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.     

栅扫描重离子束治癌束流配送系统对运动靶区的适形放疗(Ⅰ)模拟计算

从理论上研究了在主动型栅扫描束流配送系统下,靶体运动对靶区剂量均匀性以及重离子治疗适形程度的影响.模拟计算了在实验测量得到的脉冲束流照射下,栅扫描系统引导束流对运动靶体实施照射后,靶体运动模式与靶区各等能量断层剂量分布均匀性的关系.由这些模拟计算结果,得到了一些针对运动靶体提高靶区剂量分布均匀性的策略.模拟计算提供了一种评估运动靶体上剂量分布的有效手段,其结果及内涵为今后该方向上的可行性实验研究奠定了坚实的基础.     

栅扫描重离子束治癌束流配送系统对运动靶区的适形放疗冰(Ⅰ)模拟计算

从理论上研究了在主动型栅扫描束流配送系统下,靶体运动对靶区剂量均匀性以及重离子治疗适形程度的影响.模拟计算了在实验测量得到的脉冲束流照射下,栅扫描系统引导束流对运动靶体实施照射后,靶体运动模式与靶区各等能量断层剂量分布均匀性的关系.由这些模拟计算结果,得到了一些针对运动靶体提高靶区剂量分布均匀性的策略.模拟计算提供了一种评估运动靶体上剂量分布的有效手段,其结果及内涵为今后该方向上的可行性实验研究奠定了坚实的基础.     

IMP重离子治癌中的剂量计算方法

针对深部肿瘤重离子治疗临床试验的需求,首先在水介质中进行生物有效剂量的优化计算,然后根据CT图像中像素CT值与水等效长度转换系数之间的关系, 结合水中的深度剂量分布曲线对每个像素进行积分得到CT图像上的生物有效剂量分布。同时介绍了基于被动式束流配送系统适形照射时的剂量确定方式, 并提出二维适形放疗也应使用分层照射方式以适应治疗时的不同要求。 这些方法适合目前及今后在IMP进行的重离子治癌临床试验研究中治疗计划系统的需要。Basic algorithms of biological effective dose optimization and dose distribution on CT image for the heavy ion therapy project at the Institute of Modern Physics (IMP), Chinese Academy of Sciences (CAS) are reported in this paper. Firstly, biological effective dose optimization is conducted in water. According to the relationship between CT number and water equivalent path length, an integral algorithm is used to calculate the average dose within a pixel and then the dose distribution in tissue is derived. Secondly, the dose determination of layer stacking conformal irradiation is described and the layer stacking method is proposed to be applied in two dimensional conformal irradiation. These methods are sufficient to the requirements of the ongoing and future heavy ion clinical trials conducted at IMP.     

栅扫描重离子束治癌束流配送系统对运动靶区的适形放疗(Ⅱ)可行性实验

在栅扫描束流配送系统下, 进行了重离子束对运动靶体进行适形照射的可行性实验研究. 利用实时修正束流扫描参数的方法, 使得束流追踪靶体在横向上的运动; 在纵向上利用一个机械驱动的束流降能装置(称深度扫描器)迅速调节束流 能量, 使得重离子束高剂量的Bragg峰区落在运动靶体需治疗的断层之上. 实验结果表明: 栅扫描器主动补偿靶体横向运动及深度扫描器补偿靶体纵向运动是可行的.     

软调制双散射质子治疗束流配送系统

质子治疗是一种新兴的放射治疗方法,它的主要优点是剂量分布特性优良,可以使高辐射剂量集中于肿瘤部位,减少对周围正常组织的损伤.这一优点的实现主要依靠束流配送系统,它包含质子能量调节与调制、束流扩展和准直等功能.现提出一种新的软调制双散射质子治疗束流配送系统.其特点是利用程序控制质子能量变化以改变质子在体内的射程从而展宽Bragg峰,同时利用两次散射获得较大面积的均匀照射野.它的优点是运行可靠、调节灵活,并特别有利于实现适形治疗.     

