Justus D Adamson | Scholars@Duke

Justus D Adamson
Associate Professor of Radiation Oncology

Radiosurgery and SBRT
Image Guided Radiation Therapy (IGRT)
Quality Assurance (QA) in Radiation Therapy
3D Dosimetry

Current Appointments & Affiliations

Associate Professor of Radiation Oncology, Radiation Oncology, Clinical Science Departments 2017
Member of the Duke Cancer Institute, Duke Cancer Institute, Institutes and Centers 2017

Contact Information

Radiation Physics Red Zone Bas, Box 3295, Durham, NC 27710
justus.adamson@duke.edu (919) 660-2180

Background
Education, Training, & Certifications
- Postdoctoral Associate/Medical Physicist Residency Program, Radiation Oncology Physics Division, Duke University School of Medicine 2009 - 2011
- Research Assistant, William Beaumont Hospital, Royal Oak 2006 - 2009
- Ph.D., Wayne State University 2009
Duke Appointment History
- Assistant Professor of Radiation Oncology, Radiation Oncology, Clinical Science Departments 2011 - 2017
Research
Selected Grants
- MC Independent Dose Calculation for Single Isocenter Multi-target Stereotactic Radiosurgery awarded by Radialogica 2020 - 2021
External Relationships
- ClearSight RT LLC
- Clearsight RT LLC
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Giles, William M., Edward T. Cullom, Obed A-O Laryea, Ahmad Nobah, Victor G. L. Alves, Fang-Fang Yin, John P. Kirkpatrick, and Justus D. Adamson. “Radiosurgery treatment planning using conformal arc informed volumetric modulated arc therapy.” Med Dosim, August 14, 2020. https://doi.org/10.1016/j.meddos.2020.06.001.
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  - Moravan, Michael J., Peter E. Fecci, Carey K. Anders, Jeffrey M. Clarke, April K. S. Salama, Justus D. Adamson, Scott R. Floyd, et al. “Current multidisciplinary management of brain metastases.” Cancer 126, no. 7 (April 1, 2020): 1390–1406. https://doi.org/10.1002/cncr.32714.
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  - Jain, Sagarika, Suk W. Yoon, Xiaofeng Zhang, Justus Adamson, Scott Floyd, and Mark Oldham. “Evaluation of UVA emission from x-ray megavoltage-irradiated tissues and phantoms.” Phys Med Biol 64, no. 22 (November 21, 2019): 225017. https://doi.org/10.1088/1361-6560/ab4333.
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  - Adamson, Justus, Jaclyn Carroll, Michael Trager, Suk Whan Yoon, Jacob Kodra, Evan Maynard, Michelle Hilts, Mark Oldham, and Andrew Jirasek. “Delivered Dose Distribution Visualized Directly With Onboard kV-CBCT: Proof of Principle.” Int J Radiat Oncol Biol Phys 103, no. 5 (April 1, 2019): 1271–79. https://doi.org/10.1016/j.ijrobp.2018.12.023.
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  - Abisheva, Zhanerke, Scott R. Floyd, Joseph K. Salama, John Kirkpatrick, Fang-Fang Yin, Michael J. Moravan, William Giles, and Justus Adamson. “The effect of MLC leaf width in single-isocenter multi-target radiosurgery with volumetric modulated arc therapy.” J Radiosurg Sbrt 6, no. 2 (2019): 131–38.
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  - Natarajan, Brahma D., Christel N. Rushing, Michael A. Cummings, Jessica Ms Jutzy, Kingshuk R. Choudhury, Michael J. Moravan, Peter E. Fecci, et al. “Predicting intracranial progression following stereotactic radiosurgery for brain metastases: Implications for post SRS imaging.” J Radiosurg Sbrt 6, no. 3 (2019): 179–87.
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  - Shrock, Zachary, Suk W. Yoon, Rathnayaka Gunasingha, Mark Oldham, and Justus Adamson. “Technical Note: On maximizing Cherenkov emissions from medical linear accelerators.” Med Phys 45, no. 7 (July 2018): 3315–20. https://doi.org/10.1002/mp.12927.
