1 Introduction
The history of proton therapy began in 1946 when Robert Wilson published a seminal paper in which he proposed the use of accelerator-produced beams from protons for treating tumors in humans [1]. Based on characteristic depth-dose distributions with Bragg peaks, proton therapy has been widely used in cancer therapy for the past few decades. There are two main delivery techniques that are currently used for proton therapy: passive scattering and pencil beam scanning systems (also called active scanning systems). Passive scattering systems use scattering devices in a treatment delivery nozzle to spread beams laterally and a range modulation wheel or ridge filter to create a spread-out Bragg peak in the target volume. Pencil beam scanning systems use magnetic fields to scan proton beams laterally across the target and combine this capability with the ability to change the beam energy, facilitating conformality in three dimensions. Pencil beam scanning systems are advantageous in that they can deliver high and conformal doses to targets while minimizing doses to nearby organs at risk [2],[3] (OARs). Therefore, most proton therapy facilities under construction have adopted pencil beam scanning systems. Such systems have also been adopted at the Shanghai Advanced Proton Therapy (SAPT) facility [4],[5],[6]. Since the pencil beam scanning system individually weights each beam spot to superpose a homogeneous dose distribution on the target, high-accuracy dose measurement and complex computerized control systems are required.
As the most common, convenient, and precise dose-measuring instruments in radiotherapy dosimetry [7],[8], ionization chambers are typically used as reference instruments for clinical ion beams [9],[10]. According to international dosimetry protocols, such as IAEA TRS-398 [11], ICRU34 [12], and AAPM-TG51 [13], the response of an ionization chamber must be corrected based on the ion collection efficiency f, which represents the effects of incomplete collection of charges as a result of ion recombination in the chamber gas cavity. Ion recombination mechanisms can be classified as initial recombination and volume recombination (or general recombination) [14]. Initial recombination occurs along the track of individual charge particles and can be assumed to be independent of the ionization current but is dependent on the ionization density within the track. Therefore, initial recombination is more significant in high- LET (linear energy transfer) beams than in low-LET beams [15][16][17]. Volume recombination, which results from diffusion and the electrostatic attraction of charge carriers distributed homogeneously within the ionization volume, occurs between ions generated in different ionization tracks [18].
Numerous studies have focused on evaluating and verifying collection efficiency based on ion recombination in photons and electrons [19][20][21]. Additionally, interest in studying ion recombination in proton beam and carbon beam dosimetry has increased recently. Previous studies on the ionization chamber collection efficiency of passive scattering systems have indicated that the recombination effect is small and can be ignored. Palmans [22] determined that recombination factors did not exceed 0.2% for four plane-parallel ionization chambers in the scattering proton system at the Université Catholique de Louvain by using the two-voltage-method recommended by the IAEA TRS-398 protocol. Palmans also measured recombination corrections at the Clatterbridge Center of Oncology by using data collected at different dose rates in a low-energy clinical scattering proton beam. Palmans concluded that recombination correction factors can be overestimated by up to 2% if the recommendation of TRS-398, which is only valid for pulsed beams, is followed without modification [23].
However, in the case of pencil scanning beams, the dose rate in a single proton pencil beam may be much higher than that in clinical photon and electron beams. Lorin [24] pointed out that the initial portion of recombination is negligible for a scanned proton system, but volume recombination must be corrected. Rossomme [25],[26] calculated an initial recombination factor using Jaffe’s theory [15] and a volume recombination factor using Boag’s theory [14]. Compared to the collection correction factor derived from experiments, Rossomme concluded that unlike studies conducted on passively scattered therapeutic particle beams, based on the high dose rates of scanning particle beams, Jaffe’s theory is not sufficient for describing the ion recombination mechanism. Furthermore, ion recombination in the investigated proton pencil beams was dominated by volume recombination, which could be modeled successfully by Boag’s theory. The conclusion that volume recombination effects cannot be ignored was supported by Liszka’s study [27], which compared experimental collection correction factors to theoretical calculations. Tansho [28] proposed a method based on Boag’s theory to account for spatially non-uniform ionized charge density when calculating volume recombination of a field chamber in a carbon-ion scanning system. Several recent publications have focused on deriving new formulas or developing open-source code to calculate ion recombination correction in pencil beam scanning proton therapy [29],[30].
