GEM-based Dose Imaging Detectors for Proton Therapy Quality Assurance and Proton Radiography

Main Article Content

Alexander V. Klyachko

Abstract

Abstract

Accurate, high-spatial resolution dosimetry in proton therapy is a time consuming task and may be challenging, due to the lack of adequate instrumentation. The paper describes the development of a novel dose imaging detectors based on gas electron multiplierz (GEM). Multiple needs are addressed in a single package by applying new detector technology to improve the speed, accuracy and cost-effectiveness of the quality assurance procedures.

A scintillation detector based on a double GEM amplification structure with optical readout was evaluated in pristine and modulated proton beams. The detector's performance was characterized in terms of linearity in dose rate, spatial resolution, short- and long-term stability and tissue-equivalence of response at different energies. Depth-dose profiles measured with the GEM detector in the 115 – 205 MeV energy range were compared with the profiles measured under similar conditions using the PinPoint 3D small-volume ion chamber. The GEM detector filled with a He-based gas mixture has a nearly tissue equivalent response in the proton beam and may become an attractive and efficient tool for high-resolution 2D and 3D dose imaging in proton dosimetry, in particular in small-field applications.

Scintillation GEM detector is also well suited for proton radiography applications, particularly in proposed efficient method for proton radiography-based QA of patient-specific devices based on the developed detector with the goal of improving accuracy, completeness and cost-effectiveness of the QA process in comparison with available alternatives.

Article Details

How to Cite
KLYACHKO, Alexander V.. GEM-based Dose Imaging Detectors for Proton Therapy Quality Assurance and Proton Radiography. Quarterly Physics Review, [S.l.], v. 3, n. 3, oct. 2017. ISSN 2572-701X. Available at: <https://esmed.org/MRA/qpr/article/view/1438>. Date accessed: 21 dec. 2024.
Section
Review Articles

