh. "Basics of Particle Therapy II Biologic and Dosimetric Aspects of Clinical Hadron Therapy." American Journal of Clinical Oncology 33.6 (2010): 646-49. Web. This article is about the use of high energy particles like protons and neutrons, and their increasing applications in the treatment of radio resistant tumors. This particles are better than photons for deep seated tumors, irradiating from multiple angles to avoid overdosing. In Protons a pronounced peak of energy deposition occurs before the particles come to rest, because of a large increase in the interaction cross-section as the energy (speed) decreases. This characteristic of heavy charged particles is called the Bragg peak, the way of seeing the distribution doses. Havier particles have an advantage over photon base therapy. Sejpal, Samir, Ritsuko Komaki, Anne Tsao, Joe Y. Chang, Zhongxing Liao, Xiong Wei, Pamela K. Allen, Charles Lu, Michael Gillin, and James D. Cox. "Early Findings on Toxicity of Proton Beam Therapy with Concurrent Chemotherapy for Nonsmall Cell Lung Cancer." Cancer 117.13 (2011): 3004-013. Web. Lung cancer is the most common cause of death in cancer in the use. This paper researched, the concern associated with chemo radiation therapy for long cancer toxicity, and how proton therapy is better for it treatment because of the lower risk of common side effects. Schulz-Ertner, D., and H. Tsujii. "Particle Radiation Therapy Using Proton and Heavier Ion Beams." Journal of Clinical Oncology 25.8 (2007): 953-64. Web. The authors explain how the physical advantages of particle beam therapy can only be properly exploited when it is possible to use multiple fields at the same level of complexity that is commonly used for modern photon treatments. Although gantries for proton therapy have been installed at several proton therapy facilities, carbon ion RT is still delivered with fixed beam lines. Much interest was generated when large companies became involved in the further technologic development of particle therapy and medical insurance companies included proton therapy into their services as a reimbursable treatment modality. They concluded, that Controlled clinical trials comparing particle therapy with modern photon RT are strongly needed. However, these trials must be planned very carefully and should also assess toxicity and cost parameters. Shippers, Jacobus M., and Antony J. Lomax. "Emerging Technologies in Proton Therapy." Acta Oncologica 50.6 (2011): 838-50. Web. The authors studied the new development in proton radiation technology. One of them the need to develop smaller cyclotrons, for treatment rooms and cost effectiveness. The need for better accuracy systems, ways to increase energy without affecting the patients. Studenski, Matthew T, and Ying Xiao. “Proton Therapy Dosimetry Using Positron Emission Tomography.” World Journal of Radiology 2.4 (2010): 135–142. PMC. Web. 28 Nov. 2015. The authors, want to explain the importance of knowing the location of the dose deposition (positron). This is difficult due to internal motion of patient organs, and the changing anatomy of the tumor overtime. The theory is that, as the protons enter the patient, they undergo inelastic collisions with atoms in tissues, which result in nuclear reactions producing positron emitters. The PET system can detect the annihilation photons produced in the patient and therefore the location of the proton beam can be established and then related to the patient’s anatomy. Pet imaging is found to be a good method for the determination the dose to the patient proton therapy. Teoh, M., C. H. Clark, K. Wood, S. Whitaker, and A. Nisbet. "Volumetric Modulated Arc Therapy: A Review of Current Literature and Clinical Use in Practice." The British Journal of Radiology BJR 84.1007 (2011): 967-96. Web. In this paper the authors reviewed the VMAT or Volumetric arc therapy irradiation, and it risk in a variety of cancers. This technic is a 360 angle photon therapy. The authors compare it with IMRT or intensity modulated radiation technology, they still found similarities one of them is the exit dose that potentially damage healthy tissue. Vaidya, Manushka, Kimberly M. Creach, Jennifer Frye, Farrokh Dehdashti, Jeffrey D. Bradley, and Issam El Naqa. "Combined PET/CT Image Characteristics for Radiotherapy Tumor Response in Lung Cancer." Radiotherapy and Oncology 102.2 (2012): 239-45. Web. The authors’ analyzed, positron emission tomography (PET) scan and a computed tomography, (CT) scan, to predict outcomes in treating small lung cancer tumors. One important part for treatment of cancer in radiotherapy is the accuracy of the bean in hitting the area. With PET/CAT scan this accuracy is better. Their studies found that the use of this scans would be helpful for treatment and prevention of increasing toxicity. Yoon, Myonggeun, Dong Ho Shin, Jinsung Kim, Jong Won Kim, Dae Woong Kim, Sung Yong Park, Se Byeong Lee, Joo Young Kim, Hyeon-Jin Park, Byung_Kiu Park, and Sang Hoon Shin. "Craniospinal Irradiation Techniques: A Dosimetric Comparison of Proton Beams with Standard and Advanced Photon Radiotherapy." International Journal of Radiation Oncology*Biology*Physics 81.3 (2011): 637-46. Web. The author studied the organs at risk versus the specific doses. Found that PBT (Proton Beam therapy) compared to photon technique. Finding, improvement in doses in PBT in regard lower organs at risks. Yu, J. B., P. R. Soulos, J. Herrin, L. D. Cramer, A. L. Potosky, K. B. Roberts, and C. P. Gross. "Proton versus Intensity-Modulated Radiotherapy for Prostate Cancer: Patterns of Care and Early Toxicity." JNCI Journal of the National Cancer Institute 105.1 (2012): 25-32. Web. The authors perform an investigation on the cost of PRT (Proton Radiotherapy) versus toxicity, in a twelve month period. They found PRT was significantly expensive and no difference in toxicity in patients receiving Medicare older than sixty-five years old (prostate cancer).