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At least 487 records · Page 27

MO-FG-BRC-01: MR-Guided Radiation Therapy with Gadolinium Nanoparticles: From Chalkboard to First Clinical Trials

Experimental research in medical physics has expanded the limits of our knowledge and provided novel imaging and therapy technologies for patients around the world. However, experimental efforts are challenging due to constraints in funding, space, time and other forms of institutional support. In this joint ESTRO-AAPM symposium, four exciting experimental projects from four different countries are highlighted. Each project is focused on a different aspect of radiation therapy. From the USA, we will hear about a new linear accelerator concept for more compact and efficient therapy devices. From Canada, we will learn about novel linear accelerator target design and the implications for imaging and therapy. From France, we will discover a mature translational effort to incorporate theranostic nanoparticles in MR-guided radiation therapy. From Germany, we will find out about a novel in-treatment imaging modality for particle therapy. These examples of high impact, experimental medical physics research are representative of the diversity of such efforts that are on-going around the globe. J. Robar, Research is supported through collaboration with Varian Medical Systems and Brainlab AGD. Westerly, This work is supported by the Department of Radiation Oncology at the University of Colorado School of Medicine. COI: NONEK. Parodi, Part of the presented work is supported by the DFG (German Research Foundation) Cluster of Excellence MAP (Munich-Centre for Advanced Photonics) and has been carried out in collaboration with IBA.

60 APPLIED LIFE SCIENCES↗

Hamiltonian analysis for linearly acceleration-dependent Lagrangians

We study the constrained Ostrogradski-Hamilton framework for the equations of motion provided by mechanical systems described by second-order derivative actions with a linear dependence in the accelerations. We stress out the peculiar features provided by the surface terms arising for this type of theories and we discuss some important properties for this kind of actions in order to pave the way for the construction of a well defined quantum counterpart by means of canonical methods. In particular, we analyse in detail the constraint structure for these theories and its relation to the inherent conserved quantities where the associated energies together with a Noether charge may be identified. The constraint structure is fully analyzed without the introduction of auxiliary variables, as proposed in recent works involving higher order Lagrangians. Finally, we also provide some examples where our approach is explicitly applied and emphasize the way in which our original arrangement results in propitious for the Hamiltonian formulation of covariant field theories.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

SU-C-BRE-06: Radiobiological Advantage of Very Rapid Irradiation

Purpose: To characterize the effect of very rapid dose delivery as compared to conventional therapeutic irradiation times on clonogenic cell survival. Methods: We used a Varian Trilogy linear accelerator to deliver doses up to 10 Gy using a 6 MV SRS photon beam. We irradiated four cancer cell lines in times ranging from 30 sec to 30 min. We also used a Varian TrueBeam linear accelerator to deliver 9 MeV electrons at 10 Gy in 10 s to 30 min to determine the effect of irradiation time on cell survival. We then evaluated the effect of using 60 and 120 MeV electrons on cell survival using the Next Linear Collider Test Accelerator (NLCTA) beam line at the SLAC National Accelerator Laboratory. During irradiation, adherent cells were maintained at 37oC with 20%O2/5%CO2. Clonogenic assays were completed following irradiation to determine changes in cell survival due to dose delivery time and beam quality, and the survival data were fitted with the linear-quadratic model. Results: Cell lines varied in radiosensitivity, ranging from two to four logs of cell kill at 10 Gy for both conventional and very rapid irradiation. Delivering radiation in shorter times decreased survival in all cell lines. Log differences in cell kill ranged from 0.2 to 0.7 at 10 Gy for the short compared to the long irradiation time. Cell kill differences between short and long irradiations were more pronounced as doses increased for all cell lines. Conclusion: Our findings suggest that shortening delivery of therapeutic radiation doses to less than 1 minute may improve tumor cell kill. This study demonstrates the potential advantage of technologies under development to deliver stereotactic ablative radiation doses very rapidly. Bill Loo and Peter Maxim have received Honoraria from Varian and Research Support from Varian and RaySearch.

60 APPLIED LIFE SCIENCES↗

Cost-efficiency enhancement of X- and Ku-band split waveguides for industrial accelerators

Compact microwave electron linear accelerators must operate at high frequencies in order to maintain tight SWaP (size, weight, and power) requirements, set by modern applications. Currently, the frequencies are practically limited to X- and Ku-bands because of the availability of MW-class magnetrons, required to achieve beam energies of several MeV, and tight fabrication tolerances. The latter is associated with micron-level accuracy and further waveguide frequency tuning process, both increasing its costs dramatically. By implying a novel split structure fabrication approach, it is possible to relax these tolerances to the values of 10–20 μm and eliminate the tuning step, greatly reducing their total costs. Finally, this paper presents the results of microwave measurements of split X- and Ku-band accelerating structures of different types and discusses the benefits of our fabrication approach.

