Beam Scanning System Research Articles

Accuracy of Beamscan Software in Determining the Inflection Point from the FFF Beam Profile Using Several Array Detectors.

The goal of this study is to determine the accuracy of the PTW Beamscan program in determining the inflection point from Flattening Filter Free Beam Profile utilizing Multiple Detectors. True Beam Linear Accelerator with 6FFF and 10FFF Photon Energies and 10 cm, 15 cm and 20 cm Field Sizes were used for this study. Profile measurements were taken with PTW's 729, 1,500, and 1,600 and the Starcheck system, the Pinpoint 3D with Beamscan system, and Linac's EPID. The first-order derivative was utilized in both the Excel spreadsheet and Beamscan software to analyse raw measured data to locate inflection point and the FWHM was calculated. The accuracy of inflection points and FWHM between the Excel sheet calculation and the software program were investigated. For 10X10 cm2 in the 729 Array, the greatest differences in FWHM were 5.16 mm and 5.04 mm for the X6 FFF and X10 FFF Energies, respectively. The largest difference was 2.26 mm for 1,600 SRS arrays with a 15×15 cm2 field size. The difference in FWHM between Manual and software analysis for 10X10 cm2 and 20X20 cm2 Field Sizes is in decreasing order for detectors from 729, 1,500, 1,600 SRS, Starcheck, Pinpoint 3D, and EPID. In contrast, there is no climbing or declining pattern detected in the difference in Field Width for the 15×15 cm2 Field Size. Similarly, for all detectors except the 1,600 SRS array, the peak of the first-order derivative occurs at the chamber position for a 15X15 cm2 field size. The higher resolution of measurement yields more accuracy in inflection point and the FWHM. Irrespective of measurement resolution, the Beamscan software provided the FWHM closer to the respective nominal Field Size. Out of all detectors, results obtained with Excel Starcheck and EPID are good in agreement with values obtained by the software analysis. Thus, it is shown that Beamscan software is so accurate in determining inflection point of a FFF beam profile and used for routine profile analysis.

Two-dimensional beam scanning by tunable photonic spin Hall effect

To the best of our knowledge, a novel tunable photonic spin Hall effect is proposed based on a pair of liquid crystal Pancharatnam-Berry (PB) lenses. Owing to the spin-dependent geometric phases, a PB lens focus or defocus the incident light field according to its spin angular momentum. By cascading two PB lenses with a small gap, the focus and defocus effects can be suppressed, and the transmitted light fields with opposite spin will be deflected toward opposite directions when the two PB lenses have a relative lateral displacement. The deflection angles vary linearly with the displacements, thus double-lines two-dimensional continuous beam scanning is achieved with a scanning angle of 39o × 39° and a beam diverging angle of 0.028o × 0.028°. The scanning beam is used to write different patterns on a 200 nm thick gold film. We believe this beam scanning system can find wide applications ranging from laser processing, Lidar, particle manipulation, to free space optical communications.

O 34 - Long-term stability of in-air spot sizes on a ProteusRPLUS pencil beam scanning system: Comparison of two gantries against historical measurements

O 34 - Long-term stability of in-air spot sizes on a ProteusRPLUS pencil beam scanning system: Comparison of two gantries against historical measurements

Evaluation of monte carlo to support commissioning of the treatment planning system of new pencil beam scanning proton therapy facilities

