Search

Empirical data in proton therapy indicate that relative biological effectiveness (RBE) is not constant, and it is directly related to the linear energy transfer (LET). The experimental assessment of LET with high resolution would be a powerful tool for minimizing the LET hot spots in intensity-modulated proton therapy, RBE- or LET-guided evaluation and optimization to achieve biologically optimized proton plans, verifying the theoretical predictions of variable proton RBE models, and so on. This could impact clinical outcomes by reducing toxicities in organs at risk.The present work shows the first 2D LET maps obtained at a proton therapy facility using the double scattering delivery mode in clinical conditions by means of new silicon 3D-cylindrical microdetectors.The device consists of a matrix of 121 independent silicon-based detectors that have 3D-cylindrical electrodes of 25-µm diameter and 20-µm depth, resulting each one of them in a well-defined micrometric radiation sensitive volume etched inside the silicon. They have been specifically designed for a hadron therapy, improving the performance of current silicon-based microdosimeters. Microdosimetry spectra were obtained at different positions of the Bragg curve by using a water-equivalent phantom along an 89-MeV pristine proton beam generated in the Y1 proton passive scattering beamline of the Orsay Proton Therapy Centre (Institut Curie, France).Microdosimetry 2D-maps showing the variation of the lineal energy with depth in the three dimensions were obtained in situ during irradiation at clinical fluence rates (∼10We present the first 2D microdosimetry maps obtained in situ during irradiation at clinical fluence rates in proton therapy. Our results show that the arrays of 3D-cylindrical microdetectors are a reliable microdosimeter to evaluate LET maps not only in the longitudinal axis of the beam, but also in the transverse plane allowing for LET characterization in three dimensions. This work is a proof of principle showing the capacity of our system to deliver LET 2D maps. This kind of experimental data is needed to validate variable proton RBE models and to optimize LET-guided plans.

A single crystal chemical vapor deposition (scCVD) diamond membrane-based microdosimetric system was used to perform simultaneous measurements of dose profile and microdosimetric spectra with the Y1 proton passive scattering beamline of the Center of Proton Therapy, Institute Curie in Orsay, France. To qualify the performance of the set-up in clinical conditions of hadrontherapy, the dose, dose rate and energy loss pulse-height spectra in a diamond microdosimeter were recorded at multiple points along depth of a water-equivalent plastic phantom. The dose-mean lineal energy (y¯D) values were computed from experimental data and compared to silicon on insulator (SOI) microdosimeter literature results. In addition, the measured dose profile, pulse height spectra and y¯D values were benchmarked with a numerical simulation using TOPAS and Geant4 toolkits. These first clinical tests of a novel system confirm that diamond is a promising candidate for a tissue equivalent, radiation hard, high spatial resolution microdosimeter in beam quality assurance of proton therapy.

Particle therapy is a growing cancer treatment modality worldwide. However, there still remains a number of unanswered questions considering differences in the biological response between particles and photons. These questions, and probing of biological mechanisms in general, necessitate experimental investigation. The “Infrastructure in Proton International Research” (INSPIRE) project was created to provide an infrastructure for European research, unify research efforts on the topic of proton and ion therapy across Europe, and to facilitate the sharing of information and resources. This work highlights the radiobiological capabilities of the INSPIRE partners, providing details of physics (available particle types and energies), biology (sample preparation and post-irradiation analysis), and researcher access (the process of applying for beam time). The collection of information reported here is designed to provide researchers both in Europe and worldwide with the tools required to select the optimal center for their research needs. We also highlight areas of redundancy in capabilities and suggest areas for future investment., Frontiers in Physics, 8, ISSN:2296-424X

