Evidence map›Paper›PMID 35099067›Full record

ArticleMedical physics2022

Increase of the transmission and emittance acceptance through a cyclotron-based proton therapy gantry.

Vivek Maradia, Anna Chiara Giovannelli, David Meer, Damien Charles Weber, Antony John Lomax, Jacobus Maarten Schippers, Serena Psoroulas

Open access · hybridAbstract read
In one paragraph

Article in Medical physics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Vivek MaradiaCenter for Proton Therapy, Paul Scherrer Institute, Villigen, Switzerland.
Anna Chiara GiovannelliCenter for Proton Therapy, Paul Scherrer Institute, Villigen, Switzerland.
David MeerCenter for Proton Therapy, Paul Scherrer Institute, Villigen, Switzerland.
Damien Charles WeberCenter for Proton Therapy, Paul Scherrer Institute, Villigen, Switzerland.
Antony John LomaxCenter for Proton Therapy, Paul Scherrer Institute, Villigen, Switzerland.
Jacobus Maarten SchippersLarge Accelerator Facility, Paul Scherrer Institute, Villigen, Switzerland.
Serena PsoroulasCenter for Proton Therapy, Paul Scherrer Institute, Villigen, Switzerland.
Paul Scherrer Institute · CHETH Zurich · CHUniversity Hospital of Zurich · CH

Funding

PSI's CROSS funding schemeSwiss National Science Foundation 185082
6 · The paper itself

Abstract

purposeIn proton therapy, the gantry, as the final part of the beamline, has a major effect on beam intensity and beam size at the isocenter. Most of the conventional beam optics of cyclotron-based proton gantries have been designed with an imaging factor between 1 and 2 from the coupling point (CP) at the gantry entrance to the isocenter (patient location) meaning that to achieve a clinically desirable (small) beam size at isocenter, a small beam size is also required at the CP. Here we will show that such imaging factors are limiting the emittance which can be transported through the gantry. We, therefore, propose the use of large beam size and low divergence beam at the CP along with an imaging factor of 0.5 (2:1) in a new design of gantry beam optics to achieve substantial improvements in transmission and thus increase beam intensity at the isocenter.

methodsThe beam optics of our gantry have been re-designed to transport higher emittance without the need of any mechanical modifications to the gantry beamline. The beam optics has been designed using TRANSPORT, with the resulting transmissions being calculated using Monte Carlo simulations (BDSIM code). Finally, the new beam optics have been tested with measurements performed on our Gantry 2 at PSI.

resultsWith the new beam optics, we could maximize transmission through the gantry for a fixed emittance value. Additionally, we could transport almost four times higher emittance through the gantry compared to conventional optics, whilst achieving good transmissions through the gantry (>50%) with no increased losses in the gantry. As such, the overall transmission (cyclotron to isocenter) can be increased by almost a factor of 6 for low energies. Additionally, the point-to-point imaging inherent to the optics allows adjustment of the beam size at the isocenter by simply changing the beam size at the CP.

conclusionWe have developed a new gantry beam optics which, by selecting a large beam size and low divergence at the gantry entrance and using an imaging factor of 0.5 (2:1), increases the emittance acceptance of the gantry, leading to a substantial increase in beam intensity at low energies. We expect that this approach could easily be adapted for most types of existing gantries.

Indexed as

Proton TherapyCyclotronsHumansMonte Carlo MethodProtonsRadiotherapy DosageProtonsefficient treatment deliveryFLASHgantry beam opticshigh dose ratesproton therapy gantry

Identifiers

PMID35099067
PMCPMC9303721
OpenAlexW4210282779

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.