Institut Curie, PSL Research University, Radiation Oncology Department, Proton Therapy Centre, Centre Universitaire, 91898 Orsay, France.
Laboratoire d'Optique Appliquée, ENSTA Paris, École Polytechnique, CNRS-UMR7639, Institut Polytechnique de Paris, 91762 Palaiseau Cedex, France.
Med Phys. 2022 Jul;49(7):4731-4742. doi: 10.1002/mp.15675. Epub 2022 May 20.
Ultra-high dose-rate (UHDR) irradiations (>40 Gy/s) have recently garnered interest in radiotherapy (RT) as they can trigger the so-called "FLASH" effect, namely a higher tolerance of normal tissues in comparison with conventional dose rates when a sufficiently high dose is delivered to the tissue. To transfer this to clinical RT treatments, adapted methods and practical tools for online dosimetry need to be developed. Ionization chambers remain the gold standards in RT but the charge recombination effects may be very significant at such high dose rates, limiting the use of some of these dosimeters. The reduction of the sensitive volume size can be an interesting characteristic to reduce such effects.
In that context, we have investigated the charge collection behavior of the recent IBA Razor™ Nano Chamber (RNC) in UHDR pulses to evaluate its potential interest for FLASH RT.
In order to quantify the RNC ion collection efficiency (ICE), simultaneous dose measurements were performed under UHDR electron beams with dose-rate-independent Gafchromic™ EBT3 films that were used as the dose reference. A dose-per-pulse range from 0.01 to 30 Gy was investigated, varying the source-to-surface distance, the pulse duration (1 and 3 μs investigated) and the LINAC gun grid tension as irradiation parameters. In addition, the RNC measurements were corrected from the inherent beam shot-to-shot variations using an independent current transformer. An empirical logistic model was used to fit the RNC collection efficiency measurements and the results were compared with the Advanced Markus plane parallel ion chamber.
The RNC ICE was found to decrease as the dose-per-pulse increases, starting from doses above 0.2 Gy/pulse and down to 40% of efficiency at 30 Gy/pulse. The RNC resulted in a higher ICE for a given dose-per-pulse in comparison with the Markus chamber, with a measured efficiency found higher than 85 and 55% for 1 and 10 Gy/pulse, respectively, whereas the Markus ICE was of 60 and 25% for the same doses. However, the RNC shows a higher sensitivity to the pulse duration than the Advanced Markus chamber, with a lower efficiency found at 1 μs than at 3 μs, suggesting that this chamber could be more sensitive to the dose rate within the pulse.
The results confirmed that the small sensitive volume of the RNC ensures higher ICE compared with larger chambers. The RNC was thus found to be a promising online dosimetry tool for FLASH RT and we proposed an ion recombination model to correct its response up to extreme dose-per-pulses of 30 Gy.
超高剂量率(UHDR)照射(>40Gy/s)最近在放射治疗(RT)中引起了兴趣,因为当组织接受足够高的剂量时,与常规剂量率相比,它们可以引发所谓的“FLASH”效应,即正常组织的耐受性更高。为了将这一效应转化为临床 RT 治疗,需要开发适用于在线剂量测量的方法和实用工具。电离室仍然是 RT 的金标准,但在如此高的剂量率下,电荷复合效应可能非常显著,限制了一些这些剂量计的使用。减小灵敏体积大小可能是减少这种效应的一个有趣特征。
在这种情况下,我们研究了最近的 IBA Razor™ Nano Chamber(RNC)在 UHDR 脉冲中的电荷收集行为,以评估其在 FLASH RT 中的潜在应用。
为了量化 RNC 的离子收集效率(ICE),我们在 UHDR 电子束下进行了同时剂量测量,使用剂量率独立的 Gafchromic™ EBT3 胶片作为剂量参考。研究了从 0.01 到 30Gy 的剂量范围,改变源到表面距离、脉冲持续时间(1 和 3μs)和 LINAC 枪栅张力作为照射参数。此外,使用独立的电流互感器对 RNC 测量值进行了从固有束射散变化的校正。使用经验逻辑模型拟合 RNC 收集效率测量值,并将结果与先进的 Markus 平面平行电离室进行比较。
发现 RNC 的 ICE 随着剂量率的增加而降低,从高于 0.2Gy/脉冲的剂量开始,在 30Gy/脉冲时降至 40%的效率。与 Markus 腔相比,RNC 在给定的剂量率下产生更高的 ICE,在 1 和 10Gy/脉冲时,测量的效率分别高于 85%和 55%,而 Markus ICE 分别为 60%和 25%。然而,RNC 对脉冲持续时间的灵敏度高于先进的 Markus 腔,在 1μs 时的效率低于 3μs,这表明该腔对脉冲内的剂量率可能更敏感。
结果证实,RNC 的小灵敏体积确保了与较大腔室相比更高的 ICE。因此,RNC 被认为是 FLASH RT 的一种有前途的在线剂量测量工具,我们提出了一个离子复合模型来校正其响应,直到 30Gy 的极端剂量率。