Henthorn Nicholas T, Warmenhoven John-William, Ingram Samuel P, Manger Samuel P, Merchant Michael J, Owen Hywel, Mackay Ranald I, Kirkby Karen J, Taylor Michael J
Division of Cancer Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, United Kingdom.
Manchester Academic Health Science Centre, The Christie NHS Foundation Trust, Manchester, United Kingdom.
Biomed Phys Eng Express. 2025 Jul 25;11(4):045036. doi: 10.1088/2057-1976/addbe8.
Proton therapy is a relatively new modality for cancer treatment and has several open research questions, particularly in the biological realm. Due to large infrastructure costs the modality is reserved for specialist treatment, limiting the patient outcome dataset. This requires supplementation with fundamental research throughandsystems. Similarly, the safety and potential benefits of new treatments, such as FLASH, should be demonstrated in lab environments prior to clinical translation. Greater access to clinically relevant research platforms is required. This work presents the capabilities of the Manchester proton therapy research facility for experimentalists' assessment to meet their research goals. Details of the research beamline geometry are presented, along with workflows forsample irradiation within an automated sample handling environmental chamber. Absolute dose and dose depth of the proton research beamline was measured. The dose calibration across a range of energies and dose rates is presented and fits are mathematically described. Methods to convert measured, or planned, dose to sample dose are presented including for biological studies investigating end of proton range effects. Elements of the beam optics, impacting on spot size and therefore field homogeneity, were measured for sample irradiation and beam model development. A Monte Carlo beam model was established to predict physically difficult measurements and is compared to measurements throughout. Achievable dose rates for FLASH are presented alongside absolute dosimetric accuracy. There was a focus on radiobiological research in establishing the beamline. Special care was taken to develop high-throughput repeatableirradiation workflows, with an adjacent radiobiological lab for immediate processing. This will lead to a reduction in experimental uncertainties seen in the literature with demonstrated accurate dosimetry, tight environmental control, and a high degree of versatility. The infrastructure presented in this work is a unique facility in the UK.
质子治疗是一种相对较新的癌症治疗方式,存在几个有待解决的研究问题,尤其是在生物学领域。由于基础设施成本高昂,该治疗方式仅限于专科治疗,这限制了患者结果数据集。这就需要通过基础研究和系统补充来完善。同样,新治疗方法(如FLASH)的安全性和潜在益处应在临床转化之前在实验室环境中得到验证。需要更多地使用临床相关研究平台。这项工作展示了曼彻斯特质子治疗研究设施的能力,以供实验人员评估,以实现他们的研究目标。文中介绍了研究束线几何结构的细节,以及在自动化样品处理环境舱内进行样品辐照的工作流程。测量了质子研究束线的绝对剂量和剂量深度。给出了一系列能量和剂量率下的剂量校准,并对拟合进行了数学描述。介绍了将测量或计划剂量转换为样品剂量的方法,包括用于研究质子射程末端效应的生物学研究。测量了影响光斑大小进而影响场均匀性的束光学元件,以用于样品辐照和束模型开发。建立了蒙特卡罗束模型来预测物理上难以测量的量,并与全程测量结果进行比较。给出了FLASH可实现的剂量率以及绝对剂量测定精度。在建立束线时重点关注了放射生物学研究。特别注意开发高通量可重复的辐照工作流程,并设有相邻的放射生物学实验室以便立即进行处理。这将减少文献中所见的实验不确定性,同时具备精确的剂量测定、严格的环境控制和高度的通用性。这项工作中介绍的基础设施是英国独一无二的设施。