Bragg Peak Research Articles

Sheep Bone Ultrastructure Analyses Reveal Differences in Bone Maturation around Mg-Based and Ti Implants.

Magnesium alloys are some of the most convenient biodegradable materials for bone fracture treatment due to their tailorable degradation rate, biocompatibility, and mechanical properties resembling those of bone. Despite the fact that magnesium-based implants and ZX00 (Mg-0.45Zn-0.45Ca in wt.%), in particular, have been shown to have suitable degradation rates and good osseointegration, knowledge gaps remain in our understanding of the impact of their degradation properties on the bone's ultrastructure. Bone is a hierarchically structured material, where not only the microstructure but also the ultrastructure are important as properties like the local mechanical response are determined by it. This study presents the first comparative analysis of bone ultrastructure parameters with high spatial resolution around ZX00 and Ti implants after 6, 12, and 24 weeks of healing. The mineralization was investigated, revealing a significant decrease in the lattice spacing of the (002) Bragg's peak closer to the ZX00 implant in comparison to Ti, while no significant difference in the crystallite size was observed. The hydroxyapatite platelet thickness and osteon density demonstrated a decrease closer to the ZX00 implant interface. Correlative indentation and strain maps obtained by scanning X-ray diffraction measurements revealed a higher stiffness and faster mechanical adaptation of the bone surrounding Ti implants as compared to the ZX00 ones. Thus, the results suggest the incorporation of Mg2+ ions into the bone ultrastructure, as well as a lower degree of remodeling and stiffness of the bone in the presence of ZX00 implants than Ti.

Method for fabricating a mesh ripple filter for charged-particle therapy

Objective. A simple, low-cost ripple filter consisting of multiple mesh sheets (mRiFi) was previously developed to reproducibly widen the Bragg peak of heavy-ion beams. To fabricate the mRiFi, the mRiFi parameters such as the wire material, wire diameter, wire spacing, and number of mesh sheets had to be determined. However, it was unclear how these parameters contribute to shifting and widening of the Bragg peak as well as to lateral spreading of the beam passing through the mRiFi. The purposes of this study were to clarify the contributions and to propose a recipe for fabricating a mRiFi with the desired performance values. Approach. We established an analytical calculation method to estimate shifting and widening of the Bragg peak and lateral spreading of heavy-ion beams passing through the mRiFi for given mRiFi parameter values. We also performed Monte Carlo simulations to validate the analytical calculation method. The recipe for fabricating the mRiFi with desired performances was established based on the analytical calculation method. Using the recipe, we fabricated the mRiFi for multi-ion therapy and evaluated its performance through demonstration experiments with helium-, carbon-, oxygen-, and neon-ion beams. Main results. The difference between the results of the Monte Carlo simulation and the analytical calculation was less than 0.4 mm for the peak shift, 0.15 mm for the peak width, and less than 0.11 mm for the lateral beam size which validated the analytical calculation method. The experimentally observed shift and width of the Bragg peak were consistent with the analytical calculations. Significance. We proposed a method to determine mRiFi parameters for fabricating a mRiFi with a desired performance, i.e. adequate widening of the Bragg peak with an acceptable peak shift and lateral beam spread. The proposed method allows anyone to fabricate a simple and low-cost mRiFi satisfying desired specifications.

Structural and interface band alignment properties of transparent p-type α-GaCrO3:Ni/α-Al2O3 heterojunction

Herein, we report epitaxial growth of p-type Ni doped gallium chromium oxide thin film on Al2O3 substrates and studied its band alignment properties with that of the substrate. Thin films are grown using the magnetron-sputtering technique. Synchrotron-based XRD measurements, performed in the coplanar and non-coplanar geometries, confirm high-quality single domain epitaxial growth of p-type α-GaCrO3:Ni. Pendellosung oscillations around the Bragg peak and transmission electron microscopy reveal the high interfacial quality of p-type α-GaCrO3:Ni films with the substrate. Thin film, thickness ∼200 nm, shows around 70% average transmission. The values of valence band and conduction band offsets are determined to be 2.79 ± 0.2 and 0.51 ± 0.2 eV, respectively, which confirm straddling gap band alignment at the heterojunction. This type of alignment creates a threshold barrier for the selective charge carriers and is useful in enhancing the performance of a wide range of devices, including UV photodetectors, metal oxide semiconductor high electron mobility transistors, and light emitters.