43 PARTICLE ACCELERATORS↗

Technology development for modern SRF accelerators

Superconducting RF (SRF) linear accelerators are widely used for scientific application. Challenges, status, breakthroughs and progress in SRF technology for accelerator application are discussed.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

Generation of virtual monochromatic CBCT from dual kV/MV beam projections

Purpose: To develop a novel on-board imaging technique which allows generation of virtual monochromatic (VM) cone-beam CT (CBCT) with a selected energy from combined kilovoltage (kV)/megavoltage (MV) beam projections. Methods: With the current orthogonal kV/MV imaging hardware equipped in modern linear accelerators, both MV projections (from gantry angle of 0°–100°) and kV projections (90°–200°) were acquired as gantry rotated a total of 110°. A selected range of overlap projections between 90° to 100° were then decomposed into two material projections using experimentally determined parameters from orthogonally stacked aluminum and acrylic step-wedges. Given attenuation coefficients of aluminum and acrylic at a predetermined energy, one set of VM projections could be synthesized from two corresponding sets of decomposed projections. Two linear functions were generated using projection information at overlap angles to convert kV and MV projections at nonoverlap angles to approximate VM projections for CBCT reconstruction. The contrast-to-noise ratios (CNRs) were calculated for different inserts in VM CBCTs of a CatPhan phantom with various selected energies and compared with those in kV and MV CBCTs. The effect of overlap projection number on CNR was evaluated. Additionally, the effect of beam orientation was studied by scanning the CatPhan sandwiched with two 5 cm solid-water phantoms on both lateral sides and an electronic density phantom with two metal bolt inserts. Results: Proper selection of VM energy [30 and 40 keV for low-density polyethylene (LDPE), polymethylpentene, 2 MeV for Delrin] provided comparable or even better CNR results as compared with kV or MV CBCT. An increased number of overlap kV and MV projection demonstrated only marginal improvements of CNR for different inserts (with the exception of LDPE) and therefore one projection overlap was found to be sufficient for the CatPhan study. It was also evident that the optimal CBCT image quality was achieved when MV beams penetrated through the heavy attenuation direction of the object. Conclusions: A novel technique was developed to generate VM CBCTs from kV/MV projections. This technique has the potential to improve CNR at selected VM energies and to suppress artifacts at appropriate beam orientations.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

A novel electron gun for inline MRI-linac configurations

Purpose: This work introduces a new electron gun geometry capable of robust functioning in the presence of a high strength external magnetic field for axisymmetric magnetic resonance imaging (MRI)-linac configurations. This allows an inline MRI-linac to operate without the need to isolate the linear accelerator (linac) using a magnetic shield. This MRI-linac integration approach not only leaves the magnet homogeneity unchanged but also provides the linac flexibility to move along the magnet axis of symmetry if the source to target distance needs to be adjusted. Methods: Simple electron gun geometry modifications of a Varian 600C electron gun are considered and solved in the presence of an external magnetic field in order to determine a set of design principles for the new geometry. Based on these results, a new gun geometry is proposed and optimized in the fringe field of a 0.5 T open bore MRI magnet (GE Signa SP). A computer model for the 6 MeV Varian 600C linac is used to determine the capture efficiency of the new electron gun-linac system in the presence of the fringe field of the same MRI scanner. The behavior of the new electron gun plus the linac system is also studied in the fringe fields of two other magnets, a 1.0 T prototype open bore magnet and a 1.5 T GE Conquest scanner. Results: Simple geometrical modifications of the original electron gun geometry do not provide feasible solutions. However, these tests show that a smaller transverse cathode diameter with a flat surface and a slightly larger anode diameter could alleviate the current loss due to beam interactions with the anode in the presence of magnetic fields. Based on these findings, an initial geometry resembling a parallel plate capacitor with a hole in the anode is proposed. The optimization procedure finds a cathode-anode distance of 5 mm, a focusing electrode angle of 5°, and an anode drift tube length of 17.1 mm. Also, the linac can be displaced with ±15 cm along the axis of the 0.5 T magnet without capture efficiency reduction below the experimental value in zero field. In this range of linac displacements, the electron beam generated by the new gun geometry is more effectively injected into the linac in the presence of an external magnetic field, resulting in approximately 20% increase of the target current compared to the original gun geometry behavior at zero field. The new gun geometry can generate and accelerate electron beams in external magnetic fields without current loss for fields higher than 0.11 T. The new electron-gun geometry is robust enough to function in the fringe fields of the other two magnets with a target current loss of no more than 16% with respect to the current obtained with no external magnetic fields. Conclusions: In this work, a specially designed electron gun was presented which can operate in the presence of axisymmetric strong magnetic fringe fields of MRI magnets. Computer simulations show that the electron gun can produce high quality beams which can be injected into a straight through linac such as Varian 600C and accelerated with more efficiency in the presence of the external magnetic fields. Also, the new configuration allows linac displacements along the magnet axis in a range equal to the diameter of the imaging spherical volume of the magnet under consideration. The new electron gun-linac system can function in the fringe field of a MRI magnet if the field strength at the cathode position is higher than 0.11 T. The capture efficiency of the linac depends on the magnetic field strength and the field gradient. The higher the gradient the better the capture efficiency. The capture efficiency does not degrade more than 16%.

