Applications of Accelerators and Detectors to Cancer Treatment

Abstract:

The discovery of the FLASH effect has revealed a high potential for treating cancer more efficiently by sparing healthy tissue. The surge in related medical research activities over the last couple of years has triggered a demand for technology with the capability of generating and measuring ionizing radiation at ultra-high dose-rates (UHDR). A reliable dosimetry system is an integral part of a radiotherapy machine. Because existing active dosimetry methods are unable to handle the dose-rates required for FLASH, UHDR dosimetry has emerged as an important area of research. In this paper we present an active dosimetry method based on a scintillating screen and an integrating current transformer. This method provides a simultaneous measurement of the absolute dose delivery as well as the 2D dose distribution. The measurements have been correlated with corresponding readings from radiochromic films (RCFs), and a procedure for image processing has been established. Moreover, different methods of calibrating the active dosimetry system against RCFs have been introduced and evaluated. Lastly, we present results which demonstrate that an agreement with RCFs of better than 5% can be realistically expected if camera parameters are carefully optimized.

Abstract:

Objective. Very high energy electrons (VHEE) in the range of 50-250 MeV are of interest for treating deep-seated tumours with FLASH radiotherapy (RT). This approach offers favourable dose distributions and the ability to deliver ultra-high dose rates (UHDR) efficiently. To make VHEE-based FLASH treatment clinically viable, a novel beam monitoring technology is explored as an alternative to transmission ionisation monitor chambers, which have non-linear responses at UHDR. This study introduces the fibre optic flash monitor (FOFM), which consists of an array of silica optical fibre-based Cherenkov sensors with a photodetector for signal readout.Approach. Experiments were conducted at the CLEAR facility at CERN using 200 MeV and 160 MeV electrons to assess the FOFM's response linearity to UHDR (characterised with radiochromic films) required for FLASH radiotherapy. Beam profile measurements made on the FOFM were compared to those using radiochromic film and scintillating yttrium aluminium garnet (YAG) screens.Main results. A range of photodetectors were evaluated, with a complementary-metal-oxide-semiconductor (CMOS) camera being the most suitable choice for this monitor. The FOFM demonstrated excellent response linearity from 0.9 Gy/pulse to 57.4 Gy/pulse (R²= 0.999). Furthermore, it did not exhibit any significant dependence on the energy between 160 MeV and 200 MeV nor the instantaneous dose rate. Gaussian fits applied to vertical beam profile measurements indicated that the FOFM could accurately provide pulse-by-pulse beam size measurements, agreeing within the error range of radiochromic film and YAG screen measurements, respectively.Significance. The FOFM proves to be a promising solution for real-time beam profile and dose monitoring for UHDR VHEE beams, with a linear response in the UHDR regime. Additionally it can perform pulse-by-pulse beam size measurements, a feature currently lacking in transmission ionisation monitor chambers, which may become crucial for implementing FLASH radiotherapy and its associated quality assurance requirements.