Radiation damage and recovery of plastic scintillators under ultra-high dose rate 200 MeV electrons (VHEEs) at CERN CLEAR facility

4. FLASH-RT / UHDR, 9. Advanced Dosimetry, MeV Electron, Advanced Optical Dosimetry, Beam characterization, Custom Probe Development, Detector comparaison, Fundamental Research, Multi-point Dosimetry, Real-time Dosimetry Show more

The team investigates the radiation damage and recovery of plastic scintillators under ultra-high dose rate (UHDR) conditions using 200 MeV electrons at the CERN CLEAR facility (VHEEs). Their findings highlight the challenges of accurate dosimetry in UHDR radiotherapy and explores the potential of plastic scintillation detectors (PSDs) for research and clinical applications using this innovative beam conditions and modality.

HYPERSCINT, developed by Medscint, is uniquely positioned to address these challenges with its hyperspectral technology, enabling precise differentiation between scintillation and Cherenkov emissions. This innovation enhances dosimetry accuracy, making HYPERSCINT a valuable tool for advancing UHDR radiotherapy research and clinical implementation, including VHEEs.

Physics in Medicine & Biology
Cloé Giguère (1,2), Alexander Hart (3), Joseph Bateman (4), Pierre Korysko (4,5), Wilfrid Farabolini (5), Yoan LeChasseur (6), Magdalena Bazalova-Carter (3), Luc Beaulieu (1,2) | 1. Département de Physique, de Génie Physique et d’Optique et Centre de Recherche sur le Cancer, Université Laval – CANADA, 2. Département de Radio-Oncologie et Axe Oncologie du CRCHU de Québec, CHU de Québec, Université Laval – CANADA, 3. Department of Physics and Astronomy, University of Victoria – CANADA, 4. Department of Physics, University of Oxford – UK, 5. CERN – SWITZERLAND, 6. Medscint – CANADA

Radioluminescence-based fibre-optic dosimeters in radiotherapy: a review (incl. HYPERSCINT)

1. Small-Field Dosimetry, 2. Adaptive-RT (ex. MR-LINAC), 3. Treatment Plan (End-to-End) QA, 4. FLASH-RT / UHDR, 5. In Vivo Dosimetry, 6. Brachytherapy, 7. Commissioning, 8. Cherenkov Dosimetry, 9. Advanced Dosimetry, kV Photon, MeV Electron, MV Photon, Proton (and other Particules), Adaptive-RT, Advanced Optical Dosimetry, Custom Probe Development, Detector comparaison, Fundamental Research, LINAC Pulse Discrimination, Multi-point Dosimetry, Quality Assurance, Real-time Dosimetry Show more

In their comprehensive review, Veronese et al. examine the evolution and clinical application of radioluminescence-based fiber-optic dosimeters (FODs) in radiotherapy. These dosimeters have become essential tools in modern radiotherapy due to their capability for real-time, high-resolution dose measurements with minimal perturbation of the radiation field.

The authors discuss a wide range of scintillating materials, their properties, and dosimetric performance. They provide a thorough comparison of various solutions for addressing the stem-effect, a critical issue in fiber-optic dosimetry. Solutions reviewed include the hyperspectral approach (utilized by Medscint’s HYPERSCINT system), twin-fiber subtraction, optical filtering, dual-channel spectral discrimination, temporal gating, air-core light guides, and real-time Optically Stimulated Luminescence (rtOSL). Notably, the hyperspectral technology employed by HYPERSCINT represents a major advancement, effectively overcoming many limitations of other approaches by offering superior accuracy, simplified calibration procedures, and enhanced robustness, particularly valuable in complex clinical scenarios.

The review also emphasizes the growing adoption and diverse clinical applications of FODs, highlighting their significant role in improving treatment precision and patient safety. Clinical applications addressed in the review include small-field dosimetry, brachytherapy and in vivo dosimetry; advanced radiotherapy modalities such as intensity-modulated radiation therapy (IMRT), magnetic resonance-guided radiotherapy (MRgRT), hadron and proton therapies; and finally a special attention to MRI-Linac dosimetry and ultra-high dose rate (UHDR) or FLASH radiotherapy.

