Commissioning an ultra-high-dose-rate electron linac with end-to-end tests.

. The FLASH effect can potentially be used to improve the therapeutic ratio of radiotherapy (RT) through delivery of Ultra-high-dose-rate (UHDR) irradiation. Research is actively being conducted to translate UHDR-RT and for this purpose the Mobetron is capable of producing electron beams at both UHDR and conventional dose rates for FLASH research and translation.

Electron beam response corrections for an ultra-high-dose-rate capable diode dosimeter.

Background: Ultra-high-dose-rate (UHDR) electron beams have been commonly utilized in FLASH studies and the translation of FLASH Radiotherapy (RT) to the clinic. The EDGE diode detector has potential use for UHDR dosimetry albeit with a beam energy dependency observed.

Purpose: The purpose is to present the electron beam response for an EDGE detector in dependence on beam energy, to characterize the EDGE detector's response under UHDR conditions, and to validate correction factors derived from the first detailed Monte Carlo model of the EDGE diode against measurements, particularly under UHDR conditions.

First Monte Carlo beam model for ultra-high dose rate radiotherapy with a compact electron LINAC.

Background: FLASH radiotherapy based on ultra-high dose rate (UHDR) is actively being studied by the radiotherapy community. Dedicated UHDR electron devices are currently a mainstay for FLASH studies.

Purpose: To present the first Monte Carlo (MC) electron beam model for the UHDR capable Mobetron (FLASH-IQ) as a dose calculation and treatment planning platform for preclinical research and FLASH-radiotherapy (RT) clinical trials.

Innovative integration of augmented reality and optical surface imaging: A coarse-to-precise system for radiotherapy positioning.

Background: Traditional methods of radiotherapy positioning have shortcomings such as fragile skin-markers, additional doses, and lack of information integration. Emerging technologies may provide alternatives for the relevant clinical practice.

Purpose: To propose a noninvasive radiotherapy positioning system integrating augmented reality (AR) and optical surface, and to evaluate its feasibility in clinical workflow.

Nanodosimetric understanding to the dependence of the relationship between dose-averaged lineal energy on nanoscale and LET on ion species.

With the extension of ion species in ion-beam radiotherapy, the sole dependence of relative biological effectiveness (RBE) on linear energy transfer (LET) is insufficient when comparing RBE for ion beams with the same LET value. The aim of the present study was to provide a systematic study of the nanodosimetry for ion beams with the same LET value. Based on the calculated LET profiles of ion beams with range about 130 mm, lineal energy spectra and dose-averaged lineal energy [Formula: see text] on 4 nm site for various clinical ion beams were obtained.

Nanodosimetric quantities and RBE of a clinically relevant carbon-ion beam.

Purpose: Although carbon-ion therapy is becoming increasingly attractive to the treatment of tumors, details about the ionization pattern formed by therapeutic carbon-ion beam in tissue have not been fully investigated. In this work, systematic calculations for the nanodosimetric quantities and relative biological effectiveness (RBE) of a clinically relevant carbon-ion beam were studied for the first time.

Methods: The method combining both track structure and condensed history Monte Carlo (MC) simulations was adopted to calculate the nanodosimetric quantities.

Technical Note: Effect of magnetic fields on the microdosimetry of carbon-ion beams.

Purpose: To investigate the influence of magnetic fields on the microdosimetry of carbon-ion beams and the scaling effect of tissue equivalent proportional counter (TEPC) defined as the change of energy deposition in a TEPC from that in a microscopic scale region of interest due to the presence of a magnetic field in combination with the TEPC larger physical dimensions.

Methods: Geant4-based Monte Carlo simulations were conducted to calculate the microdosimetric quantities for carbon-ion beams with different initial energies (10-290 MeV/u) under magnetic fields of various strengths (0.5-3 T).

A novel pencil beam model for carbon-ion dose calculation derived from Monte Carlo simulations.

An accurate kernel model is of vital importance for pencil-beam dose algorithm in charged particle therapy using precise spot-scanning beam delivery, in which an accurate depiction of the low dose envelope is especially crucial. Based on the Monte Carlo method, we investigated the dose contribution of secondary particles to the total dose and proposed a novel beam model to depict the lateral dose distribution of carbon-ion pencil beam in water. We demonstrated that the low dose envelope in single-spot profiles in water could be adequately modelled with the addition of a logistic distribution to a double Gaussian one, which was verified in both single carbon-ion pencil beam and superposed fields of different sizes with multiple pencil beams.