43 PARTICLE ACCELERATORS↗

Radio to Gamma-Ray Emission from Shell-Type Supernova Remnants: Predictions from Non-Linear Shock Acceleration Models

Supernova remnants (SNRs) are widely believed to be the principal source of galactic cosmic rays, produced by diffusive shock acceleration in the environs of the remnant's expanding blast wave. Such energetic particles can produce gamma-rays and lower energy photons via interactions with the ambient plasma. The recently reported observation of TeV gamma-rays from SN1006 by the CANGAROO Collaboration, combined with the fact that several unidentified EGRET sources have been associated with known radio/optical/X-ray-emitting remnants, provides powerful motivation for studying gamma-ray emission from SNRs. In this paper, we present results from a Monte Carlo simulation of non-linear shock structure and acceleration coupled with photon emission in shell-like SNRs. These non-linearities are a by-product of the dynamical influence of the accelerated cosmic rays on the shocked plasma and result in distributions of cosmic rays which deviate from pure power-laws. Such deviations are crucial to acceleration efficiency considerations and impact photon intensities and spectral shapes at all energies, producing GeV/TeV intensity ratios that are quite different from test particle predictions.

Baring, Matthew G.↗

SU-G-JeP4-10: Measurement of Prostate Motion Trajectories During Prostate SBRT Boost Treatments with a Rectafix

Purpose: To determine prostate motion during SBRT boost treatments with a Rectafix rectal sparing device in place using kV imaging during treatment. Methods: Patients each had three gold fiducial markers inserted into the prostate and received two VMAT boost fractions of 9.5–10 Gy under the PROMETHEUS clinical trial protocol with a Rectafix rectal retractor in place. Two-dimensional kilovoltage images of fiducial markers were acquired continuously during delivery. Three patients were treated on a Varian Clinac iX linear accelerator (6X, 600 MU/min), where kV images were acquired at 5 Hz during treatment. Seven patients were treated on a Varian Truebeam linear accelerator (10XFFF, 2400 MU/min) where kV images were acquired every 3 seconds. Images were processed off-line using the Kilovoltage Intrafraction Monitoring (KIM) software after treatment. KIM determines prostate position in three dimensions from 2D kV projections using a probability density model and a pre-treatment kV arc. The 3D displacement of the prostate was quantified as a function of time throughout each fraction. Results: From all fractions analyzed, it was found that the prostate had moved less than 1 mm in any direction from its initial position 84.6% of the time. The prostate was between 1 and 2 mm from its initial position 14.2% of the time, between 2 and 3 mm of its initial position 0.8% of the time and was greater than 3 mm from its initial position only 0.4% of the time. Conclusion: The amount of prostate motion observed during prostate SBRT boost treatments with a Rectafix device in place was minimal and lower than that observed in non-Rectafix studies. The Rectafix device reduces rectal dose as well as immobilizing the prostate. Kimberley Legge is the recipient of an Australian Postgraduate Award.

60 APPLIED LIFE SCIENCES↗

SU-F-T-84: Measurement and Monte-Carlo Simulation of Electron Phase Spaces Using a Wide Angle Magnetic Electron Spectrometer

