Beam Interrupt Research Articles

Toward planning target volume margin reduction for the prostate using intrafraction motion correction with online kV imaging and automatic detection of implanted gold seeds

PurposeThe imaging application Auto Beam Hold (ABH) allows for the online analysis of 2-dimensional kV images acquired during treatment. ABH can automatically detect fiducial markers and initiate a beam interrupt. In this study, we investigate the practical use and results of this intrafraction monitoring tool for patients with prostate cancer who have implanted gold seeds treated with a RapidArc technique. Methods and materialsA total of 105 patients were included. For setup, the seeds were lined up using 2 orthogonal 2-dimensional kV images. After the setup procedure, ABH was applied at an interval of 3 seconds. The software requires a maximum-allowed deviation to be defined for each seed, which is referred to as a deviation limit (DL). Online, the ABH application evaluates the position of the seeds and indicates for each seed whether or not it exceeds the DL. Patients were divided in 3 groups. For the first group ABH was used with the DL at 6 mm, which corresponds to the planning target volume (PTV) margin. For the second group, the DL was set at 5 mm with an unchanged PTV margin of 6 mm. For the third group, the PTV margin was reduced to 5 mm with a DL of 5 mm. Offline, we performed an analysis of the number of beam stops and resulting re-setups. ResultsABH initiated a beam interrupt 223 times (13%) during a total of 1736 sessions. By decreasing the DL from 6 mm to 5 mm, the amount of workload for re-setups increased from 6% (group 1) to 14% (groups 2 and 3). Re-setup, 3-dimensional shifts larger than the PTV margin were found in 44%, 35%, and 45% for groups 1,2, and 3, respectively. ConclusionsIntrafraction imaging of prostate position during treatment using automatic detection of implanted gold seeds was successfully implemented. PTV margins were safely reduced from 6mm to 5mm without a substantial increase in workload.

Multiple breath-hold segmented volumetric modulated arc therapy under real-time fluoroscopic image guidance with implanted fiducial markers: preliminary clinical experience

A technique for multiple breath-hold segmented volumetric modulated arc therapy (VMAT) has been proposed under real-time fluoroscopic image guidance with implanted fiducial markers. Fiducial markers were embedded as close as possible to a tumour and the patient was asked to breathe in slowly under fluoroscopy. Immediately after the marker positions on the fluoroscopic image moved inside the planned marker contours transferred from a digitally reconstructed radiographic image at each gantry start angle, the patient was asked to hold their breath and a segmented VMAT beam was delivered. During beam delivery, the breath-hold status was continuously monitored by viewing a pointer in a breath monitoring system, Abches (Apex Medical, Tokyo, Japan), with the aid of a video camera installed in the treatment room. As long as the pointer stayed still, the segmented VMAT delivery continued for a preset period of 15–30 s, depending on the breath-hold capability of each patient. As soon as each segmented delivery was completed, the beam interrupt button was pushed; subsequently, the patient was asked to breathe freely. Because the preset breath-hold period was determined in order for each patient to hold their breath without fail, an intermediate beam interrupt due to breath-hold failure during the segmented beam delivery was not observed. This procedure was repeated until all the segmented VMAT beams were delivered. A case of pancreatic cancer is reported here as a preliminary study. The proposed technique may be clinically advantageous for treating tumours that move with respiration, including pancreatic cancer, lung tumour and other abdominal cancers.

SU-E-T-171: Missing Dose in Integrated EPID Images.

