Dose properties of a laser accelerated electron beam and prospects for clinical application

High-Density Dynamics of Laser Wakefield Acceleration from Gas Plasmas to Nanotubes

The electron dynamics of laser wakefield acceleration (LWFA) is examined in the high-density regime using particle-in-cell simulations. These simulations model the electron source as a target of carbon nanotubes. Carbon nanotubes readily allow access to near-critical densities and may have other advantageous properties for potential medical applications of electron acceleration. In the near-critical density regime, electrons are accelerated by the ponderomotive force followed by the electron sheath formation, resulting in a flow of bulk electrons. This behavior represents a qualitatively distinct regime from that of low-density LWFA. A quantitative entropy index for differentiating these regimes is proposed. The dependence of accelerated electron energy on laser amplitude is also examined. For the majority of this study, the laser propagates along the axis of the target of carbon nanotubes in a 1D geometry. After the fundamental high-density physics is established, an alternative, 2D scheme of laser acceleration of electrons using carbon nanotubes is considered.

Physics and biology of ultrahigh dose-rate (FLASH) radiotherapy: a topical review

Ultrahigh dose-rate radiotherapy (RT), or 'FLASH' therapy, has gained significant momentum following various in vivo studies published since 2014 which have demonstrated a reduction in normal tissue toxicity and similar tumor control for FLASH-RT when compared with conventional dose-rate RT. Subsequent studies have sought to investigate the potential for FLASH normal tissue protection and the literature has been since been inundated with publications on FLASH therapies. Today, FLASH-RT is considered by some as having the potential to 'revolutionize radiotherapy'. FLASH-RT is considered by some as having the potential to 'revolutionize radiotherapy'. The goal of this review article is to present the current state of this intriguing RT technique and to review existing publications on FLASH-RT in terms of its physical and biological aspects. In the physics section, the current landscape of ultrahigh dose-rate radiation delivery and dosimetry is presented. Specifically, electron, photon and proton radiation sources capable of delivering ultrahigh dose-rates along with their beam delivery parameters are thoroughly discussed. Additionally, the benefits and drawbacks of radiation detectors suitable for dosimetry in FLASH-RT are presented. The biology section comprises a summary of pioneering in vitro ultrahigh dose-rate studies performed in the 1960s and early 1970s and continues with a summary of the recent literature investigating normal and tumor tissue responses in electron, photon and proton beams. The section is concluded with possible mechanistic explanations of the FLASH normal-tissue protection effect (FLASH effect). Finally, challenges associated with clinical translation of FLASH-RT and its future prospects are critically discussed; specifically, proposed treatment machines and publications on treatment planning for FLASH-RT are reviewed.

Plasmonic gel nanocomposites for detection of high energy electrons

Radiation therapy is a common treatment modality employed in the treatment of cancer. High energy photons are the primary source of radiation but when administered, they leave an exit dose resulting in radiation damage to the adjacent healthy tissues. To overcome this, high energy electrons are employed in cases of skin cancer to minimize radiation induced toxicity. Despite these advances, measurement of delivered radiation remains a challenge due to limitations with existing dosimeters including labor intensive fabrication, complex read-out techniques and post-irradiation instability. To overcome these limitations, we have developed a novel colorimetric plasmonic gel nanocomposite for the detection of therapeutic levels of radiation delivered in electron beam therapy. The plasmonic nanocomposite consists of an agarose gel matrix encapsulating precursor gold ions, which are reduced to gold nanoparticles as a result of exposure to high energy electrons. The formation of gold nanoparticles renders a change in color to the agarose matrix, resulting in the formation of plasmonic gel nanocomposites. The intensity of the color formed exhibits a linear relation with the delivered electron dose, which can be quantified using absorbance spectroscopy. The plasmonic gel nanocomposites were able to detect doses employed in fractionated electron therapy, including in an anthropomorphic phantom used for planning radiation treatments in the clinic. Furthermore, the use of glutathione as a quenching agent facilitated qualitative and quantitative spatial mapping of the delivered dose. Our results indicate that the ease of fabrication, simplicity of detection and quantification using absorbance spectroscopy, determination of spatial dose profiles, and relatively low cost make the plasmonic gel nanocomposite technology attractive for detecting electron doses in the clinic.

Permanent-magnet energy spectrometer for electron beams from radiotherapy accelerators

PURPOSE

The purpose of this work was to adapt a lightweight, permanent magnet electron energy spectrometer for the measurement of energy spectra of therapeutic electron beams.

