Masataka Komori

Commissioning of a conformal irradiation system for heavy-ion radiotherapy using a layer-stacking method.

The commissioning of conformal radiotherapy system using heavy-ion beams at the Heavy Ion Medical Accelerator in Chiba (HIMAC) is described in detail. The system at HIMAC was upgraded for a clinical trial using a new technique: large spot uniform scanning with conformal layer stacking. The system was developed to localize the irradiation dose to the target volume more effectively than with the old system. With the present passive irradiation method using a ridge filter, a scatterer, a pair of wobbler magnets, and a multileaf collimator, the width of the spread-out Bragg peak (SOBP) in the radiation field could not be changed. With dynamic control of the beam-modifying devices during irradiation, a more conformal radiotherapy could be achieved. In order to safely perform treatments with this conformal therapy, the moving devices should be watched during irradiation and the synchronousness among the devices should be verified. This system, which has to be safe for patient irradiations, was constructed and tested for safety and for the quality of the dose localization realized. Through these commissioning tests, we were successfully able to prepare the conformal technique using layer stacking for patients. Subsequent to commissioning the technique has been applied to patients in clinical trials.

Evaluation of beam wobbling methods for heavy-ion radiotherapy

The National Institute of Radiological Sciences (NIRS) has extensively studied carbon-ion radiotherapy at the Heavy-Ion Medical Accelerator in Chiba (HIMAC) with some positive outcomes, and has established its efficacy. Therefore, efforts to distribute the therapy to the general public should be made, for which it is essential to enable direct application of clinical and technological experiences obtained at NIRS. For widespread use, it is very important to reduce the cost through facility downsizing with minimal acceleration energy to deliver the HIMAC-equivalent clinical beams. For the beam delivery system, the requirement of miniaturization is translated to reduction in length while maintaining the clinically available field size and penetration range for range-modulated uniform broad beams of regular fields that are either circular or square for simplicity. In this paper, we evaluate the various wobbling methods including original improvements, especially for application to the compact facilities through the experimental and computational studies. The single-ring wobbling method used at HIMAC is the best one including a lot of experience at HIMAC but the residual range is a fatal problem in the case of a compact facility. On the other hand, uniform wobbling methods such as the spiral and zigzag wobbling methods are effective and suitable for a compact facility. Furthermore, these methods can be applied for treatment with passive range modulation including respiratory gated irradiation. In theory, the choice between the spiral and zigzag wobbling methods depends on the shape of the required irradiation field. However, we found that it is better to use the zigzag wobbling method with transformation of the wobbling pattern even when a circular uniform irradiation field is required, because it is difficult to maintain the stability of the wobbler magnet due to the rapid change of the wobbler current in the spiral wobbling method. The regulated wobbling method, which is our improvement, can well expand the uniform irradiation field and lead to reducing the power requirement of the wobbler magnets. Our evaluations showed that the regulated zigzag wobbling method is the most suitable method for use in currently designed compact carbon-therapy facilities.

Improvement of Three-dimensional Monte Carlo Code PHITS for Heavy Ion Therapy

The general purpose particle and heavy ion transport code, PHITS, was modified for improved analysis of dose distribution in carbon therapy systems. We added two new functions into PHITS, one for an energy dispersion calculation and the other for transport in an AC magnetic field, which enabled 3-dimensional modelling of a carbon therapy system for the first time. With this code we calculated the dose distribution in a carbon therapy system, and these results showed good agreement with experimental data. This improved version of PHITS is a valuable tool for the design of carbon therapy aperture or for the estimation of the dose distribution in treatment planning.

Optimization of Spiral-Wobbler System for Heavy-Ion Radiotherapy

We propose an amplitude modulation wobbler-scatterer system, a so-called spiral-wobbler system, to produce a large irradiation field in a relatively short irradiation port for heavy-ion radiation therapy. The wobbler parameters, such as the wobbler-radius-modulation function, the wobbler radial frequency and the rotational frequency, are optimized and the uniformity of the irradiation field is estimated as the function of irradiation time. By using a wobbler radial frequency of 23 Hz, and a wobbler rotational frequency of 59 Hz, an irradiation field with a uniformity of ±3% can be obtained for an irradiation duration of 1 s. The spiral-wobbler system is applicable to respiration-gated irradiation.

Dynamic splitting of Gaussian pencil beams in heterogeneity-correction algorithms for radiotherapy with heavy charged particles

The pencil-beam algorithm is valid only when elementary Gaussian beams are small enough compared to the lateral heterogeneity of a medium, which is not always true in actual radiotherapy with protons and ions. This work addresses a solution for the problem. We found approximate self-similarity of Gaussian distributions, with which Gaussian beams can split into narrower and deflecting daughter beams when their sizes have overreached lateral heterogeneity in the beam-transport calculation. The effectiveness was assessed in a carbon-ion beam experiment in the presence of steep range compensation, where the splitting calculation reproduced a detour effect amounting to about 10% in dose or as large as the lateral particle disequilibrium effect. The efficiency was analyzed in calculations for carbon-ion and proton radiations with a heterogeneous phantom model, where the beam splitting increased computing times by factors of 4.7 and 3.2. The present method generally improves the accuracy of the pencil-beam algorithm without severe inefficiency. It will therefore be useful for treatment planning and potentially other demanding applications.