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  - Oldham, Mark, Suk W. Yoon, Justus Adamson, Xiaofeng Zhang, Peter Fecci, and Mark Dewhirst. “In Reply to Pratx and Kapp.” Int J Radiat Oncol Biol Phys 101, no. 2 (June 1, 2018): 495–96. https://doi.org/10.1016/j.ijrobp.2018.02.018.
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  - Yoon, Suk W., Vadim Tsvankin, Zachary Shrock, Boyu Meng, Xiaofeng Zhang, Mark Dewhirst, Peter Fecci, Justus Adamson, and Mark Oldham. “Enhancing Radiation Therapy Through Cherenkov Light-Activated Phototherapy.” Int J Radiat Oncol Biol Phys 100, no. 3 (March 1, 2018): 794–801. https://doi.org/10.1016/j.ijrobp.2017.11.013.
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  - Adamson, Justus D., Tabitha Cooney, Farokh Demehri, Andrew Stalnecker, Debra Georgas, Fang-Fang Yin, and John Kirkpatrick. “Characterization of Water-Clear Polymeric Gels for Use as Radiotherapy Bolus.” Technol Cancer Res Treat 16, no. 6 (December 2017): 923–29. https://doi.org/10.1177/1533034617710579.
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  - Godfrey, Devon J., Bhavik N. Patel, Justus D. Adamson, Ergys Subashi, Joseph K. Salama, and Manisha Palta. “Triphasic contrast enhanced CT simulation with bolus tracking for pancreas SBRT target delineation.” Pract Radiat Oncol 7, no. 6 (November 2017): e489–97. https://doi.org/10.1016/j.prro.2017.04.008.
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  - Limon, Dror, Frances McSherry, James Herndon, John Sampson, Peter Fecci, Justus Adamson, Zhiheng Wang, et al. “Single fraction stereotactic radiosurgery for multiple brain metastases.” Adv Radiat Oncol 2, no. 4 (October 2017): 555–63. https://doi.org/10.1016/j.adro.2017.09.002.
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  - Adamson, Justus, Sonja Dieterich, and Yi Rong. “Maximizing the cost benefit of physics residency interview.” J Appl Clin Med Phys 18, no. 2 (March 2017): 5–8. https://doi.org/10.1002/acm2.12031.
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  - Faught, Austin M., Fang-Fang Yin, and Justus Adamson. “An in-house protocol for improved flood field calibration of TrueBeam FFF cine imaging.” J Appl Clin Med Phys 18, no. 1 (January 2017): 265–68. https://doi.org/10.1002/acm2.12023.
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  - Faught, Austin M., Michael Trager, Fang-Fang Yin, John Kirkpatrick, and Justus Adamson. “Re-examining TG-142 recommendations in light of modern techniques for linear accelerator based radiosurgery.” Med Phys 43, no. 10 (October 2016): 5437. https://doi.org/10.1118/1.4962471.
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  - Kelsey, Chris R., Jared D. Christensen, Junzo P. Chino, Justus Adamson, Neal E. Ready, and Bradford A. Perez. “Adaptive planning using positron emission tomography for locally advanced lung cancer: A feasibility study.” Pract Radiat Oncol 6, no. 2 (March 2016): 96–104. https://doi.org/10.1016/j.prro.2015.10.009.
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  - McVicker, Drew, Fang-Fang Yin, and Justus D. Adamson. “On the sensitivity of TG-119 and IROC credentialing to TPS commissioning errors.” J Appl Clin Med Phys 17, no. 1 (January 8, 2016): 34–48. https://doi.org/10.1120/jacmp.v17i1.5452.
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  - McVicker, Drew, Fang-Fang Yin, and Justus D. Adamson. “On the sensitivity of TG-119 and IROC credentialing to TPS commissioning errors.” J Appl Clin Med Phys 17, no. 1 (January 2016): 34–48. https://doi.org/10.1120/jacmp.v17i1.5452.
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  - Oldham, Mark, Paul Yoon, Zak Fathi, Wayne F. Beyer, Justus Adamson, Leihua Liu, David Alcorta, et al. “X-Ray Psoralen Activated Cancer Therapy (X-PACT).” Plos One 11, no. 9 (2016): e0162078. https://doi.org/10.1371/journal.pone.0162078.
