Shinichiro Sato

Carbon beam therapy overcomes the radiation resistance of uterine cervical cancer originating from hypoxia.

Purpose: High linear energy transfer (LET) particles are believed to decrease tumor radiation resistance originating from hypoxia. However, no proof of this effect has been provided by clinical trials and related clinical research. Hence, we investigated the radiation biological aspects of high LET carbon beam therapy on cervical cancer. Experimental Design: This study involved 49 patients with stage IIIb bulky and stage IVa cervical cancer treated with high LET carbon beams between October 1995 and June 2000. Oxygen partial pressure (pO2) was measured by using a needle-type polarographic oxygen electrode. Results: The 4-year disease-free survival rates of patients with pO2 ≤ 20 mm Hg (hypoxic tumor) and pO2 > 20 mm Hg (oxygenated tumor) before treatment were 37% and 21%, respectively. The local control rates of hypoxic and oxygenated tumors before treatment were 58% and 54%, respectively. The disease-free survival rates of hypoxic and oxygenated tumors assessed by oxygen status at the 5th day of irradiation were 33% and 32%, respectively. The local control rates of hypoxic and oxygenated tumors at the 5th day were 60% and 58%, respectively. There was no significant prognostic difference between hypoxic and oxygenated tumors. Conclusion: The similar disease-free survival and local control rates between hypoxic and oxygenated tumors before and during treatment indicated that the role of the tumor oxygenation status was not so important in local control in carbon beam therapy. These results indicated that high LET carbon beam irradiation might reduce the radiation-resistant nature stemming from tumor hypoxia.

Development of a compact superconducting rotating-gantry for heavy-ion therapy.

An isocentric superconducting rotating-gantry for heavy-ion therapy is being developed [ 1]. This rotating gantry can transport heavy ions having 430 MeV/u to an isocenter with irradiation angles of over ±180°, and is further capable of performing fast raster-scanning irradiation [ 2]. A layout of the beam-transport line for the compact rotating-gantry is presented in Fig. 1. The rotating gantry has 10 superconducting magnets (BM01-10), a pair of the scanning magnets (SCM-X and SCM-Y) and two pairs of beam profile- monitor and steering magnets (ST01-02 and PRN01-02). For BM01-BM06 and BM09-BM10, the combined-function superconducting magnets are employed. Further, these superconducting magnets are designed for fast slewing of the magnetic field to follow the multiple flattop operation of the synchrotron [ 3]. The use of the combined-function superconducting magnets with optimized beam optics allows a compact gantry design with a large scan size at the isocenter; the length and the radius of the gantry will be to be ∼13 and 5.5 m, respectively, which are comparable to those for the existing proton gantries. Furthermore, the maximum scan size at the isocenter is calculated to be as large as ∼200 mm square for heavy-ion beams at the maximum energy of 430 MeV/u. All of the superconducting magnets were designed, and their magnetic fields were calculated using the Opera-3d code [ 4]. With the calculated magnetic fields, beam-tracking simulations were made. The simulation results agreed well with those of the linear beam-optics calculation, proving validity of the final design for the superconducting magnets. The five out of 10 superconducting magnets, as well as the model magnet were currently manufactured. With these magnets, rotation tests, magnetic field measurements and fast slewing tests were conducted. However, we did not observe any significant temperature increase, which may cause a quench problem. Further, results of the magnetic field measurements roughly agreed with those calculated by the Opera-3d code. The design study as well as major tests of the superconducting magnets was completed, and the construction of the superconducting rotating-gantry is in progress. The construction of the superconducting rotating-gantry will be completed at the end of FY2014, and be commissioned within FY2015. Fig. 1. Layout of the superconducting rotating-gantry. The gantry consists of 10 superconducting magnets (BM01–BM10), a pair of the scanning magnets (SCM-X and SCMY), and two pairs of beam profile-monitor and steering magnets (STR01–STR02 and PRN01–PRN02).

Characteristics of neutron beam generated by 500 MeV proton beam

A neutron irradiation facility was constructed at PARMS, University of Tsukuba to produce an ultrahigh energy neutron beam with a depth dose distribution superior to an x-ray beam generated by a modern linac. This neutron beam was produced from the reaction on a thick uranium target struck by a 500 MeV proton beam from the booster synchrotron of the High Energy Physics Laboratory. The percentage depth dose of this neutron beam was nearly equivalent to that of x-rays around 20 MV and the dose rate was 15 cGy per minute. The relative biological effectiveness (RBE) of this neutron beam has been estimated using the cell inactivation effect and the HMV-I cell line. The survival curve of cells after neutron irradiation has a shoulder with n and Dq of 8 and 2.3 Gy, respectively. The RBE value at the 10(-2) survival level for the present neutron beam as compared with 137Cs gamma rays was 1.24. The results suggest that the biological effects of ultrahigh energy neutrons are not large enough to be useful, although the depth dose distribution of neutrons can be superior to that of high energy linac x-rays.