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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]

Since 2011, a three-dimensional (3D) scanning irradiation system has been utilized for treatments at the National Institute of Radiological Sciences-Heavy Ion Medical Accelerator in Chiba (NIRS-HIMAC). In 2012, a hybrid depth scanning method was introduced for the depth direction, in which 11 discrete beam energies are used in conjunction with the range shifter. To suppress beam spread due to multiple scattering and nuclear reactions, we then developed a full energy scanning method. Accelerator tuning and beam commissioning tests prior to a treatment with this method are time-consuming, however. We therefore devised a new approach to obtain the pencil beam dataset, including consideration of the contribution of large-angle scattered (LAS) particles, which reduces the time spent on beam data preparation. The accuracy of 3D dose delivery using this new approach was verified by measuring the dose distributions for different target volumes. Results confirmed that the measured dose distributions agreed well with calculated doses. Following this evaluation, treatments using the full energy scanning method were commenced in September 2015. [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]

Abstract: In order to realize a precise dose distribution in heavy-ion cancer therapy, high beam stability is required for the accelerator complex. Owing to load fluctuation caused by the upper ring, which is one of the two rings in HIMAC, current dips of ≈5–10Hz were observed in the power supply for the bending/quadrupole magnet of the other lower ring. The parameters of the beam stability, such as the spill variation, the beam position, and the size, were adversely affected by the current dips. In order to suppress these current dips, we developed a new feed-forward system in the magnet power supply. We verified the performance of the feed-forward system by measuring the suppression of the current dips. We also performed beam experiments to measure the variation of the horizontal tune and the structure of the beam spill, which is slowly extracted by the resonance method. The experimental result showed that the current dips were successfully reduced by the system to ΔI/I ∼10−6. It was also confirmed that the horizontal tune and the spill structure could be stabilized by the current dip suppression. [Copyright &y& Elsevier]

The HIMAC clinical study has been conducted with a carbon-ion beam since June 1994. Since 2006, as a new treatment research project, NIRS has developed both the accelerator and beam-delivery technologies for the sophisticated heavy-ion radiotherapy, which brings a pencil-beam 3D rescanning technology for both the static and moving-tumor treatments. In this technology, the depth-scanning technique was improved to the full-energy depth scanning by realizing a variable-energy operation of the HIMAC synchrotron itself. At present, a heavy-ion rotating gantry has been developed with the superconducting technology and is in a beam-commissioning stage. As a future plan, we just start a study of a multi-ions irradiation for more sophisticated LET-painting and a design study of a superconducting synchrotron for more compact heavy-ion radiotherapy facility. [ABSTRACT FROM AUTHOR]

Abstract: The NIRS has carried out carbon-ion radiotherapy (RT) with HIMAC since 1994. On the basis of their ten-year HIMAC experience, NIRS has developed a standard-type CIRT facility in order to boost availability of carbon-ion RT in Japan. Work has been carried out at its pilot facility at Gunma University since 2010. The current projects of the pilot facility include Saga-HIMAT and i-ROCK, promoted by the Kanagawa prefectural cancer center. Toward the further sophisticated conformal carbon-ion RT with HIMAC, the NIRS has since 2006 been developing new treatment technologies, such as a fast 3D rescanning with a pencil beam and a compact rotating gantry. [Copyright &y& Elsevier]

Abstract: A flat radiation field for heavy ion beams is used in research experiments and clinical treatments. When a flat field is required, a beam spreading system must be installed for a beam line; thus a simple and affordable method is desirable. To achieve the carbon ion beam spreading, we employed a dual-ring double scattering method (DDSM), which consists of an initial scattering foil and a dual-ring subsequent scatterer. The scatterers for the DDSM were designed and tested to verify the flatness of the radiation field of the carbon ion beam. We obtained 100mm of the flat radiation field in the isocenter plane for the 2D radiation field, as expected. For the 3D radiation field, we obtained a field size of 80mm. With a 60-min setup time, using the DDSM system, and by placing only two scatterers, we can form the flat radiation field. [Copyright &y& Elsevier]