碳离子在不同材料叶片的多叶光栅上产生的次级粒子研究

在碳离子放射治疗中，碳离子束与治疗头设备和患者身体相互作用产生的次级粒子可以到达患者体内的许多区域，在产生的次级粒子中以中子和$\gamma $射线的产额为最大。在不影响束流配送功能的情况下，减少碳离子放疗中产生的次级中子和$\gamma $射线对于降低放疗后出现的正常组织并发症及二次肿瘤风险有着非常重要的意义。本文利用蒙特卡罗(Monte Carlo)方法模拟计算了被动式束流配送系统下，400 MeV/u碳离子束照射到由不同材料叶片构成的多叶光栅(MLC)形成典型的10 cm×10 cm方形射野时，在水模体中产生的次级中子和$\gamma $射线所沉积的剂量及空间分布等。模拟结果显示:碳离子束通过MLC形成射野后在水模体中产生的次级中子主要分布在水模体的入射端，次级$\gamma $射线较为均匀的分布在整个水模体内，且较多分布在具有展宽Bragg峰(SOBP)射野在水模体中贯穿时的坪区。对于MLC叶片材料的选择，则需根据实际情况对叶片厚度以及次级粒子当量剂量的要求来确定。本文通过模拟研究不同MLC叶片材料产生次级粒子的情况，为被动式束流配送系统中MLC叶片及其他元件的材料选择提供了科学依据。     

均匀磁场下碳离子笔形束的剂量变化分析及位置修正方法

分析外加均匀磁场对于碳离子笔形束剂量分布的影响,并考虑修正这种影响,为磁共振成像引导碳离子放射治疗的临床应用提供指导。本文利用蒙特卡罗方法模拟计算了不同能量碳离子笔形束在不同强度磁场下的剂量分布情况,发现垂直于碳离子束入射方向的均匀磁场对于碳离子笔形束射程缩短的影响很小,磁场对碳离子束的主要影响是引起束流横向偏转,特别是碳离子束布拉格峰位置的横向侧移。横向侧移程度与碳离子束的能量和磁场强度相关,根据模拟结果,得到了一个计算碳离子束布拉格峰在磁场中相对横向偏转的方程,并提出一种校正外加磁场引起的碳离子束布拉格峰横移的角度修正方法。这些结果可用于指导磁共振图像引导碳离子放射治疗计划系统的研发。     

重离子治疗计划系统的构想

对重离子柬治癌的优势进行简要的回顾，并着重介绍了用于重离子放射治疗的治疗计划系统。治疗计划系统是一套软件系统，不同的硬件设施应有与其相匹配的软件系统，即治疗计划系统。在此基础上，针对兰州重离子加速器的特点提出一些关于治疗计划系统方面的构想。After a brief review concerning the advantages of heavy ions in radiotherapy, more interests are concentrated on treatment planning system （TPS） for heavy ion radiotherapy. Compared to the hardware devices such as accelerator and beam delivery system, the TPS is a set of software system, and different therapy facilities require their corresponding TPSs. Based on the specialities of the Heavy Ion Research Facility in Lanzhou （HIIRFL）, some suggestions on the TPS for tumor therapy at HIRFL finally are given.     

碳离子治疗中分野照射技术的MonteCarlo模拟

为阐述分野照射治疗方式应用于中国科学院近代物理研究所(IMP)肿瘤重离子临床治疗试验研究的理论基础,利用Monte Carlo(MC)软件包Gate/Geant4模拟计算了碳离子束分野照射分野衔接处的横向剂量分布,得到了患者摆位误差±1.0 mm范围内的横向剂量分布和分野衔接处中心剂量随分野间距的变化关系,计算了分野间距5.0 mm的横向剂量分布。将分野间距5.0 mm的分野照射与整野照射的MC结果进行比较,发现:在靶区范围内两者模拟的剂量偏差在6.8%以内,符合程度较好,并提出了在患者定位精确度较高的情况下(即患者治疗体位摆位误差在±1.0 mm范围)解决分野衔接处剂量热点问题的可行方法,从而较大幅度地提高了分野照射时靶区范围内的剂量均匀性。     

HIRFL浅层肿瘤治疗终端治癌碳离子束物理特性的测量

对HIRFL浅层肿瘤治疗终端提供的碳离子束的物理特性进行了首次测量. 结果显示, 能量为80.55MeV/u的¹²C离子束, 其束流强度在0.001—0.1nA范围时, 直径50mm照射野的均匀性为73.48%, 束流强度在一段时间内的稳定性为80.87%. 测得了束流在治疗装置等中心处的深度剂量分布, 其高剂量的Bragg峰位处在13.866mm的水等效深度, 反推出碳离子束在等中心处对应的能量为71.71MeV/u, 与计算值基本吻合. 对自由空气电离室的读数进行了吸收剂量的标定. 测量结果显示, HIRFL浅层肿瘤治疗装置性能与临床治疗的要求相比稍有差距, 为了达到治疗终端进行临床试验的要求, 须对治癌装置性能做进一步的优化.     