Most of the studies discussed above focused on field ionization chambers, which are used for quality assurance. In a proton therapy facility, monitor parallel plate ionization chambers are installed in the treatment nozzle to perform monitoring and control during the scanning irradiation process. It is of critical importance to consider the collection efficiency of monitor parallel plate ionization chambers to ensure the accuracy of dose delivery. In this study, we only considered volume recombination for calculating collection efficiency. Based on uncertainties in dose measurement and proton beam delivery [31],[32], such as the polarity effect and the leakage doses, as well as on information from the M.D. Anderson Cancer Center [33], we considered 0.99 as the benchmark standard value for collection efficiency and used this collection efficiency value to study constraints on beam parameters.
Boag’s model assumes that ionized charge density in an ionization chamber is spatially uniform, which is applicable to passive scattering systems, but not to pencil beam scanning systems based on their non-uniform charge density. We considered the non-uniform transverse distribution of charge density as a Gaussian function and applied Boag’s theory to a proton pencil beam scanning system. An analytical solution was derived to calculate collection efficiency in the beam spot area. This calculation method is called the integral method and it was used to investigate the effects of beam parameters on collection efficiency. It should be noted that the collection efficiency in this work was calculated theoretically. Measurement of collection efficiency will require additional research.
The remainder of this paper is organized as follows. In Sect. 2, the basic expression for Boag’s theory and the analytical solution for collection efficiency in a pencil beam scanning system are described. In Sect. 3 the correlations between collection efficiency and beam parameters, such as beam current intensity, beam size, and beam energy, are discussed. Additional discussion and conclusions are provided in Sects. 4 and 5, respectively.
2 Methods
2.1 Boag’s theory
Boag’s theory is widely used to calculate the collection efficiency of ionization chambers[14]-[18] for both pulsed and continuous beams. Figure 1 presents the time structure of a beam produced by the SAPT synchrotron. The radiation pulse duration time T1 is in the order of seconds[34], making it longer than the transit of ions across the chamber (the charge collection time Tc is approximately 95 ms for the ionization chamber investigated in this paper[31],[35]). According to Boag’s theory, the proton pencil beam can be considered as a continuous beam and the collection efficiency f of the parallel plate ionization chamber for a continuous beam can be expressed as
-202002/1001-8042-31-02-001/alternativeImage/1001-8042-31-02-001-F001.jpg)
where k is a constant related to the gas composition, temperature, pressure, and humidity of the gas in the chamber (kair = 2.01 × 107 and kN2 = 5 × 106 in a standard atmosphere[36],[37]), d is the distance between the two plane-parallel electrodes (units of m), and V is the applied voltage in the ionization chamber (units of V). qis the ionized charge density per unit volume in the irradiation volume (units of Cm−3s−1). The ionization chamber investigated in this work was a parallel plate monitor chamber manufactured by Pyramid Technical, Inc.[35]. The gap between the two parallel plane electrodes is 5 mm and the recommended applied voltage range is 1000–2000 V.
2.2 Collection efficiency of a monitor parallel plate ionization chamber in a proton pencil scanning beam
In this work, Boag’s theory was applied to a proton pencil beam scanning system and the non-uniform distribution of charge density was considered as a Gaussian distribution to derive an analytical solution for calculating collection efficiency in the beam spot area.
In the proton pencil beam scanning apparatus of the SAPT facility, the beam monitor parallel plate ionization chambers are installed in the irradiation nozzle and the proton beam passes through the ionization chambers. The energy deposited per proton in the ionization chamber gap can be expressed as
where dE/dx is the stopping power of the gas media in the ionization chamber at a beam energy of E. This value can either be computed using the Bethe-Bloch formula or obtained experimentally. Therefore, the ionized charge density per unit volume q can be written as
where J is the surface current density (units of Cm−2s−1) and W is the mean energy required for beam particles to produce an electron-ion pair in the gas in the ionization chamber. W = 34.2 eV when the gas is air, and W = 36.5 eV when the gas is nitrogen [36].
