Childhood Cancer Data Initiative Annual Symposium (Abstract Registration): Submission #50
Submission information
Submission Number: 50
Submission ID: 150199
Submission UUID: 709c95da-fc6e-4f44-b920-d31f6260955b
Submission URI: /nci/ccdisymposium/abstract
Created: Fri, 08/29/2025 - 09:18
Completed: Fri, 08/29/2025 - 09:30
Changed: Fri, 08/29/2025 - 09:30
Remote IP address: 10.208.28.51
Submitted by: Anonymous
Language: English
Is draft: No
serial: '50'
sid: '150199'
uuid: 709c95da-fc6e-4f44-b920-d31f6260955b
uri: /nci/ccdisymposium/abstract
created: '1756473513'
completed: '1756474201'
changed: '1756474201'
in_draft: '0'
current_page: ''
remote_addr: 10.208.28.51
uid: '0'
langcode: en
webform_id: ccdi_symposium_abstract
entity_type: node
entity_id: '2139'
locked: '0'
sticky: '0'
notes: ''
metatag: meta
data:
authors_:
- add_author_degree: Ph.D
add_author_first_name: Jungwook
add_author_last_name: Shin
add_author_middle: ''
add_author_organization: 'National Institutes of Health/National Cancer Institute'
- add_author_degree: Ph.D
add_author_first_name: 'Matthew '
add_author_last_name: Mille
add_author_middle: M
add_author_organization: 'National Institutes of Health/National Cancer Institute'
- add_author_degree: BA
add_author_first_name: 'Caroline '
add_author_last_name: Esposito
add_author_middle: ''
add_author_organization: 'National Institutes of Health/National Cancer Institute'
- add_author_degree: Ph.D
add_author_first_name: Todd
add_author_last_name: Gibson
add_author_middle: M
add_author_organization: 'National Institutes of Health/National Cancer Institute'
- add_author_degree: Ph.D
add_author_first_name: Keith
add_author_last_name: Griffin
add_author_middle: T
add_author_organization: 'National Institutes of Health/National Cancer Institute'
- add_author_degree: Ph.D
add_author_first_name: 'Jae Won'
add_author_last_name: Jung
add_author_middle: ''
add_author_organization: 'East Carolina University'
- add_author_degree: Ph.D
add_author_first_name: Choonik
add_author_last_name: Lee
add_author_middle: ''
add_author_organization: 'University of Michigan'
- add_author_degree: Ph.D
add_author_first_name: Sergio
add_author_last_name: Morato
add_author_middle: ''
add_author_organization: 'National Institutes of Health/National Cancer Institute'
- add_author_degree: M.D
add_author_first_name: Torunn
add_author_last_name: Yock
add_author_middle: I
add_author_organization: 'Massachusetts General Hospital and Harvard Medical School'
- add_author_degree: D.Phill
add_author_first_name: Amy
add_author_last_name: 'de González'
add_author_middle: Berrington
add_author_organization: 'Institute for Cancer Research, UK'
- add_author_degree: Ph.D
add_author_first_name: Choonsik
add_author_last_name: Lee
add_author_middle: ''
add_author_organization: 'National Institutes of Health/National Cancer Institute'
- add_author_degree: Ph.D
add_author_first_name: Cari
add_author_last_name: Kitahara
add_author_middle: M
add_author_organization: 'National Institutes of Health/National Cancer Institute'
abstract: 'The Pediatric Proton/Photon Therapy Comparison (PPTC) cohort study is the first large-scale study comparing the risk of second cancers in children treated with proton versus photon radiotherapy. The study aims to collect treatment records from 17 hospitals, targeting 10,000 patients for each modality. Because the cohort data are both large and distributed across multiple databases, we have deployed a cloud-based system to streamline data collection, monitoring, validation, and transfer to a high-performance computing (HPC) cluster. A total of 7,000 patients have been collected so far in an industry-standard medical image format (DICOM), including radiation field parameters, planning computed tomography (CT) images with clinician-delineated anatomical structures, and dose distributions from the treatment planning system (TPS). Another critical component is the development of scalable methods for estimating individualized, organ-level radiation dose for epidemiological dose-response analyses. Planning CT scans typically cover only the treatment region, often omitting organs of interest for late effects research. To address this, we developed a method to extend partial-body CT images using a library built from patient anatomies. In addition, due to variability and inconsistency in organ delineation and naming, we utilize a deep learning–based automatic segmentation tool to standardize organ delineation. Finally, we address limitations of TPS dose estimates by performing advanced Monte Carlo radiation transport simulations of both modalities. These simulations integrate patient data and detailed physics modeling and are efficiently executed on the NIH HPC cluster. This poster presents our efforts to implement a state-of-the-art dosimetry platform—from data collection to individualized dose calculations.'
abstract_title_: 'Radiation dosimetry for the first large-scale systemic comparison of the risk of second cancers in children treated with proton versus photon therapy'
email_address_: jungwook.shin@nih.gov
institution_: 'National Institutes of Health/National Cancer Institute '
presenting_author_: 'Jungwook Shin on behalf of the Pediatric Proton/Photon Therapy Comparison cohort study consortium'