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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]

Three-dimensional (3D) pencil-beam scanning is an ideal irradiation technique to make the best use of the characteristics of a carbon-ion beam and to provide flexible dose delivery. To suppress beam spread due to multiple scattering and nuclear reactions, we developed a full energy scanning method. In some cases, such as eye treatments, the irradiation fields are very small and short ranged. Accordingly, we prepared a minimum low-energy carbon-ion beam corresponding to water-equivalent residual ranges of less than 2 mm. We performed experimental verification for low-energy carbon-ion beams ranging from 55.6 to 96.0 MeV/u. The accuracy of 3D dose delivery with the low-energy carbon-ion beam was verified by measuring the dose distributions for different target volumes. The results confirmed that the measured dose distributions agree well with the calculated ones. Then, the first eye treatment with low-energy carbon-ion beam to a patient was performed in 2018. [ABSTRACT FROM AUTHOR]

A ridge filter (RGF), a beam energy modulation device, is usually used for particle radiotherapy with a pencil beam scanning system. The conventional RGF has a one-dimensional (1D) periodic laterally stepped structure in orthogonal plane with a central beam direction. The energy of a beam passing through the different thicknesses of the stepped RGF is modulated. Although the lateral pencil beam size is required to cover the several stepped RGF units to modulate its energy as designed, the current trend is to decrease lateral beam size to improve the scanning system. As a result, the beam size becomes smaller than the size of the individual RGF unit. The aim of this study was to develop a new RGF with two-dimensional (2D) honeycomb geometry to simultaneously achieve both a decrease in lateral beam size and the desired energy modulation. The conventional 1D-RGF and the 2D-RGF with honeycomb geometry were both designed so that the Bragg peak size of a 79 MeV/u carbon ion pencil beam in water was 1 mm RMS in the beam direction. To validate the design of the 2D-RGF, we calculated depth dose distributions in water using a simplified Monte Carlo method. In the calculations, we decreased the lateral pencil beam size at the entrance of the RGF and investigated the threshold of lateral beam size with which the pencil beam can reproduce the desired Bragg peak size for each type of RGF. In addition, we calculated lateral dose distributions in air downstream from the RGF and evaluated the inhomogeneity of the lateral dose distributions. Using the 2D-RGF, the threshold of lateral beam size with which the pencil beam can reproduce the desired Bragg peak size was smaller than that using the 1D-RGF. Moreover, the distance from the RGF at which the lateral dose distribution becomes uniform was shorter using the 2D-RGF than that using the 1D-RGF. These results indicate that when the periodic length of both RGFs is the same, the 2D-RGF allows use of a pencil beam with smaller lateral beam size and a shorter distance from the RGF to the target, resulting in improvement in the conformity of dose distribution in a tumor. [ABSTRACT FROM AUTHOR]

A superconducting rotating-gantry for carbon-ion radiotherapy was developed. This isocentric rotating gantry can transport carbon ions having the maximum kinetic energy of E = 430 MeV/ u to an isocenter with irradiation angles of over ±180°, and is further capable of performing three-dimensional raster-scanning irradiation. By using combined-function superconducting magnets, we could design a compact rotating gantry for carbon-ion radiotherapy. Construction of the gantry structure began since early 2014, and the installation of the entire gantry system to the Heavy Ion Medical Accelerator in Chiba (HIMAC) complex was completed by the end of September, 2015. Beam tuning subsequently began since October, 2015, and carbon ions, as accelerated by the HIMAC upper synchrotron, having kinetic energies of between E = 430–48 MeV/ u were successfully transported with the rotating gantry to the isocenter. The size and shape of the beam spots at the isocenter is being tuned over various combinations of the beam energies and the gantry angle. We will present the recent progress as well as the current status of the superconducting rotating-gantry. [ABSTRACT FROM AUTHOR]

Combined-function superconducting magnets are designed for a heavy-ion rotating gantry. The superconducting coils of these magnets have a surface winding coil structure. To minimize sagitta, the superconducting magnets as well as their coils have a curved shape. Ten superconducting magnets are installed on the rotating gantry. With the superconducting magnets, the rotating gantry can transport carbon ions having 430 MeV/u to a patient with irradiation angles of over \pm180 degrees, and is further capable of performing three-dimensional raster-scanning irradiation. Since the superconducting magnets would be rotated by \pm180 degrees, compact cryocoolers are employed for cooling of the superconducting coil. Because the coil has quadrupole and dipole layers, the superconducting magnets can provide both quadrupole and dipole magnetic field. Using the combined-function superconducting magnets, we can design a compact rotating gantry, while keeping a large scan size at the isocenter; the length and the radius of the gantry would be approximately 13 and 5.5 m, respectively, which are comparable to those for the existing proton gantries. In this paper, we report the design of the superconducting magnets as well as results of some tests. [ABSTRACT FROM PUBLISHER]

At the Heavy Ion Medical Accelerator in Chiba (HIMAC), more than 8000 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 3-D pencil beam scanning irradiation system. For the implementation of this irradiation technique, we developed a fast scanning magnet and its power supply, which are required to have field ramp rate of more than 250 T/s. The scanning magnets set at the entrance of the irradiation system are two dipole magnets to scan the beam in both horizontal and vertical directions and used to form the irradiation field to be tumor shape. Before the installation, performance test including both static and dynamic field measurement was carried out. Severe delay of the field and temperature rise were not observed as expected. Measured field ramp rate reached up to 300 T/s. After the installation, we verified the accuracy and stability of the scanned ion beam through the commissioning with the beam. As a successful result of the commissioning, treatment using the new scanning system was started in 2011. [ABSTRACT FROM PUBLISHER]