Boag’s theory assumes that ionized charge density is spatially uniform, which is applicable to passive scattering systems. However, in a pencil scanning beam, the transverse ionized charge density is non-uniform and can be assumed to follow a Gaussian distribution. The collection efficiency in a monitor parallel plate ionization chamber is also non-uniform in the pencil beam spot area. We rewrite collection efficiency as a function of x and y, which represent the two directions perpendicular to the proton beam direction. Formulas (1), (2), and (4) can be rewritten as
The beam lateral distribution was considered as a standard Gaussian function. Therefore, J(x, y) can be expressed as
where I represents the proton beam current intensity and G (x,y) is the transverse Gaussian distribution function of the proton beam with the standard deviation of σ.
We denote the generated charge as
Then, collection efficiency can be defined as
After setting the integral range R to
where
The details of this derivation are presented in the Appendix. We call this collection efficiency calculation method the integral method. The collection efficiency
From Formulas (5) to (9), it can be concluded that collection efficiency is not equal everywhere in the pencil beam spot area. The ionized charge density
where
where Jcenter is the maximum surface current density, which is in the center of the Gaussian distribution.
3 Results
3.1 Applied voltage’s effect on collection efficiency
Figure 2 presents saturation curves representing the collection efficiencies in 70.6, 150.4, and 235 MeV proton beams, where the solid, dashed, dashed-dotted, and dotted lines correspond to four beam current intensities of 0.3, 1, 3, and 5 nA, respectively. The beam sizes (σ) for all three energies were assumed to be 5 mm.
-202002/1001-8042-31-02-001/alternativeImage/1001-8042-31-02-001-F002.jpg)
In Fig. 2, it is apparent that the collection efficiency increases with applied voltage when the beam current intensity is constant. One can also see that collection efficiency decreases with increasing beam current intensity (for example, in Fig. 2(a), the collection efficiencies are 0.9980, 0.9934, 0.9806, and 0.9683 when the beam current intensities are 0.3, 1, 3, and 5 nA, respectively, where the applied voltage is 800 V). When comparing the saturation curves of the three energies with a beam current intensity of 3 nA and applied voltage of 800 V, the collection efficiencies are 0.9806 at 70.6 MeV, 0.9888 at 150.4 MeV, and 0.9916 at 235 MeV. Overall, collection efficiency is greater in a high-energy proton beam with a fixed applied voltage and beam current intensity. This is because high-energy protons deposit less energy in the monitor ionization chamber, resulting in lower ionized charge density.
We plotted a line representing a collection efficiency of 0.99 in Fig. 2 (red dashed line). One can see that the maximum applied voltage required is 1432 V when the collection efficiency is 0.99, where the proton beam energy is 70.6 MeV, beam current intensity is 5 nA, and beam size (σ) is 5 mm. Because the lowest energy rating of the 94 energetic proton beams in the SAPT facility is 70.6 MeV and the recommended applied voltage by Pyramid Technical, Inc. varies from 1000 to 2000 V, we used 1500 V as the standard applied voltage when studying the effects of other parameters on collection efficiency.
3.2 Effects of beam size on collection efficiency
The correlation between collection efficiency and beam size in 70.6 MeV proton beams was investigated. The results are presented in Fig. 3(a), where the applied voltage is 1500 V. The solid, dashed, dashed-dotted, and dotted lines correspond to four beam current intensities of 0.3, 1, 3, and 5 nA, respectively. Fig. 3(a) indicates that collection efficiency increases as beam size increases for a fixed beam current intensity. The beam size is 1.185 mm for a 0.3 nA beam current intensity and 4.724 mm for a 5 nA beam current intensity when the collection efficiency is 0.99. This demonstrates that to gain a constant collection efficiency with a fixed applied voltage, beam size should increase with beam current intensity.
