Progresses of heavy-ion cancer therapy

The status of heavy-ion cancer therapy has been reviewed. The existing and constructing heavy-ion beam facilities for cancer therapy in the world are introduced. The first clinical trials of superficially placed tumor therapy at heavy ion research facility in Lanzhou (HIRFL) are presented.     

重离子束治癌

本文回顾了辐射治癌的历史发展和国内外动态,讨论了重离子束与常规辐射相比在肿瘤治疗上的优势,提出了为治疗应用的重离子束的主要参数以及在兰州重离子研究装置（ＨＩＲＦＬ）拟建的冷却储存环（ＣＳＲ）上建立治疗实验室的初步考虑． Historical background and trends at home and abroad for radiation therapy arelooked back in the paper. The advantages of heavy ion beam in comparision with conventional radiation in tumour treatment are discussed. The main parameters of heavy ion beams fortherapy application and a tentative idea constructing treatment rooms at Cooling StorageRing(CSR) of Heavy Ion Research Facility in Lanzhou (HIRFL) are proposed.     

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.     

重离子束用于肿瘤放射治疗的基础理论

通过与低传能线密度辐射治疗对比分析建立了重离子束肿瘤放射治疗的基础理论,提出了一些提高重离子束放射治疗疗效和减少对正常组织损伤的技术措施,旨在为已开展的重离子治癌临床研究提供理论依据． The basic theory of tumor radiotherapy with heavy ion beam was introduced in contrast to low LET irradiation therapy. Some useful methods are also suggested to improve the curative effect of heavy ion therapy and to spare the normal tissue around the tumor.     

面向HIRFL-CSR主动式点扫描技术的剂量标定方法研究(英文)

基于HIRFL-CSR肿瘤重离子治疗终端主动式束流配送系统发展了面向三维点扫描适形调强治疗技术的在线监测器点扫描剂量标定方法。为了验证点扫描剂量标定方法的稳定性和可靠性,利用HIRFL-CSR提供的C离子束考察了在线监测器剂量标定因子的能量依赖以及不同扫描步长的影响。结果表明:在线监测器剂量标定因子存在能量依赖;不同扫描步长对剂量标定因子影响较小（偏差小于1.8%）。证明了点扫描剂量标定方法的稳定性和可靠性。鉴于在三维点扫描适形调强治疗技术中影响在线监测器点扫描剂量标定因子的因素较多,建议今后续继续研究点扫描剂量标定因子影响因素,修正和完善点扫描剂量标定方法。As an important step of the application of spot scanning technique to heavy ion therapy, an experimental calibration procedure of online beam monitors based on standard of absorbed dose to water has recently been developed for scanned pencil like carbon ion beam in the deep seated tumor therapy terminal at the Heavy Ion Research Facility in Lanzhou (HIRFL). In this work, creating homogeneous irradiation field with steerable spot beam was tested using a 207 MeV/u penci like carbon ion beam. Then the verification of energy dependence of the calibration factors (CFs) and the influence of scanning step on the CF were also shown, as a part of the heavy ion clinic dosimetry researches. The results showd that the monitor CF presented energy dependence and performed stable response with deviation of 1.8% for the variation of scan steps. In this paper, the suitability and effectiveness of beam monitor calibration procedure for dynamic particle beam delivery were verified and the further research points to improve the calibration procedure were suggested.     

在HIRFL上的中能重离子物理基础和应用研究

本文总结了三年来在兰州重离子研究装置(HIRFL)上进行的科研工作和取得的成果.简单介绍了HIRFL 的工作状态、次级束流线与ECR 离子源的发展、中能重离子引起的反应研究、热核与远离β稳定线核素的合成与研究和重离子束的应用等. A The scientific activities and achievements made at the Heavy Ion Research Facil- ity Lanzhou (HIRFL) during the past three years are summarized.In addition to the brief in- troduction of the operation status of HIRFL and the development of the secondary beam line and an ECR ion source,the paper describes the experimental studies of intermediate ener- gy heavy ion-induced reactions,the investigation of hot nuclei,the synthesis and study of nuclei far from ...     

Design study of the SSC-LINAC re-buncher

A re-buncher with spiral arms for a heavy ion linear accelerator named as SSC-LINAC at HIRFL (the heavy ion research facility of Lanzhou) has been constructed. The re-buncher, which is used for beam longitudinal modulation and matching between the RFQ and DTL, is designed to be operated in continuous wave (CW) mode at the Medium-Energy Beam-Transport (MEBT) line to maintain the beam intensity and quality. Because of the longitudinal space limitation, the re-buncher has to be very compact and will be built with four gaps. We determined the key parameters of the re-buncher cavity from the simulations using Microwave Studio software, such as the resonant frequency, the quality factor Q and the shunt impedance. The detailed design of a 53.667 MHz spiral cavity and measurement results of its prototype will be presented.     

