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Absolute dosimetry for FLASH proton pencil beam scanning radiotherapy

Lourenco, Ana; Subiel, Anna; Lee, Nigel; Flynn, Sam; Cotterill, John; Shipley, David; Romano, Francesco; ... Thomas, Russell; + view all (2023) Absolute dosimetry for FLASH proton pencil beam scanning radiotherapy. Scientific Reports , 13 , Article 2054. 10.1038/s41598-023-28192-0. Green open access

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Abstract

A paradigm shift is occurring in clinical oncology exploiting the recent discovery that short pulses of ultra-high dose rate (UHDR) radiation—FLASH radiotherapy—can signifcantly spare healthy tissues whilst still being at least as efective in curing cancer as radiotherapy at conventional dose rates. These properties promise reduced post-treatment complications, whilst improving patient access to proton beam radiotherapy and reducing costs. However, accurate dosimetry at UHDR is extremely complicated. This work presents measurements performed with a primary-standard proton calorimeter and derivation of the required correction factors needed to determine absolute dose for FLASH proton beam radiotherapy with an uncertainty of 0.9% (1σ), in line with that of conventional treatments. The establishment of a primary standard for FLASH proton radiotherapy improves accuracy and consistency of the dose delivered and is crucial for the safe implementation of clinical trials, and beyond, for this new treatment modality.

Type: Article
Title: Absolute dosimetry for FLASH proton pencil beam scanning radiotherapy
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1038/s41598-023-28192-0
Publisher version: http://dx.doi.org/10.1038/s41598-023-28192-0
Language: English
Additional information: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Med Phys and Biomedical Eng
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10193021
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