small-field studies in proton therapy beams with a gem-based dose imaging detector

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Alexander Klyachko, IU Cyclotron, PTCOG51, Seoul, South Korea, May 17- 19, 2012 Small-Field Studies in Proton Therapy Beams with a GEM-based Dose Imaging Detector A.V. Klyachko 1 , D.F. Nichiporov 1 , L. Coutinho 2 , C.-W. Cheng 2, 3 , M. Luxnat 1 , I. J. Das 2, 3 1 Indiana University Cyclotron Operations, Indiana University Integrated Science and Accelerator Technology Hall, Bloomington, Indiana, USA. 2 Indiana University Health Proton Therapy Center, Bloomington, Indiana, USA 3 Indiana University School of Medicine, Indianapolis, Indiana, USA

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A.V. Klyachko 1 , D.F. Nichiporov 1 , L. Coutinho 2 , C.-W. Cheng 2, 3 , M. Luxnat 1 , I. J. Das 2, 3 1 Indiana University Cyclotron Operations, Indiana University Integrated Science and Accelerator Technology Hall, Bloomington, Indiana, USA. - PowerPoint PPT Presentation

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Page 1: Small-Field Studies  in Proton Therapy Beams with a  GEM-based Dose Imaging Detector

Alexander Klyachko, IU Cyclotron, PTCOG51, Seoul, South Korea, May 17-19, 2012

Small-Field Studies in Proton Therapy Beams with a

GEM-based Dose Imaging Detector

A.V. Klyachko1, D.F. Nichiporov1, L. Coutinho2, C.-W. Cheng2, 3, M. Luxnat1, I. J. Das2, 3

1 Indiana University Cyclotron Operations, Indiana University Integrated Science and

Accelerator Technology Hall, Bloomington, Indiana, USA.

2 Indiana University Health Proton Therapy Center, Bloomington, Indiana, USA

3 Indiana University School of Medicine, Indianapolis, Indiana, USA

Page 2: Small-Field Studies  in Proton Therapy Beams with a  GEM-based Dose Imaging Detector

Alexander Klyachko, IU Cyclotron, PTCOG51, Seoul, South Korea, May 17-19, 2012

Outline: Why small fields?

Why GEM detector?

GEMs in dose imaging – basic principles, optical readout, detector design

Test results

Summary

Page 3: Small-Field Studies  in Proton Therapy Beams with a  GEM-based Dose Imaging Detector

Alexander Klyachko, IU Cyclotron, PTCOG51, Seoul, South Korea, May 17-19, 2012

Why Small Field Dosimetry:

Small fields (diameter <3 cm) are already in use:- intracranial lesions, base of skull tumors - ophthalmic- patch fields

Accuracy of treatment planning is not well established Dosimetry of small fields is challenging, uncertainties in dosimetry of 10-15 % and up are possible, especially in lateral distributions Lack of adequate detectors for small field measurements does not alleviate the problem.

Page 4: Small-Field Studies  in Proton Therapy Beams with a  GEM-based Dose Imaging Detector

Alexander Klyachko, IU Cyclotron, PTCOG51, Seoul, South Korea, May 17-19, 2012

WET=0

Beam range 16 cm in water

8 cm

15 cm

15.8 cm

Page 5: Small-Field Studies  in Proton Therapy Beams with a  GEM-based Dose Imaging Detector

Alexander Klyachko, IU Cyclotron, PTCOG51, Seoul, South Korea, May 17-19, 2012

Gas Electron Multipliers = GEMs (Sauli 1997) show promise to be free of those drawbacks

Why GEMs:

Nonlinear dose and energy response Long measuring time for obtaining complete 2D dose distributions Insufficient spatial resolution Tissue non-equivalence Or a combination thereof

Existing detectors used in clinical practice all have notable shortcomings when applied to small field dosimetry:

fast performance robustness and design flexibility excellent spatial resolution cascade option to improve signal-to-noise ratio electronic and optical readout schemes

Page 6: Small-Field Studies  in Proton Therapy Beams with a  GEM-based Dose Imaging Detector

Alexander Klyachko, IU Cyclotron, PTCOG51, Seoul, South Korea, May 17-19, 2012

Optical Readout of GEMs

J.H. Timmer et al, A scintillating GEM for 2D-dosimetry in radiation therapy. NIM A478 (2002) 98

F.A.F. Fraga et al, Luminescence and imaging with gas electron multipliers. NIM A513 (2003) 379