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。     

用于浅层肿瘤重离子治疗的终端束流诊断控制系统

 设计了中国科学院近代物理研究所利用兰州重离子研究装置（HIRFL）进行浅层肿瘤临床治疗试验研究中所使用的束流诊断安全控制系统。该系统包括束流强度监测及保护、剂量测量、扫描波形监测及保护3个部分。系统基于PXI系统及LabVIEW软件,给出了该系统的各部分结构。从系统建立时的多次测试结果以及实际临床治疗试验研究时的长期运行结果来看,该束流诊断控制系统在控制辐照剂量以及安全保护方面能够满足当前重离子加速器浅层肿瘤临床治疗试验的基本要求,为试验研究的顺利进行提供了可靠的保证。     

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。     

适用于适形治疗与调强治疗的质子束流配送系统

描述一个适用于适形治疗和调强治疗的散射式质子束流配送系统.它利用双散射系统扩展质子束,利用程序控制的二进制射程调节器和搓板式调制器调节和调制质子射程,利用程序控制的多叶光阑和为每个患者特制的准直器进行束流准直.     

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.     

HIRFL-CSR主环加速腔系统设计

正在建设中的兰州重离子加速器冷却储存环 ( HIRFL- CSR)的主环加速腔系统用于将累积的重离子束流进行加速 .其频率范围为 0 .2 5 - 1 .7MHz,峰值电压为 8.0 k V.重点介绍了主环加速腔系统的设计及主要高频参数 ,包括高频腔体的设计及低电平控制部分的设计. An ion cooler storage ring HIRFL CSR is constructing at Institute of Modern Physics(IMP). It consists of two rings--main ring (CSRm) and experimental ring (CSRe). For the CSRm, two RF systems will be employed. One is for RF stacking, and another is for beam accelerating. The designed parameters of CSRm accelerating system and the control block diagram of RF system are described. The RF accelerating system has a specification of lower and wider frequency range from 0.25 to 1.7 MHz...     

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.     

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.     

重离子治癌的磁扫描照射野形成法

在论述重离子治癌照射的基本思想及其特点的基础上,着重对磁扫描照射野形成的两种技术路线——点扫描和栅扫描的优缺点进行了分析阐述.初步给出了 HIRFL上的重离子治癌终端磁扫描相关参数. The basic principle and characteristic of irradiation in heavy ion radiotherapy are introduced. Based on the basic principle and characteristic of irradiation in heavy ion radiotherapy, two magnetic scan methods for creating uniform irradiation field--the spot scan and the raster scan, are compared briefly. The parameter requests to the magnetic scanning system of the heavy ion radiotherapy facility planned in IMP(Institute of Modern Physics) are presented.     

Study of the aberrations of the IMP heavy ion microbeam irradiation system

A high energy heavy ion microbeam irradiation system is constructed at the Institute of Modern Physics (IMP) of the Chinese Academy of Sciences (CAS). A quadrupole focusing system, in combination with a series of slits, has been designed here. The IMP microbeam system is described in detail. The     

Study of the aberrations of the IMP heavy ion microbeam irradiation system

A high energy heavy ion microbeam irradiation system is constructed at the Institute of Modern Physics (IMP) of the Chinese Academy of Sciences (CAS). A quadrupole focusing system, in combination with a series of slits, has been designed here. The IMP microbeam system is described in detail. The intrinsic and parasitic aberrations associated with the magnets are simulated. The ion beam optics of this microbeam system is investigated systematically. Then the optimized initial beam parameters are given for high spatial resolution and high hitting rates.     

新核素合成、高激发热核和放射性束物理前沿再获一批重要成果

综述了中国科学院近代物理研究所最近三年来在新核素合成、高激发热核和放射性束物理前沿领域取得的重要进展．其主要成果是在兰州重离子加速器和放射性束流线上获得的.The recent remarkable achievements in IMP in the research frontiers of synthesis of new nuclides, highly excited hot nuclei and radioactive ion beam physics are reviewed. Most of the achievements are made at the HIRFL and RIBLL of IMP.     

Experimental verification of therapeutic doses for the superficially-placed tumor radiotherapy with heavy ions at HIRFL

Up to now, clinical trials of heavy-ion radiotherapy for superficially placed tumors have been carried out for six times and over 60 selected patients have been treated with 80--100 MeV/u carbon ions supplied by the Heavy Ion Research Facility in Lanzhou (HIRFL) at the Institute of Modern Physics, Chinese Academy of Sciences since November, 2006. A passive irradiation system and a dose optimization method for radiotherapy with carbon-ion beams have been developed. Experimental verification of longitudinally therapeutic dose distributions was conducted under the condition of simulating patient treatment in the therapy terminal at HIRFL. The measured depth-dose distributions basically coincide with the expected ones. These results indicate that the irradiation system and the dose optimization method are effective in the ongoing carbon-ion radiotherapy for shallow-seated tumors at HIRFL.