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The University of Texas MD Anderson Cancer Center

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Poster Poster Program
Assessing the Validity of Image-Based DVH Metrics for Y-90 Tare Dosimetry

Dose–volume histograms (DVHs) are widely used in external beam radiation therapy, but their applicability to Y-90 transarterial radioembolization (TARE) remains uncertain. In Y-90 TARE, absorbed dose maps are derived from post-therapy PET or bremsstrahlung SP...

Srinivas Cheenu Kappadath, PhD
Radiopharmaceuticals, Theranostics, and Nuclear Medicine
Poster Poster Program
Can Empirical Rbe Models Predict Variations In Intrinsic Radiosensitivity?

To assess the accuracy of empirical relative biological effectiveness (RBE) models in predicting variations in intrinsic radiosensitivity using a comprehensive dataset of clonogenic cell survival.

Mojtaba Hoseini-Ghahfarokhi, PhDGabriel O. Sawakuchi, PhDDavid B. Flint, PhD
Therapy Physics
Poster Poster Program
Clinical Validation of Open-Source Pylinac Platform for Gamma Analysis In Patient-Specific Quality Assurance

Open-source software offers a transparent and cost-effective alternative to commercial, patient-specific quality assurance (PSQA) systems; however, clinical validation remains essential. This study aims to validate open-source Pylinac (PL) based gamma analysi...

Andrew P. Soderstrom, MSBlaine Kealaula Granger, MSVindu Wathsala Kathriarachchi, PhDSandun Y. Jayarathna, PhDSoleil Hernandez, PhDMichael J. Choi, MS
Therapy Physics
Poster Poster Program
Feasibility of Collapsed Cone Convolution Dose Calculation Algorithm for Nanoparticle-Enhanced Radiotherapy: A Comparison with GEANT4 Monte Carlo Simulations

This study investigates the limitations of Collapsed Cone Convolution (CCC) dose calculation algorithm in accurately modeling dose perturbations in nanoparticle-enhanced radiotherapy for lung tumors. The feasibility of CCC is compared with a Monte Carlo (MC)...

Vindu Wathsala Kathriarachchi, PhDSandun Y. Jayarathna, PhDJared D. Ohrt, MS
Therapy Physics
Poster Poster Program
From Contour to Ideally Desired Dose Distribution to High Quality Deliverable Larynx SBRT Plan

Stereotactic body radiation therapy (SBRT) has been shown effective in treating early-stage laryngeal cancer. However, treatment planning is challenging due to its demand of steep dose falloffs and strict dose constraints, which introduce lengthened planning...

Anna Lee, MDDavid I Rosenthal, MDHe C. Wang, PhDCongjun WangWenhua CaoJack Phan, MD
Therapy Physics
Poster Poster Program
Reducing Near Miss Gantry Collisions from Reaching Treatment

To identify factors contributing to an increased trend in near miss gantry collisions and develop an effective mitigation program.

Jared D. Ohrt, MSPaige L. Nitsch, MSKevin E. Casey, MSStephanie Cacace, RT(T)Deborah L. Schofield, PhDJames Kanke, CMD
Therapy Physics
Poster Poster Program
Standardization and Automation of Quality Assurance Utilizing a Commercial Platform

The goal of this project is to standardize and automate the QA program of a multi-location radiation oncology practice. Our practice includes eleven linear accelerators, five CT scanners, and four HDR afterloaders, across four separate treatment centers.

Blaine Kealaula Granger, MSKevin E. Casey, MSJoseph D. Hodges, MSVindu Wathsala Kathriarachchi, PhDSoleil Hernandez, PhDAndrew P. Soderstrom, MS
Therapy Physics
Poster Poster Program
Time Feasibility of Upfront "Brachy-like" SBRT Using Adapt-to-Shape Workflow with 1.5T MR-Linac for Cervical Cancer Definitive Radiotherapy

To evaluate the feasibility and adapt-to-shape (ATS) workflow efficiency of a novel UPFRONT "Brachy-like" Stereotactic Body Radiation Therapy (SBRT) technique delivered via MR-LINAC. This upfront boost aims to deliver a steep-gradient high dose to a "Virtual-...