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  - Stanhope, Carl, Q Jackie Wu, Lulin Yuan, Jianfei Liu, Rodney Hood, Fang-Fang Yin, and Justus Adamson. “Utilizing knowledge from prior plans in the evaluation of quality assurance.” Phys Med Biol 60, no. 12 (June 21, 2015): 4873–91. https://doi.org/10.1088/0031-9155/60/12/4873.
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  - Cramer, C. K., S. W. Yoon, M. Reinsvold, K. M. Joo, H. Norris, R. C. Hood, J. D. Adamson, R. C. Klein, D. G. Kirsch, and M. Oldham. “Treatment Planning and Delivery of Whole Brain Irradiation with Hippocampal Avoidance in Rats.” Plos One 10, no. 12 (2015): e0143208. https://doi.org/10.1371/journal.pone.0143208.
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  - Adamson, Justus, Yun Yang, Titania Juang, Kelsey Chisholm, Leith Rankine, John Adamovics, Fang Fang Yin, and Mark Oldham. “On the feasibility of polyurethane based 3D dosimeters with optical CT for dosimetric verification of low energy photon brachytherapy seeds.” Med Phys 41, no. 7 (July 2014): 071705. https://doi.org/10.1118/1.4883779.
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  - Chang, Zheng, John P. Kirkpatrick, Zhiheng Wang, Jing Cai, Justus Adamson, and Fang-Fang Yin. “Evaluating radiation-induced white matter changes in patients treated with stereotactic radiosurgery using diffusion tensor imaging: a pilot study.” Technol Cancer Res Treat 13, no. 1 (February 2014): 21–28. https://doi.org/10.7785/tcrt.2012.500358.
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  - Liu, Bo, Justus Adamson, Anna Rodrigues, Fugen Zhou, Fang-fang Yin, and Qiuwen Wu. “A novel technique for VMAT QA with EPID in cine mode on a Varian TrueBeam linac.” Phys Med Biol 58, no. 19 (October 7, 2013): 6683–6700. https://doi.org/10.1088/0031-9155/58/19/6683.
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  - Liu, B., J. Adamson, A. Rodrigues, F. Zhou, F. Yin, and Q. Wu. “WE-G-108-08: A Novel Technique for VMAT QA with EPID in Cine Mode On Varian TrueBeam.” Med Phys 40, no. 6Part30 (June 2013): 502. https://doi.org/10.1118/1.4815632.
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  - Mitchell, A., and J. Adamson. “WE-G-108-06: Evaluating Pre-Treatment IMRT & VMAT QA Techniques Quantitatively Using Receiver Operating Characteristic (ROC) Analysis.” Med Phys 40, no. 6Part30 (June 2013): 502. https://doi.org/10.1118/1.4815630.
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  - Yang, Y., M. Oldham, J. Adamovics, and J. Adamson. “SU-E-T-353: Feasibility of 3D Dosimetry for Prostate LDR: Monte Carlo Simulations of Pd-103,I-125, and Cs-131 Seeds in Deformable PRESAGE.” Med Phys 40, no. 6Part16 (June 2013): 285. https://doi.org/10.1118/1.4814787.
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  - Chang, Zheng, Qiuwen Wu, Justus Adamson, Lei Ren, James Bowsher, Hui Yan, Andrew Thomas, and Fang-Fang Yin. “Commissioning and dosimetric characteristics of TrueBeam system: composite data of three TrueBeam machines.” Med Phys 39, no. 11 (November 2012): 6981–7018. https://doi.org/10.1118/1.4762682.
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  - Adamson, Justus, and Qiuwen Wu. “Independent verification of gantry angle for pre-treatment VMAT QA using EPID.” Phys Med Biol 57, no. 20 (October 21, 2012): 6587–6600. https://doi.org/10.1088/0031-9155/57/20/6587.
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  - Chang, Zheng, James Bowsher, Jing Cai, Sua Yoo, Zhiheng Wang, Justus Adamson, Lei Ren, and Fang-Fang Yin. “Imaging system QA of a medical accelerator, Novalis Tx, for IGRT per TG 142: our 1 year experience.” J Appl Clin Med Phys 13, no. 4 (July 5, 2012): 3754. https://doi.org/10.1120/jacmp.v13i4.3754.