重离子治癌中的三维剂量成形方式

介绍了重离子治癌装置ＨＩＭＡＣ和ＨＩＴＡＧ的三维剂量成形方式;对一种正在设计中的重离子对肿瘤的照射方式进行了分析,旨在为ＨＩＲＦＬ及ＨＩＲＦＬ－ＣＳＲ所提供的离子束设计三维剂量成形方案． Three dimensional dose shaping methods in heavy-ion therapy facilities,HI MAC and HITAG are introduced.A new tumor irradiation pattern with heavy ion beam which is being designed is analyzed.It aims at choosing suitable three dimensional dose shaping planning for heavy ion beam supplied by HIRFL and the proposed HIRFL-CSR.     

Particle-in-cell mode beam dynamics simulation of the low energy beam transport for the SSC-linac injector

A new SSC-linac system (injector into separated sector cyclotron) is being designed in the HIRFL (heavy ion research facility of Lanzhou). As part of SSC-Linac, the LEBT (low energy beam transport) consists of seven solenoids, four quadrupoles, a bending magnet and an extra multi-harmonic buncher. The total length of this segment is about 7 meters. The beam dynamics in this LEBT has been studied using three-dimensional PIC (particle-in-cell) code BEAMPATH. The simulation results show that the continuous beam from the ion source is first well analyzed by a charge-to-mass selection system, and the beam of the selected charge-to-mass ratio is then efficiently pre-bunched by a multi-harmonic buncher and optimally matched into the RFQ (radio frequency quadrupole) for further acceleration. The principles and effects of the solenoid collimation channel are discussed, and it could limit the beam emittance by changing the aperture size.     

近物所在产生金属离子束方面的研究

Since 1998,many experiments for metallic ion production have been done on LECR2(Lanzhou ECR ion source NO.2),LECR3(Lanzhou ECR ion source NO.3)and SECRAL(Superconductiong ECB ion source Advanced design in Lanzhou)at Institute of Modern Physics.The very heavy metallic ion beams such as those of uranium were also produced by the plasma sputtering method,and supplied for HIRFL(Heavy Ion Research Facility in Lanzhou)accelerators successfully.During the test,11.SeμAU~(28 ),9eμAU~(24 ) were obtained.Some ion beams of the metal having lower melting temperature such as Ni and Mg ion beams were produced by oven method on LECR3 too.The consumption rate was controlled to be lower for ~(26)Mg ion beams production,and the minimum consumption was about 0.3mg per hour.In this paper,the main experimental results are given.Some discussions are made for some experimental phenomena and results,and some conclusions are drawn.     

重离子治癌终端的束流强度及剂量监测系统

 为实现重离子肿瘤治疗临床实验中对照射束流状态的实时监测,研制了束流强度及剂量监测系统,包括积分电离室、后续电流频率转换电路及LabVIEW数据获取处理三部分。利用闪烁体探测器和标准剂量计测试了系统的线性响应和得到剂量的准确性,结果表明：系统在束流临床照射流强范围内的线性响应好于90%,其实时反馈的临床照射剂量偏差小于5%。同时束流强度及剂量监测系统与安全控制系统相结合,保证束流照射状态满足临床照射的安全要求。     

12C6+ 离子束辐照对大鼠离体主动脉环内皮依赖性舒张功能的影响

利用兰州重离子研究装置(HIRFL) 提供的高能12C6+离子束(能量为300 MeV/u,剂量率为0.5 Gy/min) 辐照大鼠离体胸主动脉环,考察了12C6+离子束辐照对主动脉环内皮依赖性舒张功能的影响,并采用NBT 还原法测定血管环生成超氧阴离子(O2􀀀) 水平,加入外源性超氧化物歧化酶(SOD) 干预探讨了O2􀀀在内皮功能损伤中的作用。研究结果表明,2.0,4.0 和6.0 Gy 的12C6+离子束辐照大鼠胸主动脉环后,可致血管内皮依赖性舒张功能的剂量依赖性明显受损(P <0.01 vs control group),并可致血管环NBT 还原能力剂量依赖性增加(4.0 Gy 时,P <0.05;6.0 Gy 时,P <0.01 vs control group)。辐照前加入外源性SOD 对6.0 Gy 12C6+离子束辐照所致血管环NBT 还原能力升高有明显抑制作用(P <0.01),对血管环内皮依赖性舒张功能也有明显的保护作用(P<0.01),但辐照后10 min 加入外源性SOD,其保护作用明显不及前者。结论显示,12C6+ 离子束辐照大鼠胸主动脉环可致血管内皮功能受损,O2 清除剂SOD 对内皮功能受损有保护作用,说明O2􀀀介导了辐照所致内皮功能损伤。Heavy ion beam has many characteristics,and it is expected to be the most suitable radiation therapy technique for malignant tumor. It is lack of depth-understanding on the potential adverse reactions caused by using this technique, because heavy ion radiotherapy is applied to clinical for a short time. Studies have shown that the vascular injury plays a pivotal role in normal tissue damage induced in the conventional radiation therapy, but there was no research report on heavy ion beam irradiation-induced vascular injury. In the present study, the isolated aortic rings of rats were irradiated by 12C6+ ion beam (300 MeV/u, 0.5 Gy/min) delivered by HIRFL(Heavy Ion Research Facility in Lanzhou), the effects of 12C6+ ion beam irradiation on aortic rings with endothelium dependent diastolic function have been investigated.NBT reduction method was used for assaying the vascular ring formation of superoxide anion (O2􀀀) level, and the involvement of superoxide anion in endothelial function injury in rats was investigated through the intervention test of exogenous superoxide dismutase (SOD) on O2. The results showed that, the vascular endothelial dependent vasodilation was impaired significantly (P < 0:01 vs control group) by irradiation with 2.0, 4.0 and 6.0 Gy 12C6+ ion beam in a dosedependent manner, and the NBT reduction of vascular rings increased dose-dependently (P <0.05 at 4.0 Gy, P <0.01 at 6.0 Gy vs control group). Adding exogenous SOD before irradiation could significantly inhibit the increasing of NBT reduction (P<0.01), and also had protective effect on vascular endothelium dependent diastolic function (P<0.01), but 10 min after irradiation with exogenous SOD, its protective function was significantly less than before. Conclusion indicated that 12C6+ ion beam irradiation could cause endothelial function impaired, O2􀀀 scavenger SOD has a protective effect on endothelial dysfunction, suggesting that O2􀀀 mediates endothelial injury induced by heavy ion irradiation.     