Ann H. Klopp, MD, PhDYusung Kim, PhDJingwei Duan, PhDTissana Prasartseree, MDEun Young Han, PhDJinzhong Yang, PhD
Therapy Physics
Paper Proffered Program
Large-Scale Hybrid Reconstruction of Breast Dose In Childhood Cancer Survivors Using Development Stage-Specific Pediatric Breast Models

Organ‑level breast dosimetry is essential for developing robust dose-response models of subsequent breast cancer (SBC) risk in female childhood cancer survivors. Historically, epidemiologic studies relied on surrogate metrics such as prescription dose due to...

Kristy K. Brock, PhDArnold C. Paulino, MDTaylor MeyersCaleb O'Connor, MSRebecca M. Howell, PhDEman Showkatian
Therapy Physics
Paper Proffered Program
AI-Powered Radiotherapy for Resource-Limited Settings: Advancing Cervical and Prostate Cancer Treatment Planning with the Radiation Planning Assistant

Radiotherapy treatment planning is a resource-intensive process characterized by multiple manual steps that can contribute to treatment delays and inter-observer variability. The Radiation Planning Assistant (RPA) is a web-based platform designed to deliver a...

David FuentesFalk Poenisch, PhDChristine V. Chung, MS, CMDShalin Jyotindra Shah, MDJulianne M. Pollard-Larkin, PhDQuyen Nguyen, MD
Therapy Physics
Session Invited Program
I Screwed up! Admitting My Mistake and Learning from It.

Medical physicists go through several failures in their career path, from student life to clinical or research training to being a staff of faculty. The mistakes/screw ups are learning experience for the individual or their local team but can also be a teachi...

Hana Baroudi, PhDSurendra Prajapati, PhD
Education
Paper Proffered Program
Characterizing the Breast Fascial System Using Cryo-Fluorescence Tomography and MRI

Current anatomical and surgical literature provides only limited descriptions of the ligaments and connective tissue within the breast fascial system. Much of what is known comes from cadaveric dissections, a method that inherently disrupts the native archite...

Erin P Snoddy, BAKristy K. Brock, PhDAugustino Scorzo, PhDR. Jason Stafford, PhDCaleb O'Connor, MSGregory P Reece, MD
Diagnostic and Interventional Radiology Physics
Poster Poster Program
30 Years of End-to-End Dosimetry Audits: The Accuracy of Advanced Radiotherapy

IROC and Radiation Quality Assurance Lab monitor more than 2500 radiotherapy facilities worldwide to ensure accurate and consistent radiotherapy delivery. This study reviews the 30 year history of the anthropomorphic phantom program for advanced photon therap...

Nadia HernandezStephen F. Kry, PhDJessica R. Lowenstein, MSAndrea Molineu, MSPaige A. Taylor, PhD, MSPaola E. Alvarez, MS
Therapy Physics
Poster Poster Program
A Mechanistic Evaluation of Diffusion MRI for Glioma Cellularity

Cellular density (CD) in gliomas is of great clinical importance to guide treatment. A commonly used approach for estimating CD is based on imaging, by using Apparent Diffusion Coefficient (ADC) measurements derived from diffusion MRI. Cell membranes hinderin...

Max Wintermark, MDDawid SchellingerhoutRachel GlennKen-Pin Hwang, PhDDavid Fuentes
Diagnostic and Interventional Radiology Physics
Poster Poster Program
A Two-Year Retrospective of a Quantitative SPECT Quality Control Program

Nuclear medicine is undergoing a paradigm shift to produce images in units of activity concentration, analogous to PET imaging. Quantitative SPECT imaging requires system calibrations. In 2024, we formally incorporated routine quantitative calibrations and ve...

Benjamin P. Lopez, PhDRachel Barbee
Radiopharmaceuticals, Theranostics, and Nuclear Medicine
Poster Poster Program
Advanced Mobile-Enabled CT Quality Control Server

To develop an automated CT quality control (QC) query system that retrieves, analyzes, and trends QC data and enables image artifact review across iPhone, iPad, and Computer platforms for 71 GE and Siemens CT scanners spanning nuclear medicine, interventional...