International audience; Most anticancer radiation therapy facilities are based on linear electron accelerators with electron–photon conversion providing dose-rates in the range 0.03-0.40 Gy.s−1, and treatment plans usually involve daily fractions of 2 Gy cumulated for up to reaching a total dose close to the limit of tolerance of the normal tissues that surround tumors. We recently developed another methodology named “FLASH” that relies on very high dose-rate facilities and consists in delivering 10 Gy in a single microsecond pulse of relativistic electrons, or else in a limited number of pulses of 1-2 Gy each given in 100 ms temporal sequence. In mice FLASH was found to elicit a dramatic decrease of damage to normal tissues whilst keeping the anti-tumor efficiency unchanged. In the following we describe the methods used for beam monitoring in the FLASH mode with emphasis on techniques that provide proportional, time-resolved dosimetry of radiation at the submicrosecond time scale. These methods include measurement of the electron fluence, optically monitored chemical dosimeters in water, solid scintillation and Cerenkov light emission. An application to the calibration of Gafchromic™ films is described and the minimal requirements for dose monitoring in preclinical assays are discussed. Good repeatability and linearity of these techniques in a range of peak dose-rates from 2x102 to 4x107 Gy.s−1 and from 1 mGy to over 30 Gy per microsecond pulse have been obtained with an overall precision better than 2%.

International audience

International audience; Proton transmission imaging uses protons with high enough energy to fully traverse the phantom/patient and to be captured in a suitable detector placed behind it. The measured residual energy or residual range provide a direct estimate of the water equivalent thickness (WET) of the image volume. Requirements for proton imaging to be exploitable in clinical practice include: (a) sufficient WET accuracy and (b) integrability into the treatment room and the clinical workflow. In this work, we report on experiments performed at the Institut Curie - Proton therapy center in Orsay (IC-CPO), France, using a commercial range telescope commonly employed for quality assurance measurements. The purpose was to keep the experimental aspects as simple as possible and to achieve nonetheless high WET resolution radiographies by developing and applying dedicated image processing methods. We explain these methods in detail and discuss their performance. We assess theWET accuracy based on two different reference phantoms: a CIRS electron density phantom with tissue equivalent inserts and a homogeneous step phantom. We nd an agreement between the measured and the ground truth WET values of better than 0.5mm and 0.2mm, respectively. Our work suggests that proton radiographies with good WET accuracy can be obtained with a reasonable experimental effort that would facilitate integration into clinical routine.

The main objective of this thesis is to develop and optimize algorithms for intensity modulated proton therapy, taking into account the physical and biological pencil beam properties. A model based on the summation and fluence weighted division of the pencil beams has been used. A new parameterization of the lateral dose distribution has been developed using a combination of three Gaussian functions. The algorithms have been implemented into a treatment planning system, then experimentally validated and compared with Monte Carlo simulations. Some approximations have been made and validated in order to achieve reasonable calculation times for clinical purposes. In a second phase, a collaboration with Institut Curie radiobiological teams has been started in order to implement radiobiological parameters and results into the optimization loop of the treatment planning process. Indeed, scanned pencil beams are pulsed and delivered at high dose rates (from 10 to 100 Gy/s), and the relative biological efficiency of protons is still relatively unknown given the wide diversity of use of these beams: the different models available and their dependence with linear energy transfers have been studied. A good agreement between dose calculations and measurements (deviations lower than 3 % and 2 mm) has been obtained. An experimental protocol has been set in order to qualify pulsed high dose rate effects and preliminary results obtained on one cell line suggested variations of the biological efficiency up to 10 %, though with large uncertainties., L'objectif principal de cette thèse est de développer et optimiser les algorithmes caractérisant les propriétés physiques et biologiques des mini-faisceaux de protons pour la réalisation des traitements avec modulation d'intensité. Un modèle basé sur la superposition et décomposition des mini-faisceaux en faisceaux élémentaires a été utilisé. Un nouveau modèle de description des mini-faisceaux primaires a été développé à partir de la sommation de trois fonctions gaussiennes. Les algorithmes ont été intégrés dans un logiciel de planification de traitement, puis validés expérimentalement et par comparaison avec des simulations Monte Carlo. Des approximations ont été réalisées et validées afin de réduire les temps de calcul en vue d'une utilisation clinique. Dans un deuxième temps, un travail en collaboration avec les équipes de radiobiologie de l'institut Curie a été réalisé afin d'introduire des résultats radiobiologiques dans l'optimisation biologique des plans de traitement. En effet, les faisceaux balayés sont délivrés avec des débits de dose très élevés (de 10 à 100 Gy/s) et de façon discontinue, et l'efficacité biologique des protons est encore relativement méconnue vue la diversité d'utilisation de ces faisceaux : les différents modèles disponibles et notamment leur dépendance avec le transfert d'énergie linéique ont été étudiés. De bons accords (écarts inférieurs à 3 % et 2 mm) ont été obtenus entre calculs et mesures de dose. Un protocole d'expérimentation pour caractériser les effets des hauts débits pulsés a été mis en place et les premiers résultats obtenus sur une lignée cellulaire suggèrent des variations d'efficacité biologique inférieures à 10 %, avec toutefois de larges incertitudes.

