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Bundesamt für Metrologie METAS




ETHZ-METAS-PSI Project:

Absolute Dosimetry for
Scanned Proton Therapy
Beams with Water Calorimetry
   Solange Gagnebin, Damian Twerenbold
   Sektion Thermometrie und Ionisierende Strahlung
   Bundesamt für Metrologie METAS
   Lindenweg 50, Bern-Wabern


   Eros Pedroni, David Meer, Silvan Zenklusen, Christian Bula
   Paul Scherrer Institut, The Proton Therapy Project
ETHZ - METAS - PSI Project: Goal



                   Realizing a primary standard for absolute
                   dosimetry in scanned proton therapy with a
                   water calorimeter.




                                              2
ETHZ-METAS-PSI Project 10-11 September 2008                    © Copyright METAS 2008/Gaso
Dosimetry of Clinical Proton Beams



        Dosimetry is important: in cancer therapy, the dose
        should be correct to a few percent, because:


               • too high dose is harmful for the patient
               • too low dose does not effectively destroy tumors




                                              3
ETHZ-METAS-PSI Project 10-11 September 2008                 © Copyright METAS 2008/Gaso
Dosimetry of Clinical Proton Beams
                 In clinical applications Ionization Chambers are used for the
                 determination of the absolute dose (stable, reliable).


                 However, Ionization Chambers have to be calibrated for
                 dose-to-water.

                 In current dosimetry protocol for protons (IAEA TRP 398) the
                 calibration factor Nw is obtained from Co60 radiation and
                 calculated correction factors.


                 Comparing Ionization Chambers with Water Calorimetry will
                 determine directly the calibration factor Nw



                                                  4
ETHZ-METAS-PSI Project 10-11 September 2008                                  © Copyright METAS 2008/Gaso
Water Calorimetry: Basic Principles
      very simple principle:


                                                                                Eabsorbed
                                                                           ∆T =
                   radiation
                                                                                  cW


                                                         cW : specific heat capacity of water
                                      dose [Gy] at
                                                                  (very well known, since 1930‘s)
                                      position x
   difficulties:
            • very high pure water required
            • chemical heat defect
            • sensitivity                                    chemical heat defect kHD:

                                                                                   1
                                                                        = ∆T ⋅c ⋅
                                                                  D
   main advantage:
                                                                            W W 1−k
                                                                      W
       direct determination of dose-to-water
                               dose-to-                                             HD

                                                     5
ETHZ-METAS-PSI Project 10-11 September 2008                                             © Copyright METAS 2008/Gaso
Water Calorimetry at Gantry 2: Measurements 2008




at new proton
delivery system
Gantry 2




                       METAS water calorimeter



                                              6
ETHZ-METAS-PSI Project 10-11 September 2008          © Copyright METAS 2008/Gaso
METAS Water Calorimeter as Primary
              Standard for Protons
   water calorimeter in water phantom             sealed water vessel




                                                             thermistor




             250 µm


      thermistor bead (metal oxide NTC)

                                              7
ETHZ-METAS-PSI Project 10-11 September 2008                       © Copyright METAS 2008/Gaso
PSI-METAS Proton Dosimetry:
              schematic scanned proton dose profile in
              the vessel




                                              8
ETHZ-METAS-PSI Project 10-11 September 2008       © Copyright METAS 2008/Gaso
Proton dose box with scanned proton beam




                                              9
ETHZ-METAS-PSI Project 10-11 September 2008       © Copyright METAS 2008/Gaso
Proton dose box: thermistor response

    Thermistor response of proton
    dose deposition
    (PSI Annual Report 2006)




                                              10
ETHZ-METAS-PSI Project 10-11 September 2008        © Copyright METAS 2008/Gaso
Measuring dose with a water calorimeter

                            Wheatstone bridge


     energy depostion
     in water




      temperature rise




    resistance change
                                              resistance-to-voltage
                                                                            voltage change
                                              factor has to be calibrated