Tinsu Pan, PhDShanli Ding, MS
Diagnostic and Interventional Radiology Physics
Poster Poster Program
Automated Analysis Tool for Annual Beam-Scanning QA

Annual linac beam scanning QA is time-intensive and often relies on manual data handling, spreadsheet analysis, and site-specific workflows. These steps can be tedious and inconsistent, even when the underlying measurements are solid. The goal of this work wa...

Vindu Wathsala Kathriarachchi, PhDSoleil Hernandez, PhDChristopher L. Nelson, PhDBlaine Kealaula Granger, MS
Professional
Poster Poster Program
Automated Image Analysis and Surgical Planning for High-Precision Oncologic Orthopaedic Surgery

Accurate planning of pelvic fixation is critical for complex orthopaedic and oncologic surgeries, yet current automated tools focus primarily on normal anatomy and do not account for patient-specific variations caused by tumors. We aim to develop an automated...

Shalin Shreyaskumar PatelKristy K. Brock, PhDKari J. Brewer Savannah, PhDKarthik Tappa, PhDMais Al Tae, MD, PhDCaleb O'Connor, MS
Diagnostic and Interventional Radiology Physics
Poster Poster Program
Automatic CT Quality Assurance Artifact Detection Using Residual-Enhanced Teacher–Student Learning Artificial Intelligence

Routine CT quality assurance (QA) relies on visual inspection, where subtle non-uniformities can be difficult to identify consistently across scanners and readers. We developed an efficient, interpretable artificial intelligence-assisted tool that detects and...

Rachel BarbeeTinsu Pan, PhDShanli Ding, MSFrank F. Dong, PhDOsama R. Mawlawi, PhD
Diagnostic and Interventional Radiology Physics
Poster Poster Program
Beyond Global Metrics: Unmasking Clinically Meaningful Deviations Using a Novel Local Metric In Regression Testing of Deployed Auto-Segmentation Models

Deep-learning (DL) auto-segmentation is routinely used clinically, yet domain shift and vendor model upgrades can change behavior in non-intuitive ways. We present a regression-testing framework to commission upgraded commercial auto-contouring models and to...

Jinzhong Yang, PhDPeter Balter, PhDJared D. Ohrt, MSSong Gao, PhDLaurence Edward Court, PhDYao Zhao
Therapy Physics
Poster Poster Program
Case Report of a Clinically Significant Lu-177 Extravasation: Rapid Clearance Kinetics and Dosimetry Using Quantitative SPECT/CT

Extravasation during radiopharmaceutical therapy can retain a substantial fraction of administered activity at the injection site, creating high local absorbed doses and potential tissue injury while reducing delivery to target tumors. For Lu-177 therapies, t...

Juan Camilo Ocampo RamosOsama R. Mawlawi, PhDSandra Ramirez, CHPBenjamin P. Lopez, PhDRachel Barbee
Radiopharmaceuticals, Theranostics, and Nuclear Medicine
Poster Poster Program
Commissioning and Early Clinical Experience with a Preplan-Based MRI-Assisted Radiosurgery (MARS) HDR Prostate Brachytherapy Workflow

Preplanning is a standard practice for MRI-Assisted Radiosurgery (MARS) LDR prostate brachytherapy; however, HDR procedures often rely on generic needle patterns rather than individualized preplans. Implementing a patient-specific HDR preplan provides an oppo...

Sarath Vijayan, PhDSurendra Prajapati, PhDZhiqian H. Yu, PhDSteven FrankRajat J. Kudchadker, PhDHana Baroudi, PhD
Therapy Physics
Poster Poster Program
Comprehensive Characterization of Beam Current Transformers for the Performance Evaluation of Flash Linacs Producing Ultra-High Dose Rates for Flash Radiotherapy

The beam output of linacs producing ultra-high dose rates for FLASH radiotherapy (FLASH linacs) can exhibit significant and sometimes unpredictable variations in response to beam parameter adjustments, differing even among identical models. This study aims to...