Spread-out Bragg peak FLASH: quantifying normal tissue toxicity in a murine model.

A favorable effect of ultra-high dose rate (FLASH) radiation on normal tissue-sparing has been indicated in several preclinical studies. In these studies, the adverse effects of radiation damage were reduced without compromising tumor control. Most studies of proton FLASH investigate these effects within the entrance of a proton beam. However, the real advantage of proton therapy lies in the Spread-out Bragg Peak (SOBP), which allows for giving a high dose to a target with a limited dose to healthy tissue at the entrance of the beam. Therefore, a clinically relevant investigation of the FLASH effect would be of healthy tissues within a SOBP. Our study quantified the tissue-sparing effect of FLASH radiation on acute and late toxicity within an SOBP in a murine model. Radiation-induced damage was assessed for acute and late toxicity in the same mice following irradiation with FLASH (Field dose rate of 60 Gy/s) or conventional (CONV, 0.34 Gy/s) dose rates. The right hindleg of unanesthetized female CDF1 mice was irradiated with single-fraction doses between 19.9-49.7 Gy for CONV and 30.4-65.9 Gy for FLASH with 5-8 mice per dose. The leg was placed in the middle of a 5 cm SOBP generated from a mono-energetic beam using a 2D range modulator. Acute skin toxicity quantified by hair loss, moist desquamation and toe separation was monitored daily within 29 days post-treatment. Late toxicity of fibrotic development measured by leg extendibility was monitored biweekly until 30 weeks post-treatment. Comparison of acute skin toxicity following radiation indicated a tissue-sparing effect of FLASH compared to conventional single-fraction radiation with a mean protection ratio of 1.40 (1.35-1.46). Fibrotic development similarly indicated normal tissue sparing with a 1.18 (1.17-1.18) protection ratio. The acute skin toxicity tissue sparing was similar to data from entrance-beam irradiations of Sørensen etal. (4). Full dose-response curves for acute and late toxicity after CONV and FLASH radiation were obtained. Radiation within the SOBP retains the normal-tissue-sparing effect of FLASH with a dose-modifying factor of 40% for acute skin damage and 18% for fibrotic development.

Transient heating of Pd nanoparticles studied by x-ray diffraction with time of arrival photon detection.

Pulsed laser heating of an ensemble of Pd nanoparticles, supported by a MgO substrate, is studied by x-ray diffraction. By time-resolved Bragg peak shift measurements due to thermal lattice expansion, the transient temperature of the Pd nanoparticles is determined, which quickly rises by at least 100 K upon laser excitation and then decays within 90 ns. The diffraction experiments were carried out using a Cu x-ray tube, giving continuous radiation, and the hybrid pixel detector Timepix3 operating with single photon counting in a time-of-arrival mode. This type of detection scheme does not require time-consuming scanning of the pump-probe delay. The experimental time resolution is estimated at 15 ± 5 ns, which is very close to the detector's limit and matches with the 7 ns laser pulse duration. Compared to bulk metal single crystals, it is discussed that the maximum temperature reached by the Pd nanoparticles is higher and their cooling rate is lower. These effects are explained by the oxide support having a lower heat conductivity.

Mini-ridge filter designs for conformal FLASH proton therapy

The present study designed a mini-ridge filter capable of generating a 30 mm spread-out Bragg peak (SOBP) specific to the proton FLASH beamline for use in proton FLASH mouse studies. Proton FLASH therapy delivers ultra-high dose rates exceeding 40 Gy/s, necessitating instantaneous SOBP generation via static method. The TOol for PArticle Simulation (TOPAS) was used to model the FLASH beamline, which enabled accurate replication of beam characteristics identified from measurements, and ensured accurate dose calculations. Comparisons between simulated and measured peak widths and R80d values, accurate to within 1 mm, verified the accuracy and reliability of Monte Carlo code. Two mini-ridge filters of different materials were designed and optimized using MATLAB, simulated with TOPAS for SOBP verification, and fabricated using 3D-printing or computer numerical control manufacturing. The results indicated strong agreement between the simulated and measured SOBP widths for the polylactic acid mini-ridge filter but with discrepancies observed in the range and flatness measurements, which may be due to the use of 3D printing. By contrast, the aluminium alloy mini-ridge filter achieved excellent results, generating a 31.6 mm SOBP width with 0.89% flatness. Therefore, the present study validated the accuracy of our Monte Carlo code in simulating the FLASH beamline and the feasibility of our mini-ridge filters.

