Reduction of the number of stacking layers in proton uniform scanning

Uniform scanning with a relatively large beam size can improve beam utilization efficiency more than conventional irradiation methods using scatterers and can achieve a large-field, long-range and large spread-out Bragg peak (SOBP). The SOBP is obtained by energy stacking in uniform scanning, but its disadvantage is that the number of stacking layers is large, especially in the low-energy region, because the Bragg peak of the pristine beam is very sharp. We applied a mini-ridge filter to broaden the pristine Bragg peak up to a stacked layer thickness of 1 or 2 cm in order to decrease the number of stacking layers. The number of stacking layers can be reduced to 20% or less than that in the case of pristine beam stacking. Although the distal falloff of the SOBP is deteriorated by applying the mini-ridge filter, we can improve the distal falloff to that of pristine beam stacking by introducing the distal filter to the irradiation of the most distal layer. Uniform scanning in combination with mini-ridge filter use can more than double the beam utilization efficiency over that of passive irradiation techniques.