ABSTRACT Objective. To demonstrate the potential of Monte Carlo (MC) to support the resource-intensive measurements that comprise the commissioning of the treatment planning system (TPS) of new proton therapy facilities. Approach. Beam models of a pencil beam scanning system (Varian ProBeam) were developed in GATE (v8.2), Eclipse proton convolution superposition algorithm (v16.1, Varian Medical Systems) and RayStation MC (v12.0.100.0, RaySearch Laboratories), using the beam commissioning data. All models were first benchmarked against the same commissioning data and validated on seven spread-out Bragg peak (SOBP) plans. Then, we explored the use of MC to optimise dose calculation parameters, fully understand the performance and limitations of TPS in homogeneous fields and support the development of patient-specific quality assurance (PSQA) processes. We compared the dose calculations of the TPSs against measurements (DDTPSvs.Meas.) or GATE (DDTPSvs.GATE) for an extensive set of plans of varying complexity. This included homogeneous plans with varying field-size, range, width, and range-shifters (RSs) (n = 46) and PSQA plans for different anatomical sites (n = 11). Main results. The three beam models showed good agreement against the commissioning data, and dose differences of 3.5% and 5% were found for SOBP plans without and with RSs, respectively. DDTPSvs.Meas. and DDTPSvs.GATE were correlated in most scenarios. In homogeneous fields the Pearson’s correlation coefficient was 0.92 and 0.68 for Eclipse and RayStation, respectively. The standard deviation of the differences between GATE and measurements (±0.5% for homogeneous and ±0.8% for PSQA plans) was applied as tolerance when comparing TPSs with GATE. 72% and 60% of the plans were within the GATE predicted dose difference for both TPSs, for homogeneous and PSQA cases, respectively. Significance. Developing and validating a MC beam model early on into the commissioning of new proton therapy facilities can support the validation of the TPS and facilitate comprehensive investigation of its capabilities and limitations.

Feasibility of Synchrotron-Based Ultra-High Dose Rate (UHDR) Proton Irradiation with Pencil Beam Scanning for FLASH Research.

This study aims to present the feasibility of developing a synchrotron-based proton ultra-high dose rate (UHDR) pencil beam scanning (PBS) system. The RF extraction power in the synchrotron system was increased to generate 142.4 MeV pulsed proton beams for UHDR irradiation at ~100 nA beam current. The charge per spill was measured using a Faraday cup. The spill length and microscopic time structure of each spill was measured with a 2D strip transmission ion chamber. The measured UHDR beam fluence was used to derive the spot dwell time for pencil beam scanning. Absolute dose distributions at various depths and spot spacings were measured using Gafchromic films in a solid-water phantom. For proton UHDR beams at 142.4 MeV, the maximum charge per spill is 4.96 ± 0.10 nC with a maximum spill length of 50 ms. This translates to an average beam current of approximately 100 nA during each spill. Using a 2 × 2 spot delivery pattern, the delivered dose per spill at 5 cm and 13.5 cm depth is 36.3 Gy (726.3 Gy/s) and 56.2 Gy (1124.0 Gy/s), respectively. The synchrotron-based proton therapy system has the capability to deliver pulsed proton UHDR PBS beams. The maximum deliverable dose and field size per pulse are limited by the spill length and extraction charge.

Large-aperture laser beam scanning system based on liquid crystal polarization grating

Large-aperture laser beam scanning system based on liquid crystal polarization grating

Advancing airborne Doppler lidar wind profiling in turbulent boundary layer flow – an LES-based optimization of traditional scanning-beam versus novel fixed-beam measurement systems

Abstract. There is a need for improved wind measurements inside the planetary boundary layer (PBL), including the capability to sample turbulent flow. Airborne Doppler lidar (ADL) provides unique capabilities for spatially resolved and targeted wind measurements in the PBL. However, ADL wind profiling in the PBL is challenging, as turbulence violates the flow homogeneity assumption used in wind profile retrieval and thereby introduces error in the retrieved wind profiles. As turbulence is a dominant source of error it is necessary to investigate and optimize ADL wind profiling capabilities in turbulent PBL flow. This study investigates the potential of a novel multiple-fixed-beam ADL system design to provide improved wind information in turbulent PBL flow compared to traditional single-scanning-beam ADL systems. To achieve this, an LES-based (LES: large eddy simulation) airborne Doppler lidar simulator presented in Gasch et al. (2020) is employed and extended in this study. Results show that a multiple-fixed-beam system with settings comparable to those of commonly used single-scanning-beam systems offers distinct advantages. Advantages include overall reduced wind profile retrieval error due to turbulence and improved spatial representation alongside higher wind profile availability. The study also offers insight into the dependence of the retrieval error on system setup parameters and retrieval parameters for both fixed-beam and scanning-beam systems. When using a fixed-beam system, an order of magnitude higher wind profile resolution appears possible compared to traditional scanning systems at comparable retrieval accuracy. Thus, using multiple-fixed-beam systems opens the door to better sampling of turbulent PBL flow. Overall, the simulator provides a cost-effective tool to investigate and optimize wind profile error characteristics due to turbulence and to optimize system setup and retrieval strategies for ADL wind profiling in turbulent flow.