Radiation Measurements
Ivan Veronese (1), Claus E. Andersen (2), Enbang Li (3), Levi Madden (4), Alexandre M.C. Santos (5, 6, 7) | Department of Physics, University of Milan and National Institute for Nuclear Physics, Milano Unit, Italy, Department of Health Technology, Technical University of Denmark, Denmark, School of Physics, Faculty of Engineering and Information Sciences, University of Wollongong, Australia, Northern Sydney Cancer Centre, Royal North Shore Hospital, Australia, Australian Bragg Centre for Proton Therapy and Research, Australia, Radiation Oncology, Central Adelaide Local Heath Network, Australia, School of Physics, Chemistry and Earth Sciences, The University of Adelaide, Australia

High-throughput, low-cost FLASH: irradiation of Drosophila melanogaster with low-Energy X-rays using time structures spanning ConvDR and UHDR

4. FLASH-RT / UHDR, 5. In Vivo Dosimetry, kV Photon, Fundamental Research, Rabiobiology, Real-time Dosimetry Show more

This article explores the potential of using low-energy X-rays to deliver ultrahigh dose-rate (UHDR) FLASH radiotherapy using Drosophila melanogaster as a model. For this they have compared the effects of UHDR (210 Gy/s) and conventional dose rates (0.2–0.4 Gy/s) on the eclosion and lifespan of fly larvae. The results showed that larvae treated with UHDR had higher survival rates and longer lifespans, particularly at intermediate doses, indicating a normal tissue-sparing FLASH effect.

The Medscint scintillation dosimetry detector was used to measure the response to X-rays at a very high sampling rate to confirm the time structure of the delivered radiation (i.e. the pulse width and inter-pulse spacing). Along with film measurements, they also confirmed that the doses delivered with UHDR and CONV agreed within 0.1%.

Journal of Radiation Research
Alexander Hart (1), Jan P Dudzic (1), Jameson W Clarke (1), Jonathan Eby (2), Steve J Perlman (1), Magdalena Bazalova-Carter (1) | 1. University of Victoria, BC – CANADA, 2. University of Toronto, ON – CANADA

Development of End-to-End Preclinical Treatment Verification Procedures, Traceable to NPL Air Kerma Primary Standard

1. Small-Field Dosimetry, 3. Treatment Plan (End-to-End) QA, 5. In Vivo Dosimetry, kV Photon, Adaptive-RT, Fundamental Research, Phantom QA, Quality Assurance, Rabiobiology, Real-time Dosimetry Show more

Dosimetry audits are an important tool to improve quality of reported results and to support standardization of preclinical radiation research. This work presents how the combination of passive and active detectors, such as the real-time HYPERSCINT scintillation dosimetry solution, with anatomically correct mouse phantoms are adequate for the development of End-to-End dosimetry audits for the independent verification of preclinical radiation treatments.

The traceability of the detectors’ calibration to primary standards strengthens the dosimetry chain in the validation of preclinical plans, and it is consistent with the current practice for dose traceability of clinical radiotherapy treatments. Their implementation at national and regional levels could lead to databases of anonymised records, which will positively impact the dissemination of best practices and sharing of validated results.

6th Conference on small animal precision image-guided radiotherapy
Ileana Silvestre Patallo (1), Rebecca Carter (2)(3), Andrew Nisbet (2), Anna Subiel (1), Giuseppe Schettino (1) | 1. National Physical Laboratory, UK, 2. University College London, UK, 3. Cancer Institut, UK

Plastic scintillator dosimetry of ultrahigh dose-rate 200 MeV electrons at CLEAR

4. FLASH-RT / UHDR, MeV Electron, Custom Probe Development, Fundamental Research, Real-time Dosimetry Show more

Very high energy electron (VHEE) beams with energies greater than 100 MeV may be promising candidates for FLASH radiotherapy due to their favourable dose distributions and accessibility of ultrahigh dose-rates (UHDR). The standard dosimeters used for conventional radiotherapy, including ionization chambers and film, have limited application to UHDR radiotherapy due to deficits in dose rate independence and temporal resolution. The performance of PSDs in this work suggest they may be useful real-time dosimeters for applications in UHDR VHEE radiotherapy.