-202002/1001-8042-31-02-001/alternativeImage/1001-8042-31-02-001-F003.jpg)
In Fig. 3(b), we compare the curves of collection efficiency for three energy proton beams with beam current intensity of a 3 nA. It can be seen that when collection efficiency, current intensity, and applied voltage are fixed, the beam size is smaller in a high-energy proton beam (beam size is 3.666 mm at 70.6 MeV, 2.871 mm at 150.4 MeV, and 2.383 mm in 235 MeV when the collection efficiency is 0.99). Furthermore, from Fig. 3(b), it can be concluded that collection efficiency is positively related to beam energy when the other parameters are fixed.
3.3 Effects of beam current intensity and beam energy on collection efficiency
The relationships between collection efficiency and beam current intensity with a fixed beam size and applied voltage for three proton beam energies are presented in Fig. 4(a). One can see that in both Fig. 4(a) and formula (13), collection efficiency is inversely proportional to beam current intensity. Under the constraint that collection efficiency is at least 0.99, the maximum value of beam current intensity is 12.55 nA for the 235 MeV beam, which is greater than the values of 9.396 nA for the 150.4 MeV beam and 5.344 nA for the 70.6 MeV beam. The maximum value of beam current intensity is denoted as Imax. This value can be used as a reference value for maximum beam current intensity when the collection efficiency of the monitor ionization chamber is at least 0.99.
-202002/1001-8042-31-02-001/alternativeImage/1001-8042-31-02-001-F004.jpg)
The conclusion can be drawn from Fig. 2, Fig. 3, and Fig. 4(a) that collection efficiency is positively related to applied voltage, beam size, and beam energy (or the inverse of dE/dx), and is negatively related to beam current intensity. To investigate the constraint of collection efficiency on beam current intensity at the SAPT facility, we simulated the beam sizes of 94 proton beam energies (varying from 70.6 MeV to 235 MeV) in the same position in a dose monitor ionization chamber using Monte Carlo simulation. Fig. 4(b) presents the beam sizes (blue dotted line) and the inverse of stopping power (dE/dx, green dotted line) for the 94 proton beam energies. The collection efficiencies of the 94 proton beam energies with a beam current intensity of 3 nA are presented in Fig. 4(c). With the combined influence of beam size and stopping power, collection efficiency decreases as beam energy increases owing to the dominant effect of beam size. Collection efficiency reaches a minimum value of 0.9947 when the beam energy is 154 MeV, then increases with increasing beam energy because the effect of stopping power is dominant.
The variation in collection efficiency is less than 0.0012 (maximum collection efficiency is 0.9959 at 70.6 MeV) in Fig. 4(c), indicating that the effect of beam energy on collection efficiency can be regarded as negligible. It should be noted that this conclusion is based on the collection efficiency calculated from the beam size data presented in Fig. 4(b). This conclusion may not be valid when the beam sizes of the 94 proton beam energies are small and fixed at the same value. For example, in Fig. 3(b), the collection efficiencies of the 70.6 MeV and 235 MeV proton beams are 0.9853 and 0.9666, respectively, when the beam sizes, beam current intensities, and applied voltages are fixed as 3 mm, 3 nA, and 1500 V, respectively. The difference between the two collection efficiencies is 0.0187, which is non-negligible.
In Fig. 4(d), we plot the Imax values of the 94 proton beam energies based on the data in Fig. 4(b). The law of change for Imax with proton beam energy is consistent with the law of change for collection efficiency in Fig. 4(c). These data can be used as a reference for the SAPT facility to determine the maximum value of beam current intensity that can be applied for each proton beam energy when the collection efficiency of the monitor ionization chamber is at least 0.99.
3.4 Effects of filling gas on collection efficiency
We replaced the filling gas in the ionization chamber with nitrogen (N2) and calculated the resulting changes in collection efficiency. Fig. 5 presents the collection efficiency of a 70.6 MeV, 5 nA proton beam. The solid and dotted lines represent the collection efficiencies of ionization chambers filled with air and nitrogen, respectively.