Wide-angle high-precision electronically controlled continuous beam scanning implementation based on MLAS cascaded AFOC

Microlens array scanner (MLAS), as a rapidly growing branch of the semisolid micro-mechanical beam scanning system, can achieve large-scale beam scanning through small-scale (μm) physical motion, which is an effective beam scanning scheme that balances aperture, field of view (FOV), inertia, and other vital indicators. However, the discrete addressing caused by the periodic structure of microlens array (MLA) will affect the scanning accuracy in applications. We design and develop a continuous laser beam scanning device with an effective aperture of 20 mm based on MLAS and adaptive fiber collimator (AFOC), and the scanning beam quality is close to the diffraction limit. In addition, the electrical control mechanism of the device is explained, which achieves a scan FOV of 20°, a scan angular velocity of 10,000°/s, and two-dimensional (2D) scan. This approach effectively realizes a beam scanning system with excellent comprehensive performance, including large aperture, large scan angle, high precision, high speed, tunable wavelength, and high power.

Adaptation of a Clinical Proton Pencil Beam Scanning System for FLASH Experiments

To characterize a proton pencil beam scanning system for ultra-high dose rate (UHDR) irradiations and validate it with FLASH preclinical experiments. After modifications to the beamline to maximize the beam current at isocenter in our gantry room, we characterized the UHDR beam in terms of: 1) Size and shape of the beam spot in three configurations; pristine beam, 75 mm water-equivalent-thickness (WET) range shifter (RS), and custom-built 135 mm WET RS mounted 310 mm upstream of the aperture in the snout housing. These configurations were analyzed to determine which one achieved the highest dose rate; 2) Beam transport efficiency and beam output. We compared the signal in the monitor chambers of the proton system with a Faraday cup and plane parallel ionization chamber (PPC05, IBA dosimetry) for beam current at the cyclotron from 7.5 nA to 800 nA; 3) Dose homogeneity, beam penumbra, and dose rate for the fields to be used in preclinical irradiations. All measurements were performed at isocenter, in air or at 1 cm depth in solid water, using the highest energy (about 230 MeV), which corresponded to a nominal range of 32.9 cm in water. We modeled the UHDR beam in our treatment planning system (TPS) to optimize the dose homogeneity and lateral penumbra of the irradiation fields. We performed the preclinical experiments in single fractions of 19 Gy (RBE), 21 Gy (RBE) and 23 Gy (RBE) (RBE = 1.1), targeting the pelvis of C57BL/6 mice and using survival as the endpoint. Each arm included 6-10 mice. The proton beam was used in transmission mode, positioning the center of the mouse pelvis at isocenter, and irradiating the pelvis with a 2x6 cm^2 field. Apertures were placed at 9cm from the isocenter to sharpen the lateral penumbra. The range measurements with a multi-layer ionization chamber were consistent within 1 mm with the nominal range. In UHDR mode, the spot size at the isocenter varied from 4.5 mm for the pristine beam to 9.2 mm for the 135 mm RS. The spot size at isocenter remained constant when the beam intensity varied from 7.5 nA to 800 nA at the cyclotron exit. By employing the configuration with the 135 mm RS and optimizing the fields in the TPS, we achieved a dose rate of 1 Gy (RBE)/s for the conventional regime and 75(RBE) Gy/s for the UHDR regime. The monitor chambers of the proton system were affected by recombination at high dose rates: we observed about 35% higher output for the same number of monitor units delivered at 800 nA vs 7.5 nA. The delivered dose was determined with the PPC05 for each field, as this detector did not show recombination effects. When preclinical irradiations were independently monitored, the delivered dose was typically within 1% of the intended value. In three independent experiments, a dose of 21 Gy (RBE) or higher was associated with an increased survival in the UHDR arm compared to the conventional arm. We adapted a clinical proton system for preclinical irradiations at UHDR. Our results confirm the presence of the FLASH effect.