Dose contributions from large-angle scattered particles in therapeutic carbon beams

In carbon therapy, doses at center of spread-out Bragg peaks depend on field size. For a small field of 5 x 5 cm2, the central dose reduces to 96% of the central dose for the open field in case of 400 MeV/n carbon beam. Assuming the broad beam injected to the water phantom is made up of many pencil beams, the transverse dose distribution can be reconstructed by summing the dose distribution of the pencil beams. We estimated dose profiles of this pencil beam through measurements of dose distributions of broad uniform beams blocked half of the irradiation fields. The dose at a distance of a few cm from the edge of the irradiation field reaches up to a few percent of the central dose. From radiation quality measurements of this penumbra, the large-angle scattered particles were found to be secondary fragments which have lower LET than primary carbon beams. Carbon ions break up in beam modifying devices or in water phantom through nuclear interaction with target nuclei. The angular distributions of these fragmented nuclei are much broader than those of primary carbon particles. The transverse dose distribution of the pencil beam can be approximated by a function of the three-Gaussian form. For a simplest case of mono-energetic beam, contributions of the Gaussian components which have large mean deviations become larger as the depth in the water phantom increases.

Field-size dependence of doses of therapeutic carbon beams.

To estimate the physical dose at the center of spread-out Bragg peaks (SOBP) for various conditions of the irradiation system, a semiempirical approach was applied. The dose at the center of the SOBP depends on the field size because of large-angle scattering particles in the water phantom. For a small field of 5 x 5 cm2, the dose was reduced to 99.2%, 97.5%, and 96.5% of the dose used for the open field in the case of 290, 350, and 400 MeV/n carbon beams, respectively. Based on the three-Gaussian form of the lateral dose distributions of the carbon pencil beam, which has previously been shown to be effective for describing scattered carbon beams, we reconstructed the dose distributions of the SOBP beam. The reconstructed lateral dose distribution reproduced the measured lateral dose distributions very well. The field-size dependencies calculated using the reconstructed lateral dose distribution of the therapeutic carbon beam agreed with the measured dose dependency very well. The reconstructed beam was also used for irregularly shaped fields. The resultant dose distribution agreed with the measured dose distribution. The reconstructed beams were found to be applicable to the treatment-planning system.

Luminescence imaging of water during proton-beam irradiation for range estimation

PURPOSE Proton therapy has the ability to selectively deliver a dose to the target tumor, so the dose distribution should be accurately measured by a precise and efficient method. The authors found that luminescence was emitted from water during proton irradiation and conjectured that this phenomenon could be used for estimating the dose distribution. METHODS To achieve more accurate dose distribution, the authors set water phantoms on a table with a spot scanning proton therapy system and measured the luminescence images of these phantoms with a high-sensitivity, cooled charge coupled device camera during proton-beam irradiation. The authors imaged the phantoms of pure water, fluorescein solution, and an acrylic block. RESULTS The luminescence images of water phantoms taken during proton-beam irradiation showed clear Bragg peaks, and the measured proton ranges from the images were almost the same as those obtained with an ionization chamber. Furthermore, the image of the pure-water phantom showed almost the same distribution as the tap-water phantom, indicating that the luminescence image was not related to impurities in the water. The luminescence image of the fluorescein solution had ∼3 times higher intensity than water, with the same proton range as that of water. The luminescence image of the acrylic phantom had a 14.5% shorter proton range than that of water; the proton range in the acrylic phantom generally matched the calculated value. The luminescence images of the tap-water phantom during proton irradiation could be obtained in less than 2 s. CONCLUSIONS Luminescence imaging during proton-beam irradiation is promising as an effective method for range estimation in proton therapy.

Precise measurement of the cross section ofHe3(He3,2p)He4by usingHe3doubly charged beam

The fusion cross section of 3He(3He,2p)4He at a center of mass energy of 30 to 50 keV has been measured by using helium-3 doubly ionized beam at a low-energy high current accelerator facility, OCEAN. Free from molecular interference in the beam, the measurement determines the astrophysical S-factor with better statistical and systematical errors than previous data. By using singly and doubly charged helium-3 ions the facility envisages to provide the data from high energy to Gamow energy regions.

Highly sensitive radon monitor and radon emanation rates for detector components

Abstract The radon emanation rates for materials were measured by using the electrostatic precipitation method as a radon monitor. It was found that a low level of radon was emanated from several material components in ELEGANT V. The radon monitor has been developed for the highly sensitive measurements of low-level radon concentration. The system was shown to have a sensitivity to radon concentrations as low as 1.6 mBq / m 3 for one day measurement. The system was also used as the radon concentration monitor for the gas inside the airtight box of the ELEGANT V at Oto Cosmo Observatory.