Purpose: To measure and simulate well-defined electron spectra using a linear accelerator and a permanent-magnetic wide-angle spectrometer to test the performance of a novel reconstruction algorithm for retrieval of unknown electron-sources, in view of application to diagnostics of laser-driven particle acceleration. Methods: Six electron energies (6, 9, 12, 15, 18 and 21 MeV, 40cm × 40cm field-size) delivered by a Siemens Oncor linear accelerator were recorded using a permanent-magnetic wide-angle electron spectrometer (150mT) with a one dimensional slit (0.2mm × 5cm). Two dimensional maps representing beam-energy and entrance-position along the slit were measured using different scintillating screens, read by an online CMOS detector of high resolution (0.048mm × 0.048mm pixels) and large field of view (5cm × 10cm). Measured energy-slit position maps were compared to forward FLUKA simulations of electron transport through the spectrometer, starting from IAEA phase-spaces of the accelerator. The latter ones were validated against measured depth-dose and lateral profiles in water. Agreement of forward simulation and measurement was quantified in terms of position and shape of the signal distribution on the detector. Results: Measured depth-dose distributions and lateral profiles in the water phantom showed good agreement with forward simulations of IAEA phase-spaces, thus supporting usage of this simulation source in the study. Measured energy-slit position maps and those obtained by forward Monte-Carlo simulations showed satisfactory agreement in shape and position. Conclusion: Well-defined electron beams of known energy and shape will provide an ideal scenario to study the performance of a novel reconstruction algorithm using measured and simulated signal. Future work will increase the stability and convergence of the reconstruction-algorithm for unknown electron sources, towards final application to the electrons which drive the interaction of TW-class laser pulses with nanometer thin target foils to accelerate protons and ions to multi-MeV kinetic energy. Cluster of Excellence of the German Research Foundation (DFG) “Munich-Centre for Advanced Photonics”.

07 ISOTOPE AND RADIATION SOURCES↗

Initial performance of the magnet system in the splitter/combiner section of the Cornell-Brookhaven Energy-Recovery Linac Test Accelerator

The Cornell-Brookhaven Energy-recovery Linac Test Ac- celerator is a four-pass, 150-MeV electron accelerator with a six-cell 1.3 GHz superconducting-RF linear accelerator and a fixed-field alternating-gradient (FFAG) return loop made up of Halbach-style quadrupole magnets. The optics matching between the linear accelerator and the return loop is achieved with a conventional magnet system comprised of 50 dipole magnets and 64 quadrupole magnets in four beamlines at each end of the linac. The 42-, 78-, 114- and 150-MeV electron beams are separated into independent vacuum chambers in order to allow for the path-length ad- justment required by energy recovery. We report on the first beam tests of the initial installation of the splitter/combiner section at the exit of the linac. The vacuum system of the 42-MeV S1 line was installed during the first week of April. Nine dipole and four quadrupole magnets were installed and surveyed into position the following week, and the water cooling system was commissioned. A 6-MeV beam passed through the line on April 11 with no need for adjusting pre-set magnet excitation currents. One week later, time- of-flight measurements were used to calibrate and phase the individual superconducting RF cavities. The S1 magnet settings were then scaled up to achieve 5-cavity, 42-MeV operation through the first nine FFAG permanent-magnet quadrupoles. This initial Fractional Arc Test will conclude on May 18, when the installation of the remaining seven split- ter/combiner lines and the return loop will begin. CBETA operations are scheduled to begin in early 2019.

43 PARTICLE ACCELERATORS↗

Plastic scintillator block as photon beam monitor for EGRET calibration

The EGRET (Energetic Gamma Ray Experiment Telescope) detector has been calibrated at SLAC (Stanford Linear Accelerator) and, to a lesser degree, at the MIT Bates Linear Accelerator Center. To monitor the photon beams for the calibration, a plastic scintillator block, 5 cm x 5 cm in cross section, 15 cm in length, and viewed by a single photomultiplier tube, was used for the entire beam energy range of 15 MeV to 10 GeV. The design operation, and method of analysis of the beam intensity are presented. A mathematical framework has been developed to treat the general case of a beam with multiphoton beam pulses and with a background component. A procedure to deal with the fluctuations of the beam intensity over a data-taking period was also developed. The photon beam monitor is physically sturdy, electronically steady, simple to construct, and easy to operate. Its major merits lie in its sheer simplicity of construction and operation and in the wide energy range it can cover.

Lin, Y. C.↗

SU-E-T-589: A Comparison of Field Size Dependence of Electron Depth Dose From Different Linacs

Purpose: For accurate dose calculation in electron beam therapy, it is important to know the percentage depth dose (PDD) for each beam. This can vary depending on the machine make and model and the field size. Three different linear accelerators were compared in this study. Methods: PDD data was collected for different output beam energies and different field sizes for three different linear accelerators (Siemens Primus, Varian 2300ix, Varian Truebeam). Data was compared for the same energy with the same field size to see if the PDD differed among manufacturers. Furthermore, PDD was compared for different field sizes of the same machine at the same energy. Results: For the same beam energy and the same field size, the PDD curves were comparable for the three linacs with variations within 13%. PDD curves for different field sizes and beam energies were compared to verify this result. At higher beam energies, the disagreement between PDD curves is more pronounced between different field sizes for all three of the linacs compared. Conclusions: For the same energy and field size, the variation between different machines was within 13%. For the same manufacturer (Varian Clinac 2300ix and Truebeam), the agreement is within 3% with a standard deviation of less than 2.5%. PDD curves for different field sizes for the same energy were also investigated for the three linacs.