An experimental setup for proton irradiation of a murine leg model for radiobiological studies

Background The purpose of this study was to introduce an experimental radiobiological setup used for in vivo irradiation of a mouse leg target in multiple positions along a proton beam path to investigate normal tissue- and tumor models with varying linear energy transfer (LET). We describe the dosimetric characterizations and an acute- and late-effect assay for normal tissue damage. Methods The experimental setup consists of a water phantom that allows the right hind leg of three to five mice to be irradiated at the same time. Absolute dosimetry using a thimble (Semiflex) and a plane parallel (Advanced Markus) ionization chamber and Monte Carlo simulations using Geant4 and SHIELD-HIT12A were applied for dosimetric validation of positioning along the spread-out Bragg peak (SOBP) and at the distal edge and dose fall-off. The mice were irradiated in the center of the SOBP delivered by a pencil beam scanning system. The SOBP was 2.8 cm wide, centered at 6.9 cm depth, with planned physical single doses from 22 to 46 Gy. The biological endpoint was acute skin damage and radiation-induced late damage (RILD) assessed in the mouse leg. Results The dose–response curves illustrate the percentage of mice exhibiting acute skin damage, and at a later point, RILD as a function of physical doses (Gy). Each dose–response curve represents a specific severity score of each assay, demonstrating a higher ED50 (50% responders) as the score increases. Moreover, the results reveal the reversible nature of acute skin damage as a function of time and the irreversible nature of RILD as time progresses. Conclusions We want to encourage researchers to report all experimental details of their radiobiological setups, including experimental protocols and model descriptions, to facilitate transparency and reproducibility. Based on this study, more experiments are being performed to explore all possibilities this radiobiological experimental setup permits.

Compact and Low Power-Consumption Solid-State Two-Dimensional Beam Scanner Integrating a Passive Optical Phased Array and Hybrid Wavelength-Tunable Laser Diode

Large-scale optical phased arrays have attracted attention as devices for solid-state beam scanning employing light detection and ranging. However, conventional optical phased arrays using electro-optic phase shifters require active phase control for each antenna. Because the power consumption of the active phase shifters is proportional to the number of antennas, the total power consumption increases in a large-scale optical phased array with a narrow beam divergence. In this study, we propose a passive beam scanner that realizes two-dimensional beam scanning through the wavelength sweep of a laser light. Additionally, most studies on optical phased arrays use external laser diodes as light sources. This increases the size of the beam-scanning system. Therefore, there is a demand for integrating an optical phased array and a laser light source in a combined chip. In this study, we integrated a 64-channel passive optical phased array and a hybrid wavelength-tunable laser diode into a combined chip. The size of the device was 5 mm × 1.5 mm, and the power consumption for beam scanning was 49.3 mW. The field of view was 44.2° × 13.7°, and the full width at half maximum of the beam divergence was 0.517° × 3.67°. Compared with the device used in a previous study, our device was nine times smaller, and the total power consumption was only tens of milliwatts. This device consumes less power and achieves a fully integrated light detection and ranging.

Clinical Characterization of a Table Mounted Range Shifter Board for Synchrotron-Based Intensity Modulated Proton Therapy for Pediatric Craniospinal Irradiation.

