Loïc Lestand

Distributions of secondary particles in proton and carbon-ion therapy: a comparison between GATE/Geant4 and FLUKA Monte Carlo codes

Monte Carlo simulations play a crucial role for in-vivo treatment monitoring based on PET and prompt gamma imaging in proton and carbon-ion therapies. The accuracy of the nuclear fragmentation models implemented in these codes might affect the quality of the treatment verification. In this paper, we investigate the nuclear models implemented in GATE/Geant4 and FLUKA by comparing the angular and energy distributions of secondary particles exiting a homogeneous target of PMMA. Comparison results were restricted to fragmentation of (16)O and (12)C. Despite the very simple target and set-up, substantial discrepancies were observed between the two codes. For instance, the number of high energy (>1 MeV) prompt gammas exiting the target was about twice as large with GATE/Geant4 than with FLUKA both for proton and carbon ion beams. Such differences were not observed for the predicted annihilation photon production yields, for which ratios of 1.09 and 1.20 were obtained between GATE and FLUKA for the proton beam and the carbon ion beam, respectively. For neutrons and protons, discrepancies from 14% (exiting protons-carbon ion beam) to 57% (exiting neutrons-proton beam) have been identified in production yields as well as in the energy spectra for neutrons.

In-beam quality assurance using induced β+ activity in hadrontherapy: a preliminary physical requirements study using Geant4

Light and heavy ions particle therapy, mainly by means of protons and carbon ions, represents an advantageous treatment modality for deep-seated and/or radioresistant tumours. An in-beam quality assurance principle is based on the detection of secondary particles induced by nuclear fragmentations between projectile and target nuclei. Three different strategies are currently under investigation: prompt γ rays imaging, proton interaction vertex imaging and in-beam positron emission tomography. Geant4 simulations have been performed first in order to assess the accuracy of some hadronic models to reproduce experimental data. Two different kinds of data have been considered: β(+)-emitting isotopes and prompt γ-ray production rates. On the one hand simulations reproduce experimental β(+) emitting isotopes production rates to an accuracy of 24%. Moreover simulated β(+) emitting nuclei production rate as a function of depth reproduce well the peak-to-plateau ratio of experimental data. On the other hand by tuning the tolerance factor of the photon evaporation model available in Geant4, we reduce significantly prompt γ-ray production rates until a very good agreement is reached with experimental data. Then we have estimated the total amount of induced annihilation photons and prompt γ rays for a simple treatment plan of ∼1 physical Gy in a homogenous equivalent soft tissue tumour (6 cm depth, 4 cm radius and 2 cm wide). The average annihilation photons emitted during a 45 s irradiation in a 4 π solid angle are ∼2 × 10(6) annihilation photon pairs and 10(8) single prompt γ whose energy ranges from a few keV to 10 MeV.

Real-time online monitoring of the ion range by means of prompt secondary radiations

Prompt secondary radiations such as gamma rays and protons can be used for ion-range monitoring during ion therapy either on an energy-slice basis or on a pencil-beam basis. We present a review of the ongoing activities in terms of detector developments, imaging, experimental and theoretical physics issues concerning the correlation between the physical dose and hadronic processes.