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Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
Published on: February 6, 2019
Out-of-field neutron doses in proton therapy: from experimental characterization to a practical calculation tool
Evangelina Martínez-Francés1, Verónica Morán1, Rafael Rodriguez2
1Medical Physics and Radiation Protection Department, Clínica Universidad de Navarra, Madrid, Spain.
Physics in Medicine and Biology
|May 26, 2026
Summary
This study quantifies out-of-field neutron dose in proton therapy, developing a Python tool to estimate these doses for improved patient safety. The tool uses a linear superposition model validated by multiple detectors.
Area of Science:
- Medical Physics
- Radiation Oncology
- Nuclear Engineering
Background:
- Pencil beam scanning (PBS) proton therapy utilizes proton beams for cancer treatment.
- Out-of-field neutron dose is a significant concern in proton therapy rooms.
- Accurate estimation of neutron dose is crucial for patient safety and treatment planning.
Purpose of the Study:
- To experimentally characterize neutron dose distribution in a PBS proton therapy room.
- To analyze factors influencing neutron dose, including proton energy, gantry angle, distance, and field size.
- To develop a practical computational tool for estimating out-of-field neutron doses.
Main Methods:
- Utilized multiple detectors: ambient, bubble detectors (BDs), track-etch, thermoluminescent dosimeters (TLDs), and electronic personal dosimeters.
- Conducted measurements across various proton energies, gantry angles, field sizes, and distances from the isocenter.
- Applied Bland-Altman analysis and validated the linear superposition model for neutron dose contributions.
Main Results:
- Room symmetry varied with gantry angle; doses at 0º were lower than at 180º.
- Neutron doses showed minimal difference for small fields but increased with larger field sizes (2-22%).
- A validated Python-based calculator for out-of-field neutron dose estimation was developed.
Conclusions:
- The developed Python tool provides a practical method for estimating out-of-field neutron doses in PBS proton therapy.
- The linear superposition model accurately approximates neutron doses based on energy layer contributions.
- This tool aids in assessing and managing neutron dose for improved safety in proton therapy facilities.
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