Washout of 10C and 11C implanted by radioactive beams in brain and thigh muscle of rabbits was studied. The biological washout effect in a living body is important in the range verification system or three-dimensional volume imaging in heavy ion therapy. Positron emitter beams were implanted in the rabbit and the annihilation gamma-rays were measured by an in situ positron camera which consisted of a pair of scintillation cameras set on either side of the target. The ROI (region of interest) was set as a two-dimensional position distribution and the time-activity curve of the ROI was measured. Experiments were done under two conditions: live and dead. By comparing the two sets of measurement data, it was deduced that there are at least three components in the washout process. Time-activity curves of both brain and thigh muscle were clearly explained by the three-component model analysis. The three components ratios (and washout half-lives) were 35% (2.0 s), 30% (140 s) and 35% (10 191 s) for brain and 30% (10 s), 19% (195 s) and 52% (3175 s) for thigh muscle. The washout effect must be taken into account for the verification of treatment plans by means of positron camera measurements.

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It is desirable to reduce range ambiguities in treatment planning for making full use of the major advantage of heavy-ion radiotherapy, that is, good dose localization. A range verification system using positron emitting beams has been developed to verify the ranges in patients directly. The performance of the system was evaluated in beam experiments to confirm the designed properties. It was shown that a 10C beam could be used as a probing beam for range verification when measuring beam properties. Parametric measurements indicated the beam size and the momentum acceptance and the target volume did not influence range verification significantly. It was found that the range could be measured within an analysis uncertainty of +/-0.3 mm under the condition of 2.7 x 10(5) particle irradiation, corresponding to a peak dose of 96 mGyE (gray-equivalent dose), in a 150 mm diameter spherical polymethyl methacrylate phantom which simulated a human head.

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A scheme for spot scanning using 11C beams has been developed in order to form and verify a three-dimensionally conformal irradiation field for cancer radiotherapy. By selecting the momentum spread of a 11C beam, we could considerably decrease the distal falloff of the irradiation field, thus conserving the beam quality. To estimate and optimize the dose distribution in the irradiation field, it is essential to evaluate the precise dose distribution of spot beams. The coupling of the lateral dose and depth-dose distributions originating from a wide momentum spread should be taken into account to calculate the dose distribution of 11C beams. The reconstructed dose distribution of the irradiation field was in good agreement with the experimental results, i.e., within ±0.2%. An irradiation field of 35×35×43 mm3 was optimized and spot scanning using 11C beams was carried out. The flatness was within ±2.3% with an error of 1% in the detector resolution.

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