Range Different of Mono-Energetic 290 MeV/u Carbon Ion Across Geant4 Version with Variation of I-values

The mean ionization potential (I-value) is a primary determinant of the position of the heavy ion Bragg peak. To minimize their impact on beam range errors and quantify their uncertainties, the currently used I-values in Geant4 material database are revisited. The study aims at comparing set of I-values in different Geant4 versions and cross validation with PHITS Monte Carlo (MC) code. The Bragg curves of mono-energetic 290 MeV/u carbon ion beams in a Polymethyl Methacrylate (PMMA) phantom were simulated using Geant4 versions 10.6.2 and 11.2.1. Similar beam energies were replicated using the PHITS code. The Bragg curves showed good agreement between the two versions of Geant4 MC code for an I-value of 74 eV, corresponding to G4_PLEXIGLASS in the material database. When the I-value was lowered to 65 eV and 48 eV, the Bragg curves from Geant4 version 11.2.1 shifted to shallower depths. This research provides insights for evaluating the Geant4 physics model.

Solid state microdosimetry of a 148 MeV proton spread-out Bragg peak with a pixelated silicon telescope

A constant value of the Relative Biological Effectiveness (RBE), equal to 1.1, to weight the physical dose of proton therapy treatment planning collides with the experimental evidence of an increase of effectiveness along the depth dose profile, especially at the end of the particle range. In this context, it is desirable to develop new optimized treatment planning systems that account for a variable RBE when weighting the physical dose. In particular, due to the increasing interest on microdosimetry as a possible methodology for measuring physical quantities correlated with the biological effectiveness of the therapeutic beam, the development of new Tissue-Equivalent Proportional Counters (TEPCs) specifically designed for the clinical environment are in progress.In this framework, the silicon technology allows to produce solid state detectors of real micrometric dimensions. This is a valid alternative to the TEPC from a practical point of view, being simple, easy-of-use and more versatile. The feasibility of a solid state microdosimeter based on a monolithic double stage silicon telescope has been previously proposed and deeply investigated by comparing its response to the one obtained by reference TEPCs in various radiation fields. The device is constituted by a matrix of cylindrical elements, 2 μm in thickness and 9 μm in diameter, coupled to a single E stage, 500 μm in thickness. Each segmented ΔE stage acts as a solid state microdosimeter, while the E stage gives information on the energy of the impinging proton up to about 8 MeV.This work is dedicated to the description of the microdosimetric characterization of the 148 MeV energy-modulated proton beam at the radiobiological research line of the Trento Proton Therapy Centre by means of a pixelated silicon microdosimeter. All measurements were carried out at different positions across the spread-out Bragg peak (SOBP) and the corresponding microdosimetric distributions were derived by applying a novel extrapolation algorithm. Finally, microdosimetric assessment of Relative Biological Effectiveness was carried out by weighting the dose distribution of the lineal energy with the Loncol's biological weighting function. Benefits and possible limitations of this approach are discussed.

Convection driven by a nonuniform radiative internal heat source in a cavity: Example of medical isotope production in liquid targets

In the present study we use two-dimensional direct numerical simulations (DNS) to understand the coupled heat transfer to fluid flow in a liquid target for the production of nuclear medicines. Fluid motion is driven by buoyancy created by heat generated by a proton beam. The internal heat source has a gaussian distribution in the vertical direction and a rapidly growing intensity in the horizontal direction until it reaches a range at the Bragg peak where the heating drops to zero. The structure of the heating imposes two convective cells, separated at the location of the range. We solve the governing fluid flow and energy equations in a square cavity subject to highly nonuniform internal heating generated by the energy deposition of a proton beam. While most studies of convection driven by an internal heat source in a fluid layer have been focused on a uniform heating of the fluid, our study shows that the nonuniformity in the heat source has important implications for the temperature and flow fields, the boundary heat fluxes, and the growth of convective instabilities in the flow. Interestingly, the scalings of the maximum and averaged temperatures with the Rayleigh number compare similarly to previously found power laws for uniformly heated fluid layers. At higher power levels, the layer of fluid near the top cold boundary becomes convectively unstable via Rayleigh–Taylor instabilities. By comparing the rate of growth of these instabilities to their rate of advection to the boundaries of the cavity, a model is developed that predicts the instability of the convective cells for different values of the range of the beam and the Rayleigh number. Crucially, we demonstrate that the disturbances in the production of isotopes due to convective instabilities and the design of the cooling system is dependent on the location of the Bragg peak and must be considered in design of future generation of this class of target.

