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Development of a GAGG prompt gamma camera and simultaneous imaging with prompt X-rays during irradiation by proton beams at clinical dose level

S. Yamamoto, T. Yamashita, Y. Kobashi, T. Yabe, K. Nakanishi, T. Akagi, M. Yamaguchi, N. Kawachi et al.

2023 IEEE Nuclear Science Symposium, Medical Imaging Conference and International Symposium on Room-Temperature Semiconductor Detectors (NSS MIC RTSD), 2023

Abstract

Prompt gamma photon imaging is a promising method for observing a beam's shape and estimating the range of the beam from outside a subject. However 2 dimensional images of prompt gamma photons during irradiation of protons at clinical dose level were still difficult to measure. To achieve prompt gamma photon imaging, we developed a new gamma camera and imaged prompt gamma photons while irradiating proton beams to a phantom at clinical dose level. We also compared the images with simultaneously measured prompt X-ray images. The developed gamma camera uses a 10 mm thick GAGG block optically coupled to a flat panel photomultiplier tube (FP-PMT), and it is contained in a 20 mm thick tungsten container with a pinhole collimator attached. Proton beams at clinical dose level were irradiated to a poly-methyl-methacrylate (PMMA) block, and the gamma camera imaged prompt gamma photons. The prompt X-rays were simultaneously measured during irradiation of proton beams. For all of the tested beams, we could measure the beam shapes of the prompt gamma photons and the prompt X-rays and the ranges could also be estimated from the images. We confirmed that the prompt gamma photon imaging using our developed gamma camera, as well as prompt X-ray imaging, is promising for beam imaging and range estimation in proton therapy at clinical dose level. In the conference, we will also show the time sequential prompt gamma and X-ray images.

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