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  - Adamson, Justus, Joseph Newton, Yun Yang, Beverly Steffey, Jing Cai, John Adamovics, Mark Oldham, Junzo Chino, and Oana Craciunescu. “Commissioning a CT-compatible LDR tandem and ovoid applicator using Monte Carlo calculation and 3D dosimetry.” Med Phys 39, no. 7Part1 (July 2012): 4515–23. https://doi.org/10.1118/1.4730501.
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  - Adamson, J., J. Newton, B. Steffey, J. Cai, J. Adamovics, M. Oldham, J. Chino, and O. Craciunescu. “SU-D-213AB-05: Commissioning a CT Compatible LDR T&O Applicator Using Analytical Calculation with ID and 3D Dosimetry.” Med Phys 39, no. 6Part3 (June 2012): 3612. https://doi.org/10.1118/1.4734665.
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  - Chang, Z., Q. Wu, J. Adamson, L. Ren, J. Bowsher, H. Yan, A. Thomas, and F. Yin. “SU-E-T-104: Commissioning and Dosimetric Characteristics of TrueBeam System: Composite Data of Three TrueBeam Machines.” Med Phys 39, no. 6Part11 (June 2012): 3726. https://doi.org/10.1118/1.4735162.
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  - Chang, Z., J. Bowsher, J. Cai, S. Yoo, Z. Wang, J. Adamson, L. Ren, and F. F. Yin. “Imaging system QA of a medical accelerator, Novalis Tx, for IGRT per TG 142: Our 1 year experience.” Journal of Applied Clinical Medical Physics 13, no. 4 (January 1, 2012): 113–40. https://doi.org/10.1120/jacmp.v13i4.3754.
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  - Palta, Manisha, Sua Yoo, Justus D. Adamson, Leonard R. Prosnitz, and Janet K. Horton. “Preoperative single fraction partial breast radiotherapy for early-stage breast cancer.” Int J Radiat Oncol Biol Phys 82, no. 1 (January 1, 2012): 37–42. https://doi.org/10.1016/j.ijrobp.2010.09.041.
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  - Adamson, Justus, Tingliang Zhuang, and Fang-Fang Yin. “Contour based respiratory motion analysis for free breathing CT.” Comput Biol Med 41, no. 10 (October 2011): 908–15. https://doi.org/10.1016/j.compbiomed.2011.08.002.
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  - Adamson, Justus, Qiuwen Wu, and Di Yan. “Dosimetric effect of intrafraction motion and residual setup error for hypofractionated prostate intensity-modulated radiotherapy with online cone beam computed tomography image guidance.” Int J Radiat Oncol Biol Phys 80, no. 2 (June 1, 2011): 453–61. https://doi.org/10.1016/j.ijrobp.2010.02.033.
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  - Adamson, Justus, and Qiuwen Wu. “Prostate intrafraction motion assessed by simultaneous kilovoltage fluoroscopy at megavoltage delivery I: clinical observations and pattern analysis.” Int J Radiat Oncol Biol Phys 78, no. 5 (December 1, 2010): 1563–70. https://doi.org/10.1016/j.ijrobp.2009.09.027.
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  - Adamson, Justus, and Qiuwen Wu. “Prostate intrafraction motion assessed by simultaneous kV fluoroscopy at MV delivery II: adaptive strategies.” Int J Radiat Oncol Biol Phys 78, no. 5 (December 1, 2010): 1323–30. https://doi.org/10.1016/j.ijrobp.2009.09.079.
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  - Adamson, Justus, Zheng Chang, Zhiheng Wang, Fang-Fang Yin, and Jing Cai. “Maximum intensity projection (MIP) imaging using slice-stacking MRIa).” Med Phys 37, no. 11 (November 2010): 5914–20. https://doi.org/10.1118/1.3503850.
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  - Adamson, Justus, and Qiuwen Wu. “Inferences about prostate intrafraction motion from pre- and posttreatment volumetric imaging.” Int J Radiat Oncol Biol Phys 75, no. 1 (September 1, 2009): 260–67. https://doi.org/10.1016/j.ijrobp.2009.03.007.