Monte Carlo Simulations of Bragg Peak Curves for Mono-Energetic Proton Beams

As an energetic proton beam penetrates intomatter its energy loss rate (stopping power) increases withpenetration depth reaching a maximum value in a regionknown as Bragg peak. The main objective of this study is todetermine the penetration depths of mono- energeticprotons in water using Monte Carlo simulations.. Theoutputs of the simulations were analysed using ROOTanalysis software. Validation of the Monte Carlo model wascarried out by comparing proton ranges in water obtainedwith Geant4 simulations against data obtained from theNIST database. The simulation results were in excellentagreement (within an approximately 0.5% uncertainty) withNIST data.

Diamond energy-dispersive dosimeter for measuring linear energy deposition distributions in clinical carbon beam therapy

A thin diamond membrane energy-dispersive dosimeter 50 μm thick was fabricated for estimating clinical dose distribution. In contrast to conventional semiconductors, diamond wide-bandgap semiconductors are expected to have excellent radiation tolerance and biological compatibility based on the linear relationship of stopping power ratio for clinical carbon particles. Linear energy transfer (LET) spectra were obtained along with the Bragg curve for a clinical carbon beam generated at Gunma University Heavy Ion Medical Center. The relative biological effectiveness (RBE) distributions were estimated from the LET spectra for both the mono-energy and spread-out Bragg peak irradiation configurations. The diamond detector was also used as a solid ionization chamber to obtain the radiation-induced current (RIC) distribution, which represents the physical dose distribution. The clinical dose distribution was estimated from the RIC and RBE distributions as proof of concept for the clinical carbon beam therapy field with a single-chip diamond energy-dispersive dosimeter.

Biological-equivalent-dose-based integrated optimization framework for fast-energy-switching Bragg peak FLASH-RT using single-beam-per-fraction.

When comparing the delivery of all beams per fraction (ABPF) to single beam per fraction (SBPF), it is observed that SBPF not only helps meet the FLASH dose threshold but also mitigates the uncertainty with beam switching in the FLASH effect. However, SBPF might lead to a higher biological equivalent dose in 2Gy (EQD2) for normal tissues. This study aims to develop an EQD2-based integrated optimization framework (EQD2-IOF), encompassing robust dose, delivery efficiency, and beam orientation optimization (BOO) for Bragg peak FLASH plans using the SBPF treatment schedule. The EQD2-IOF aims to enhance both dose sparing and the FLASH effect. A superconducting gantry was employed for fast energy switching within 27ms, while universal range shifters were utilized to improve beam current in the implementation of FLASH plans with five Bragg peak beams. To enhance dose delivery efficiency while maintaining plan quality, a simultaneous dose and spot map optimization (SDSMO) algorithm for single field optimization was incorporated into a Bayesian optimization-based auto-planning algorithm. Subsequently, a BOO algorithm based on Tabu search was developed to select beam angle combinations (BACs) for 10 lung cases. To simultaneously consider dose sparing and FLASH effect, a quantitative model based on dose-dependent dose modification factor (DMF) was used to calculate FLASH-enhanced dose distribution. The EQD2-IOF plan was compared to the plan optimized without SDSMO using BAC selected by a medical physicist (Manual plan) in the SBPF treatment schedule. Meanwhile, the mean EQD2 in the normal tissue was evaluated for the EQD2-IOF plan in both SBPF and ABPF treatment schedules. No significant difference was found in D2% and D98% of the target between EQD2-IOF plans and Manual Plans. When using a minimum DMF of 0.67 and a dose threshold of 4Gy, EQD2-IOF plans showed a significant reduction in FLASH-enhanced EQD2mean of the ipsilateral lung and normal tissue by 10.5% and 11.5%, respectively, compared to Manual plans. For normal tissues that received a dose greater than 70% of the prescription dose, using a minimum DMF of 0.7 for FLASH sparing compensated for the increase in EQD2mean resulting from replacing ABPF with SBPF schedules. The EQD2-IOF can automatically optimize SBPF FLASH-RT plans to achieve optimal sparing of normal tissues. With an energy switching time of 27ms, the loss of fractionate repairing using SBPF schedules in high-dose regions can be compensated for by the FLASH effect. However, when an energy switching time of 500ms is utilized, the SBPF schedule needs careful consideration, as the FLASH effect diminishes with longer irradiation time.