METHODS

An irradiation geometry and measurement technique were developed for an approximately 0.54-T, permanent dipole magnet spectrometer to produce suitable latent images on computed radiography (CR) phosphor strips. Dual-pinhole electron collimators created a 0.318-cm diameter, approximately parallel beam incident on the spectrometer and an appropriate dose rate at the image plane (CR strip location). X-ray background in the latent image, reduced by a 7.62-cm thick lead block between the pinhole collimators, was removed using a fitting technique. Theoretical energy-dependent detector response functions (DRFs) were used in an iterative technique to transform CR strip net mean dose profiles into energy spectra on central axis at the entrance to the spectrometer. These spectra were transformed to spectra at 95-cm source to collimator distance (SCD) by correcting for the energy dependence of electron scatter. The spectrometer was calibrated by comparing peak mean positions in the net mean dose profiles, initially to peak mean energies determined from the practical range of central-axis percent depth-dose (%DD) curves, and then to peak mean energies that accounted for how the collimation modified the energy spectra (recalibration). The utility of the spectrometer was demonstrated by measuring the energy spectra for the seven electron beams (7-20 MeV) of an Elekta Infinity radiotherapy accelerator.

RESULTS

Plots of DRF illustrated their dependence on energy and position in the imaging plane. Approximately 15 iterations solved for the energy spectra at the spectrometer entrance from the measured net mean dose profiles. Transforming those spectra into ones at 95-cm SCD increased the low energy tail of the spectra, while correspondingly decreasing the peaks and shifting them to slightly lower energies. Energy calibration plots of peak mean energy versus peak mean position of the net mean dose profiles for each of the seven electron beams followed the shape predicted by the Lorentz force law for a uniform z-component of the magnetic field, validating its being modeled as uniform (0.542 ± 0.027 T). Measured Elekta energy spectra and their peak mean energies correlated with the 0.5-cm (7-13 MeV) and the 1.0-cm (13-20 MeV) R90 spacings of the %DD curves. The full-width-half-maximum of the energy spectra decreased with decreasing peak mean energy with the exception of the 9-MeV beam, which was anomalously wide. Similarly, R80-20 decreased linearly with peak mean energy with the exception of the 9 MeV beam. Both were attributed to suboptimal tuning of the high power phase shifter for the recycled radiofrequency power reentering the traveling wave accelerator.

CONCLUSIONS

The apparatus and analysis techniques of the authors demonstrated that an inexpensive, lightweight, permanent magnet electron energy spectrometer can be used for measuring the electron energy distributions of therapeutic electron beams (6-20 MeV). The primary goal of future work is to develop a real-time spectrometer by incorporating a real-time imager, which has potential applications such as beam matching, ongoing beam tune maintenance, and measuring spectra for input into Monte Carlo beam calculations.

Real-time simulator for designing electron dual scattering foil systems

The purpose of this work was to develop a user friendly, accurate, real-time com- puter simulator to facilitate the design of dual foil scattering systems for electron beams on radiotherapy accelerators. The simulator allows for a relatively quick, initial design that can be refined and verified with subsequent Monte Carlo (MC) calculations and measurements. The simulator also is a powerful educational tool. The simulator consists of an analytical algorithm for calculating electron fluence and X-ray dose and a graphical user interface (GUI) C++ program. The algorithm predicts electron fluence using Fermi-Eyges multiple Coulomb scattering theory with the reduced Gaussian formalism for scattering powers. The simulator also estimates central-axis and off-axis X-ray dose arising from the dual foil system. Once the geometry of the accelerator is specified, the simulator allows the user to continuously vary primary scattering foil material and thickness, secondary scat- tering foil material and Gaussian shape (thickness and sigma), and beam energy. The off-axis electron relative fluence or total dose profile and central-axis X-ray dose contamination are computed and displayed in real time. The simulator was validated by comparison of off-axis electron relative fluence and X-ray percent dose profiles with those calculated using EGSnrc MC. Over the energy range 7-20 MeV, using present foils on an Elekta radiotherapy accelerator, the simulator was able to reproduce MC profiles to within 2% out to 20 cm from the central axis. The central-axis X-ray percent dose predictions matched measured data to within 0.5%. The calculation time was approximately 100 ms using a single Intel 2.93 GHz processor, which allows for real-time variation of foil geometrical parameters using slider bars. This work demonstrates how the user-friendly GUI and real-time nature of the simulator make it an effective educational tool for gaining a better understanding of the effects that various system parameters have on a relative dose profile. This work also demonstrates a method for using the simulator as a design tool for creating custom dual scattering foil systems in the clinical range of beam energies (6-20 MeV). 

