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质子束散射系统的临床和研究应用优化。

Proton beam scattering system optimization for clinical and research applications.

机构信息

Loma Linda University Medical Center, Loma Linda, California 92354, USA.

出版信息

Med Phys. 2013 Apr;40(4):041702. doi: 10.1118/1.4793262.

Abstract

PURPOSE

To develop and test a method for optimizing and constructing a dual scattering system in passively scattered proton therapy.

METHODS

A beam optics optimization algorithm was developed to optimize the thickness of the first scatterer (S1) and the profile (of both the high-Z material and Lexan) of the second scatterer (S2) to deliver a proton beam matching a given set of parameters, including field diameter, fluence, flatness, and symmetry. A new manufacturing process was also tested that allows the contoured second scattering foil to be created much more economically and quickly using Cerrobend casting. Two application-specific scattering systems were developed and tested using both experimental and Monte Carlo techniques to validate the optimization process described.

RESULTS

A scattering system was optimized and constructed to deliver large uniform irradiations of radiobiology samples at low dose rates. This system was successfully built and tested using film and ionization chambers. The system delivered a uniform radiation field of 50 cm diameter (to a dose of ± 7% of the central axis) while the depth dose profile could be tuned to match the specifications of the particular investigator using modulator wheels and range shifters. A second scattering system for intermediate field size (4 cm < diameter < 10 cm) stereotactic radiosurgery and radiation therapy (SRS and SRT) treatments was also developed and tested using GEANT4. This system improved beam efficiency by over 70% compared with existing scattering systems while maintaining field flatness and depth dose profile. In both cases the proton range uniformity across the radiation field was maintained, further indicating the accuracy of the energy loss formalism in the optimization algorithm.

CONCLUSIONS

The methods described allow for rapid prototyping of scattering foils to meet the demands of both research and clinical beam delivery applications in proton therapy.

摘要

目的

开发并测试一种优化和构建被动散射质子治疗中双散射系统的方法。

方法

开发了一种束流光学优化算法,以优化第一个散射体(S1)的厚度和第二个散射体(S2)的轮廓(高 Z 材料和 Lexan 的轮廓),以提供与给定参数集匹配的质子束,包括场径、剂量、平坦度和对称性。还测试了一种新的制造工艺,该工艺允许使用 Cerrobend 铸造更经济、更快速地制造轮廓散射箔。开发并测试了两个特定应用的散射系统,使用实验和蒙特卡罗技术验证所描述的优化过程。

结果

优化和构建了散射系统,以在低剂量率下对放射生物学样本进行大而均匀的照射。该系统使用胶片和电离室成功构建和测试。该系统提供了 50cm 直径的均匀辐射场(中心轴剂量的±7%),而深度剂量分布可以通过使用调制器轮和射程移位器来调整,以满足特定研究人员的规格。还开发并测试了用于中间场尺寸(4cm<直径<10cm)立体定向放射外科和放射治疗(SRS 和 SRT)治疗的第二个散射系统。与现有散射系统相比,该系统的束流效率提高了 70%以上,同时保持了场平坦度和深度剂量分布。在这两种情况下,辐射场中的质子射程均匀性都得到了保持,这进一步表明了优化算法中能量损失公式的准确性。

结论

所描述的方法允许快速原型制作散射箔,以满足质子治疗中研究和临床束流输送应用的需求。

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