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Updated: Mar 30, 2026

Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
Published on: February 6, 2019
SECONDARY NEUTRON DOSES IN A PROTON THERAPY CENTRE.
M De Saint-Hubert1, C Saldarriaga Vargas2, O Van Hoey2
1Dosimetry and Calibration, Belgian Nuclear Research Centre (SCK•CEN), Boeretang 200, 2400 Mol, Belgium mdsainth@sckcen.be.
Secondary neutrons in proton therapy pose radiation protection risks. This study compared neutron dose detectors, finding WENDI-2 and TEPC reliable, while bubble detectors offered a slight overestimation for personal dose equivalent (Hp(10)).
Area of Science:
- Medical Physics
- Radiation Protection
- Nuclear Instrumentation
Background:
- Proton therapy utilizes high-energy protons, but secondary neutron production raises radiation protection concerns for healthcare staff.
- Accurate assessment of neutron doses is crucial for ensuring safety in clinical environments.
Purpose of the Study:
- To intercompare the performance of various neutron detectors for assessing ambient dose equivalent (H*(10)) and personal dose equivalent (Hp(10)) in a proton therapy facility.
- To evaluate the accuracy of different detectors in measuring neutron doses relevant to staff exposure.
Main Methods:
- A joint intercomparative study was conducted at the Proton Therapy Centre, Essen, involving CERN, SCK•CEN, and IBA/IRISIB/ULB.
- Ambient dose equivalent (H*(10)) was measured using Berthold LB 6411, WENDI-2, tissue-equivalent proportional counter (TEPC), and Bonner spheres (BS).
- Personal dose equivalent (Hp(10)) was assessed using active personal dosemeters and bubble detectors, with reference values estimated from spectral and angular data.
Main Results:
- Staff exposure in a technical room indicated H*(10) doses ranging from 0.5 to 1 nSv/monitoring unit.
- The LB 6411 detector underestimated H*(10), whereas WENDI-2 and TEPC showed good agreement with Bonner sphere measurements.
- Active personal dosemeters significantly overestimated Hp(10), while bubble detectors exhibited only a slight overestimation.
Conclusions:
- WENDI-2 and TEPC are recommended for accurate H*(10) assessment in proton therapy settings.
- Bubble detectors provide a reasonable alternative for Hp(10) measurements, though active personal dosemeters require further investigation for accuracy.
- This study highlights the importance of detector selection for reliable radiation protection in proton therapy facilities.
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