Purpose: To report our design, manufacturing, commissioning and initial clinical experience with a table-mounted range shifter board (RSB) intended to replace the machine-mounted range shifter (MRS) in a synchrotron-based pencil beam scanning (PBS) system to reduce penumbra and normal tissue dose for image-guided pediatric craniospinal irradiation (CSI). Methods: A custom RSB was designed and manufactured from a 3.5 cm thick slab of polymethyl methacrylate (PMMA) to be placed directly under patients, on top of our existing couch top. The relative linear stopping power (RLSP) of the RSB was measured using a multi-layer ionization chamber, and output constancy was measured using an ion chamber. End-to-end tests were performed using the MRS and RSB approaches using an anthropomorphic phantom and radiochromic film measurements. Cone beam CT (CBCT) and 2D planar kV X-ray image quality were compared with and without the RSB present using image quality phantoms. CSI plans were produced using MRS and RSB approaches for two retrospective pediatric patients, and the resultant normal tissue doses were compared. Results: The RLSP of the RSB was found to be 1.163 and provided computed penumbra of 6.9 mm in the phantom compared to 11.8 mm using the MRS. Phantom measurements using the RSB demonstrated errors in output constancy, range, and penumbra of 0.3%, -0.8%, and 0.6 mm, respectively. The RSB reduced mean kidney and lung dose compared to the MRS by 57.7% and 46.3%, respectively. The RSB decreased mean CBCT image intensities by 86.8 HU but did not significantly impact CBCT or kV spatial resolution providing acceptable image quality for patient setup. Conclusions: A custom RSB for pediatric proton CSI was designed, manufactured, modeled in our TPS, and found to significantly reduce lateral proton beam penumbra compared to a standard MRS while maintaining CBCT and kV image-quality and is in routine use at our center.

Characterization of 250 MeV Protons from the Varian ProBeam PBS System for FLASH Radiation Therapy.

Shoot-through proton FLASH radiation therapy has been proposed where the highest energy is extracted from a cyclotron to maximize the dose rate (DR). Although our proton pencil beam scanning system can deliver 250 MeV (the highest energy), this energy is not used clinically, and as such, 250 MeV has yet to be characterized during clinical commissioning. We aim to characterize the 250-MeV proton beam from the Varian ProBeam system for FLASH and assess the usability of the clinical monitoring ionization chamber (MIC) for FLASH use. We measured the following data for beam commissioning: integral depth dose curve, spot sigma, and absolute dose. To evaluate the MIC, we measured output as a function of beam current. To characterize a 250 MeV FLASH beam, we measured (1) the central axis DR as a function of current and spot spacing and arrangement, (2) for a fixed spot spacing, the maximum field size that achieves FLASH DR (ie, > 40 Gy/s), and (3) DR reproducibility. All FLASH DR measurements were performed using an ion chamber for the absolute dose, and irradiation times were obtained from log files. We verified dose measurements using EBT-XD films and irradiation times using a fast, pixelated spectral detector. R90 and R80 from integral depth dose were 37.58 and 37.69 cm, and spot sigma at the isocenter were σx = 3.336 and σy = 3.332 mm, respectively. The absolute dose output was measured as 0.343 Gy*mm2/MU for the commissioning conditions. Output was stable for beam currents up to 15 nA and gradually increased to 12-fold for 115 nA. Dose and DR depended on beam current, spot spacing, and arrangement and could be reproduced with 6.4% and 4.2% variations, respectively. Although FLASH was achieved and the largest field size that delivers FLASH DR was determined as 35 × 35 mm2, the current MIC has DR dependence, and users should measure dose and DR independently each time for their FLASH applications.

Ultra-fast, high spatial resolution single-pulse scintillation imaging of synchrocyclotron pencil beam scanning proton delivery

Objective. To demonstrates the ability of an ultra-fast imaging system to measure high resolution spatial and temporal beam characteristics of a synchrocyclotron proton pencil beam scanning (PBS) system. Approach. An ultra-fast (1 kHz frame rate), intensified CMOS camera was triggered by a scintillation sheet coupled to a remote trigger unit for beam on detection. The camera was calibrated using the linear (R 2 > 0.9922) dose response of a single spot beam to varying currents. Film taken for the single spot beam was used to produce a scintillation intensity to absolute dose calibration. Main results. Spatial alignment was confirmed with the film, where the x and y-profiles of the single spot cumulative image agreed within 1 mm. A sample brain patient plan was analyzed to demonstrate dose and temporal accuracy for a clinically-relevant plan, through agreement within 1 mm to the planned and delivered spot locations. The cumulative dose agreed with the planned dose with a gamma passing rate of 97.5% (2 mm/3%, 10% dose threshold). Significance. This is the first system able to capture single-pulse spatial and temporal information for the unique pulse structure of a synchrocyclotron PBS systems at conventional dose rates, enabled by the ultra-fast sampling frame rate of this camera. This study indicates that, with continued camera development and testing, target applications in clinical and FLASH proton beam characterization and validation are possible.