                                                         11
ETHZ-METAS-PSI Project 10-11 September 2008                                      © Copyright METAS 2008/Gaso
Calibration of resistance-to-voltage
                     NRC-2



                                                        measured resistance-to-voltage
                                                        calibration factors of our two
                                                        thermistors

                                                                            NRC-6
                                              0.0451        /µV



                                              0.0419        /µV


     requirements:
     • precise resistance step = 0.4001 Ω
     • high voltage resolution = 50 nV

                                                       12
ETHZ-METAS-PSI Project 10-11 September 2008                                    © Copyright METAS 2008/Gaso
Measuring dose with Water Calorimeter
                                                                                           P1_PSI_Aug08_proton_K7.m

                                                                                                                          ∆UNRC_2 = 3.1923 µV
P1_PSI_Aug08_2_diff_29.08.2008_16h01m34s.txt
                                                           figure 3 sensor_voltage_1_X     09-Sep-2008 16:09:24
                               0.5
                                                                                            R_Dekade_1 = 9652.79
                                                                                            R_Dekade_2 = 9205.6
                                 0


                                                                                                                          ∆R = ∆UNRC_2·0.0451     /µV = 0.1440
                               -0.5




                                                                                                                          ∆T = TNRC_2(R0-∆R)-TNRC_2(R0) = 0.367 mK
                                 -1


                                                                                         ∆UNRC_2
       sensor voltage 1 [uV]




                               -1.5




                                       ∆UNRC_6                                                                            Dw = ∆T·Cw = 1.545 Gy
                                 -2



                               -2.5



                                 -3




                                                                                                                          ∆UNRC_6 = 3.3736 µV
                               -3.5



                                 -4
                                      3900   4000   4100    4200      4300      4400     4500    4600      4700    4800


                                                                                                                          ∆R = ∆UNRC_6·0.0419
                                                                   time [sec]

                                                                                                                                                  /µV = 0.1413
                                                                                                                          ∆T = TNRC_6(R0-∆R)-TNRC_6(R0) = 0.376 mK
     heat capacity of water:
                                                                                                                          Dw = ∆T·Cw = 1.593 Gy
     Cw = 4206 J kg-1 K-1 = 4.206 Gy mK-1


                                                                                                                          13
   ETHZ-METAS-PSI Project 10-11 September 2008                                                                                                       © Copyright METAS 2008/Gaso
Heat Capacity of Water at 4°
                                         C




                                              Cw = 4206 J kg-1 K-1 = 4.206 Gy mK-1




                                                        14
ETHZ-METAS-PSI Project 10-11 September 2008                                          © Copyright METAS 2008/Gaso
Results of Measurements August 2008

                     Comparison: Ionization Chamber Exradin #456 and
                      Water Calorimeter thermistors NRC_2 and NRC_6
               0.6

                                                                                                                                                     6.5 cm proton box centered at
                                                                                                                                                     reference depth: 15 cm water
              0.55
                      ionizing chamber
                      Exradin #456
               0.5
  dose / Gy




                                                                 thermistor NRC_2                                                                                          thermistor NRC_6
              0.45


               0.4


              0.35      heat capacity water at 4°
                                                C:
                                                                                                                                                                           statistical uncertainty
                                          -1 -1
                           Cw = 4206 J kg K
                                                                                                                                                                                    type A
               0.3
                         Ex_456




                                   NRC_2_1
                                             NRC_2_2
                                                       NRC_2_3
                                                                 NRC_2_4
                                                                           NRC_2_5
                                                                                     NRC_2_6
                                                                                               NRC_2_7
                                                                                                         NRC_2_8
                                                                                                                   NRC_2_9
                                                                                                                             NRC_2_10


                                                                                                                                             NRC_2


                                                                                                                                                       NRC_6_1
                                                                                                                                                                 NRC_6_2
                                                                                                                                                                            NRC_6_3
                                                                                                                                                                                      NRC_6_4
                                                                                                                                                                                                NRC_6_5
                                                                                                                                                                                                          NRC_6_6
                                                                                                                                                                                                                    NRC_6_7
                                                                                                                                                                                                                              NRC_6_8
                                                                                                                                                                                                                                        NRC_6_9
                                                                                                                                                                                                                                                  NRC_6_10