A dosimetric artifact has been observed with Varian EPIDs in the presence of beam interrupts. This work determines the root cause and significance of this artifact. Integrated mode EPID images were acquired both with and without a manual beam interrupt for rectangular, sliding gap IMRT fields. Simultaneously, the individual frames were captured on a separate computer using a frame-grabber system. Synchronization of the individual frames with the integrated images allowed the determination of precisely how the EPID behaved during regular operation as well as when a beam interrupt was triggered. The ability of the EPID to reliably monitor a treatment in the presence of beam interrupts was tested by comparing the difference between the interrupt and non-interrupt images. The interrupted images acquired in integrated acquisition mode displayed unanticipated behaviour in the region of the image where the leaves were located when the beam interrupt was triggered. Differences greater than 5% were observed as a result of the interrupt in some cases, with the discrepancies occurring in a non-uniform manner across the imager. The differences measured were not repeatable from one measurement to another. Examination of the individual frames showed that the EPID was consistently losing a small amount of dose at the termination of every exposure. Inclusion of one additional frame in every image rectified the unexpected behaviour, reducing the differences to 1% or less. Although integrated EPID images nominally capture the entire dose delivered during an exposure, a small amount of dose is consistently being lost at the end of every exposure. The amount of missing dose is random, depending on the exact beam termination time within a frame. Inclusion of an extra frame at the end of each exposure effectively rectifies the problem, making the EPID more suitable for clinical dosimetry applications. The authors received support from Varian Medical Systems in the form of software and equipment loans as well as technical support.

Computational fluid dynamics analysis of spallation target for experimental accelerator-driven transmutation system

One of the key milestones in the roadmap of the European accelerator-driven transmutation system (ADS) is the design and construction of the European experimental ADS (XADS). The window spallation target unit in the lead–bismuth eutectic (LBE) cooled reactor system is one of the basic options considered in the preliminary design study of XADS (PDS-XADS). This paper presents the computational fluid dynamics (CFD) analysis and the main results achieved for this option focusing on the coolability of the window. Steady-state as well as transient behavior, including beam interrupts and three major accident scenarios, has been analyzed using the CFD code CFX 5.6 with an advanced turbulence model. The required boundary conditions were provided by a one-dimensional system code. Based on the CFD analysis, the window geometry was modified in order to achieve sufficient cooling capability of the window under normal operating conditions. The transient behavior of the window temperature under beam trip conditions shows the importance of the beam interrupt duration to the thermal stress load of the window structural material. Further transient analysis of three major accidental scenarios, i.e., beam focusing, loss of heat sink, and beam intensity jump, indicates that the beam focusing accident gives the most serious safety concern. In this case, window failure occurs in less than 1 s after the start of the beam focusing.

Spatial solitary-wave optical memory

We consider some features of spatial solitary-wave switching in a unidirectional ring cavity that is partially filled with a fast and saturably self-focusing nonlinear medium. Large (part-beam switched) solitary arrays are considered. It is found that prescribed binary patterns may be encoded in the duration of a single cavity transit and subsequently remain stable over thousands of transits. Beam interrupt allows pixels to be switched off in fewer than ten cavity transits. Pixel instabilities on an unpixelated beam are shown to arise from spatial solitary attractive forces and intensity gradients.

Neutral beam interlock system on TFTR using infrared pyrometry

Although the region of the Tokamak Fusion Test Reactor (TFTR) vacuum vessel wall which is susceptible to damage by neutral beam strike is armored with a mosaic of TiC-clad POCO graphite tiles, at power deposition levels above 2.5 kW/cm2 the armor surface temperature exceeds 1200 °C within 250 ms, and itself becomes susceptible to damage. In order to protect the wall armor, a neutral beam interlock system based on infrared pyrometry measurement of the armor surface temperature was installed on TFTR. For each beamline, a three-fiber-optic telescope views three areas of ∼30 cm diameter centered on the armor hot spots for the three ion sources. Each signal is fiber-optic coupled to a remote 900-nm pyrometer which feeds analog signals to the neutral beam interrupt circuits. The pyrometer interlock system is designed to interrupt each of the 12 ion sources independently within 10 ms of the temperature exceeding a threshold which can be set in the range of 500–2300 °C. A description of the pyrometer interlock system and its performance will be presented.

Long Radiation Detector System for Beam Loss Monitoring

This paper describes the Long Radiation Monitor (LRM) system installed at the 200 MeV linac at Brookhaven National Laboratory. This system allows observation of both the spatial and temporal character of the losses in the linac and its transport lines. An array of large diameter gas filled coaxial cables are used as extended ion chambers to detect the losses. The output signals are available as a histogram, video waveforms, and numerical data via the computer. A fast beam interrupt is also provided. The detector characteristics and details of the processing electronics are presented. Results of studies of longitudinal, steering and focusing losses are described.