Literature DB >> 33866565

Commissioning of an ultra-high dose rate pulsed electron beam medical LINAC for FLASH RT preclinical animal experiments and future clinical human protocols.

Raphaël Moeckli1, Patrik Gonçalves Jorge1, Veljko Grilj1, Roxane Oesterle1, Nicolas Cherbuin1, Jean Bourhis2, Marie-Catherine Vozenin2, Jean-François Germond1, François Bochud1, Claude Bailat1.   

Abstract

PURPOSE: To present the acceptance and the commissioning, to define the reference dose, and to prepare the reference data for a quality assessment (QA) program of an ultra-high dose rate (UHDR) electron device in order to validate it for preclinical animal FLASH radiotherapy (FLASH RT) experiments and for FLASH RT clinical human protocols.
METHODS: The Mobetron® device was evaluated with electron beams of 9 MeV in conventional (CONV) mode and of 6 and 9 MeV in UHDR mode (nominal energy). The acceptance was performed according to the acceptance protocol of the company. The commissioning consisted of determining the short- and long-term stability of the device, the measurement of percent depth dose curves (PDDs) and profiles at two different positions (with two different dose per pulse regimen) and for different collimator sizes, and the evaluation of the variability of these parameters when changing the pulse width and pulse repetition frequency. Measurements were performed using a redundant and validated dosimetric strategy with alanine and radiochromic films, as well as Advanced Markus ionization chamber for some measurements.
RESULTS: The acceptance tests were all within the tolerances of the company's acceptance protocol. The linearity with pulse width was within 1.5% in all cases. The pulse repetition frequency did not affect the delivered dose more than 2% in all cases but 90 Hz, for which the larger difference was 3.8%. The reference dosimetry showed a good agreement within the alanine and films with variations of 2.2% or less. The short-term (resp. long-term) stability was less than 1.0% (resp. 1.8%) and was the same in both CONV and UHDR modes. PDDs, profiles, and reference dosimetry were measured at two positions, providing data for two specific dose rates (about 9 Gy/pulse and 3 Gy/pulse). Maximal beam size was 4 and 6 cm at 90% isodose in the two positions tested. There was no difference between CONV and UHDR mode in the beam characteristics tested.
CONCLUSIONS: The device is commissioned for FLASH RT preclinical biological experiments as well as FLASH RT clinical human protocols.
© 2021 American Association of Physicists in Medicine.

Entities:  

Keywords:  FLASH; clinical transfer; commissioning; ultra-high dose rate

Year:  2021        PMID: 33866565     DOI: 10.1002/mp.14885

Source DB:  PubMed          Journal:  Med Phys        ISSN: 0094-2405            Impact factor:   4.071


  7 in total

1.  Ultra-high dose rate radiation production and delivery systems intended for FLASH.

Authors:  Jonathan Farr; Veljko Grilj; Victor Malka; Srinivasan Sudharsan; Marco Schippers
Journal:  Med Phys       Date:  2022-05-05       Impact factor: 4.506

2.  Verification of electron beam parameters in an intraoperative linear accelerator using dosimetric and radiobiological response methods.

Authors:  Agnieszka Dróżdż; Martyna Waluś; Marcin Zieliński; Bożena Malesa; Marta Kruszyna-Mochalska; Katarzyna Kulcenty; Beata Adamczyk; Piotr Nowaczyk; Julian Malicki; Jacek Pracz
Journal:  Rep Pract Oncol Radiother       Date:  2021-12-30

3.  Preservation of neurocognitive function in the treatment of brain metastases.

Authors:  Michael W Parsons; Katherine B Peters; Scott R Floyd; Paul Brown; Jeffrey S Wefel
Journal:  Neurooncol Adv       Date:  2021-11-27

Review 4.  The Therapeutic Potential of FLASH-RT for Pancreatic Cancer.

Authors:  Chidi M Okoro; Emil Schüler; Cullen M Taniguchi
Journal:  Cancers (Basel)       Date:  2022-02-24       Impact factor: 6.639

5.  Application of a novel diamond detector for commissioning of FLASH radiotherapy electron beams.

Authors:  Gianluca Verona Rinati; Giuseppe Felici; Federica Galante; Alessia Gasparini; Rafael Kranzer; Giulia Mariani; Matteo Pacitti; Giuseppe Prestopino; Andreas Schüller; Verdi Vanreusel; Dirk Verellen; Claudio Verona; Marco Marinelli
Journal:  Med Phys       Date:  2022-06-16       Impact factor: 4.506

6.  Validation of Monte Carlo-based calculations for megavolt electron beams for IORT and FLASH-IORT.

Authors:  Graeme L Lazarus; Déte van Eeden; Frederik Cp du Plessis
Journal:  Heliyon       Date:  2022-09-19

7.  Technical note: Validation of an ultrahigh dose rate pulsed electron beam monitoring system using a current transformer for FLASH preclinical studies.

Authors:  Patrik Gonçalves Jorge; Veljko Grilj; Jean Bourhis; Marie-Catherine Vozenin; Jean-François Germond; François Bochud; Claude Bailat; Raphaël Moeckli
Journal:  Med Phys       Date:  2022-02-07       Impact factor: 4.506

  7 in total

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