References

1. de Moor, J.S., et al., Cancer survivors in the United States: prevalence across the survivorship trajectory and implications for care. Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2013. 22(4): p. 561-570.
2. Nichiporov, D., L. Coutinho, and A.V. Klyachko, Characterization of a GEM-based scintillation detector with He-CF4 gas mixture in clinical proton beams. Phys. Med. Biol., 2015. 61(8): p. 2972 - 2990.
3. Sauli, F., Development and applications of gas electron multiplier detectors. Nucl. Instrum. Meth. A, 2003. 505(1-2): p. 195-198.
4. Smith, A.R., Vision 20∕20: Proton therapy. Medical Physics, 2009. 36(2): p. 556-568.
5. McDonald, M.W. and M.M. Fitzek, Proton therapy. Current problems in cancer, 2010. 34(4): p. 257-296.
6. MEDraysintell. Proton Therapy World Market Report Edition 2015. 2015; http://medraysintell.com/attachments/File/MEDraysintell_Proton_Therapy_Edition_2015_-_Summary_and_Table_of_Contents.pdf
7. P.J. Kim and H.A. Shih, The Place of Ion Beams in Clinical Applications, and references therein, in Ion Beam Therapy: Fundamentals, Technology, Clinical Applications, U. Linz, Editor. 2012, Springer-Verlag: Berlin. p. 17.
8. Reinhardt, S., et al., Comparison of Gafchromic EBT2 and EBT3 films for clinical photon and proton beams. Med Phys, 2012. 39(8): p. 5257-5262.
9. Boon, S.N., et al., Performance of a fluorescent screen and CCD camera as a two-dimensional dosimetry system for dynamic treatment techniques. Medical Physics, 2000. 27(10): p. 2198-2208.
10. LYNX PT. IBA Dosimetry 2015; http://www.iba-dosimetry.com/complete-solutions/radiotherapy/particle-therapy-do-simetry/lynx
11. Ramm, U., et al., Three-dimensional BANG TM gel dosimetry in conformal carbon ion radiotherapy. Phys. Med. Biol., 2000. 45(9): p. N95.
12. Liyong, L., et al., A novel technique for measuring the low-dose envelope of pencil-beam scanning spot profiles. Phys. Med. Biol., 2013. 58(12): p. N171.
13. Liyong, L., et al., Experimental characterization of two-dimensional spot profiles for two proton pencil beam scanning nozzles. Phys. Med. Biol., 2014. 59(2): p. 493.
14. Arjomandy, B., et al., Verification of patient-specific dose distributions in proton therapy using a commercial two-dimensional ion chamber array. Medical Physics, 2010. 37(11): p. 5831-5837.
15. Arjomandy, B., et al., Use of a two-dimensional ionization chamber array for proton therapy beam quality assurance. Medical Physics, 2008. 35(9): p. 3889-3894.
16. Sauli, F., GEM: A new concept for electron amplification in gas detectors. Nucl. Instrum. Meth. A, 1997. A386(2-3): p. 531-534.
17. Fraga, F.A.F., et al., Optical readout of GEMs. Nucl. Instrum. Meth. A, 2001. 471(1-2): p. 125-130.
18. Fraga, F.A.F., et al., Scintillation neutron detectors with GEMs. Intl. Workshop PSND 2001at HMI, Berlin, Germany 2001, http://www.hmi.de/bensc/psnd2001/, 2001.
19. Fraga, F.A.F., et al. Imaging detectors based on the gas electron multiplier scintillation light. in Nuclear Science Symposium, 1999. Conference Record. 1999 IEEE. 1999.
20. Timmer, J.H., et al., A scintillating GEM for 2D-dosimetry in radiation therapy. Nucl. Instrum. Meth. A, 2002. 478(1-2): p. 98-103.
21. Fetal, S., et al., Dose imaging in radiotherapy with an Ar-CF4 filled scintillating GEM. Nucl. Instrum. Meth. A, 2003. 513(1-2): p. 42-46.
22. Seravalli, E., et al., 2D dosimetry in a proton beam with a scintillating GEM detector. Phys Med Biol., 2009. 54(12): p. 3755-3771.
23. Klyachko, A.V., et al., Dose Imaging Detectors for Radiotherapy Based on Gas Electron Multipliers. Nucl. Instrum. Meth. A, 2011. 628(1): p. 434-439.
24. Hoppe, R., T.L. Phillips, and M. Roach III, Leibel and Phillips Textbook of Radiation Oncology, 3rd Edition. 2010, Philadelphia: Elsevier/Saunders.
25. Paganetti, H., Proton Therapy Physics. 2012, Boca Raton, FL: CRC Press.
26. Zhao, Q., H. Wu, and I. Das. Quality assurance of proton compensators. in World Congress on Medical Physics and Biomedical Engineering, IFMBE Proceedings. 2012. Berlin, Germany: Springer.
27. Kim, J.S., et al., Image based quality assurance of range compensator for proton beam therapy. Korean J. Med. Phys., 2008. 19: p. 35-41.
28. Yoon, M., et al., Computerized tomography-based quality assurance tool for proton range compensators. Med. Phys. , 2008. 35: p. 3511-3517.
29. Kim, M., et al., Development of a 3D optical scanning-based automatic quality assurance system for proton range compensators. Medical Physics, 2015. 42(2): p. 1071-1079.
30. Park, S., et al., Proton-radiography-based quality assurance of proton range compensator. Phys. Med. Biol., 2013. 58(18): p. 6511.
31. Park, S., et al., Feasibility study of proton-based quality assurance of proton range compensator. Journal of Physics: Conference Series, 2013. 444(1): p. 012056.
32. Gafchromic EBT3 film specifications, Ashland Inc. 2015; http://www.ashland.com/Ashland/Static/Documents/ASI/Advanced%20Materials/gafchromic-ebt3.pdf
33. Klyachko, A.V., Phenix Medical OptiGEM Dose Imaging Detector User Manual. Phenix Medical LLC internal document, 2014.
34. Klyachko, A.V., et al., A GEM-based dose imaging detector with optical readout for proton radiotherapy. Nucl. Instrum. Meth. A, 2012. 694(0): p. 271-279.
35. Tech-Etch. 2012; http://www.tech-etch.com/
36. QSI, Quantum Scientific Imaging, Inc., 12 Coteau Dr., Poplarville, MS 39470, USA 2013.
37. Fraga, M.M.F.R., et al., The GEM scintillation in He-CF4, Ar-CF4, Ar-TEA and Xe-TEA mixtures. Nucl. Instrum. Meth. A, 2003. A 504: p. 88-92.
38. Farr, J.B., et al., Clinical characterization of a proton beam continuous uniform scanning system with dose layer stacking. Medical Physics, 2008. 35(11): p. 4945-4954.
39. PTW. PTW-Freiburg GmbH. Lörracher Strasse 7, 79115 Freiburg, Germany. 2010; http://www.ptw.de/home_start.html
40. Schulte, R., et al., Conceptual Design of a Proton Computed Tomography System for Applications in Proton Radiation Therapy. Nuclear Science, IEEE Transactions on, 2004. 51(3): p. 866-872.
41. Talamonti, C., et al., Proton radiography for clinical applications. Nucl. Instrum. Meth. A, 2010. 612(3): p. 571-575.
42. Ryu, H., et al., Density and spatial resolutions of proton radiography using a range modulation technique. Phys. Med. Biol., 2008. 53(19): p. 5461.
43. Zygmanski, P., et al., The measurement of proton stopping power using proton-cone-beam computed tomography. Phys. Med. Biol., 2000. 45(2): p. 511.
44. Nichiporov, D., et al., Multichannel detectors for profile measurements in clinical proton fields. Medical Physics, 2007. 34(7): p. 2683-2690.
45. Altunbas, C., et al., Construction, test and commissioning of the triple-gem tracking detector for COMPASS. Nucl. Instrum. Meth. A, 2002. 490(1-2): p. 177-203.
46. Marshall J.L., W.P., Rheault J.-P., Prochaska T., Allen R. D., DePoy D.L., Characterization of the Reflectivity of Various Black Materials. Proc. SPIE 9147, Ground-based and Airborne Instrumentation for Astronomy V, 91474F 2014.
47. Equinox Interscience, Pinecliffe, USA. Deep Sky Black. 2016; http://www.eisci.com/deepsky.html
48. Surrey NanoSystems, Newhaven, UK. Vantablack. 2016; https://www.surreynanosystems.com/vantablack