Development of a high-resolution two-dimensional detector-based dose verification system for tumor-tracking irradiation in the CyberKnife system

We aim to evaluate the basic characteristics of SRS MapCHECK (SRSMC) for CyberKnife (CK) and establish a dose verification system using SRSMC for the tumor-tracking irradiation for CK. The field size and angular dependence of SRSMC were evaluated for basic characterization. The output factors (OPFs) and absolute doses measured by SRSMC were compared with those measured using microDiamond and microchamber detectors and those calculated by the treatment planning system (TPS). The angular dependence was evaluated by comparing the SRSMC with a microchamber. The tumor-tracking dose verification system consists of SRSMC and a moving platform. The doses measured using SRSMC were compared with the doses measured using a microchamber and radiochromic film. The OPFs and absolute doses of SRSMC were within ±3.0% error for almost all field sizes, and the angular dependence was within ±2.0% for all incidence angles. The absolute dose errors between SRSMC and TPS tended to increase when the field size was smaller than 10 mm. The absolute doses of the tumor-tracking irradiation measured using SRSMC and those measured using a microchamber agreed within 1.0%, and the gamma pass rates of SRSMC in comparison with those of the radiochromic film were greater than 95%. The basic characteristics of SRSMC for CK presented acceptable results for clinical use. The results of the tumor-tracking dose verification system realized using SRSMC were equivalent to those of conventional methods, and this system is expected to contribute toward improving the efficiency of quality control in many facilities

Precise measurement of cross section of 3He(3He,2p)4He by using He-3 doubly charged beam

The fusion cross section of 3He(3He,2p)4He at a center of mass energy of 30 to 50 keV has been measured by using helium-3 doubly ionized beam at a low-energy high current accelerator facility, OCEAN. Free from molecular interference in the beam, the measurement determines the astrophysical S-factor with better statistical and systematical errors than previous data. By using singly and doubly charged helium-3 ions the facility envisages to provide the data from high energy to Gamow energy regions.Comment: 44 pages, 23 Postscript figure

How many times can patients tolerate reoperation?

The frequency of resection for the recurrence of colorectal cancer has not been investigated in previous studies. Likewise, the related postoperative complications and the limit for indicating surgical resection has not been reported. Herein, we reported the complications of a highly frequent surgical approach for rectal cancer recurrence, i.e., exceeding three reoperations, based on our clinical experience. We included 15 cases exceeding two operations for the local recurrence of colorectal cancer from 2014 to 2019. We examined the postoperative complications classified as Clavien–Dindo IIIb. The positive rates of the complications were 0 (0.0%), 0 (0.0%), 2 (13.3%), 3 (37.5%), and 0 (0.0%) for the primary, 1st recurrent, 2nd recurrent, 3rd recurrent, and 4th recurrent operation group (p = 0.027), respectively. It is important to exercise caution in handling cases exceeding two reoperations (exceeding three reoperations including the primary operation)

Applying a respiration-gated irradiation to a layer-stacking method for heavy-ion radiotherapy

Particle Therapy Co-Operative Group 4

First Experimental Results of Spiral-Wobbler System for Heavy-Ion Radiotherapy

「第4回日韓医学物理合同大会」、「第5回アジア―オセアニア医学物理大会

DESIGN of COMPACT IRRADIATION PORT for CARBON RADIOTHERAPY FACILITY

A compact irradiation port for wide spread use of carbon radiotherapy is designed. The energy of carbon ions is planed to range from 140 to 400 MeV/n. The facility needs both of horizontal and vertical irradiation ports for an efficient treatment. The port length will be reduced to 5.5 m which equal to half length of HIMAC. The broad beam method will be used to produce a irradiation field up to 220 mm in diameter and 250 mm in depth. We propose an amplitude-modulation wobbler method, so called spiral wobbler method, to produce the large irradiation field using a small radius beam. The system has an advantage that the residual range at a patient position is longer than that produced by a conventional wobbler-scatterer method. In this paper, design for the compact irradiation port, especially for the spiral wobbler system, is reported.The 3rd Asian Particle Accelerator Conferenc