Morris Toby, Rajapakse Arith, Lyatskaya Yulia, Zygmanski Piotr, Bredfeldt Jeremy, Sajo Erno, Brivio Davide
Department of Physics and Applied Physics, University of Massachusetts Lowell, Lowell, Massachusetts, USA.
Department of Radiation Oncology, Dana-Farber Cancer Institute and Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Med Phys. 2025 Mar;52(3):1810-1822. doi: 10.1002/mp.17553. Epub 2024 Dec 3.
Safe implementation and translation of FLASH radiotherapy to the clinic requirehs development of beam monitoring devices capable of high temporal resolution with wide dynamic ranges. Ideal detectors should be able to monitor LINAC pulses, withstand high doses and dose rates, and provide information about the beam output, energy/range, and profile.
Two novel detectors have been designed and tested for ultra-high dose-rate (UHDR) monitoring: a multilayer nano-structured 3-layer high-energy-current (HEC3) detector, and a segmented large area, 4-section flat (S4) detector with the goal of exploring their properties for a future combined design.
A Novalis-TX LINAC was converted to produce a 10 MeV electron-FLASH beam. Pulses were monitored using both HEC3 and S4 detectors. The HEC3 detector structure consisted of three electrode layers separated by a nanoporous aerogel (Aero): Al(50 µm)-Aero(100 µm)-Ta(10 µm)-Aero(100 µm)-Al(50 µm). The S4 structure was comprised of three layers: Cu(100 nm)-air(1 mm)-Al(100 nm) with contact potential for charge collection. Both detectors are self-powered as they do not require an external voltage bias for charge collection. The beam was also characterized using a photodiode, Gafchromic EBT-XD Film, OSLDs, and an Advanced Markus Chamber.
The electron-FLASH beam displayed a Gaussian-like profile with 15 cm FWHM at isocenter. Electron-FLASH dose rates up to an average of 260 Gy/s were measured on the surface of a solid water phantom at isocenter with an instantaneous dose rate of 1.8 × 10 Gy/s and a dose per pulse of up to 1 Gy/pulse. Both HEC3 and S4 detectors could record individual pulses for repetition rates of 360 Hz with a 4 µs pulse-width. The HEC3 detector signal increased linearly with dose, MU, number of pulses, and dose rate up to 850 Gy/s with no loss of functionality at high doses or dose rates. The S4 detector showed linearity with MU and number of pulses at each of the four channels independently showing potential for spatial information and steering but lacked dose rate independence.
Two novel detectors, HEC3 and S4, successfully measured electron-FLASH pulses and hence can be considered capable of electron-FLASH beam monitoring in different capacities. HEC3 detector technology is suitable for monitoring high-dose and UHDR beams with high temporal resolution required for pulse counting. We envision the combination of the HEC3 internal structure with the S4 piece-wise design for real-time monitoring of the temporal structure, spatial profiles, energy, and dosimetric properties of UHDR beams.
将FLASH放疗安全地应用于临床并进行转化,需要开发能够在宽动态范围内实现高时间分辨率的束流监测设备。理想的探测器应能够监测直线加速器脉冲,承受高剂量和剂量率,并提供有关束流输出、能量/射程和轮廓的信息。
设计并测试了两种用于超高剂量率(UHDR)监测的新型探测器:一种多层纳米结构的三层高能电流(HEC3)探测器,以及一种分段大面积的四节平板(S4)探测器,目的是探索它们的特性,以便未来进行组合设计。
将一台Novalis-TX直线加速器改装为产生10 MeV电子FLASH束流。使用HEC3和S4探测器监测脉冲。HEC3探测器结构由三层电极组成,中间隔着纳米多孔气凝胶(Aero):Al(50 µm)-Aero(100 µm)-Ta(10 µm)-Aero(100 µm)-Al(50 µm)。S4结构由三层组成:Cu(100 nm)-空气(1 mm)-Al(100 nm),具有用于电荷收集的接触电位。两种探测器都是自供电的,因为它们在电荷收集时不需要外部电压偏置。还使用光电二极管、Gafchromic EBT-XD胶片、OSLD和高级马库斯电离室对束流进行了表征。
电子FLASH束流在等中心处呈现出类似高斯的轮廓,半高宽为15 cm。在等中心处的固体水模体表面测量到的电子FLASH剂量率平均高达260 Gy/s,瞬时剂量率为1.8×10 Gy/s,每脉冲剂量高达1 Gy/脉冲。HEC3和S4探测器都能够记录重复频率为360 Hz、脉冲宽度为4 µs的单个脉冲。HEC3探测器信号随剂量、监测单位(MU)、脉冲数和剂量率线性增加,直至850 Gy/s,在高剂量或剂量率下功能无损失。S4探测器在四个通道中的每个通道上与MU和脉冲数呈线性关系,独立显示出获取空间信息和进行束流控制的潜力,但缺乏剂量率独立性。
两种新型探测器HEC3和S4成功测量了电子FLASH脉冲,因此可以认为它们能够以不同能力对电子FLASH束流进行监测。HEC3探测器技术适用于监测高剂量和UHDR束流,具有脉冲计数所需的高时间分辨率。我们设想将HEC3的内部结构与S4的分段设计相结合,以实时监测UHDR束流的时间结构、空间轮廓、能量和剂量学特性。