                                                                                                                                                                                                                                                             NRC_6
                                                                                                                                        15
ETHZ-METAS-PSI Project 10-11 September 2008                                                                                                                                                                                                         © Copyright METAS 2008/Gaso
Conclusion and Perspectives
              Conclusion:

                Water calorimeter can be used as a primary standard
              for absolute dosimetry of scanned protons.
                First results show good agreement between calculated
              dose-to-water as determined by ionizing chamber and
              measured with water calorimeter

              Perspectives:

                Systematic studies are required to determine the
              influence of the heat defect in water calorimeter and
              influence of proton energy and deposition depths.

                                              16
ETHZ-METAS-PSI Project 10-11 September 2008                © Copyright METAS 2008/Gaso

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Absolute Dosimetry for Proton Beams-Doktorandenseminar 11 Sept 2008

  • 1. Bundesamt für Metrologie METAS ETHZ-METAS-PSI Project: Absolute Dosimetry for Scanned Proton Therapy Beams with Water Calorimetry Solange Gagnebin, Damian Twerenbold Sektion Thermometrie und Ionisierende Strahlung Bundesamt für Metrologie METAS Lindenweg 50, Bern-Wabern Eros Pedroni, David Meer, Silvan Zenklusen, Christian Bula Paul Scherrer Institut, The Proton Therapy Project
  • 2. ETHZ - METAS - PSI Project: Goal Realizing a primary standard for absolute dosimetry in scanned proton therapy with a water calorimeter. 2 ETHZ-METAS-PSI Project 10-11 September 2008 © Copyright METAS 2008/Gaso
  • 3. Dosimetry of Clinical Proton Beams Dosimetry is important: in cancer therapy, the dose should be correct to a few percent, because: • too high dose is harmful for the patient • too low dose does not effectively destroy tumors 3 ETHZ-METAS-PSI Project 10-11 September 2008 © Copyright METAS 2008/Gaso
  • 4. Dosimetry of Clinical Proton Beams In clinical applications Ionization Chambers are used for the determination of the absolute dose (stable, reliable). However, Ionization Chambers have to be calibrated for dose-to-water. In current dosimetry protocol for protons (IAEA TRP 398) the calibration factor Nw is obtained from Co60 radiation and calculated correction factors. Comparing Ionization Chambers with Water Calorimetry will determine directly the calibration factor Nw 4 ETHZ-METAS-PSI Project 10-11 September 2008 © Copyright METAS 2008/Gaso
  • 5. Water Calorimetry: Basic Principles very simple principle: Eabsorbed ∆T = radiation cW cW : specific heat capacity of water dose [Gy] at (very well known, since 1930‘s) position x difficulties: • very high pure water required • chemical heat defect • sensitivity chemical heat defect kHD: 1 = ∆T ⋅c ⋅ D main advantage: W W 1−k W direct determination of dose-to-water dose-to- HD 5 ETHZ-METAS-PSI Project 10-11 September 2008 © Copyright METAS 2008/Gaso