High-current, relativistic electron-beam transport in metals and the role of magnetic collimation

High-resolution coherent transition radiation (CTR) imaging diagnoses electrons accelerated in laser-solid interactions with intensities of approximately 10;{19} W/cm;{2}. The CTR images indicate electron-beam filamentation and annular propagation. The beam temperature and half-angle divergence are inferred to be approximately 1.4 MeV and approximately 16 degrees , respectively. Three-dimensional hybrid-particle-in-cell code simulations reproduce the details of the CTR images assuming an initial half-angle divergence of approximately 56 degrees . Self-generated resistive magnetic fields are responsible for the difference between the initial and measured divergence.

A high-resolution coherent transition radiation diagnostic for laser-produced electron transport studies (invited)

High-resolution images of the rear-surface optical emission from high-intensity (I approximately 10(19) W/cm(2)) laser illuminated metal foils have been recorded using coherent transition radiation (CTR). CTR is generated as relativistic electrons, generated in high-intensity laser-plasma interactions, exit the target's rear surface and move into vacuum. A transition radiation diagnostic (TRD) records time-integrated images in a 24 nm bandwidth window around lambda=529 nm. The optical transmission at lambda=1053 nm, the laser wavelength, is 15 orders of magnitude lower than the transmission at the wavelength of interest, lambda=527 nm. The detector is a scientific grade charge-coupled device (CCD) camera that operates with a signal-to-noise ratio of 10(3) and has a dynamic range of 10(4). The TRD has demonstrated a spatial resolution of 1.4 microm over a 1 mm field of view, limited only by the CCD pixel size.

Production of a monoenergetic electron bunch in a self-injected laser-wakefield accelerator

Production of a monoenergetic electron bunch in a self-injected laser-wakefield accelerator is investigated with a tomographic method which resolves the electron injection and acceleration processes. It is found that all the electrons in the monoenergetic electron bunch are injected at the same location in the plasma column and then accelerated with an acceleration gradient exceeding 2 GeV/cm. The injection position shifts with the position of pump-pulse focus, and no significant deceleration is observed for the monoenergetic electron bunch after it reaches the maximum energy. The results are consistent with the model of transverse wave breaking and beam loading for the injection of monoenergetic electrons. The tomographic method adds a crucial dimension to the whole array of existing diagnostics for laser beams, plasma waves, and electron beams. With this method the details of the underlying physical processes in laser-plasma interactions can be resolved and compared directly to particle-in-cell simulations.

Review of electron beam therapy physics

For over 50 years, electron beams have been an important modality for providing an accurate dose of radiation to superficial cancers and disease and for limiting the dose to underlying normal tissues and structures. This review looks at many of the important contributions of physics and dosimetry to the development and utilization of electron beam therapy, including electron treatment machines, dose specification and calibration, dose measurement, electron transport calculations, treatment and treatment-planning tools, and clinical utilization, including special procedures. Also, future changes in the practice of electron therapy resulting from challenges to its utilization and from potential future technology are discussed.

Radiotherapy with laser-plasma accelerators: Monte Carlo simulation of dose deposited by an experimental quasimonoenergetic electron beam

The most recent experimental results obtained with laser-plasma accelerators are applied to radio-therapy simulations. The narrow electron beam, produced during the interaction of the laser with the gas jet, has a high charge (0.5 nC) and is quasimonoenergetic (170 +/- 20 MeV). The dose deposition is calculated in a water phantom placed at different distances from the diverging electron source. We show that, using magnetic fields to refocus the electron beam inside the water phantom, the transverse penumbra is improved. This electron beam is well suited for delivering a high dose peaked on the propagation axis, a sharp and narrow tranverse penumbra combined with a deep penetration.

Dual scattering foil design for poly-energetic electron beams

The laser wakefield acceleration (LWFA) mechanism can accelerate electrons to energies within the 6-20 MeV range desired for therapy application. However, the energy spectrum of LWFA-generated electrons is broad, on the order of tens of MeV. Using existing laser technology, the therapeutic beam might require a significant energy spread to achieve clinically acceptable dose rates. The purpose of this work was to test the assumption that a scattering foil system designed for a mono-energetic beam would be suitable for a poly-energetic beam with a significant energy spread. Dual scattering foil systems were designed for mono-energetic beams using an existing analytical formalism based on Gaussian multiple-Coulomb scattering theory. The design criterion was to create a flat beam that would be suitable for fields up to 25 x 25 cm2 at 100 cm from the primary scattering foil. Radial planar fluence profiles for poly-energetic beams with energy spreads ranging from 0.5 MeV to 6.5 MeV were calculated using two methods: (a) analytically by summing beam profiles for a range of mono-energetic beams through the scattering foil system, and (b) by Monte Carlo using the EGS/BEAM code. The analytic calculations facilitated fine adjustments to the foil design, and the Monte Carlo calculations enabled us to verify the results of the analytic calculation and to determine the phase-space characteristics of the broadened beam. Results showed that the flatness of the scattered beam is fairly insensitive to the width of the input energy spectrum. Also, results showed that dose calculated by the analytical and Monte Carlo methods agreed very well in the central portion of the beam. Outside the useable field area, the differences between the analytical and Monte Carlo results were small but significant, possibly due to the small angle approximation. However, these did not affect the conclusion that a scattering foil system designed for a mono-energetic beam will be suitable for a poly-energetic beam with the same central energy. Further studies of the dosimetric properties of LWFA-generated electron beams will be done using Monte Carlo methods.