Reducing the lateral dose penumbra in IMPT by incorporating transmission pencil beams

ObjectiveIn intensity-modulated proton therapy (IMPT), Bragg peaks result in steep distal dose fall-offs, while the lateral IMPT dose fall-off is often less steep than in photon therapy. High-energy pristine transmission (‘shoot through’) pencil beams have no Bragg peak in the patient, but show a sharp lateral penumbra at the target level. We investigated whether combining Bragg peaks with Transmission pencil beams (‘IMPT&TPB’) could improve head-and-neck plans by exploiting the steep lateral dose fall-off of transmission pencil beams. ApproachOur system for automated multi-criteria IMPT plan optimisation was extended for combined optimisation of BPs and TPBs. The system generates for each patient a Pareto-optimal plan using a generic ‘wish-list’ with prioritised planning objectives and hard constraints. For eight nasopharynx cancer patients (NPC) and eight oropharynx cancer (OPC) patients, the IMPT&TPB plan was compared to the competing conventional IMPT plan with only Bragg peaks, which was generated with the same optimiser, but without transmission pencil beams. Main resultsClinical OAR and target constraints were met in all plans. By allowing transmission pencil beams in the optimisation, on average 14 of the 25 investigated OAR plan parameters significantly improved for NPC, and 9 of the 17 for OPC, while only one OPC parameter showed small but significant deterioration. Non-significant differences were found in the remaining parameters. In NPC, cochlea Dmean reduced by up to 17.5 Gy and optic nerve D2% by up to 11.1 Gy. ConclusionCompared to IMPT, IMPT&TPB resulted in comparable target coverage with overall superior OAR sparing, the latter originating from steeper dose fall-offs close to OARs.

Dose measurements with radiophotoluminescent glass dosimeters (GD- 352M and GD-302M) in therapeutic proton beams

Radiophotoluminescent glass dosimeters (RPLDs) are increasingly used, especially to measure the doses in therapeutic beams, but the reported data are mainly related to photon and electron beams, while the data for proton beams are limited and not always consistent.In this study, dose measurements were performed with two types of RPLDs: GD-352M and GD-302 M (Asahi Techno Glass Corporation). The dose dependence, long-term fading and response in different Spread out Bragg Peak (SOBP) configurations were evaluated. The dose dependence was measured in the middle of the SOBP for doses ranging from 1 Gy to 120 Gy and a linear dose response was shown for both types of RPLDs. The long-term fading of RPLDs irradiated with proton beams determined under normal ambient conditions over a period of one year is negligible. The GD-352M and GD-302M responses were evaluated in different configurations of the SOPB. The fluence-averaged (LETf) and dose-averaged (LETd) LET values at the positions of the dosimeters were calculated using the PHITS Monte Carlo code. GD-302 M results showed a small under-response compared to the doses provided by treatment planning system (TPS) (within 1.9 %). GD-352M showed an under-response compared to TPS doses for all investigated ranges and modulations with an average under-response of 20 %, indicating the need for correction factors. Both types showed a slight decrease in the response with an increase in the LET.

