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Oborn, B

Publications and source records attributed to Oborn, B.

TU-H-BRA-03: Performance of a Clinical Gridded Electron Gun in Magnetic Fields: Implications for MRI-Linac Therapy

Purpose: Recent advances towards MRI Linac radiotherapy have motivated a wide range of studies characterizing electromagnetic interactions between the two devices. One of the most sensitive components is the linac electron gun. To data, only non gridded (diode) guns have been investigated however, most linac vendors utilize gridded (triode) guns, which enable efficient and robust beam gating. The purpose of this study was to develop a realistic model of a gridded gun used clinically, and to characterize its performance in magnetic fields. Methods: The gridded electron gun used on Varian high energy machines was measured using 3D laser scanning quoted as accurate to 0.1mm. Based on the scane, a detailed CAD mode was developed. From this, key geometry was extracted and a FEM model was developed (Opera/SCALA). Next, the high voltage (HV), grid voltage, and emission current were read from six dose matched TrueBeam linacs for the 6X, 10X and 15X photon modes (0 B-field). The mean values were used to represent each mode, which was simulated I constant magnetic fields from 0–200G in-line, and 0–35G perpendicular. Results: Experimentally measured HV, grid voltage, and emission current from 6X, 10X and 15X modes were respectively: 15±.03kV, 10±.08kV, 11±.03kV; 93±7V, 41±3V, and 70±6V; 327±27mA, 129±10mA, and 214±19mA. The error in simulated emission current of each mode was 3%,6%, and 3%. For in-line fields, 50% beam loss occurred at 114, 96, and 97G; for perpendicular; at 12, 13 and 14G. Sensitivity for a given geometry is primarily determined by HV setting. Conclusion: Future MRI-Linac systems will almost certainly use gridded guns. We present the first model of a clinical gridded gun, and match the experimental emission current to within 6% across three different operating modes. This clinical gun shows increased sensitivity to magnetic fields than previous work,and different modes show different sensitivity.

60 APPLIED LIFE SCIENCES↗

WE-AB-BRB-04: A Novel Monolithic Silicon 2D Detector Array for Use in Stereotactic Applications

Purpose: To assess the capability of a novel 2D monolithic silicon detector array in measuring stereotactic photon fields. Methods: The silicon array detector used in this work, named Magic Plate-512 (MP512), is a thin monolithic silicon wafer (52 × 52 × 0.47 mm{sup 3}) with 512 ion-implanted diodes (0.5 × 0.5 mm{sup 2}). Adjacent pixels are spaced evenly with 2 mm pitch, covering a maximum detection area 46 mm wide. Its fast, FPGA based read-out system is synchronised with the linac to allow readout of all pixels pulse-by-pulse. A clinical SABR lung plan (consisting of 9 single segment beams, 6MV) was measured with the array at 1.5 cm depth in a solid water phantom (100 cm SSD). The typical field size was in the range of 3 × 3 cm{sup 2} to 4 × 4 cm{sup 2}. Each beam was delivered at perpendicular incidence to the detector plane so as to avoid the need for angular dependence corrections. The fields were measured under the same conditions using Gafchromic EBT3 film for comparison. The film was scanned at 72 dpi resolution, with the red channel data used for analysis. Results: Average gamma passing rates of (92.3 ± 1.8) % for 2%/2mm criteria, and (86.6 ± 2.3) % for 1%/2mm criteria were achieved for MP512, using EBT3 film as the reference distribution. The detector array was able to accurately measure the full-width-at-half-maximum (FWHM), to within (0.77 ± 0.01) mm accuracy when compared to film. The penumbral widths (80%-20%) were measured to within (0.30 ± 0.01) mm accuracy to film. Conclusion: The MP512 is a feasible option for measurement of stereotactic photon fields, with its high density of detection points making it useful for small field applications. The prototype array has demonstrated merit; in the future the development of a larger array detection area would be beneficial for clinical applications.

