C. Stancampiano

A proton Computed Tomography system for medical applications

Proton Computed Tomography (pCT) can improve the accuracy of both patient positioning and dose calculation in proton therapy, enabling to accurately reconstruct the electron density distribution of irradiated tissues. A pCT prototype, equipped with a silicon tracker and a YAG:Ce calorimeter, has been manufactured by an Italian collaboration. First tests under proton beam allowed obtaining good quality tomographic images of a non-homogeneous phantom. Manufacturing of a new large area system with real-time data acquisition is under way.

A proton Computed Tomography based medical imaging system

This paper reports on the activity of the INFN PRIMA/RDH collaboration in the development of proton Computed Tomography (pCT) systems based on single proton tracking and residual energy measurement. The systems are made of a silicon microstrip tracker and a YAG:Ce crystal calorimeter to measure single protons trajectory and residual energy, respectively. A first prototype of pCT scanner, with an active area of about 5 × 5 cm2 and a data rate capability of 10 kHz, has been constructed and characterized with 62 MeV protons at INFN Laboratori Nazionali del Sud in Catania (Italy) and with 180 MeV protons at The Svedberg Laboratory (TSL) in Uppsala (Sweden). Results of these measurements, including tomographic reconstructions of test phantoms, will be shown and discussed. An upgraded system with an extended field of view (up to ~ 5 × 20 cm2) and an increased event rate capability up to one MHz, presently under development, will be also described.

Calibration and energy resolution study of a high dispersive power Thomson Parabola Spectrometer with monochromatic proton beams

A high energy resolution, high dispersive power Thomson Parabola Spectrometer has been developed at INFN-LNS in order to characterize laser-driven beams up to 30- 40 MeV for protons. This device has parallel electric and magnetic field to deflect particles of a certain charge-to-mass ratio onto parabolic traces on the detection plane. Calibration of the deflection sector is crucial for data analysis, namely energy determination of analysed beam, and to evaluate the effective energy limit and resolution. This work reports the study of monochromatic proton beams delivered by the TANDEM accelerator at LNS (Catania) in the energy range between 6 and 12.5 MeV analysed with our spectrometer which allows a precise characterization of the electric and magnetic deflections. Also the energy and the Q/A resolutions and the energy limits have been evaluated proposing a mathematical model that can be used for data analysis, for the experimental set up and for the device scalability for higher energy.

Tomographic images by proton Computed Tomography system for proton therapy applications

Proton therapy is a highly precise form of cancer treatment, which requires accurate knowledge of the dose delivered to the patient and verification of the correct patient position to avoid damage to critical normal tissues. The development of pCT (proton Computed Tomography) system represents an important feature for precise proton radiation treatment planning because it could permit the direct measurement of the proton stopping power distribution, improving the accuracy in dose calculus, and the patients position. A pCT prototype was manufactured in order to demonstrate the capability to acquire, during treatments in proton therapy centers, radiographic and tomographic images according to clinical demands.

Design and characterisation of a YAG(Ce) calorimeter for proton Computed Tomography application

The design and the characterization of a calorimeter system, aimed at measuring the residual energy in a proton Computed Tomography (pCT) apparatus, is described. The calorimeter has a 6 × 6 cm2 active area to fully cover the tracker area of the pCT system, being 10 cm thick it is able to stop up to 200 MeV protons and sustain 1 MHz particle rate (average rate on the whole area). The YAG(Ce) scintillator is promising for charged particle detection applications where high-count rate, good energy resolution and compact photodiode readout, not influenced by magnetic fields, are of importance. The aim of this work is to show data acquired with proton beam energy up to 175 MeV and to discuss the performances of this calorimeter.

A Real-time, large area, high space resolution particle radiography system

In this paper we describe a new detection system for the high resolution measurement of the residual range of charged particles, designed and developed with the aim of achieving real-time data acquisition and large detection areas. A prototype of the residual range detector, with a sensitive area of about 4 × 4 cm2, consisting of a stack of sixty ribbons of scintillating fibers (Sci-Fi) has been designed and tested. Each layer is read-out by two wavelength shifter (WLS) fibers and a position sensitive photomultiplier (PSPM). The Bragg peak shape is calculated real-time by the time over a suitable threshold for each channel. The results of the measurements taken using the prototype and a 62 MeV proton beam and a comparison with the GEANT4 simulations of the detector are presented. The main concepts on which the prototype is based have been used to demonstrate the technique patented by the INFN. The next step will be to design and validate the final detector which will have 30 × 30 cm2 FOV and cover the 250 MeV proton range with about 150 micron range resolution. These performances are suitable for almost all medical imaging applications.