  • 6. Water Calorimetry at Gantry 2: Measurements 2008 at new proton delivery system Gantry 2 METAS water calorimeter 6 ETHZ-METAS-PSI Project 10-11 September 2008 © Copyright METAS 2008/Gaso
  • 7. METAS Water Calorimeter as Primary Standard for Protons water calorimeter in water phantom sealed water vessel thermistor 250 µm thermistor bead (metal oxide NTC) 7 ETHZ-METAS-PSI Project 10-11 September 2008 © Copyright METAS 2008/Gaso
  • 8. PSI-METAS Proton Dosimetry: schematic scanned proton dose profile in the vessel 8 ETHZ-METAS-PSI Project 10-11 September 2008 © Copyright METAS 2008/Gaso
  • 9. Proton dose box with scanned proton beam 9 ETHZ-METAS-PSI Project 10-11 September 2008 © Copyright METAS 2008/Gaso
  • 10. Proton dose box: thermistor response Thermistor response of proton dose deposition (PSI Annual Report 2006) 10 ETHZ-METAS-PSI Project 10-11 September 2008 © Copyright METAS 2008/Gaso
  • 11. Measuring dose with a water calorimeter Wheatstone bridge energy depostion in water temperature rise resistance change resistance-to-voltage voltage change factor has to be calibrated 11 ETHZ-METAS-PSI Project 10-11 September 2008 © Copyright METAS 2008/Gaso
  • 12. Calibration of resistance-to-voltage NRC-2 measured resistance-to-voltage calibration factors of our two thermistors NRC-6 0.0451 /µV 0.0419 /µV requirements: • precise resistance step = 0.4001 Ω • high voltage resolution = 50 nV 12 ETHZ-METAS-PSI Project 10-11 September 2008 © Copyright METAS 2008/Gaso
  • 13. Measuring dose with Water Calorimeter P1_PSI_Aug08_proton_K7.m ∆UNRC_2 = 3.1923 µV P1_PSI_Aug08_2_diff_29.08.2008_16h01m34s.txt figure 3 sensor_voltage_1_X 09-Sep-2008 16:09:24 0.5 R_Dekade_1 = 9652.79 R_Dekade_2 = 9205.6 0 ∆R = ∆UNRC_2·0.0451 /µV = 0.1440 -0.5 ∆T = TNRC_2(R0-∆R)-TNRC_2(R0) = 0.367 mK -1 ∆UNRC_2 sensor voltage 1 [uV] -1.5 ∆UNRC_6 Dw = ∆T·Cw = 1.545 Gy -2 -2.5 -3 ∆UNRC_6 = 3.3736 µV -3.5 -4 3900 4000 4100 4200 4300 4400 4500 4600 4700 4800 ∆R = ∆UNRC_6·0.0419 time [sec] /µV = 0.1413 ∆T = TNRC_6(R0-∆R)-TNRC_6(R0) = 0.376 mK heat capacity of water: Dw = ∆T·Cw = 1.593 Gy Cw = 4206 J kg-1 K-1 = 4.206 Gy mK-1 13 ETHZ-METAS-PSI Project 10-11 September 2008 © Copyright METAS 2008/Gaso
  • 14. Heat Capacity of Water at 4° C Cw = 4206 J kg-1 K-1 = 4.206 Gy mK-1 14 ETHZ-METAS-PSI Project 10-11 September 2008 © Copyright METAS 2008/Gaso
  • 15. Results of Measurements August 2008 Comparison: Ionization Chamber Exradin #456 and Water Calorimeter thermistors NRC_2 and NRC_6 0.6 6.5 cm proton box centered at reference depth: 15 cm water 0.55 ionizing chamber Exradin #456 0.5 dose / Gy thermistor NRC_2 thermistor NRC_6 0.45 0.4 0.35 heat capacity water at 4° C: statistical uncertainty -1 -1 Cw = 4206 J kg K type A 0.3 Ex_456 NRC_2_1 NRC_2_2 NRC_2_3 NRC_2_4 NRC_2_5 NRC_2_6 NRC_2_7 NRC_2_8 NRC_2_9 NRC_2_10 NRC_2 NRC_6_1 NRC_6_2 NRC_6_3 NRC_6_4 NRC_6_5 NRC_6_6 NRC_6_7 NRC_6_8 NRC_6_9 NRC_6_10 NRC_6 15 ETHZ-METAS-PSI Project 10-11 September 2008 © Copyright METAS 2008/Gaso
  • 16. Conclusion and Perspectives Conclusion: Water calorimeter can be used as a primary standard for absolute dosimetry of scanned protons. First results show good agreement between calculated dose-to-water as determined by ionizing chamber and measured with water calorimeter Perspectives: Systematic studies are required to determine the influence of the heat defect in water calorimeter and influence of proton energy and deposition depths. 16 ETHZ-METAS-PSI Project 10-11 September 2008 © Copyright METAS 2008/Gaso