Thayer School of Engineering, Dartmouth College, Hanover, NH, 03755, USA.
Department of Medicine, Geisel School of Medicine, Dartmouth College Hanover, Hanover, NH, 03755, USA.
Med Phys. 2021 May;48(5):2673-2681. doi: 10.1002/mp.14843. Epub 2021 Mar 31.
High dose rate conditions, coupled with problems related to small field dosimetry, make dose characterization for FLASH-RT challenging. Most conventional dosimeters show significant dependence on dose rate at ultra-high dose rate conditions or fail to provide sufficiently fast temporal data for pulse to pulse dosimetry. Here fast 2D imaging of radioluminescence from a water and quinine phantom was tested for dosimetry of individual 4 μs linac pulses.
A modified clinical linac delivered an electron FLASH beam of >50 Gy/s to clinical isocenter. This modification removed the x-ray target and flattening filter, leading to a beam that was symmetric and gaussian, as verified with GafChromic EBT-XD film. Lateral projected 2D dose distributions for each linac pulse were imaged in a quinine-doped water tank using a gated intensified camera, and an inverse Abel transform reconstruction provided 3D images for on-axis depth dose values. A total of 20 pulses were delivered with a 10 MeV, 1.5 cm circular beam, and beam with jaws wide open (40 × 40 cm ), and a 3D dose distribution was recovered for each pulse. Beam output was analyzed on a pulse by pulse basis.
The R , D , and the R measured with film and optical methods agreed to within 1 mm for the 1.5 cm circular beam and the beam with jaws wide open. Cross beam profiles for both beams agreed with film data with >95% passing rate (2%/2 mm gamma criteria). The optical central axis depth dose agreed with film data, except for near the surface. A temporal pulse analysis revealed a ramp-up period where the dose per pulse increased for the first few pulses and then stabilized.
Optical imaging of radioluminescence was presented as a valuable tool for establishing a baseline for the recently initiated electron FLASH beam at our institution.
高剂量率条件,加上小野剂量测量相关问题,使得 FLASH-RT 的剂量特性描述具有挑战性。大多数传统剂量仪在超高剂量率条件下表现出显著的剂量率依赖性,或者无法提供足够快的时间数据进行脉冲对脉冲剂量测量。本文测试了水和奎宁体模的放射发光的快速 2D 成像,以进行单个 4μs 直线加速器脉冲的剂量测量。
改良后的临床直线加速器向临床等中心提供>50Gy/s 的电子 FLASH 束。这种改进去除了 X 射线靶和均整滤波器,导致束流对称且呈高斯分布,这一点通过 GafChromic EBT-XD 胶片得到了验证。使用门控增强相机在奎宁掺杂水罐中对每个直线加速器脉冲的横向投影 2D 剂量分布进行成像,并通过逆 Abel 变换重建提供轴上深度剂量值的 3D 图像。总共用 10MeV、1.5cm 圆形束和完全打开的射野(40×40cm)进行了 20 个脉冲的传输,并为每个脉冲恢复了 3D 剂量分布。基于脉冲逐个地对束流输出进行了分析。
在 1.5cm 圆形束和完全打开的射野情况下,胶片和光学方法测量的 R、D 和 R 之间的差异在 1mm 以内。两种光束的跨束轮廓与胶片数据一致,通过率>95%(2%/2mm 伽玛标准)。光学中心轴深度剂量与胶片数据一致,除了靠近表面的情况。脉冲时间分析显示,在前几个脉冲中,每个脉冲的剂量逐渐增加,然后稳定下来。
放射发光的光学成像被提出作为我们机构最近启动的电子 FLASH 束的基线建立的有价值的工具。