Ion velocity effect governs damage annealing process in defective KTaO3

Effects of electronic to nuclear energy losses (S e/S n) ratio on damage evolution in defective KTaO3 have been investigated by irradiating pre-damaged single crystal KTaO3 with intermediate energy O ions (6 MeV, 8 MeV and 12 MeV) at 300 K. By exploring these processes in pre-damaged KTaO3 containing a fractional disorder level of 0.35, the results demonstrate the occurrence of a precursory stage of damage production before the onset of damage annealing process in defective KTaO3 that decreases with O ion energy. The observed ionization-induced annealing process by ion channeling analysis has been further mirrored by high resolution transmission electron microscopy analysis. In addition, the reduction of disorder level is accompanied by the broadening of the disorder profiles to greater depth with increasing ion fluence, and enhanced migration is observed with decreasing O ion energy. Since S e (∼3.0 keV nm−1) is nearly constant for all 3 ion energies across the pre-damaged depth, the difference in behavior is due to the so-called ‘velocity effect’: the lower ion velocity below the Bragg peak yields a confined spread of the electron cascade and hence an increased energy deposition density. The inelastic thermal spike calculation has further confirmed the existence of a velocity effect, not previously reported in KTaO3 or very scarcely reported in other materials for which the existence of ionization-induced annealing has been reported. In other words, understanding of ionization-induced annealing has been advanced by pointing out that ion velocity effect governs the healing of pre-existing defects, which may have significant implication for the creation of new functionalities in KTaO3 through atomic-level control of microstructural modifications, but may not be limited to KTaO3.

Dosimetric response of radiophotoluminescent glass detectors in a scanning pencil proton beam

The dose and linear energy transfer (LET) dependence of the radiophotoluminescence (RPL) response was evaluated for RPL glass detectors, taken from the environmental dosimeter type SC-1, using a clinical 100 MeV and 200 MeV scanning pencil proton beam. The measurements were performed at different positions along the Bragg curves. The fluence-averaged (LETf) and dose-averaged (LETd) LET at the positions of the detectors were calculated using two Monte Carlo codes (MCNP and PHITS). Before measurements in proton beams, the linearity of the dose response for the dose range of interest (up to 10 Gy) was checked and confirmed in a Co-60 gamma ray field, since the FGD-202 reader for SC-1 dosimeters is usually used for doses up to 1 Gy and we found no data for higher doses in the literature. For proton beams, the linear dose response was determined for the doses investigated from 0.5 Gy to 8.8 Gy. For the LET range, which corresponds to the LETd from 0.47 keV/μm to 4.70 keV/μm, a decrease in response with an increase in LET was observed.

Pulsed RF knock-out extraction: a potential enabler for FLASH hadrontherapy in the Bragg peak

One challenge on the path to delivering FLASH-compatible beams with a synchrotron is facilitating an accurate dose control for the required ultra-high dose rates. We propose the use of pulsed RFKO extraction instead of continuous beam delivery as a way to control the dose delivered per Voxel. In a first feasibility test, dose rates in pulses of up to 600 Gy s−1 were observed, while the granularity at which the dose was delivered is expected to be well below 0.5 Gy.

A Novel Dose Rate Optimization Method to Maximize Ultrahigh-Dose-Rate Coverage of Critical Organs at Risk Without Compromising Dosimetry Metrics in Proton Pencil Beam Scanning FLASH Radiation Therapy