This thesis work is part of a fundamental research aimed at improving the understanding of the mechanisms of interaction of ionizing radiation with biological matter by focusing on the prediction of early radiation-induced DNA damage by numerical simulations. As a first step, a study on the role of the different levels of chromatin compaction (heterochromatin and euchromatin) in the induction of these early effects, namely DNA strand breaks, is proposed. New realistic geometric models of cell nuclei integrating chromatin compaction have therefore been created and used in a calculation chain, based on the open source and general purpose Monte Carlo code Geant4 and its extension Geant4-DNA, to simulate the physical, physico-chemical and chemical stages leading to strand breaks. Developments in this thesis have also allowed studying the impact of several types of radiation (protons, alphas, photons) on radiation-induced damage. The various results were compared with experimental data and in particular those obtained by the IRSN team of radiobiologists. Finally, a study on later effects such as DNA repair and cell death was carried out using both the calculation chain and some parametric models from the literature. Thus, the results obtained in this thesis have made it possible to acquire new knowledge and to develop calculation tools that will soon be delivered in free access to the scientific community in order to predict the biological effects of several types of radiation with the aim of improving risk models., Ce travail de thèse s'inscrit dans le cadre d'une recherche fondamentale visant à améliorer la compréhension des mécanismes d'interaction des rayonnements ionisants avec la matière biologique en s’intéressant à la prédiction par simulations numériques des dommages précoces radio-induits à l’ADN. Dans un premier temps, une étude sur le rôle des différents niveaux de compaction de la chromatine (hétérochromatine et euchromatine) dans l’induction de ces premiers effets, à savoir les cassures de brins de l’ADN, est proposée. De nouveaux modèles géométriques réalistes de noyaux cellulaires intégrant la compaction de la chromatine ont donc été créés et utilisés dans une chaîne de calcul, basée sur le code Monte Carlo ouvert et généraliste Geant4 et son extension Geant4-DNA, permettant de simuler les étapes physique, physico-chimique et chimique menant aux cassures de brin. Les développements effectués dans cette thèse ont également permis d’étudier l’impact de plusieurs types de rayonnement (protons, alphas, photons) sur les dommages radio-induits. Les différents résultats ont été confrontés à des données expérimentales et en particulier à celles obtenues par l’équipe de radiobiologistes de l’IRSN. Enfin, une étude portant sur les effets plus tardifs comme la réparation de l’ADN et la mort cellulaire a été réalisée par l’utilisation conjointe de la chaîne de calcul et de certains modèles paramétriques issus de la littérature. Ainsi, les résultats obtenus dans cette thèse ont permis d’acquérir de nouvelles connaissances et de développer des outils de calcul qui seront bientôt disponibles en accès libre à la communauté scientifique afin de prédire des effets biologiques de plusieurs types de rayonnement dans la perspective d’améliorer les modèles de risque.