High-resolution gamma-ray radiography produced by a laser-plasma driven electron source

An electron beam from a laser-plasma accelerator is converted into a gamma-ray source using bremsstrahlung radiation in a dense material. The gamma-ray beam has a pointlike source size because it is generated by a high quality electron beam with a small source size and a low divergence. Using this gamma-ray source, the radiography of complex and dense objects with submillimeter resolution is performed. It is the first evidence of a gamma-ray source size of a few hundreds micrometers produced with laser-driven accelerators. This size is consistent with results from Monte Carlo simulations.

Dose properties of x-ray beams produced by laser-wakefield-accelerated electrons

Given that laser wakefield acceleration (LWFA) has been demonstrated experimentally to accelerate electron beams to energies beyond 25 MeV, it is reasonable to assess the ability of existing LWFA technology to compete with conventional radiofrequency linear accelerators in producing electron and x-ray beams for external-beam radiotherapy. We present calculations of the dose distributions (off-axis dose profiles and central-axis depth dose) and dose rates of x-ray beams that can be produced from electron beams that are generated using state-of-the-art LWFA. Subsets of an LWFA electron energy distribution were propagated through the treatment head elements (presuming an existing design for an x-ray production target and flattening filter) implemented within the EGSnrc Monte Carlo code. Three x-ray energy configurations (6 MV, 10 MV and 18 MV) were studied, and the energy width deltaE of the electron-beam subsets varied from 0.5 MeV to 12.5 MeV. As deltaE increased from 0.5 MeV to 4.5 MeV, we found that the off-axis and central-axis dose profiles for x-rays were minimally affected (to within about 3%), a result slightly different from prior calculations of electron beams broadened by scattering foils. For deltaE of the order of 12 MeV, the effect on the off-axis profile was of the order of 10%, but the central-axis depth dose was affected by less than 2% for depths in excess of about 5 cm beyond d(max). Although increasing deltaE beyond 6.5 MeV increased the dose rate at d(max) by more than 10 times, the absolute dose rates were about 3 orders of magnitude below those observed for LWFA-based electron beams at comparable energies. For a practical LWFA-based x-ray device, the beam current must be increased by about 4-5 orders of magnitude.

Laser electron accelerators for radiation medicine: A feasibility study

Table-top laser wakefield accelerators (LWFAs), proposed theoretically in 1979, have now generated individual electron bunches in the laboratory with a significant number of electrons having energies up to 10 MeV and beyond with the maximum energy reaching tens of MeV and charge per laser pulse of > 1 nC. The attained electron beam properties have stimulated a discussion about the possible applications of LWFAs to medical radiation treatment, either directly or via conversion to x-rays. Our purpose in this paper is to analyze whether or not such applications are feasible, or can be made feasible with existing laser technology. Clinical electron beam applications require the selection of specific electron energies in the range of 6-25 MeV with a narrow energy bin (deltaE <5 MeV) for depth control, and a beam expansion to as much as 25 cm x 25 cm for various tumor radiation treatments. As a result, we show that present LWFA sources provide a dose rate that falls short of the requirements for clinical application by at least an order of magnitude. We then use particle simulations to evaluate the feasibility of developing an improved LWFA-based medical accelerator. Current LWFA sources require such high peak intensity that laser repetition rate is restricted to < or = 10 Hz. A scheme to lower the threshold and increase the repetition rate of efficient LWFA thus appears essential. We analyze one such scheme. We show that by "seeding" the primary laser pulse with a second, hundred-fold less intense pulse that is shifted downward in frequency by approximately the plasma frequency omegap, LWFA produces a yield of clinically useful electrons per pulse comparable to that provided by an unseeded source, except that the primary pulse energy is now more than one order of magnitude lower than that in current LWFAs. This enables a repetition rate of approximately 100 Hz or more using existing laser technology, and thus dose rates (several Gy/min) in the range required for medical radiation applications.