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Justus D Adamson

Professor of Radiation Oncology
Radiation Oncology
Radiation Physics Red Zone Bas, Box 3295, Durham, NC 27710

Scholarly Works - Conferences


SURG-34. Real-world predictors of resection prior to stereotactic radiosurgery for brain metastases: a multi-center study

Conference Neuro-Oncology · November 11, 2025 AbstractStereotactic radiosurgery (SRS) is standard of care for brain metastases, yet the selection criteria for performing upfront craniotomy are inconsistently defined. Among 1172 patients from two inst ... Full text Cite

Clinical Applications and Monte Carlo Validation of a fully integrated 3D dosimetry system

Conference Journal of Physics Conference Series · January 1, 2024 A comprehensive 3D dosimetry system consisting of the ClearView™ 3D dosimeter, VistaScan™ optical CT scanner, and VistaAce™ analysis software is commercially available and has the potential to be a strong verification tool with widespread applications. The ... Full text Cite

Outcomes in Intact and Resected Brain Metastasis Patients Treated with Five-Fraction Stereotactic Radiosurgery

Conference INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS · November 1, 2022 Link to item Cite

Feasibility of a Novel 3D Dosimetry System for Commissioning of Single Isocenter Multitarget SRS Treatment

Conference INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS · November 1, 2022 Link to item Cite

Development of a practical clinical application of NIPAM kV-CBCT dosimetry

Conference Journal of Physics Conference Series · January 24, 2022 We report our progress towards developing a clinical application of NIPAM kV-CBCT dosimetry. The goal is to develop a practical kV-MV isocenter verification test for which the measurement and analysis can be carried out quickly (within an hour), and that e ... Full text Cite

Abstract 109: A Longitudinal Telehealth Curriculum for Radiation Oncology Centers in Low and Middle-Income Countries Transitioning from 2D to 3D External Beam Radiation Therapy

Conference Cancer Epidemiology, Biomarkers & Prevention · July 1, 2021 AbstractPurpose: The transition from 2-dimensional (2D) to 3-dimensional (3D) external beam radiation therapy (EBRT) can dramatically improve the quality of radiotherapy in low and middle-income countries (L ... Full text Cite

Five-Fraction Stereotactic Radiosurgery (SRS) For Resected Brain Metastases

Conference INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS · November 1, 2020 Link to item Cite

Postoperative Five-Fraction Radiosurgery for Resected Brain Metastases

Conference International Journal of Radiation Oncology*Biology*Physics · September 2019 Full text Cite

Feasibility of radiosurgery dosimetry using NIPAM 3D dosimeters and x-ray CT

Conference Journal of Physics Conference Series · August 29, 2019 We investigated the feasibility of using N-isopropylacrylamide (NIPAM) dosimeters with x-ray CT to verify radiosurgery dose. Dosimeters were prepared at one facility and shipped to a second facility for irradiation. A simulation CT was acquired and plans p ... Full text Cite

Enhancing Radiation Therapy Through Cherenkov Light-Activated Phototherapy from Clinical Megavoltage Treatment Beams

Conference International Journal of Radiation Oncology*Biology*Physics · October 2017 Full text Cite

SU‐C‐202‐07: Protocol and Hardware for Improved Flood Field Calibration of TrueBeam FFF Cine Imaging

Conference Medical Physics · June 2016 Purpose:Flattening filter free photon energies are commonly used for high dose treatments such as SBRT, where localization accuracy is essential. Often, MV cine imaging may be employed to verify correct localizati ... Full text Cite

Physics considerations for single-isocenter, volumetric modulated arc radiosurgery for treatment of multiple intracranial targets.

Conference Pract Radiat Oncol · 2016 OBJECTIVE: Our purpose was to address challenges associated with single-isocenter radiosurgery for multiple intracranial targets (SIRMIT) including increased sensitivity to rotational uncertainties (resulting from distance of the targets from isocenter) as ... Full text Link to item Cite

A Prospective Study of Adaptive Planning Utilizing Interim PET-CT for Locally Advanced Lung Cancer

Conference International Journal of Radiation Oncology*Biology*Physics · November 2015 Full text Cite

SU-E-T-196: Pretreatment Patient Clinical Objective IMRT Quality Assurance Using a 3D Diode Array.

Conference Med Phys · June 2013 PURPOSE: To evaluate the accuracy and sensitivity of a patient clinical objective IMRT QA tool using a 3D diode array. METHODS: A 3D QA device (Delta4, Scandidos Inc.) with 2 orthogonal diode array planes was used for IMRT QA. The diode spacing is 5mm in c ... Full text Link to item Cite

WE-G-108-08: A Novel Technique for VMAT QA with EPID in Cine Mode On Varian TrueBeam.

Conference Med Phys · June 2013 PURPOSE: Volumetric modulated arc therapy (VMAT) is a relatively new treatment modality for dynamic photon radiation therapy. Pre-treatment quality assurance (QA) is necessary and many efforts have been taken to apply electronic portal imaging device (EPID ... Full text Link to item Cite

SU-E-T-560: A Method to Determine Optimal Dynamic MLC Parameters for Varian Truebeam with Millennium MLC and HDMLC.

