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However, its application to small\u2010to\u2010medium\u2010sized target volumes remains challenging due to beam size limitations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To address the challenge of applying LATTICE radiation therapy to small\u2010to\u2010medium\u2010sized targets, this work proposes a novel proton LATTICE (pLATTICE) modality using minibeams, namely minibeam\u2010pLATTICE, that can extend the LATTICE approach for small\u2010to\u2010medium target volumes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Three minibeam\u2010pLATTICE methods are introduced. (1) M0: a fixed minibeam aperture orientation (e.g., 0\u00b0) for all beam angles; (2) M1: alternated minibeam aperture orientations (e.g., between 0\u00b0 and 90\u00b0), for consecutive beam angles; (3) M2: multiple minibeam aperture orientations (e.g., 0\u00b0 and 90\u00b0) for each beam angle. The purpose of M1 or M2 is to correct anisotropic dose distribution at lattice peaks due to the planar spatial modulation of minibeams. For each minibeam\u2010pLATTICE method, an optimization problem is formulated to optimize dose uniformity in target peaks and valleys, as well as dose\u2010volume\u2010histogram\u2010based objectives. This optimization problem is solved using iterative convex relaxation and alternating direction method of multipliers (ADMM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three minibeam\u2010pLATTICE methods are validated to demonstrate the feasibility of minibeam\u2010pLATTICE for two clinical head\u2010and\u2010neck (HN), one abdominal, and one brain case. The advantages of this modality over conventional beam (CONV) pLATTICE are evaluated by comparing peak\u2010to\u2010valley dose ratio (PVDR) and dose delivered to organs at risk (OAR). All three minibeam\u2010pLATTICE modalities achieved improved plan quality compared to CONV, with M2 yielding the best results. For instance, in one HN case, the following improvements were observed: PVDR increased to 3.73 (M2), compared to 3.27 (CONV), 3.72 (M0), and 3.49 (M1), while the mean dose to the mandible was reduced to 0.18 Gy (M2), compared to 0.33 Gy (CONV), 0.17 Gy (M0), and 0.14 Gy (M1).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A novel minibeam\u2010pLATTICE modality is proposed that can generate lattice dose patterns for small\u2010to\u2010medium target volumes, which are not achievable with conventional pLATTICE due to beam size limitations. Peak dose anisotropy due to 1D planar minibeam apertures is corrected through inverse treatment planning with alternating or multiple minibeam apertures per beam angle.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/mp.70250","type":"journal-article","created":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T15:48:37Z","timestamp":1766764117000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Minibeam\u2010pLATTICE: A novel proton LATTICE modality using minibeams"],"prefix":"10.1002","volume":"53","author":[{"given":"Nimita","family":"Shinde","sequence":"first","affiliation":[{"name":"Department of Radiation Oncology University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weijie","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology University of Kansas Medical Center  Kansas City 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