First test of the prompt gamma ray timing method with heterogeneous targets at a clinical proton therapy facility

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Fernando Hueso-González - , University Hospital Carl Gustav Carus Dresden, Helmholtz-Zentrum Dresden-Rossendorf (Author)
  • Wolfgang Enghardt - , OncoRay ZIC - National Center for Radiation Research in Oncology (Partners: UKD, HZDR), University Hospital Carl Gustav Carus Dresden, Helmholtz-Zentrum Dresden-Rossendorf (Author)
  • Fine Fiedler - , Helmholtz-Zentrum Dresden-Rossendorf (Author)
  • Christian Golnik - , OncoRay ZIC - National Center for Radiation Research in Oncology (Partners: UKD, HZDR), University Hospital Carl Gustav Carus Dresden (Author)
  • Guillaume Janssens - , IBA Group (Author)
  • Johannes Petzoldt - , University Hospital Carl Gustav Carus Dresden (Author)
  • Damien Prieels - , IBA Group (Author)
  • Marlen Priegnitz - , Helmholtz-Zentrum Dresden-Rossendorf (Author)
  • Katja E. Römer - , Helmholtz-Zentrum Dresden-Rossendorf (Author)
  • Julien Smeets - , IBA Group (Author)
  • François Vander Stappen - , IBA Group (Author)
  • Andreas Wagner - , Helmholtz-Zentrum Dresden-Rossendorf (Author)
  • Guntram Pausch - , University Hospital Carl Gustav Carus Dresden (Author)

Abstract

Ion beam therapy promises enhanced tumour coverage compared to conventional radiotherapy, but particle range uncertainties significantly blunt the achievable precision. Experimental tools for range verification in real-time are not yet available in clinical routine. The prompt gamma ray timing method has been recently proposed as an alternative to collimated imaging systems. The detection times of prompt gamma rays encode essential information about the depth-dose profile thanks to the measurable transit time of ions through matter. In a collaboration between OncoRay, Helmholtz-Zentrum Dresden-Rossendorf and IBA, the first test at a clinical proton accelerator (Westdeutsches Protonentherapiezentrum Essen, Germany) with several detectors and phantoms is performed. The robustness of the method against background and stability of the beam bunch time profile is explored, and the bunch time spread is characterized for different proton energies. For a beam spot with a hundred million protons and a single detector, range differences of 5 mm in defined heterogeneous targets are identified by numerical comparison of the spectrum shape. For higher statistics, range shifts down to 2 mm are detectable. A proton bunch monitor, higher detector throughput and quantitative range retrieval are the upcoming steps towards a clinically applicable prototype. In conclusion, the experimental results highlight the prospects of this straightforward verification method at a clinical pencil beam and settle this novel approach as a promising alternative in the field of in vivo dosimetry.

Details

Original languageEnglish
Pages (from-to)6247-6272
Number of pages26
JournalPhysics in medicine and biology
Volume60
Issue number16
Publication statusPublished - 21 Aug 2015
Peer-reviewedYes

External IDs

PubMed 26237433

Keywords

Keywords

  • in vivo dosimetry, prompt gamma ray timing, proton therapy, range verification