Microdosimetry of a clinical carbon-ion pencil beam at MedAustron -- Part 1: experimental characterization

TL;DR

This study experimentally characterizes the microdosimetric spectra of a clinical carbon-ion pencil beam at MedAustron, revealing how lateral distribution and secondary fragments influence radiation quality and implications for biological effectiveness.

Contribution

It provides detailed microdosimetric measurements of a carbon-ion beam, highlighting the impact of lateral position and secondary fragments on radiation quality, which was not previously quantified in this context.

Findings

Microdosimetric spectra remain stable up to 4 mm from the beam axis.

Secondary fragments like helium and boron significantly affect spectra downstream of the Bragg peak.

Radiation quality varies within the beam, impacting biological effectiveness.

Abstract

This paper characterizes the microdosimetric spectra of a single-energy carbon-ion pencil beam at MedAustron using a miniature solid-state silicon microdosimeter to estimate the impact of the lateral distribution of the different fragments on the microdosimetric spectra. The microdosimeter was fixed at one depth and then laterally moved away from the central beam axis in steps of approximately 2 mm. The measurements were taken in both horizontal and vertical direction in a water phantom at different depths. In a position on the distal dose fall-off beyond the Bragg peak, the frequency-mean and the dose-mean lineal energies were derived using either the entire range of y-values, or a sub-range of y values, presumingly corresponding mainly to contributions from primary particles. The measured microdosimetric spectra do not exhibit a significant change up to 4 mm away from the beam central axis. For lateral positions more than 4 mm away from the central axis, the relative contribution of the lower lineal-energy part of the spectrum increases with lateral distance due to the increased partial dose from secondary fragments. The average values yF and yD are almost constant for each partial contribution. However, when all particles are considered together, the average value of yF and yD varies with distance from the axis due to the changing dose fractions of these two components varying by 30 % and 10 % respectively up to the most off axis vertical position. Characteristic features in the microdosimetric spectra providing strong indications of the presence of helium and boron fragments have been observed downstream of the distal part of the Bragg peak. We were able to investigate the radiation quality as function of off-axis position. These measurements emphasize variation of the radiation quality within the beam and this has implications in terms of relative biological effectiveness.