重离子放射治疗双微小展宽峰组合照射方法

在基于被动式束流配送系统的分层适形重离子治疗当中,需要利用微型脊形过滤器（mini ridge filter,mini-RF）将单能重离子束Bragg峰展宽为峰区近似高斯分布的微小展宽峰（mini spread-out Bragg peak,mini-SOBP）,从而达到减少照射分层数及照射时间的目的。采用较宽的mini-SOBP可以有效减少照射分层数,但会增大展宽Bragg峰（SOBP）远端剂量跌落距离,增加对靶区后方正常组织或危及器官的辐照剂量。这一问题可以通过双mini-SOBP的组合照射方法来解决。使用2种mini-RF对单能重离子束Bragg峰略微展宽得到2种半高宽（FWHM）且剂量分布近似高斯分布的mini-SOBP,通过基于放射生物学模型的剂量优化,证实了在SOBP平顶区按生物有效剂量均匀和物理吸收剂量均匀的展宽情况下,双mini-SOBP组合照射方法均可以在减少照射分层数的同时较大幅度地减小SOBP远端剂量跌落距离。In layer-stacking conformal heavy-ion therapy based on passive beam delivery system,it is necessary to minimize the layer numbers and reduce irradiation time for layer-stacking conformal heavy-ion therapy.Gaussian shaped mini spread-out Bragg peaks (mini-SOBP) were generated by mini ridge filters (mini-RF) for monoenergetic heavy ion beams.It is effective to minimize the layer number by using mini-SOBPs with the bigger full width at the half maximum (FWHM),but in this way the distal dose fall-off distance of a spread-out Bragg peak (SOBP) will be enlarged,increasing the radiation damage to normal tissue or organ at risk behind the target volume.This issue could be solved by using mini-SOBPs based combinatorial irradiation method.In this study,Gaussian shaped mini-SOBPs with two different FWHMs were generated by two different mini-RFs for monoenergetic heavy ion beams.Based on radiobiological model calculations and dose optimizations,the mini-SOBPs based combinatorial irradiation method was confirmed to reduce the distal dose fall-off distances of SOBPs while minimizing the layer numbers for layer-stacking conformal heavy-ion therapy.     

C离子辐照引起细胞分泌旁效应信号因子浓度随时间的变化

信号因子通常能介导旁效应的发生。 利用高LET C离子辐照体外培养的人肝癌QGY-7703细胞, 检测辐照后不同时刻培养基中信号因子TGF-β1和NO的浓度, 并通过转移培养基法检测照射后不同时刻转移培养基对人肝L02旁细胞存活率和代谢活力的影响, 发现受照射细胞在时间与空间上调控着周围信号因子的浓度, 并且通过信号因子浓度的变化影响旁细胞的各种效应发生。 实验为旁效应的解释提供了新的实验数据。 Signaling factors usually play an important role in bystander effect. In this work, human hepatoma QGY 7703 cells in vitro were irradiated with high LET carbon ions. Concentrations of signaling factors such as TGF-β1 and NO were measured in the media of the irradiated QGY-7703 cells at different time points after irradiation. The conditioned media harvested at various times post irradiation were transferred to human hepatocyte L02 cells as bystander cells and then the influence of the conditioned media on survival fraction and cell viability of the bystander cells were determined. The results show that the irradiated cells regulate the concentration of the signaling factors released nearby themselves temporally and spatially, and the bystander cells response to the signaling factors differentially according to the concentration change. This work provides new basic data for exploring the bystander effect, especially caused by high LET radiation.     

Active spot-scanning test with heavy ions at HIRFL-CSR

An active spot beam delivery system for heavy ion therapy has been developed based on the Cooling Storage Ring at HIRFL-CSR, where the pencil carbon-ion beams were scanned within a target volume transversely by a pair of orthogonal (horizontal and vertical) dipole magnets to paint the slices of the target volume and longitudinally by active energy variation of the synchrotron slice by slice. The unique techniques such as dose shaping via active energy variation and magnetic deflection constitute a promising three-dimensional conformal even intensity-modulated radiotherapy with heavy ions at HIRFL-CSR. In this paper, the verification of active energy variation and the calibration of steerable beam deflection are shown, as the basic functionality components of the active spot-scanning system. Additionally, based on the capability of creating homogeneous irradiation fields with steerable pencil beams, a radiobiological experiment like cell survival measurement has been performed aiming at comparison of the radiobiological effects under active and passive beam deliveries.     

重离子加速器示范装置被动式束流配送系统次级中子特征的蒙特卡罗研究

在碳离子放射治疗中,碳离子束在剂量配送过程中会与束流输运线相互作用,形成以中子辐射为主的外辐射场.由于中子是高LET射线,具有较高的相对生物学效应,减少碳离子放疗中产生的次级中子有助于降低放疗后正常组织并发症几率及二次肿瘤风险.利用蒙特卡罗方法对保守情况(能量为400 MeV/u,多叶光栅完全闭合)下碳离子治疗被动式束...