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  - Adamson, Justus, and Qiuwen Wu. “Optimizing monoscopic kV fluoro acquisition for prostate intrafraction motion evaluation.” Phys Med Biol 54, no. 1 (January 7, 2009): 117–33. https://doi.org/10.1088/0031-9155/54/1/008.
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  - Adamson, Justus, and Qiuwen Wu. “Prostate intrafraction motion evaluation using kV fluoroscopy during treatment delivery: a feasibility and accuracy study.” Med Phys 35, no. 5 (May 2008): 1793–1806. https://doi.org/10.1118/1.2899998.
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  - Adamson, J., and Q. wu. “WE‐E‐M100F‐07: Prostate Intrafraction Motion Measurement Using KV Fluoroscopy During Treatment Delivery.” Medical Physics 34, no. 6 (January 1, 2007): 2608–9. https://doi.org/10.1118/1.2761589.
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  - Greenwood, M. S., J. D. Adamson, and J. A. Bamberger. “Long-path measurements of ultrasonic attenuation and velocity for very dilute slurries and liquids and detection of contaminates.” Ultrasonics 44 Suppl 1 (December 22, 2006): e461–66. https://doi.org/10.1016/j.ultras.2006.05.024.
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  - Greenwood, Margaret S., Justus D. Adamson, and Leonard J. Bond. “Measurement of the viscosity-density product using multiple reflections of ultrasonic shear horizontal waves.” Ultrasonics 44 Suppl 1 (December 22, 2006): e1031–36. https://doi.org/10.1016/j.ultras.2006.05.093.
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  - Greenwood, M. S., J. D. Adamson, and L. J. Bond. “Measurement of the viscosity-density product using a quartz wedge.” Aip Conference Proceedings 760 (April 9, 2005): 1690–97. https://doi.org/10.1063/1.1916874.
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  - Morrison, Jay, Rodney Hood, Fang-Fang Yin, Joseph K. Salama, John Kirkpatrick, and Justus Adamson. “Is a single isocenter sufficient for volumetric modulated arc therapy radiosurgery when multiple itracranial metastases are spatially dispersed?” Med Dosim 41, no. 4 (n.d.): 285–89. https://doi.org/10.1016/j.meddos.2016.06.007.
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- Conference Papers
  - Adamson, J., J. Carroll, M. Trager, P. Yoon, J. Kodra, F. F. Yin, E. Maynard, M. Hilts, M. Oldham, and A. Jirasik. “Feasibility of radiosurgery dosimetry using NIPAM 3D dosimeters and x-ray CT.” In Journal of Physics: Conference Series, Vol. 1305, 2019. https://doi.org/10.1088/1742-6596/1305/1/012004.
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  - Stanhope, Carl, Zheng Chang, Zhiheng Wang, Fang-Fang Yin, Grace Kim, Joseph K. Salama, John Kirkpatrick, and Justus Adamson. “Physics considerations for single-isocenter, volumetric modulated arc radiosurgery for treatment of multiple intracranial targets.” In Pract Radiat Oncol, 6:207–13, 2016. https://doi.org/10.1016/j.prro.2015.10.010.
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  - Ren, L., Y. Zhang, Y. Yang, J. Adamson, and F. Yin. “SU-E-T-196: Pretreatment Patient Clinical Objective IMRT Quality Assurance Using a 3D Diode Array.” In Med Phys, 40:249, 2013. https://doi.org/10.1118/1.4814631.
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  - Wu, Q., Z. Chang, J. Adamson, L. Ren, and F. Yin. “SU-E-T-560: A Method to Determine Optimal Dynamic MLC Parameters for Varian Truebeam with Millennium MLC and HDMLC.” In Med Phys, 40:334, 2013. https://doi.org/10.1118/1.4814989.
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  - Adamson, J., Y. Yang, L. Rankine, J. Newton, J. Adamovics, O. Craciunescu, and M. Oldham. “Towards comprehensive characterization of Cs-137 Seeds using PRESAGE® dosimetry with optical tomography.” In J Phys Conf Ser, 444:12100, 2013. https://doi.org/10.1088/1742-6596/444/1/012100.
