Evidence map›Paper›PMID 41253689›Full record

ArticleJournal of applied clinical medical physics2025

Commissioning of a gantry-mounted synchrocyclotron for preclinical FLASH studies utilizing spread-out Bragg peaks.

Michael Lowe, Hailei Zhang, Daniel Owen, Arash Darafsheh, Tianyu Zhao

Abstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2025. 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
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Michael LoweDepartment of Radiation Oncology, WashU Medicine, St. Louis, Missouri, USA.
Hailei ZhangDepartment of Radiation Oncology, WashU Medicine, St. Louis, Missouri, USA.
Daniel OwenDepartment of Advanced Development, Mevion Medical Systems, Littleton, Massachusetts, USA.
Arash DarafshehDepartment of Radiation Oncology, WashU Medicine, St. Louis, Missouri, USA.ORCID https://orcid.org/0000-0003-4148-0891
Tianyu ZhaoDepartment of Radiation Oncology, WashU Medicine, St. Louis, Missouri, USA.

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
NCI NIH HHS P30 CA091842NIH HHS
6 · The paper itself

Abstract

backgroundPreclinical studies demonstrate the benefits of ultra-high dose-rate (FLASH) radiation, reducing normal tissue toxicity while maintaining tumoricidal effects. Proton FLASH (pFLASH) studies typically use transmission beams, missing the normal tissue-sparing advantage of the spread-out Bragg peak (SOBP). PURPOSE: This study aims to propose and implement a series of modifications to enable a clinical Mevion S250i gantry-mounted synchrocyclotron to deliver pFLASH within the SOBP of the proton beam.

methodsA clinical synchrocyclotron was modified to enable FLASH proton beam delivery using the Mevion FLASH accessory kit, a commercially available tool that allows for the delivery of a single spot SOBP at FLASH dose rates. To ensure accurate beam monitoring, a Faraday cup was utilized to measure the integral charge per delivery at different dose rates and calibrate the FLASH transmission ion chamber (FLASHTic), which is integrated in the FLASH accessory mount attached to the nozzle of the gantry. The FLASHTic was specifically designed to prevent saturation at the dose rates associated with FLASH. To generate the desired single spot SOBP, boron carbide absorbers, a range modulating hole filter, and an 11-mm-diameter circle brass aperture were employed on the FLASH nozzle mount.

resultsThe results indicate that the FLASHTic measurements demonstrated a strong correlation with the Faraday cup post calibration, suggesting that the FLASHTic can be effectively utilized for both monitoring and terminating the proton beam. The 80%-80% width of the SOBP was 2.01 cm. The peak dose rate at the SOBP proximal peak reached 105.03 Gy/s, with an average of 96.18 Gy/s over five days. Transitioning between FLASH and clinical mode required less than one hour without affecting the clinical beam.

conclusionsThe commissioning of a 230 MeV proton synchrocyclotron for SOBP FLASH delivery was achieved, providing a platform for preclinical small animal studies on pFLASH effects.

Indexed as

NeoplasmsOrgans at RiskParticle AcceleratorsPhantoms, ImagingProton TherapyRadiotherapy Planning, Computer-AssistedHumansRadiotherapy DosageRadiotherapy, Intensity-ModulatedFLASHproton therapysynchrocyclotronultra‐high dose‐rate

Identifiers

PMID41253689
PMCPMC12626749

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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.