Thesis Defense Title: Optimized and Integrated Alignment System for Functional Proton Radiosurgery By: Fadi Easa Shihadeh Where: ?? When: 2pm Wednsday 23rd of May 2007 Advisor: Dr. Keith Evan Schubert Committee: Dr. Reinhard Schulte, Dr. Arturo Concepcion, Dr. Ernesto Gomez Abstract: Radiosurgery is a non-invasive treatment technique applying focused radiation beams. It requires high geometric accuracy as misalignment can cause damage to the surrounding healthy tissues and loss of the therapeutic effect. One promising technique to ensure sub-millimeter alignment accuracy of the radiation beam is to optically monitor the position of the beam axis relative to a frame firmly attached to the patient's skull using an optical alignment system. The optical alignment method requires an Optical Localization System (OLS) and a marker system visible to the OLS in order to derive three-dimensional coordinate transforms needed to align the proton beam axis to its stereotactic target. Once the target and the proton beam are defined in the same coordinate system, an alignment control system can be used to align the beam to the target. In this thesis work, a system for proton beam alignment was studied and optimized in many of its functional areas. The resulting system was named Positioning Alignment Control System (PACS). The PACS system is an integrated and efficient system as a result of the work done on it in the course of this thesis work.