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Optimization and fabrication of a novel 3D-printed variable density range modulation device for proton FLASH beams
Wenbo Gu1, Khayrullo Shoniyozov1, Kai Mei2
1Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Medical Physics
|September 22, 2025
Summary
3D-printed variable density range modulators offer enhanced flexibility for proton FLASH therapy. This innovation improves treatment delivery speed and device stability for particle therapy.
Area of Science:
- Medical Physics
- Radiation Oncology
- 3D Printing Technology
Background:
- Proton FLASH therapy utilizes range-modulating devices to create spread-out-Bragg-peaks (SOBPs) for ultrafast radiation delivery.
- Current range modulators have limited structural stability and modulation flexibility due to uniform density designs.
Purpose of the Study:
- To introduce a new class of 3D-printed range-modulating devices for particle therapy featuring spatially modulated density.
- To enable greater flexibility and stability in creating SOBPs for advanced radiation treatments.
Main Methods:
- Utilized PixelPrint technology for 3D printing variable density range modulators by controlling filament-to-air ratios.
- Developed an inverse optimization algorithm to generate density maps for SOBP creation.
- Verified device performance using Monte Carlo simulations (MCsquare) and measured range modulation with a multi-layer ionization chamber (MLIC).
Main Results:
- Successfully generated density distributions for multiple SOBP widths using the optimization framework.
- Monte Carlo simulations confirmed the accuracy of SOBP width and flatness.
- MLIC measurements validated the accuracy of the produced SOBPs across various proton beam energies.
Conclusions:
- A novel variable density range-modulating device for proton therapy was successfully developed and validated.
- These 3D-printed devices offer potential for easier handling and significantly faster proton therapy treatment delivery.