60 APPLIED LIFE SCIENCES↗

Reliable detection of fluence anomalies in EPID-based IMRT pretreatment quality assurance using pixel intensity deviations

Purpose: This work uses repeat images of intensity modulated radiation therapy (IMRT) fields to quantify fluence anomalies (i.e., delivery errors) that can be reliably detected in electronic portal images used for IMRT pretreatment quality assurance. Methods: Repeat images of 11 clinical IMRT fields are acquired on a Varian Trilogy linear accelerator at energies of 6 MV and 18 MV. Acquired images are corrected for output variations and registered to minimize the impact of linear accelerator and electronic portal imaging device (EPID) positioning deviations. Detection studies are performed in which rectangular anomalies of various sizes are inserted into the images. The performance of detection strategies based on pixel intensity deviations (PIDs) and gamma indices is evaluated using receiver operating characteristic analysis. Results: Residual differences between registered images are due to interfraction positional deviations of jaws and multileaf collimator leaves, plus imager noise. Positional deviations produce large intensity differences that degrade anomaly detection. Gradient effects are suppressed in PIDs using gradient scaling. Background noise is suppressed using median filtering. In the majority of images, PID-based detection strategies can reliably detect fluence anomalies of {>=}5% in {approx}1 mm{sup 2} areas and {>=}2% in {approx}20 mm{sup 2} areas. Conclusions: The ability to detect small dose differences ({<=}2%) depends strongly on the level of background noise. This in turn depends on the accuracy of image registration, the quality of the reference image, and field properties. The longer term aim of this work is to develop accurate and reliable methods of detecting IMRT delivery errors and variations. The ability to resolve small anomalies will allow the accuracy of advanced treatment techniques, such as image guided, adaptive, and arc therapies, to be quantified.

60 APPLIED LIFE SCIENCES↗

Computational Study of 15 MeV Linac Radiation Doses at the UNLV Accelerator Facility

Linear electron accelerators (linacs) are used to generate Bremsstrahlung photons through the interaction of an electron beam with a heavy metal target. These Bremsstrahlung photons with endpoint energy equal to that of the impinging electron beam are typically collimated into a desired beam shape (fan or cone beams). At electron energies larger than 10 MeV, the interaction of the newly produced photons with the linac component materials leads to the production of neutrons. These neutrons are often undesired and pollute the collimated photon beam while increasing the dose rates at the facility due to the linac operation. MCNPX 2.7.0 code was used to investigate the production of neutrons due to the normal operation of a 15 MeV linac. Dose rates within the UNLV accelerator facility were calculated for both photons and neutrons. Furthermore, the irradiation of several materials using the K15 linac was modeled; the resulting neutron fluxes and dose rates were determined. (authors)

43 PARTICLE ACCELERATORS↗

Influence of Exposure to Multiple Brazing Cycles on the Integrity of OFE Copper Brazed Joints

A 10 MeV, 5 kW S-band travelling wave electron linear accelerator has been developed at Raja Ramanna Centre for Advanced Technology for industrial applications. The electron accelerating structure is made of oxygen-free electronic (OFE) copper and comprises of fifty-six brazed joints and is fabricated in multiple stages, as per the process and testing requirements. The accelerating structure is often required to be repaired through an additional brazing cycle with the same filler. The present study evaluates possible microstructural and mechanical property degradation of OFE copper brazed joints, as a result of its exposure to multiple brazing cycles. The study was performed on an OFE copper cavity stack brazed assembly, made through a four-stage brazing using BVAg-8 as braze filler. The resultant brazed assembly did not exhibit any leak at a sensitivity of 1 × 10{sup −10} mbar.L/s. The results of the study demonstrate that OFE copper brazements can be safely subjected to an additional brazing cycle without causing significant degradation in its microstructure and strength. However, brazed joint’s exposure to any additional brazing cycles results in the formation of voids and cracks due to intergranular penetration of silver, with associated drop in tensile strength from about 210 MPa to about 150-180 MPa. Based on the results of study, it is recommended to qualify the accelerating structure, fabricated through multiple brazing cycles, by a suitable non-destructive technique. The results of the study are important for design, fabrication and maintenance of electron linear accelerator components.

36 MATERIALS SCIENCE↗