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Updated: May 7, 2026

Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
Published on: February 6, 2019
Phenomenological Study of Intra-Spill Break Spots in Dose-Driven Continuous Scanning Proton Therapy
Clifford Ghee Ann Chua1,2, Wilson Han Yi Lim2, Kang Hao Lee1
1Division of Radiation Oncology, National Cancer Centre Singapore, Singapore.
Dose Driven Continuous Scanning (DDCS) proton therapy requires accurate temporal beam parameter characterization. Beam rise time significantly impacts average beam current more than plateau current, crucial for precise dose calculations in DDCS delivery.
Area of Science:
- Medical Physics
- Radiation Oncology
- Particle Therapy
Background:
- Dose Driven Continuous Scanning (DDCS) proton therapy offers faster beam delivery than discrete scanning.
- Accurate dose calculation in DDCS requires precise characterization of temporal beam parameters.
- Understanding beam current variations within a spill is essential for optimizing DDCS delivery.
Purpose of the Study:
- To quantify the variations in beam rise time (t_rise) and plateau beam current (I_0,measured) during a complete spill cycle in DDCS proton therapy.
- To assess the impact of these temporal parameter variations on the average beam current per spot (I_avg).
- To provide a basis for improving dose calculation accuracy in DDCS.
Main Methods:
- Beam current measurements were performed using a CROSSmini 2D detector array with 50 μs temporal resolution.
- Piecewise function fitting was used to extract t_rise and I_0,measured parameters for each spot.
- Sensitivity analysis and experimental validation quantified the impact of temporal variations on I_avg.
Main Results:
- Measured I_0,measured showed a decreasing trend throughout spills, with a steep terminal decline.
- The mean t_rise was 1.43 ± 0.71 ms across all tested conditions.
- I_avg was significantly more sensitive to t_rise variations (up to 80% change) than to I_0,measured variations (less than 2% change).
Conclusions:
- The study successfully characterized temporal beam parameters (t_rise, I_0,measured) within a spill cycle for DDCS proton therapy.
- Variations in beam rise time have a substantial impact on average beam current, significantly influencing dose calculation accuracy.
- These findings are critical for enhancing the precision of dose delivery in DDCS proton therapy.
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