PurposeTo investigate a dose rate optimization framework based on the spot scanning patterns to improve ultra-high dose rate coverage of critical organs-at-risk (OARs) for proton PBS FLASH radiotherapy, and to present implementation of a genetic algorithm (GA) method for spot sequence optimization to achieve PBS FLASH dose rate optimization under relatively low nozzle beam currents. Materials and MethodsFirstly, a multi-field FLASH plan was developed to meet all the dosimetric goals and optimal FLASH dose rate coverage by considering the deliverable minimum MU (MMU) constraint. Then, a GA method was implemented into the in-house treatment platform to maximize the dose rate by exploring the best spot delivery sequence. A phantom study was performed to evaluate the effectiveness of the dose rate optimization. Then, 10 consecutive plans for lung cancer patients previously treated using PBS intensity-modulated proton therapy (IMPT) were optimized using 45 GyRBE in 3 fractions both transmission and Bragg peak FLASH-RT for further validation. The spot delivery sequence of each treatment field was optimized using this GA. The ultra-high dose rate volume histogram (DRVH) and dose rate coverage V40GyRBE/s were investigated to assess the efficacy of dose rate optimization quantitatively. ResultsUsing a relatively low MU/spot of 150, corresponding to nozzle beam current of 65 nA, the FLASH dose rate ratio V40GyRBE/s of the OAR contour of the core was increased from 0 to ∼60% in the phantom study. In the lung cancer patients, the ultra-high dose rate coverage V40GyRBE/s were improved from 15.2%, 15.5%, 17.6%, and 16.0% before the delivery sequence optimization, to 31.8%, 43.5%, 47.6%, and 30.5% after delivery sequence optimization, in the lungs-GTV, spinal cord, esophagus, and heart (p-values all<0.001). When beam current increased to 130 nA, V40GyRBE/s was improved from 45.1%, 47.1%, 51.2%, and 51.4%, to 65.3%, 83.5%, 88.1%, and 69.4% (p-values<0.05). The averaged V40GyRBE/s for the target and OARs was increased from 12.9% to 41.6%, and 46.3% to 77.5% for 65 and 130 nA, respectively, showing significant improvements based on a clinical proton system. After optimizing the dose rate for the Bragg peak FLASH technique with a beam current of 340 nA, the V40GyRBE/s for the lung-GTV, spinal cord, esophagus, and heart were increased by 8.9%, 15.8%, 22%, and 20.8%, respectively. ConclusionAn optimal plan quality can be maintained as the spot delivery sequence optimization is a separate independent process after the plan optimization. Both the phantom and patient results demonstrated that novel spot delivery sequence optimization can effectively improve the ultra-high dose rate coverage for critical OARs, which can potentially be applied in clinical practice for better OARs sparing efficacy.

Orbital-selective time-domain signature of nematicity dynamics in the charge-density-wave phase of La1.65Eu0.2Sr0.15CuO4

Understanding the interplay between charge, nematic, and structural ordering tendencies in cuprate superconductors is critical to unraveling their complex phase diagram. Using pump-probe time-resolved resonant X-ray scattering on the (0 0 1) Bragg peak at the Cu [Formula: see text] and O [Formula: see text] resonances, we investigate nonequilibrium dynamics of [Formula: see text] nematic order and its association with both charge density wave (CDW) order and lattice dynamics in La[Formula: see text]Eu[Formula: see text]Sr[Formula: see text]CuO[Formula: see text]. The orbital selectivity of the resonant X-ray scattering cross-section allows nematicity dynamics associated with the planar O 2[Formula: see text] and Cu 3[Formula: see text] states to be distinguished from the response of anisotropic lattice distortions. A direct time-domain comparison of CDW translational-symmetry breaking and nematic rotational-symmetry breaking reveals that these broken symmetries remain closely linked in the photoexcited state, consistent with the stability of CDW topological defects in the investigated pump fluence regime.

An integrated system for measuring 3D dose distributions of carbon-ion pencil beams in regular QA practice

The accurate measurement of three-dimensional (3D) dose distribution of carbon-ion pencil beams in water is crucial for regular quality assurance (QA) practice. Although ionization chambers scanned in a water tank is conventionally used for this purpose, these measuring methods are time-consuming and labor-intensive. In addition, the beam of Heavy Ion Medical Machine (HIMM) changes continuously in each extracted duration, these methods cannot obtain the accurate 3D dose distribution. To solve these problems, an integrated system (PBDOSE) is conceived and established, which employs multi-strip ionization chambers (MSICs) to measure 2D lateral profile dose distributions. The lateral profile dose distribution in the context of various depths is measured by a mobile MSIC and normalized by the measurement of a reference MSIC to reduce the effect of beam instability. On this basis, a 3D dose distribution is created by stacking those profiles in depth direction. By conducting a single depth scan within 3 min at HIMM, information such as the 3D dose distribution, lateral contour images, the Bragg curve, beam spot size, beam position, incident direction, and energy of the beam can be obtained. The Bragg curve acquired from PBDOSE with statistical uncertainties of 1.5% was almost identical to those measured by a commercial water phantom. Besides that, the lateral profiles revealed a remarkable agreement with Gafchromic EBT3 film measurements within differences less than 0.1 mm. PBDOSE shows great prospects in the accurate and efficient measurement of 3D dose distribution for carbon-ion therapy, and the clinical application of this system will improve the efficiency of regular QA procedures to a great extent.