-202002/1001-8042-31-02-001/alternativeImage/1001-8042-31-02-001-F005.jpg)
The collection efficiency with a 3 mm beam size and 5 nA beam current intensity increases from 0.9749 to 0.9983 when the filling gas is replaced with nitrogen, indicating that changing the filling gas from air to nitrogen can improve collection efficiency. This is because the constant k in formula (13) changes from 2.01 × 107 to 5 × 106 when the air is replaced with nitrogen.
4 Discussion
Collection efficiency is positively correlated with beam size and negatively correlated with beam current intensity when all other parameters are fixed. In other words, to ensure that the collection efficiency of a monitor parallel plate ionization chamber is no less than a certain value (in this study, we considered a value of 0.99), there should be constraints on beam current intensity and beam size. In pencil beam proton therapy, a smaller beam size can form a smaller penumbra for the dose distribution, which can reduce the dose to OARs and normal tissue around the target. Additionally, treatment time can be reduced with a higher beam current intensity, which can improve the efficiency of treatment and reduce patient movement during treatment. Therefore, a balance between the accuracy of the monitor ionization chamber and beam parameters should be pursued.
Within the allowable voltage range of a monitor parallel plate ionization chamber, one can increase collection efficiency by increasing the applied voltage. This means that with increasing voltage, a smaller beam size and higher beam current intensity can be adopted in a pencil beam scanning system when the accuracy of the monitor ionization chamber is guaranteed. Furthermore, we determined that changing the filling gas from air to nitrogen will improve collection efficiency, which can improve the acceptability of smaller beam sizes and higher beam current intensities while maintaining collection efficiency.
The relationships between collection efficiency and beam energy, and between collection efficiency and beam size were investigated separately in this study. From Fig. 3(b), we can draw the conclusion that collection efficiency is positively related to beam energy when the other parameters are fixed. As shown in Fig. 4(b), the beam size at the position of the dose monitor ionization chamber is smaller for a high-energy proton beam. Based on the combined influence of beam size and energy, collection efficiency initially decreases with increasing beam energy. When the beam energy reaches 154 MeV, collection efficiency increases with beam energy. However, the overall variation in collection efficiency is less than 0.0012, as shown in Fig. 4(c), which can be regarded as negligible. This is consistent with the conclusion presented by Mirandola [38] that the correlation between collection efficiency (caused by volume recombination) and beam energy is negligible for a pencil proton beam. However, it should be noted that the collection efficiency discussed in Mirandola’s paper is the collection efficiency of a field ionization chamber, which was measured at different depths in a water phantom. The collection efficiency calculated in our study is the collection efficiency of a monitor ionization chamber, which is installed in an irradiation nozzle. The beam size is smaller at the position of the irradiation nozzle than at a position in a water phantom. The effects of beam energy on the collection efficiency of a monitor ionization chamber should be considered when the beam size is small.
In the final stage of this study, we compared
-202002/1001-8042-31-02-001/alternativeImage/1001-8042-31-02-001-F006.jpg)
5 Conclusions
In this study, we analyzed the collection efficiency of monitor parallel plate ionization. We applied Boag’s theory to a proton pencil beam system and derived an analytical solution that considers the transverse distribution of charge density during ionization as a Gaussian function to calculate collection efficiency in the beam spot area.
This calculation method is useful for studying the effects of applied voltage, filling gas, and beam parameters, such as beam size, beam current intensity, and beam energy, on collection efficiency. It was determined that collection efficiency is positively correlated with applied voltage, beam size, and beam energy, but negatively correlated with beam current intensity. Additionally, changing the filling gas from air to nitrogen can improve collection efficiency when the other parameters are fixed.
Appendix. Derivation of integral collection efficiency
As shown in formula (12) in Section 2, the integral collection efficiency can be defined as
Then, based on formulas (5) to (9), we can derive that
Let
and
We define
Finally, the integral collection efficiency can be written as
with
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