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  - Ren, L., J. O’Daniel, J. Adamson, H. Yan, and F. Yin. “Can Standard Radiation Therapy Quality Assurance (QA) Detect Potential Delivery Errors?” In International Journal of Radiation Oncology*Biology*Physics, 84:S779–S779. Elsevier BV, 2012. https://doi.org/10.1016/j.ijrobp.2012.07.2084.
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  - Chang, Z., Q. Wu, J. Adamson, L. Ren, J. Bowsher, H. Yan, A. Thomas, and F. Yin. “Assessing Effects of Ion Collection Efficiency in Flattening Filter-Free (FFF) Beams On Three TrueBeam Machines.” In Medical Physics, 39:3719–3719, 2012. https://doi.org/10.1118/1.4735130.
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  - Adamson, J., and Q. wu. “WE‐E‐BRB‐07: EPID Based Verification of Delivered Fluence for VMAT with High Angular Resolution.” In Medical Physics, 38:3817, 2011. https://doi.org/10.1118/1.3613374.
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  - Adamson, J. D., S. Yoo, Q. Wu, and F. Yin. “Variation of Clinically Relevant Dose Indices for 3DCRT of Lung with Respect to Dose Calculation Algorithm.” In International Journal of Radiation Oncology*Biology*Physics, 78:S712–13. Elsevier BV, 2010. https://doi.org/10.1016/j.ijrobp.2010.07.1652.
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  - Adamson, J., J. Kirkpatrick, and F. Yin. “SU‐GG‐T‐483: Does Breath‐Hold Immobilization Affect Tumor Radioresistance in Breast?” In Medical Physics, 37:3298, 2010. https://doi.org/10.1118/1.3468881.
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  - Adamson, J., Z. Chang, Z. Wang, F. Yin, and J. Cai. “SU‐GG‐I‐140: Maximum Intensity Projection (MIP) Imaging Using Multi‐Slice Cine MRI.” In Medical Physics, 37:3133, 2010. https://doi.org/10.1118/1.3468174.
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  - Adamson, J. D., Q. Wu, and D. Yan. “Adaptive Management of Intrafraction Motion in Online Image Guided Prostate Cancer Radiotherapy.” In International Journal of Radiation Oncology*Biology*Physics, 75:S628–29. Elsevier BV, 2009. https://doi.org/10.1016/j.ijrobp.2009.07.1436.
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  - Adamson, J., Q. wu, and D. Yan. “TU‐C‐303A‐08: A Hybrid Strategy Using Discriminant Analysis for Prostate Intrafraction Motion Management.” In Medical Physics, 36:2726, 2009. https://doi.org/10.1118/1.3182345.
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  - Wu, Q., and J. Adamson. “SU‐FF‐T‐620: Assessment of Dose Reconstruction Methods for Prostate Image Guided Radiotherapy Protocols.” In Medical Physics, 36:2667, 2009. https://doi.org/10.1118/1.3182118.
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  - Adamson, J., and Q. Wu. “TU‐FF‐A3‐05: Optimizing KV Fluoro Acquisition for Prostate Intrafraction Motion Evaluation.” In Medical Physics, 35:2922, 2008. https://doi.org/10.1118/1.2962654.
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  - Adamson, J., and Q. wu. “TU‐C‐351‐03: Can Pre‐ and Post‐Imaging Determine Prostate Intrafraction Motion?” In Medical Physics, 35:2891, 2008. https://doi.org/10.1118/1.2962462.
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  - Birer, Samuel R., Adam C. Olson, Justus Adamson, Rodney Hood, Matthew Susen, Grace Kim, Joseph K. Salama, and John P. Kirkpatrick. “Hippocampal dose from stereotactic radiosurgery for 4 to 10 brain metastases: Risk factors, feasibility of dose reduction via re-optimization, and patient outcomes.” In Med Dosim, 42:310–16, n.d. https://doi.org/10.1016/j.meddos.2017.06.007.
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Education, Training, & Certifications

Duke Appointment History

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External Relationships

Selected Publications

Academic Articles

Conference Papers

Recent Courses