Conference Med Phys · June 2013 PURPOSE: Correct MLC modeling is essential to the accurate IMRT delivery. Most TPSs use simplified models with parameters of leaf transmission (LT) and dynamic leaf gap (DLG). The common way to determine them is through extrapolation from measurements. In ... Full text Link to item Cite

Towards comprehensive characterization of Cs-137 Seeds using PRESAGE® dosimetry with optical tomography.

Conference J Phys Conf Ser · 2013 We describe a method to directly measure the radial dose and anisotropy functions of brachytherapy sources using polyurethane based dosimeters read out with optical CT. We measured the radial dose and anisotropy functions for a Cs-137 source using a PRESAG ... Full text Link to item Cite

Multicatheter Vaginal Balloon Brachytherapy: One Year's Clinical Experience

Conference International Journal of Radiation Oncology*Biology*Physics · November 2012 Full text Cite

Urinary Catheterization Increases the Dose to Bowel During Vaginal Brachytherapy

Conference International Journal of Radiation Oncology*Biology*Physics · November 2012 Full text Cite

Can Standard Radiation Therapy Quality Assurance (QA) Detect Potential Delivery Errors?

Conference International Journal of Radiation Oncology*Biology*Physics · November 2012 Full text Cite

WE‐E‐BRB‐07: EPID Based Verification of Delivered Fluence for VMAT with High Angular Resolution

Conference Medical Physics · January 1, 2011 Purpose: In VMAT, the dose rate, MLC position, and gantry angle change simultaneously, it is important they follow their predefined trajectories to ensure correct dose delivery. Our purpose is to develop an efficient VMAT QA strategy using EPID that is cap ... Full text Cite

Variation of Clinically Relevant Dose Indices for 3DCRT of Lung with Respect to Dose Calculation Algorithm

Conference International Journal of Radiation Oncology*Biology*Physics · November 2010 Full text Cite

SU‐GG‐I‐140: Maximum Intensity Projection (MIP) Imaging Using Multi‐Slice Cine MRI

Conference Medical Physics · January 1, 2010 Purpose: To propose a novel method of acquiring Maximum Intensity Projection (MIP) images using multi‐slice cine MRI, termed as MRI‐MIP, and to evaluate its feasibility in quantifying motion magnitude. Materials and Methods: MRI‐MIP images are acquired usi ... Full text Cite

SU‐GG‐T‐483: Does Breath‐Hold Immobilization Affect Tumor Radioresistance in Breast?

Conference Medical Physics · January 1, 2010 Purpose: A 15–30s Breath Hold (BH) is often used in radiation therapy for breast cancer patients to minimize heart dose, however its effect on tumor oxygenation and radiosensitivity is unknown. The purpose of this study is to utilize published data on the ... Full text Cite

Adaptive Management of Intrafraction Motion in Online Image Guided Prostate Cancer Radiotherapy

Conference International Journal of Radiation Oncology*Biology*Physics · November 2009 Full text Cite

SU‐FF‐T‐620: Assessment of Dose Reconstruction Methods for Prostate Image Guided Radiotherapy Protocols

Conference Medical Physics · January 1, 2009 Purpose: Many dosimetric evaluations of prostate intrafraction motion disregard effects of treatment duration and translations of the surrounding body per fraction. However the probability of motion has been shown to increase with time and image guidance s ... Full text Cite

TU‐C‐303A‐08: A Hybrid Strategy Using Discriminant Analysis for Prostate Intrafraction Motion Management

Conference Medical Physics · January 1, 2009 Purpose: Prostate intrafraction motion has been shown to be patient specific; however most current compensation strategies are population wide. We evaluate the feasibility of applying margins based on a subpopulation of patients with similar intrafraction ... Full text Cite

TU‐C‐351‐03: Can Pre‐ and Post‐Imaging Determine Prostate Intrafraction Motion?

Conference Medical Physics · January 1, 2008 Purpose: Recent studies of prostate intrafraction motion have been inconclusive. One cine‐MRI study demonstrated that pre‐treatment rectal filling status is a significant predictor of intrafraction motion magnitude. However, studies using the Calypso syste ... Full text Cite

TU‐FF‐A3‐05: Optimizing KV Fluoro Acquisition for Prostate Intrafraction Motion Evaluation

Conference Medical Physics · January 1, 2008 Purpose: Commercially available gantry mounted kV imagers are currently restricted to manual fluoroscopy acquisitions with fixed mAs & frame rate, limiting use of fluoroscopy for prostate intrafraction motion measurement. For consideration in future acquis ... Full text Cite

Hippocampal dose from stereotactic radiosurgery for 4 to 10 brain metastases: Risk factors, feasibility of dose reduction via re-optimization, and patient outcomes.

Conference Med Dosim This study aimed to report hippocampal dose from single-fraction stereotactic radiosurgery (SRS) for 4 to 10 brain metastases and determine feasibility of hippocampal-sparing SRS. Patients with 4 to 10 brain metastases receiving single-isocenter, multi-tar ... Full text Link to item Cite