Outcomes

The project’s outcomes include scientific publications, conference presentations, and patent applications, reflecting its contributions to research, innovation, and knowledge dissemination.

Papers

  • "Machine Learning-based extraction of microstructural parameters from Diffusion-Weighted Imaging starting from realistic in silico cellular substrates: application in breast and prostate cancer" - Computer Methods and Programs in Biomedicine - 2026 - https://doi.org/10.1016/j.cmpb.2026.109551
    Tinelli C., Scotti C., Casaccio F., Zlatic M., Baroni G., Morelli L., Paganelli C.

    We developed a generalized machine learning framework, trained on realistic in silico tumour models derived from microscopy images, to estimate tumour microstructure from DW-MRI across different acquisition protocols, enabling robust and non-invasive characterization of tumour heterogeneity.

  • "Quantitative Susceptibility Mapping in Skull Base Chordoma: In Silico Analysis and In Vivo Application Towards Indirect Hypoxia Assessment" - Magnetic Resonance in Medicine - 2026 - http://doi.org/10.1002/mrm.70193
    Fenech P., Morelli L., Parrella G., Imparato S., Iannalfi A., Lillo S., Orlandi E., Baroni G., Paganelli C.

    This study evaluates quantitative susceptibility mapping (QSM) beyond the brain through realistic simulations and explores preliminary evidence that may be indicative of hypoxia in skull base chordomas (SBC).

  • "Microstructural profiling and habitat analysis to characterize treatment outcome patterns in sacral chordomas treated with carbon ions" - Medical Physics, Volume 53 - 2026 - https://doi.org/10.1002/mp.70208
    Morelli L., Parrella G., Rotondi M., Molinelli S., Magro G., Imparato S., Chalaszczyk A., Fiore M.R., Paganelli C., Orlandi E., Baroni G.

    This study explores the use of microstructural parameters and habitat analysis from diffusion-weighted MRI (DW-MRI) to characterize intratumoral heterogeneity, monitor treatment-induced changes after carbon ion radiotherapy, and examine their relationship with recurrence patterns in sacral chordoma patients.

  • "Microstructural modelling based on diffusion weighted imaging to guide dose painting in carbon ions for large sacral chordomas" - Physics and Imaging in Radiation Oncology, Volume 36 - 2025 - https://doi.org/10.1016/j.phro.2025.100887
    Parrella G., Morelli L., Magro G., Glimelius L., Ödén J., Ciocca M., Imparato S., Rotondi M., Fiore M.R., Orlandi E., Baroni G., Molinelli S., Paganelli C.

    This study investigates the use of advanced microstructural modelling from conventional diffusion-weighted imaging to enable dose painting in carbon ion radiotherapy. The approach allows increasing tumor control probability while ensuring organ sparing.

  • "Tumor control probability in large sacral chordomas treated with carbon ions radiotherapy integrating advanced microstructural modelling" - Physica Medica, Volume 136 - 2025 - 10.1016/j.ejmp.2025.105038
    Parrella G., Morelli L., Molinelli S., Magro G., Glimelius L., Ödén J., Ciocca M., Imparato S., Rotondi M., Fiore M.R., Orlandi E., Baroni G., Paganelli C.

    This work investigated the integration of DWI-derived cell density into LQ Poisson TCP model for sacral chordomas, enhancing prediction of local control after carbon ion therapy.

  • "Evaluating the technical feasibility of biology-guided dose painting in proton therapy" - Physics and Imaging in Radiation Oncology, Volume 35 - 2025 - https://doi.org/10.1016/j.phro.2025.100832
    Brighi C., Parrella G., Morelli L., Molinelli S., Magro G., Lillo S., Iannalfi A., Ciocca M., Imparato S., Waddington D., Keall P., Paganelli C., Orlandi E., Baroni G.

    This study demonstrated the technical feasibility of biology-guided voxel-level dose painting based on diffusion-weighted MRI-derived tumour cellularity in proton therapy for skull-base chordoma, achieving improved target coverage and tumour control probability while maintaining clinically acceptable organ-at-risk doses.

Patents

  • "Mappatura multi-scala e personalizzata del microambiente tissutale" - 102025000010722, filed on May 13, 2025 - Pending
    Paganelli C., Baroni G., Morelli L., Parrella G., Scotti C., Tinelli C., Fenech P.

    The invention relates to a method for multi-scale, personalized mapping of the tissue microenvironment, involving realistic and dynamic in silico 3D cellular substrates, multiparametric MR simulation, patient-specific data comparison, and optionally, radiation-matter interaction modeling.

Conferences

  • "Geant4-DNA-based simulations of radiation-matter interactions at the nanoscale in 3D multicellular tumor substrates" - PTCOG 64 - 2026
    Tinelli C., Scotti C., Morelli L., Baroni G., Paganelli C.
  • "3D reconstruction of microscopy images for biologically-informed particle therapy simulations" - PTCOG 64 - 2026
    Scotti C., Tinelli C., Mari M., Fenech P., Morelli L., Baroni G., Paganelli C.
  • "Microstructural Parameters from Diffusion-Weighted MRI via Machine Learning and realistic in silico cellular models for Breast and Prostate Cancer" - ESTRO Conference - 2026
    Tinelli C., Scotti C., Casaccio F., Baroni G., Morelli L., Paganelli C.
  • "GRWU: a GPU-based Restricted Water diffUsion simulator for tumour microstructural characterisation" - ESTRO Conference - 2026
    Scotti C. & Casaccio F., Tinelli C., Morelli L., Baroni G., Paganelli C.

  • "Creating realistic in silico tumour substrates for application in personalised radiation therapy" - RAPTOR Online Adaptive PT Workshop - 2025
    Scotti C., Tinelli C., Fenech P., Baroni G., Morelli L., Paganelli C.
  • "Monte Carlo simulations of radiation – tissue interaction on realistic in silico tumor substrates for application in personalized radiation therapy" - RAPTOR Online Adaptive PT Workshop - 2025
    Tinelli C., Scotti C., Fenech P., Baroni G., Morelli L., Paganelli C.
  • "Quantitative Susceptibility Mapping for skull base chordoma: a step towards personalized particle therapy" - PTCOG 63 - 2025
    Fenech P., Morelli L., Parrella G. , Imparato S., Iannalfi A., Lillo S., Orlandi E., Baroni G., Paganelli C.
  • "Cellularity-guided dose painting in carbon ion radiotherapy for large sacral chordomas to maximize tumor control probability" - PTCOG 63 - 2025
    Parrella G., Morelli L., Lars G., Jakob O., Colomar D.S., Magro G., Chalaszczyk A., Imparato S., Rotondi M, Mario C., Fiore M.R., Orlandi E., Baroni G., Molinelli S., Paganelli C.
  • "Tracking microstructural evolution in local recurrence of Sacral Chordomas treated with carbon ions" - PTCOG 63 - 2025
    Morelli L., Parrella P., Rotondi M., Molinelli S., Imparato S., Chalaszczyk A., Fiore M.R., Paganelli C., Orlandi E., Baroni G.