RT Journal Article T1 Direct proton range verification using oxygen-18 enriched water as a contrast agent A1 España Palomares, Samuel A1 Sánchez Parcerisa, Daniel A1 Ibáñez García, Paula Beatriz A1 Sánchez Tembleque Verbo, Víctor A1 Udías Moinelo, José Manuel A1 Valladolid Onecha, Víctor A1 Gutiérrez Uzquiza, Álvaro A1 Bäcker, Claus Maximilian A1 Bäumer, Christian A1 Herrmann, Ken A1 Fragoso Costa, Pedro A1 Timmermann, Beate A1 Fraile Prieto, Luis Mario AB We propose the use of O-enriched water as a suitable contrast agent for potential in-vivo range verification in proton therapy. The low energy production threshold of 18F (2.6 MeV, proton range in water of 115 μm) leads to tissue activation in very close proximity to the maximum dose deposition, facilitating accurate range verification with off-line PET imaging. This idea has been explored in a phantom experiment. A 3D-printed phantom containing inserts with 18Oenriched water was irradiated with a 100-MeV, 8 × 8 cm2 proton beam, and the induced activity was measured with a small-animal PET-CT 30 min after irradiation. The images obtained were compared against Monte Carlo simulation using TOPAS. Good agreement was observed between reconstructed and simulated activity profiles (within 40% for specific 18F activity), with excellent spatial match to the simulated dose deposition. Because of the long half-life of 18F, the specific activity of the contrast agent could be separated and was clearly observed for more than 2 h after irradiation. Activity distribution maps were used to determine the position of the Bragg peak within 2 mm for three different regions of interest. These results show the potential of 18O-enriched water as a contrast agent in proton therapy. PB Elsevier SN 0969-806X YR 2021 FD 2021-02-08 LK https://hdl.handle.net/20.500.14352/6831 UL https://hdl.handle.net/20.500.14352/6831 LA eng NO España Palomares, S., Sánchez Parcerisa, D., Ibáñez García, P. B. et al. «Direct Proton Range Verification Using Oxygen-18 Enriched Water as a Contrast Agent». Radiation Physics and Chemistry, vol. 182, mayo de 2021, p. 109385. DOI.org (Crossref), https://doi.org/10.1016/j.radphyschem.2021.109385. NO CRUE-CSIC (Acuerdos Transformativos 2021) NO Unión Europea NO Ministerio de Ciencia, Innovación y Universidades (España) NO Comunidad de Madrid NO Comunidad de Madrid/Fondo Europeo de Desarrollo Regional NO Centro de Excelencia Severo Ochoa NO Universidad Complutense de Madrid DS Docta Complutense RD 11 abr 2025