Search

A study of multiple-ion therapy with charged heavy-ion beams was performed to improve outcomes of refractory cancer treatments. We proposed the accelerator operation method for applying the multiple-ion therapy, to quickly switch the ion species and energies of the output beams. In this method, the irradiation ion species can be changed only by switching the selected ion source and the injector parameters, and the output beam energies can be varied without changing the magnetic operation patterns of the synchrotron. We verified the effectiveness of our approach by conducting experiments at the Heavy Ion Medical Accelerator in Chiba (HIMAC) and confirmed that the approach can provide the fast switching of both the ion species and the beam energies. The experimental results also demonstrated that our approach will greatly reduce the commissioning time and the routine adjustments for multiple-ion beams. [ABSTRACT FROM AUTHOR]

Multiple-energy synchrotron operation was developed to realize fast 3D scanning irradiation for carbon-ion radiotherapy. This type of operation can output various carbon-ion beams with different energies in a single synchrotron cycle. The beam control system used in this kind of operation was developed to quickly provide the beam energy and intensity required from the irradiation control system. The performance of the system was verified by experimental tests. The system could output beams of 197 different energies in 63 s. The beam intensity could be controlled for all the output beams without large ripples or overshooting. The experimental test of irradiation for prostate cancer treatment was also successfully performed, and the test results proved that our system can greatly reduce the irradiation time. [ABSTRACT FROM AUTHOR]

Abstract: Multiple-energy synchrotron operation providing carbon-ion beams with various energies has been used for scanned particle therapy at NIRS. An energy range from 430 to 56MeV/u and about 200 steps within this range are required to vary the Bragg peak position for effective treatment. The treatment also demands the slow extraction of beam with highly reliable properties, such as spill, position and size, for all energies. We propose an approach to generating multiple-energy operation meeting these requirements within a short time. In this approach, the device settings at most energy steps are determined without manual adjustments by using systematic parameter tuning depending on the beam energy. Experimental verification was carried out at the HIMAC synchrotron, and its results proved that this approach can greatly reduce the adjustment period. [Copyright &y& Elsevier]

At Heavy Ion Medical Accelerator in Chiba (HIMAC) in National Institute of Radiological Sciences (NIRS), more than 9000 patients have been successfully treated by carbon ion beams since 1994. The successful results of treatments have led us to construct a new treatment facility equipped with a three-dimensional pencil beam scanning irradiation system, which is one of sophisticated techniques for cancer therapy with high energetic ion beam. This new facility comprises two treatment rooms having fixed beam lines and one treatment room having rotating gantry line. The challenge of this project is to realize treatment of a moving target by scanning irradiation. Thus, to realize this, the development of the fast scanning system is one of the most important issues in this project. After intense commissioning and quality assurance tests, the treatment with scanned ion beam was started in May 2011. After treatment of static target starts, we have developed related technologies. As a result, we can start treatment of moving target and treatment without range shifter plates since 2015. In this paper, the developments of the scanning irradiation system are described. [ABSTRACT FROM AUTHOR]

Abstract: For the quality assurance (QA) of therapeutic scanned carbon-ion beams, QA tool having high spatial resolution is required. The radiochromic film (such as Gafchromic EBT2 film model) is a very useful tool because of its high spatial resolution, self-development, and near tissue equivalence. However, for a complex field in carbon-ion therapy, it is difficult to unambiguously determine the dose from the measured net optical density (OD). As a first approach, we investigated the response of EBT2 to carbon-ion beam at the Heavy Ion Medical Accelerator in Chiba (HIMAC) in Japan. Based on the measured results, we performed QA measurements independently of dose. We verified the QA measurements by EBT2 by comparing the ionization chamber and the fluorescent screen. The results obtained with EBT2 were in good agreement with those obtained with the other detector. In addition, to test the use in a complex field, we verified the OD distributions for moving and static target by means of a gamma index analysis. As a result, we confirmed that EBT2 could be used as a part of QA procedures for therapeutic scanned carbon-ion beams. [Copyright &y& Elsevier]

Controlling beam position in three-dimensional pencil-beam scanning is important because errors in beam position disturb the uniformity of irradiated dose distribution. To suppress this, we have developed a simple procedure for beamline tuning. Beamline tuning is performed with steering magnets and fluorescent screen monitors to converge a beam’s trajectory to a central orbit. The misalignment between beam position and a reference axis is determined through a verification system, which consists of a screen monitor and an acrylic phantom. If beam position deviates from the reference axis, two pairs of steering magnets, which are placed downstream of the beam transport line, correct the beam. These adjustments are iterated until the deviations for 11 energies of the beam are within 0.5 mm of the reference axis. To demonstrate the success of the proposed procedure, we used it to perform beam commissioning at the Kanagawa Cancer Center.
 [ABSTRACT FROM AUTHOR]