The Energy Selection System for the laser-accelerated proton beams at ELI-Beamlines

ELI-Beamlines is one of the four pillars of the ELI (Extreme Light Infrastructure) pan-European project. It will be an ultrahigh-intensity, high repetition-rate, femtosecond laser facility whose main goals are the generation and applications of high-brightness X-ray sources and accelerated charged particles. In particular medical and multidisciplinary applications with laser-accelerated beams are treated by the ELIMED task force, a collaboration between different research institutes. A crucial goal for this network is represented by the design and the realization of a transport beamline able to provide ion beams with suitable characteristics in terms of energy spectrum and angular distribution in order to perform dosimetric tests and biological cell irradiations. A first prototype of transport beamline has been already designed and some magnetic elements are already under construction. In particular, an Energy Selector System (ESS) prototype has been already realized at LNS-INFN. This paper reports about the studies of the ESS properties as, for instance, energy spread and transmission efficiency, carried out using the GEANT4 Monte Carlo code.

ELIMED: a new hadron therapy concept based on laser driven ion beams

Laser accelerated proton beams have been proposed to be used in different research fields. A great interest has risen for the potential replacement of conventional accelerating machines with laser-based accelerators, and in particular for the development of new concepts of more compact and cheaper hadrontherapy centers. In this context the ELIMED (ELI MEDical applications) research project has been launched by INFN-LNS and ASCR-FZU researchers within the pan-European ELI-Beamlines facility framework. The ELIMED project aims to demonstrate the potential clinical applicability of optically accelerated proton beams and to realize a laser-accelerated ion transport beamline for multi-disciplinary user applications. In this framework the eye melanoma, as for instance the uveal melanoma normally treated with 62 MeV proton beams produced by standard accelerators, will be considered as a model system to demonstrate the potential clinical use of laser-driven protons in hadrontherapy, especially because of the limited constraints in terms of proton energy and irradiation geometry for this particular tumour treatment. Several challenges, starting from laser-target interaction and beam transport development up to dosimetry and radiobiology, need to be overcome in order to reach the ELIMED final goals. A crucial role will be played by the final design and realization of a transport beamline capable to provide ion beams with proper characteristics in terms of energy spectrum and angular distribution which will allow performing dosimetric tests and biological cell irradiation. A first prototype of the transport beamline has been already designed and other transport elements are under construction in order to perform a first experimental test with the TARANIS laser system by the end of 2013. A wide international collaboration among specialists of different disciplines like Physics, Biology, Chemistry, Medicine and medical doctors coming from Europe, Japan, and the US is growing up around the ELIMED project with the aim to work on the conceptual design, technical and experimental realization of this core beamline of the ELI Beamlines facility.

PRIMA proton imaging for clinical application

PRIMA project is an Italian project funded by INFN and MIUR (PRIN 2006), which developed a proton Computed Tomography (pCT) prototype based on tracking the single proton. PRIMA approaches to the pCT consist in the use of silicon detectors, which measure the energy and position of individual protons before and after they traverse the object. The device consists of a silicon microstrip tracker, used to reconstruct the trajectory of each proton, and a calorimeter that measure the particle residual energy. It is characterized by an active area of 5 × 5 cm2 and by an acquisition rate of 10kHz. PRIMA prototype was tested, under 62 MeV proton beam at Laboratory Nazionali del Sud, (Catania Italy) and under 180 MeV proton beam at Svedberg Laboratories, Uppsala Universitet, (Uppsala Sweden). Several experiments concerning proton imaging, tomography and radiography images, were carried out during these beam tests. In particular in this paper will be reported the PRIMA experience on the data acquired using special phantoms. The performed tests aimed to evaluate the clinical applicability of proton radiography in terms of image quality. In order to test spatial resolution, electron density resolution and energy resolution of the system, PRIMA group has developed suitable phantoms for radiography. The phantoms are custom-made and suitable for high-contrast spatial resolution. They are PolyMetilMetacrilate (PMMA) cylinders with holes of different size and depth. In particular, the phantom diameter was chosen accordingly with the tracker field of view while the phantom length depends on the beam quality: it was 20mm and 150mm for 60MeV and 180MeV proton beam respectively. In this paper the experimental setup will be described, radiographic images will be shown and quantitative results on spatial resolution will be reported.

Development of a scintillation-fiber detector for real-time particle tracking

The prototype of the OFFSET (Optical Fiber Folded Scintillating Extended Tracker) tracker is presented. It exploits a novel system for particle tracking, designed to achieve real-time imaging, large detection areas, and a high spatial resolution especially suitable for use in medical diagnostics. The main results regarding the system architecture have been used as a demonstration of the technique which has been patented by the Istituto Nazionale di Fisica Nucleare (INFN). The prototype of this tracker, presented in this paper, has a 20 × 20 cm2 sensitive area, consisting of two crossed ribbons of 500 micron square scintillating fibers. The track position information is extracted in real time in an innovative way, using a reduced number of read-out channels to obtain very large detection area with moderate enough costs and complexity. The performance of the tracker was investigated using beta sources, cosmic rays, and a 62 MeV proton beam.