For real-time monitoring of the longitudinal position of the Bragg-peak during an ion therapy treatment, a novel non-invasive technique has been recently proposed that exploits the detection of prompt gamma-rays issued from nuclear fragmentation. Two series of experiments have been performed at the GANIL and GSI facilities with 95 and 305 MeV/u (12)C(6+) ion beams stopped in PMMA and water phantoms. In both experiments, a clear correlation was obtained between the carbon ion range and the prompt photon profile. Additionally, an extensive study has been performed to investigate whether a prompt neutron component may be correlated with the carbon ion range. No such correlation was found. The present paper demonstrates that a collimated set-up can be used to detect single photons by means of time-of-flight measurements, at those high energies typical for ion therapy. Moreover, the applicability of the technique both at cyclotron and at synchrotron facilities is shown. It is concluded that the detected photon count rates provide sufficiently high statistics to allow real-time control of the longitudinal position of the Bragg-peak under clinical conditions.
International audienceA key point in the quality control of ion therapy is real-time monitoring and imaging of the dose delivered to the patient. Among the possible signals that can be used to make such a monitoring, prompt gamma-rays issued from nuclear fragmentation are possible candidates, provided the correlation between the emission profile and the primary beam range can be established. By means of simultaneous energy and time of flight discrimination, we could measure the longitudinal profile of the prompt gamma-rays emitted by 73 MeV/u carbon ions stopping inside a PMMA target. This technique allowed us to minimize the shielding against neutrons and scattered gamma rays, and to find a good correlation between the prompt gamma profile and the ion range. This profile was studied as a function of the observation angle. By extrapolating our results to higher energies and realistic detection efficiencies, we showed that prompt gamma-ray measurements make it feasible to control in real time the longitudinal dose during ion therapy treatments
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