Measurement of neutron ambient dose equivalent in passive carbon-ion and proton radiotherapies.

Abstract:

:Secondary neutron ambient dose equivalents per the treatment absorbed dose in passive carbon-ion and proton radiotherapies were measured using a rem meter, WENDI-II at two carbon-ion radiotherapy facilities and four proton radiotherapy facilities in Japan. Our measured results showed that (1) neutron ambient dose equivalent in carbon-ion radiotherapy is lower than that in proton radiotherapy, and (2) the difference to the measured neutron ambient dose equivalents among the facilities is within a factor of 3 depending on the operational beam setting used at the facility and the arrangement of the beam line, regardless of the method for making a laterally uniform irradiation field: the double scattering method or the single-ring wobbling method. The reoptimization of the beam line in passive particle radiotherapy is an effective way to reduce the risk of secondary cancer because installing an adjustable precollimator and designing the beam line devices with consideration of their material, thickness and location, etc., can significantly reduce the neutron exposure. It was also found that the neutron ambient dose equivalent in passive particle radiotherapy is equal to or less than that in the photon radiotherapy. This result means that not only scanning particle radiotherapy but also passive particle radiotherapy can provide reduced exposure to normal tissues around the target volume without an accompanied increase in total body dose.

journal_name

Med Phys

journal_title

Medical physics

authors

Yonai S,Matsufuji N,Kanai T,Matsui Y,Matsushita K,Yamashita H,Numano M,Sakae T,Terunuma T,Nishio T,Kohno R,Akagi T

doi

10.1118/1.2989019

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

4782-92

issue

11

eissn

0094-2405

issn

2473-4209

journal_volume

35

pub_type

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