Luke Connell, MSNolan M. EsplenAlan Eduardo Lopez Hernandez
Therapy Physics
Poster Poster Program
Dosimetric Impact of Fine Dose Grid Calculations In Leksell Gamma Knife SRS

A steep dose gradient between the target and surrounding normal brain is the hallmark of Leksell Gamma Knife stereotactic radiosurgery (LGK-SRS). However, the impact of fine-dose grid calculations on dose metrics and prescription dose spill into normal brain...

Tina Marie Briere, PhDDennis S. Mackin, PhDParmeswaran Diagaradjane, PhDMuhammad shafiq Ul Hassan, PhDYana Zlateva, PhD, MS
Therapy Physics
Poster Poster Program
Enhanced Brain Structure–Function Coupling In the Frontoparietal Control Network of Chronic Tobacco Smokers

This cross-sectional study quantified structural–functional (SC-FC) coupling in chronic tobacco smokers versus non-smokers using multimodal MR imaging, testing whether smoking is associated with altered correspondence between white-matter architecture and res...

Francesco Versace, PhDBrian A. Taylor, PhDHumberto Monsivais, PhD
Diagnostic and Interventional Radiology Physics
Poster Poster Program
Evaluation of Needle Displacement during Prostate HDR Brachytherapy Implant and Treatment

Prostate and perineum edema are known issues for prostate brachytherapy. It could significantly impact the dosimetry for prostate HDR implants with needle displacement since there is a 2-3 hour interval between implant and treatment. The purpose of this proje...

Zhiqian H. Yu, PhDOsama Mohamad, MDComron Hassanzadeh, MDZiyu FuMichael K Rooney, MDSarath Vijayan, PhD
Therapy Physics
Poster Poster Program
Feasibility of a General-Purpose Deep Learning Dose Engine: A Multi-Site Validation Study

The primary objective of this study was to develop a generalized deep learning-based dose calculation engine capable of accurate, site-independent dose prediction. By utilizing a beamlet-based input strategy, we aimed to establish a computationally consistent...

Dong Joo Rhee, PhDKyuhak Oh, PhDXin Wang, PhDJinzhong Yang, PhDErgys D. Subashi, PhDRaphael Douglas
Therapy Physics
Poster Poster Program
Impact of Polynomial Detrending on Weisskoff Analysis for Radius of Correlation Estimation

Weisskoff analysis assesses temporal stability of echo-planar imaging (EPI) in functional MRI (fMRI) by comparing how the temporal coefficient of variation (CoV) scales with ROI size relative to uncorrelated noise (e.g. ideal scaling) to assess unwanted inter...

Brian A. Taylor, PhDHo-Ling Anthony Liu, PhD
Diagnostic and Interventional Radiology Physics
Poster Poster Program
Improving the Accuracy and Detectability of HafO₂ Nanoparticles

High–atomic number hafnium oxide (HafO₂) nanoparticles have demonstrated potential as radio-enhancers, but their detectability using standard CT calibration is limited. This work aims to (1) establish CT calibration curves for HafO₂ solutions of known concent...

Sabrina Campelo, PhD, MSSandun Y. Jayarathna, PhDRamaswamy Sadagopan, MS
Therapy Physics
Poster Poster Program
Integration of Technology and Biology for Precision and Personalized Radiation Oncology

There are many recent advances in linear energy transfer (LET) optimized proton therapy planning, radiation biology, immune therapy, and molecular imaging with the potential to improve the efficacy of radiation oncology. The aim of this talk is to present fea...

Lawrence F. Bronk, PhDYuting Li, PhDSherif M. GadoueNarayan Sahoo, PhDMing Yang, PhDFahed Alsanea, PhD
Therapy Physics
Poster Poster Program
International Survey Results on Current Adaptive Radiotherapy Implementation

While adaptive radiotherapy (ART) is increasingly being adopted into clinical practice, treatment planning, delivery, dose reporting, and clinical trial QA have not yet been standardized for national clinical trials, leaving a gap in ensuring consistent and p...

Stephen F. Kry, PhDRuitao Lin, PhDThomas J. Whitaker, PhDPaige A. Taylor, PhD, MS
Therapy Physics