Angle amplifier in a 2D beam scanning system based on peristrophic multiplexed volume Bragg gratings

Abstract In this paper, a 2D angle amplifier based on peristrophic multiplexed volume Bragg gratings is designed and prepared, in which a calculation method is firstly proposed to optimize the number of channels to a minimum. The induction of peristrophic multiplexing reduces the performance difference in one bulk of the grating, whereas there is no need to deliberately optimize the fabrication process. It is revealed that a discrete 2D angle deflection range of ±30° is obtained and the relative diffraction efficiency of all the grating channels reaches more than 55% with a root-mean-square deviation of less than 3.4% in the same grating. The deviation of the Bragg incidence and exit angles from the expected values is less than 0.07°. It is believed that the proposed 2D angle amplifier has the potential to realize high-performance and large-angle beam steering in high-power laser beam scanning systems.

Comparison of the Dose Calculation Accuracy between the Commercial Pencil Beam Algorithm and Various Statistical Uncertainties with Monte Carlo Algorithm in New Proton Pencil Beam Scanning System

Comparison of the Dose Calculation Accuracy between the Commercial Pencil Beam Algorithm and Various Statistical Uncertainties with Monte Carlo Algorithm in New Proton Pencil Beam Scanning System

A Lateral Scanning Periodic Leaky-Wave Antenna Using Reverse Dipole Pair Element for Suppressing -2nd Space Harmonic

This communication presents a periodic leaky-wave antenna (PLWA) with a lateral scanning beam, in which the basic element is composed of a reverse dipole pair (RDP). The operating mechanism of the RDP is first investigated, and it is found that the -2nd space harmonic (SH) is effectively suppressed by loading the reverse dipoles in the center of the periodic element. Meanwhile, the -1st SH is strengthened. Next, two rows of improved directors are introduced to reduce the broadside radiation and compress the beamwidth in the lateral direction. Finally, the element configuration is optimized to eliminate the open-stopband effect in the periodic structure. A prototype of the proposed RDP-based PLWA is fabricated and measured, and it is found that the -2nd SH at 9 GHz is suppressed, and a large front-to-back ratio of nearly 20 dB is achieved at 7.4 GHz in the exact lateral direction. The proposed antenna with single-mode operation provides more choices for low-profile beam scanning systems.

Development and validation of an optimal GATE model for proton pencil-beam scanning delivery

ObjectiveTo develop and validate a versatile Monte Carlo (MC)-based dose calculation engine to support MC-based dose verification of treatment planning systems (TPSs) and quality assurance (QA) workflows in proton therapy. MethodsThe GATE MC toolkit was used to simulate a fixed horizontal active scan-based proton beam delivery (SIEMENS IONTRIS). Within the nozzle, two primary and secondary dose monitors have been designed to enable the comparison of the accuracy of dose estimation from MC simulations with respect to physical QA measurements. The developed beam model was validated against a series of commissioning measurements using pinpoint chambers and 2D array ionization chambers (IC) in terms of lateral profiles and depth dose distributions. Furthermore, beam delivery module and treatment planning has been validated against the literature deploying various clinical test cases of the AAPM TG‐119 (c-shape phantom) and a prostate patient. ResultsMC simulations showed excellent agreement with measurements in the lateral depth-dose parameters and spread-out Bragg peak (SOBP) characteristics within a maximum relative error of 0.95 mm in range, 1.83% in entrance to peak ratio, 0.27% in mean point-to-point dose difference, and 0.32% in peak location. The mean relative absolute difference between MC simulations and measurements in terms of absorbed dose in the SOBP region was 0.93% ± 0.88%. Clinical phantom studies showed a good agreement compared to research TPS (relative error for TG-119 planning target volume PTV-D95 ∼ 1.8%; and for prostate PTV-D95 ∼ −0.6%). ConclusionWe successfully developed a MC model for the pencil beam scanning system, which appears reliable for dose verification of the TPS in combination with QA information, prior to patient treatment.

