Time structure of pencil beam scanning proton FLASH beams measured with scintillator detectors and compared with log files

• Published in: Medical physics (Lancaster) Vol. 49; no. 3; pp. 1932 - 1943
• Main Authors: Kanouta, Eleni, Johansen, Jacob Graversen, Kertzscher, Gustavo, Sitarz, Mateusz Krzysztof, Sørensen, Brita Singers, Poulsen, Per Rugaard
• Format: Journal Article
• Language: English
• Published: United States 01-03-2022
• Subjects: Animals; fiber‐coupled scintillator; FLASH; log‐file validation; Mice; pencil beam scanning proton therapy; Phantoms, Imaging; Proton Therapy; Protons; Radiotherapy Dosage; Radiotherapy Planning, Computer-Assisted; spot duration; log-file validation; pencil beam scanning proton therapy; spot duration; FLASH; fiber-coupled scintillator
• ISSN: 0094-2405; 2473-4209
• DOI: 10.1002/mp.15486

Purpose
Key factors in FLASH treatments are the ultra‐high dose rate (UHDR) and the time structure of the beam delivery. Measurement of the time structure in pencil beam scanning (PBS) proton FLASH treatments is challenging for many types of detectors since high temporal resolution is needed. In this study, a fast scintillator detector system was developed and used to measure the individual spot durations as well as the time when the beam moves between two positions (transition duration) during PBS proton FLASH and UHDR treatments. The spot durations were compared with machine log‐file recordings.
Methods
A detector system based on inorganic scintillating crystals was developed. The system consisted of four detector probes made of a sub‐millimeter ZnSe:O crystal that was coupled via an optical fiber to an optical reader with 50 kHz sampling rate. The detector system was used in two experiments, both performed with a PBS proton beam with 250 MeV beam energy and 215 nA requested nozzle beam current. The sampling rate enabled multiple measurements during each spot delivery and during the beam transition between spots. First, the detector was tested in a phantom experiment, where a total of 305 scan sequences were delivered to the four detectors. The number of spots delivered without beam interruption in a single scan sequence ranged from one to 35. The spot duration and transition duration were measured for each individual spot. Secondly, the detector system was used in vivo in preclinical experiments with FLASH irradiation of mouse legs placed in the entrance plateau of the beam. A single detector was placed 1 cm downstream of the irradiated mouse leg. The mouse dose ranged from 30.5 to 44.2 Gy and the field consisted of 35 spots. The spot durations as well as the mean dose rate (field dose divided by the measured field duration) for each mouse were determined using the detector and then compared with the corresponding log files.
Results
The phantom experiment showed that the logged total duration of an uninterrupted spot sequence was consistently shorter than the measured duration with a difference of −0.252 ms (95% confidence interval: [‐0.255, −0.249 ms]). This corresponded to 0.05%–0.07% of the spot sequence duration in the mice experiments. For individual spots, the mean ± 1SD difference between logged and measured spot duration was −0.39 ± 0.05 ms for the first spot in a sequence, 0.13 ± 0.04 ms for the last spot in a sequence, and −0.0017 ± 0.09 ms for the intermediate spots in a sequence. The measured spot transition durations were 0.20 ± 0.04 ms (5.1 mm horizontal steps) and 0.50 ± 0.04 ms (5.0 mm vertical steps). For the mouse experiments, the mean dose rate calculated from the measured field duration was 84.1–92.5 Gy/s. It agreed with log files with a root mean square difference of 0.02 Gy/s.
Conclusions
Fiber‐coupled scintillator detectors were designed with sufficient temporal resolution to measure the spot and transition duration during PBS proton UHDR deliveries. Their small volume makes them feasible for in vivo use in preclinical FLASH studies. The logged spot durations were in excellent agreement with measurements but showed small systematic errors in the logged duration for the first and last spot in a sequence.