60 APPLIED LIFE SCIENCES↗

WE-G-BRD-05: Inline Magnetic Fields Enhance Tumor Dose for Small Lung Cancers

Purpose: To report on significant dose enhancement effects caused by magnetic fields aligned parallel to 6MV photon beam radiotherapy of small lung tumors. Findings are applicable to future inline MRI-guided radiotherapy systems. Methods: 9 clinical lung plans were recalculated using Monte Carlo methods and external inline (parallel to the beam direction) magnetic fields of 0.5 T, 1.0 T and 3 T were included. Three plans were 6MV 3D-CRT and six were 6MV IMRT. The GTV’s ranged from 0.8 cc to 73 cc, while the PTV ranged from 1 cc to 180 cc. Results: The inline magnetic field has a moderate impact in lung dose distributions by reducing the lateral scatter of secondary electrons and causing a small local dose increase. Superposition of multiple small beams acts to superimpose the small dose increases and can lead to significant dose enhancements, especially when the GTV is low density. Two plans with very small, low mean density GTV’s (<1 cc, ρ(mean)<0.35g/cc) showed uniform increases of 16% and 23% at 1 T throughout the PTV. Three plans with moderate mean density PTV’s (3–13 cc, ρ(mean)=0.58–0.67 g/cc) showed 6% mean dose enhancement at 1 T in the PTV, however not uniform throughout the GTV/PTV. Replanning would benefit these cases. The remaining 5 plans had large dense GTV’s (∼ 1 g/cc) and so only a minimal (<2%) enhancement was seen. In general the mean dose enhancement at 0.5 T was 60% less than 1 T, while 5–50% higher at 3 T. Conclusions: A paradigm shift in the efficacy of small lung tumor radiotherapy is predicted with future inline MRI-linac systems. This will be achieved by carefully taking advantage of the reduction of lateral electronic disequilibrium withing lung tissue that is induced naturally inside strong inline magnetic fields.

60 APPLIED LIFE SCIENCES↗

MO-A-BRD-08: Radiosurgery Beyond Cancer: Real-Time Target Localization and Treatment Planning for Cardiac Radiosurgery Under MRI Guidance

Purpose: Atrial fibrillation (AF) is the most common cardiac arrhythmia, affecting >2.5M Americans and >4.5M Europeans. AF is usually treated with minimally-invasive, time consuming catheter ablation techniques. Radiosurgery of the pulmonary veins (PV) has been proposed for AF treatment, however is challenging due to the complex respiratory and cardiac motion patterns. We hypothesize that an MRI-linac could solve the difficult real-time targeting and adaptation problem. In this study we quantified target motion ranges on cardiac MRI and analyzed the dosimetric benefits of margin reduction assuming real-time MRI tracking was applied. Methods: For the motion study, four human subjects underwent real-time cardiac MRI under free breathing. The target motion on coronal and axial cine planes was analyzed using a template matching algorithm. For the planning study, an ablation line at each PV antrum was defined as target on an AF patient scheduled for catheter ablation. Various safety margins ranging from 0mm (perfect tracking) to 8mm (untracked motion) were added to the target defining the PTV. 30Gy single fraction IMRT plans were then generated. Finally, the influence of a 1T magnetic field on treatment beam delivery was calculated using the Geant4 Monte Carlo algorithm to simulate the dosimetric impact of MRI guidance. Results: The motion study showed the mean respiratory motion of the target area on MRI was 8.4mm (SI), 1.7mm (AP) and 0.3mm (LR). Cardiac motion was small (<2mm). The planning study showed that with increasing safety margins to encompass untracked motion, dose tolerances for OARs such as the esophagus and airways were exceeded by >100%. The magnetic field had little impact on the dose distribution. Conclusion: Our results indicate that real-time MRI tracking of the PVs seems feasible. Accurate image guidance for high-dose AF radiosurgery is essential since safety margins covering untracked target motion will result in unacceptable treatment plans.

