Radiation therapy with protons as of today utilizes information from x-ray CT
in order to estimate the proton stopping power of the traversed tissue in a
patient. The conversion from x-ray attenuation to proton stopping power in
tissue introduces range uncertainties of the order of 2-3% of the range,
uncertainties that are contributing to an increase of the necessary planning
margins added to the target volume in a patient. Imaging methods and
modalities, such as Dual Energy CT and proton CT, have come into consideration
in the pursuit of obtaining an as good as possible estimate of the proton
stopping power. In this study, a Digital Tracking Calorimeter is benchmarked
for proof-of-concept for proton CT purposes. The Digital Tracking Calorimeteris
applied for reconstruction of the tracks and energies of individual high energy
protons. The presented prototype forms the basis for a proton CT system using a
single technology for tracking and calorimetry. This advantage simplifies the
setup and reduces the cost of a proton CT system assembly, and it is a unique
feature of the Digital Tracking Calorimeter. Data from the AGORFIRM beamline at
KVI-CART in Groningen in the Netherlands and Monte Carlo simulation results are
used to in order to develop a tracking algorithm for the estimation of the
residual ranges of a high number of concurrent proton tracks. The range of the
individual protons can at present be estimated with a resolution of 4%. The
readout system for this prototype is able to handle an effective proton
frequency of 1 MHz by using 500 concurrent proton tracks in each readout frame,
which is at the high end range of present similar prototypes. A future further
optimized prototype will enable a high-speed and more accurate determination of
the ranges of individual protons in a therapeutic beam.Comment: 21 pages, 8 figure