S. Fetal et al, Dose imaging in radiotherapy with an Ar-CF4 filled scintillating GEM. NIM A513 (2003) 42

E. Seravalli et al, 2D dosimetry in a proton beam with a scintillating GEM detector . Phys. Med. Biol. 54 (2009) 3755

A.V. Klyachko et al, Dose imaging detectors for radiotherapy based on gas electron multipliers. NIM A628 (2011) 434

Commercial 10×10 cm2 GEM foils, 50 μm /140 μm, from Tech-Etch Corp, Plymouth, MA. 8×8 cm2 sensitive area CCD camera - low noise SBIG ST-6 with thermoelectric Peltier cooling to -30ºC 375×241 pixels, pixel size translates to 0.375×0.375 mm2

at GEM2 location

Sensitive Volume

Page 7: Small-Field Studies  in Proton Therapy Beams with a  GEM-based Dose Imaging Detector

Alexander Klyachko, IU Cyclotron, PTCOG51, Seoul, South Korea, May 17-19, 2012

Optical readout with Ar/CF4 gas mixture, 5-10% CF4 Optimized for high light yield Somewhat non-tissue-equivalent - underestimation of Bragg peak by ~5%

0 20 40 60 80 100 120 140 160 180 2000.850000000000001

0.900000000000001

0.950000000000001

1

1.05dE/dX, relative to H2O

Air

Ar-5% CF4

CF4

He- 50% CF4

He-4

Proton Energy, MeV

Worth trying He-CF4 gas mixture – stopping power is close to air Emission spectra matches CCD’s quantum efficiency curve Smaller signal – by a factor of ≈3 – but sufficient for dose imaging

Page 8: Small-Field Studies  in Proton Therapy Beams with a  GEM-based Dose Imaging Detector

Alexander Klyachko, IU Cyclotron, PTCOG51, Seoul, South Korea, May 17-19, 2012

Lateral profiles compared to EBT2 film - good agreement at 50% isodose (within 0.5 mm). Widening of lower part of GEM detector’s profiles is attributed to light reflections in detector

Linear in pulsed beam up to 440 Gy/min Position resolution σ≤0.42 mm (≈pixel size)

Center of SOBP (122 mm water)

Ø20 mmcollimator

-40 -30 -20 -10 0 10 20 30 400

0.2

0.4

0.6

0.8

1 EBT2 film

dGEM

zero depth

Ø20 mmcollim.

zero depthzero depth-30 -20 -10 0 10 20 30

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1

1.1

EBT2 Film

Ø10 mmcollim.

zero depth

He/CF4 60/40% gas mixture

Page 9: Small-Field Studies  in Proton Therapy Beams with a  GEM-based Dose Imaging Detector

Alexander Klyachko, IU Cyclotron, PTCOG51, Seoul, South Korea, May 17-19, 2012

Pristine proton field (range 16 cm in water), diameter 50 mm collimator

Page 10: Small-Field Studies  in Proton Therapy Beams with a  GEM-based Dose Imaging Detector

Alexander Klyachko, IU Cyclotron, PTCOG51, Seoul, South Korea, May 17-19, 2012

Dose ImagingModified Proton Field (Range in Water 16 cm SOBP 4.8 cm)

Ø 20 mm

Ø 10 mm

Ø 20 mm

Ø 10 mm

Page 11: Small-Field Studies  in Proton Therapy Beams with a  GEM-based Dose Imaging Detector

Alexander Klyachko, IU Cyclotron, PTCOG51, Seoul, South Korea, May 17-19, 2012

Other Applications:

Beam commissioningEspecially scanning systems

Proton radiography

Markus Chamber PinPoint Ion Chamber

10 ms exposure

GEM Image

Page 12: Small-Field Studies  in Proton Therapy Beams with a  GEM-based Dose Imaging Detector

Alexander Klyachko, IU Cyclotron, PTCOG51, Seoul, South Korea, May 17-19, 2012

Conclusions: We have developed a detector system for two-dimensional dose imaging in

proton therapy based on double-GEM amplification structure. Good linearity in dose rate and energy response. Works in continuous and

scanned beam. Can be made nearly water-equivalent – no underestimation of Bragg peak.

Sub-millimeter position resolution (σ<0.42 mm) and fast response. Both could be improved by using a faster CCD camera with higher pixel count.

Can be used as QA and commissioning detector.

Overall… a promising detector for small field dosimetry. Fabrication of a dedicated small field

detector is underway.

Page 13: Small-Field Studies  in Proton Therapy Beams with a  GEM-based Dose Imaging Detector

Alexander Klyachko, IU Cyclotron, PTCOG51, Seoul, South Korea, May 17-19, 2012

Thank you