Evidence map›Paper›PMID 40665655›Full record

ArticleMedical physics2025

Commissioning of a 142.4 MeV ultra-high dose rate (UHDR) proton beamline in a synchrotron-based proton therapy system.

Lingshu Yin, Daniel Sforza, Devin Miles, Umezawa Masumi, Kan Ota, Xun Jia, Heng Li

Abstract read
In one paragraph

Article in Medical physics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lingshu YinDepartment of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Daniel SforzaDepartment of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Devin MilesDepartment of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Umezawa MasumiCenter for Technology Innovation-Energy, Research and Development Group, Hitachi, Ltd., Hitachi-shi, Ibaraki-ken, Japan.
Kan OtaPyramid Technical Consultants, Inc., Boston, Massachusetts, USA.
Xun JiaDepartment of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Heng LiDepartment of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Funding

Ultra-Fast Dose Rate (FLASH) Radiation Detector and Safety System75N91022C00056 · NCI · PYRAMID TECHNICAL CONSULTANTS, INC. · PI BOISSEAU, RAYMOND · 2022 to 2022
$398k
NCI NIH HHS 75N91022C00056NIH HHS #75N91022C00056
6 · The paper itself

Abstract

backgroundRecent studies suggest that radiotherapy at ultrahigh dose rates (>40 Gy/s, FLASH) offers normal tissue sparing effects while maintaining tumor control. There is significant interest in preclinical studies investigating the mechanism of FLASH sparing effects. PURPOSE: This study aims to commission a fixed proton beamline within a synchrotron-based proton therapy system for preclinical proton FLASH research.

methodsModifications were made to the Hitachi PROBEAT-CR synchrotron system to enhance RF extraction power and increase proton beam current at 142.4 MeV. A high-speed electrometer and an optimized transmission ion chamber (IC) were implemented for ultra-high dose rate (UHDR) beam monitoring and delivery, replacing the conventional beam monitoring IC. Beam output was measured using a Faraday cup in both UHDR and clinical modes. Gafchromic film measurements and Monte Carlo simulations were employed to validate dose delivery in a solid water phantom with various spot scanning patterns.

resultsThe calibration of transmission IC against Faraday cup shows sufficient charge collection efficiency at both clinical dose rates and UHDR. The UHDR PBS beamline demonstrates better than 1% reproducibility and linearity in the absolute beam output. Due to the limited charge per spill, the delivered dose per spill is inversely proportional to the field size. However, the system can deliver up to 41.4 Gy (268.1 Gy/sec) at 2 cm depth with a field size (FWHM) of 8.2 mm, demonstrating suitability for small animal proton FLASH irradiation studies.

conclusionWe successfully commissioned a fixed beam proton UHDR PBS beamline in a synchrotron-based proton therapy system. Despite synchrotron-specific system constraints, our system enables controlled UHDR delivery for preclinical proton FLASH research.

Indexed as

Proton TherapyRadiation DosageSynchrotronsCalibrationMonte Carlo MethodPhantoms, ImagingRadiotherapy Dosagecommissioningproton dosimetryultra‐high dose rate

Identifiers

PMID40665655
PMCPMC12264465

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.