In Vivo Cherenkov Imaging-Guided FLASH Radiotherapy

<h3>Purpose/Objective(s)</h3> A fast-imaging technique was developed for the first <i>in vivo</i> Cherenkov emission imaging from an ultra-high dose rate (UHDR) electron beam source at single pulse (360 Hz) and submillimeter resolution for beam characterization and real time monitoring during delivery. <h3>Materials/Methods</h3> A CMOS camera, gated to the UHDR LINAC, imaged the Cherenkov emission profiles pulse by pulse during the irradiation of murine limbs and intestinal region and a tissue equivalent phantom. An intensifier's effect on image quality was investigated considering signal to noise and spatial resolution. Pulse by pulse and cumulative Cherenkov emission profiles were quantified spatially and temporally. <h3>Results</h3> An intensifier improved the emission profile's signal to noise ratio from 15 to 280, with reduced spatial resolution (2.8 to 1.0 line pairs/mm). The profile extended beyond the treatment field edge due to the lateral scattering of the electrons and optical photons in tissue. The CMOS camera with an intensifier detected changes of ∼3mm in Cherenkov emission profiles due to expiration and inspiration during the murine respiratory cycle. The intensified camera's spatial resolution facilitated accurate detection of beam parameters as confirmed with radiochromic film (i.e., output, shift, full width half max, symmetry and flatness). The camera resolved the LINAC's ramp up in output during the first 4-6 pulses until stability was reached, agreeing with a photomultiplier tube detected Cherenkov emission during delivery. <h3>Conclusion</h3> This fast-imaging technique can be utilized for in vivo intrafraction monitoring of FLASH patient treatments at single pulse resolution. It can display delivery differences during respiration, and variability in the delivered treatment's surface profile, which may be perturbed from the intended UHDR treatment especially with pencil beam scanning systems. The technique may leverage the Cherenkov emission surface profile to gate the treatment under FLASH conditions while considering beam parameters such as per pulse output or beam steering consistency during delivery.

Microdosimetric investigation for multi-ion therapy by means of silicon on insulator (SOI) microdosimeter

Objective. Ion radiotherapy with protons or carbon ions is one of the most advanced clinical methods for cancer treatment. To further improve the local tumor control, ion radiotherapy using multiple ion species has been investigated. Due to complexity of dose distributions delivered by multi-ion therapy in a tumor, a validation strategy for the planned treatment efficacy must be established that can be potentially used in the quality assurance (QA) protocol for the multi-ion treatment plans. In previous work, we demonstrated that the microdosimetric approach using the silicon on insulator (SOI) microdosimeter is practical for validating cell surviving fraction (SF) of MIA PaCa-2 cells in the independent fields of helium, carbon, oxygen, and neon ion beams. Approach. This paper extends the previous study, and we demonstrate a microdosimetry based approach as a pilot study to build the QA protocol in the multi-ion therapy predicting the cell SF along the spread-out Bragg peak obtained by combined irradiations of He+O and C+Ne ions. Across the study, the SOI microdosimeter system MicroPlus was used for measurement of the lineal energy in individual ion fields followed by deriving the lineal energy of combined ion fields delivered by a pencil beam scanning system at HIMAC. Main results. The predicted cell SF based on derived lineal energy and dose in the combined fields was in good agreement with the planned cell SF by our in-house treatment planning system. Significance. The presented results indicated the potential benefit of the SOI microdosimeter system MicroPlus as the QA system in the multi-ion radiotherapy.