重离子治疗肿瘤点扫描控制系统

为了实现重离子治疗肿瘤点扫描,对扫描磁铁进行相应的控制。治疗计划进行剂量与肿瘤适形数据的生成,并传输至点扫描控制器与剂量控制器。同时也向点扫描控制器中存入事例数据,以纳入整个加速器控制时序,等待同步时间事例系统的事例触发。点扫描控制器根据剂量控制器的脉冲控制换点治疗操作以及进行换点治疗的扫描磁铁插值算法平滑处理。剂量控制器对气体电离室前端电子学已经刻度的剂量脉冲进行计数。当达到治疗剂量时,控制法拉第筒来阻挡束流,实现点扫描安全治疗。实验证明在现有的电源与磁铁等设备条件以及束流品质下,点扫描控制系统能实现2mm点间距扫描。     

基于AD9854重离子治癌加速器高频控制器设计

介绍了兰州重离子治癌加速器治疗装置的高频控制系统原理、软件设计、硬件配置和布局。提出并实现了对重离子治癌加速器高频控制系统的高频腔体的精确控制。在硬件上,重离子治癌加速器高频控制系统硬件平台由监视控制板和数据分析板两部分构成,采用双FPGA+DSP+DDS+PXI 结构,此结构具有强大的数据处理能力,其核心器件是FPGA和DDS。通过设计编写FPGA VHDL代码实现对DDS芯片的配置,产生的IQ两路信号,分别发送到高频腔、幅度调制器以及偏流电源上,完成幅相同调和频率调制。通过该设计,实现与DAC和ADC操作配合进行高速高效的数据传输,产生高品质束流。     

初步的IMP重离子治疗计划系统

中国科学院近代物理研究所基于兰州重离子研究装置(HIRFL/HIRFL-CSR),在被动型束流配送系统下采用二维分层适形照射治疗技术开展重离子治癌临床试验研究。为了更好地利用重离子束在肿瘤放射治疗中的生物物理优势并保障重离子临床治疗试验的顺利实施,一个初级版本的重离子治疗计划系统已经设计完成。此计划系统是针对被动型束流配送系统下的二维分层适形照射治疗方式来进行设计的。介绍了此系统的设计框架、可提供的功能以及利用宽束算法进行剂量计算在此系统中的实现。通过人体仿真体模实验证实由该治疗计划系统给出的靶区计划剂量与实测剂量的偏差在5%之内。最后讨论了设计较为完备的重离子治疗计划系统仍需解决的问题。     

HIRFL浅层肿瘤重离子治疗终端束流配送系统性能的实验验证

详细介绍了兰州重离子研究装置(HIRFL)浅层肿瘤重离子治疗终端的被动式束流配送系统, 对该束流配送系统重要组成部件及其整体的性能进行了实验验证. Bragg峰展宽装置脊形过滤器及能量调节装置射程移位器测试结果显示该设备的性能指标达到设计要求. 为验证该被动式束流配送系统的整体性能, 进行了束流成形实验, 模拟对肿瘤靶区的三维适形照射. 结果表明: 利用该束流配送系统可实施对肿瘤的三维适形放射治疗. HIRFL浅层肿瘤治疗装置束流配送系统性能的验证为下一步开展肿瘤重离子束治疗临床试验奠定了基础.