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Optical fibres are gaining popularity for relative dosimetry in proton therapy due to their spatial resolution and ability for near real-time acquisition. For FLASH proton therapy, these fibres need to handle higher dose rates and larger doses than for conventional proton dose rates. We developed a multi-point fibre sensor embedded in a 3D-printed phantom which can measure the profile of a FLASH proton beam. Seven PMMA fibres of 1 mm diameter were embedded in a custom 3D-printed plastic phantom of the same density as the fibres. The phantom was placed in a proton beam with FLASH dose rates at the TRIUMF Proton Therapy Research Centre (PTRC). The sensor was exposed to different proton energies, 13.5 MeV, 19 MeV and 40.4 MeV, achieved by adding PMMA bolus in front of the phantom and three different beam currents, varying the dose rates from 7.5 to 101 Gy/s. The array was able to record beam profiles in both transverse and axial directions in relative agreement with measurements from EBT-XD radiochromic films (transverse) and Monte Carlo simulations (axial). A decrease in light output over time was observed, which might be caused by radiation damage in the matrix of the fibre and characterised by an exponential decay function. [ABSTRACT FROM AUTHOR]

As the technology to deliver precise and very high radiotherapeutic doses with narrow margins grows to better serve patients with complex radiotherapeutic needs, so does the need for sensors and sensor systems that can reliably deliver multi-point dose monitoring and dosimetry for enhanced safety and access. To address this need, we investigated a novel five-point scintillator system for simultaneously sampling points across a 74 MeV proton beam with a Hamamatsu 16-channel MPPC array. We studied the response across beam widths from 25 mm down to 5 mm in diameter and in multiple depths to observe beam penumbrae and output factors as well as depth–dose. We found through comparison to ionization chambers and radiochromic film that the array is capable of measurements accurate to within 8% in the centre of proton beams from 5 to 25 mm in diameter, and within 2% at 3.5 cm depth in water. The results from three trials are repeatable after calibration to within <1%. Overall, the five optical fibre sensor system shows promise as a fast, multipoint relative dosimetry system. [ABSTRACT FROM AUTHOR]

In recent years, proton therapy has gained importance as a cancer treatment modality due to its conformality with the tumor and the sparing of healthy tissue. However, in the interaction of the protons with the beam line elements and patient tissues, potentially harmful secondary neutrons are always generated. To ensure that this neutron dose is as low as possible, treatment plans could be created to also account for and minimize the neutron dose. To monitor such a treatment plan, a compact, easy to use, and inexpensive dosimeter must be developed that not only measures the physical dose, but which can also distinguish between proton and neutron contributions. To that end, plastic optical fibers with scintillation materials (Gd2O2S:Tb, Gd2O2S:Eu, and YVO4:Eu) were irradiated with protons and neutrons. It was confirmed that sensors with different scintillation materials have different sensitivities to protons and neutrons. A combination of these three scintillators can be used to build a detector array to create a biological dosimeter. [ABSTRACT FROM AUTHOR]

Featured Application: Use of fiber optics to monitor a target on a medical cyclotron. Many medical isotopes can be produced on a small cyclotron. The alignment and profiles of low-energy proton beams from cyclotrons used for medical radioisotope production, such as the TR13 cyclotron at TRIUMF, Canada, cannot be directly quantified during dose delivery with simultaneous constant feedback and sharp spatial resolutions. Doped silica fibers are a potential solution that has been tested at TRIUMF. To measure the effects of irradiation inside an isotope production target, we attached fibers to the outside of an 18O gas target and measured the light output during irradiation. Different dopants, fiber diameters, and target materials were investigated. It was found that 200 µm diameter Ce- and B-doped fibers produce signals linearly proportional to the beam current. This only deviated when the target was moved such that the beam was steered into the target wall, increasing the production of prompt radiation and causing the beam current to decrease but the fiber signal to increase. With the technique described here, the beam can be monitored on the target, including its steering and its overall alignment with the target. [ABSTRACT FROM AUTHOR]

Responding to the impact, community and individuals during a crisis is demanding for humanitarian workers. The need for resilience is crucial for the delivery of effective humanitarian aid and staff long-term emotional endurance. This article describes an arts-based approach aimed at enhancing the resilience of 53 World Vision (WV) staff in Asia at a weeklong Regional Disaster Management Team (RDMT) workshop. The purpose was to introduce responders to embodied artful experiences to develop coping skills and enhance their personal resilience to the impact of the response before, during and after deployment. The arts-based experiential sessions were embraced by the participants, with many acknowledging that they will engage in the arts as a reflexive practice during deployment. [ABSTRACT FROM AUTHOR]

A characterization study was carried out to determine if a novel, millimeter sized Terbium-activated Gadolinium Oxysulfide optical fibre detector has potential for future use in proton dosimetry. Preliminary studies employed a Theratronics Theratron 780C Cobalt-60 unit and were used to determine nominal dose response, field size response and Čerenkov contributions in 1.25-MeV gamma radiation. More extensive testing was done using 74 MeV-protons produced in the TRIUMF 500-MeV cyclotron facility examining raw Bragg peak, spread out Bragg peak, dose response, and Čerenkov signal. The detector was low-cost and easily assembled; it showed excellent sensitivity, signal to noise ratio, and reproducibility. Quenching at high linear energy transfer was severe. Additional investigations are needed to further explore Čerenkov-only depth-dose curves, signal detection at the extreme distal end of the Bragg peak, and possible sensitivity to neutrons. [ABSTRACT FROM PUBLISHER]

Phosphorous-doped silica optical fibres with a core diameter of 4 µm were tested in X-ray and proton fields for application in cancer therapy dosimetry. Specifically, the radiation-induced attenuation was investigated in terms of linearity in deposited dose in 15 MV and 6 MV photons and 74 MeV protons, as well as Bragg-peak detection along the proton track. Fibres were found to demonstrate linear relative dose response in both radiation modalities, but possible saturation did occur at the high linear energy transfer of the Bragg peak. This demonstrates the possibility to use these fibres as a relative dosimeter for radiation therapy applications. [ABSTRACT FROM AUTHOR]