IEEE Xplore
Alexander Hart (1), Cloé Giguère (2,6), Joseph Bateman (3,4), Pierre Korysko (3,4), Wilfrid Farabolini (3), Vilde Rieker (3,5), Nolan Esplen (1), Roberto Corsini (3), Manjit Dosanjh (3,4), Luc Beaulieu(2,6), Magdalena Bazalova-Carter (1) | 1. Department of Physics and Astronomy, University of Victoria, Victoria, BC, Canada, 2. Département de Physique, de génie Physique et d’optique et Centre de Recherche sur le Cancer, Université Laval, Quebec, QC, Canada, 3. CERN, Geneva, Switzerland, 4. Department of Physics, University of Oxford, Oxford, United Kingdom, 5. Department of Physics, University of Oslo, Oslo, Norway, 6. Département de radio-oncologie et Axe Oncologie duCRCHUde Québec, CHUde Québec – Universit é Laval, Quebec, QC, Canada

Investigation of temperature dependence of inorganic scintillators using the HYPERSCINT research platform

5. In Vivo Dosimetry, 6. Brachytherapy, 9. Advanced Dosimetry, MV Photon, Advanced Optical Dosimetry, Detector comparaison, Fundamental Research, Real-time Dosimetry Show more

The temperature dependence of four inorganic scintillation detectors was examined spectrally using the HYPERSCINT Research Platform 200 under 6 MV photon irradiations from a LINAC. After varying only the temperature of the detectors, all scintillators demonstrated linearity when the change in photon counts with temperature in the full-width at half maximum of their spectrum are integrated. Establishing the magnitude of the temperature dependence of the materials is critical to decide whether correction factors are required. This is especially true in applications such as brachytherapy, where detectors equilibrise to body temperature.

Radiation Measurements
Owen McLaughlin (1), Michael Martyn (1,2), Christoph Kleefeld (1), Mark Foley (1) | 1. Physics Unit, School of Natural Sciences, University of Galway, Galway, Ireland, 2. Galway Clinic, Doughiska, Galway, Ireland

Plastic scintillation detectors: real-time dosimetry in the MR-Linac environment.

2. Adaptive-RT (ex. MR-LINAC), 3. Treatment Plan (End-to-End) QA, 9. Advanced Dosimetry, MV Photon, Adaptive-RT, Fundamental Research, Multi-point Dosimetry, Real-time Dosimetry Show more

Optical innovation meets clinical translation : in the vanguard of adaptive MR/RT research effort, the UMC Utrecht research team works with plastic scintillation detectors to bring MR-Linac treatment to the next level.

PHYSICS WORLD
| UMC Utrecht, Medscint

Plastic scintillation detectors ready to shine as FLASH radiotherapy gathers momentum.

1. Small-Field Dosimetry, 4. FLASH-RT / UHDR, 9. Advanced Dosimetry, MeV Electron, MV Photon, Beam characterization, Fundamental Research, LINAC Pulse Discrimination, Quality Assurance, Real-time Dosimetry Show more

The team of University of Victoria’s XCITE Lab are using plastic scintillation detectors to provide real-time, small-field dosimetry in their FLASH radiotherapy experiments.

PHYSICS WORLD
| University of Victoria – XCITE Lab, Medscint

Investigations of a Novel HyperscintTM Plastic Scintillator Detector and Hyperspectral Analysis Approach in a 74 MeV Proton Beam

1. Small-Field Dosimetry, 9. Advanced Dosimetry, MV Photon, Proton (and other Particules), Advanced Optical Dosimetry, Fundamental Research Show more

The HYPERSCINT novel plastic scintillator with spectral analysis approach dosimetry system shows potential for dose measurement in a 74 MeV proton beam with negligible stem effect. The Cerenkov free spectrum may be used to facilitate calibration of the device in MV x-ray beams to improve Cerenkov removal and performance in small field dosimetry.

2021 AAPM ANNUAL MEETING
C.Duzenli (1), C.Hoehr (2), C.Belanger-champagne (2, C.Penner (3), V.Strgar (3) | 1- BC Cancer, BC, CANADA, 2- TRIUMF, BC, CANADA, 3- University of British Columbia, BC, CANADA

EFLASH Dosimetry On a Conventional Linac Using Pulse-Gated Delivery

4. FLASH-RT / UHDR, 9. Advanced Dosimetry, MeV Electron, Detector comparaison, Energy Dependency, Fundamental Research, LINAC Pulse Discrimination, Real-time Dosimetry Show more

To build on previous experiments and improve reproducibility of electron FLASH delivery on a conventional linear accelerator, a pulse-gating circuit was constructed and tested with several dosimeters including : a 0.01cc volume ion chamber, optically stimulated luminescence dosimeters (OSLDs), Gafchromic MD film and a novel plastic scintillation detector with spectral analysis (HYPERSCINT).

2021 AAPM ANNUAL MEETING
C.Duzenli, C.Mendez, M.Petric, J.Sweeney, D.Ta, T.Karan | BC Cancer, Vancouver, BC, CANADA