60 APPLIED LIFE SCIENCES↗

WE-G-17A-08: Electron Gun Operation for in Line MRI-Linac Configurations: An Assessment of Beam Fidelity and Recovery Techniques for Different SIDs and Magnetic Field Strengths

Purpose: To test the functionality of medical electron guns within the fringe field of a purpose built superconducting MRI magnet, and to test different recovery techniques for a variety of imaging field strengths and SIDs. Methods: Three different electron guns were simulated using Finite Element Modelling; a standard diode gun, a standard triode gun, and a novel diode gun designed to operate within parallel magnetic fields. The approximate working regime of each gun was established by assessing exit current in constant magnetic fields of varying strength and defining ‘working’ as less than 10% change in injection current. Next, the 1.0T MRI magnet was simulated within Comsol Multiphysics. The coil currents in this model were also scaled to produce field strengths of .5, 1, 1.5 and 3T. Various magnetic shield configurations were simulated, varying the SID from 800 to 1300mm. The average magnetic field within the gun region was assessed together with the distortion in the imaging volume - greater than 150uT distortion was considered unacceptable. Results: The conventional guns functioned in fields of less than 7.5mT. Conversely, the redesigned diode required fields greater than .1T to function correctly. Magnetic shielding was feasible for SIDS of greater than 1000mm for field strengths of .5T and 1T, and 1100mm for 1.5 and 3.0T. Beyond these limits shielding resulted in unacceptable MRI distortion. In contrast, the redesigned diode could perform acceptably for SIDs of less than 812, 896, 931, and 974mm for imaging strengths of 0.5, 1.0, 1.5, 3.0T. Conclusions: For in-line MRIlinac configurations where the electron gun is operating in low field regions, shielding is a straight forward option. However, as magnetic field strength increases and the SID is reduced, shielding results in too great a distortion in the MRI and redesigning the electron optics is the preferable solution. The authors would like to acknowledge funding from the National Health and Research Council (AUS), National Institute of Health (NIH), and Cancer Institute NSW.

43 PARTICLE ACCELERATORS↗

SU-E-J-03: A Comprehensive Comparison Between Alpha and Beta Emitters for Cancer Radioimmunotherapy

Purpose: The purpose of this study is to perform a comprehensive comparison of the therapeutic efficacy and cytotoxicity of alpha and beta emitters for Radioimmunotherapy (RIT). For each stage of cancer development, specific models were built for the separate objectives of RIT to be addressed:a) kill isolated cancer cells in transit in the lymphatic and vascular circulation,b) regress avascular cell clusters,c) regress tumor vasculature and tumors. Methods: Because of the nature of short range, high LET alpha and long energy beta radiation and heterogeneous antigen expression among cancer cells, the microdosimetric approach is essential for the RIT assessment. Geant4 based microdosimetric models are developed for the three different stages of cancer progression: cancer cells, cell clusters and tumors. The energy deposition, specific energy resulted from different source distribution in the three models was calculated separately for 4 alpha emitting radioisotopes ({sup 211}At, {sup 213}Bi, {sup 223}Ra and {sup 225}Ac) and 6 beta emitters ({sup 32}P, {sup 33}P, {sup 67}Cu, {sup 90}Y, {sup 131}I and {sup 177}Lu). The cell survival, therapeutic efficacy and cytotoxicity are determined and compared between alpha and beta emitters. Results: We show that internal targeted alpha radiation has advantages over beta radiation for killing isolated cancer cells, regressing small cell clusters and also solid tumors. Alpha particles have much higher dose specificity and potency than beta particles. They can deposit 3 logs more dose than beta emitters to single cells and solid tumor. Tumor control probability relies on deep penetration of radioisotopes to cancer cell clusters and solid tumors. Conclusion: The results of this study provide a quantitative understanding of the efficacy and cytotoxicity of RIT for each stage of cancer development.

60 APPLIED LIFE SCIENCES↗

Introduction to the Geant4 Simulation toolkit

Geant4 is a Monte Carlo simulation Toolkit, describing the interactions of particles with matter. Geant4 is widely used in radiation physics research, from High Energy Physics, to medical physics and space science, thanks to its sophisticated physics component, coupled with advanced functionality in geometry description. Geant4 is widely used at the Centre for Medical Radiation Physics (CMRP), at the University of Wollongong, to characterise and optimise novel detector concepts, radiotherapy treatments, and imaging solutions. This lecture consists of an introduction to Monte Carlo method, and to Geant4. Particular attention will be devoted to the Geant4 physics component, and to the physics models describing electromagnetic and hadronic physics interactions. The second part of the lecture will be focused on the methodology to adopt to develop a Geant4 simulation application.

61 RADIATION PROTECTION AND DOSIMETRY↗