Abstract
16O and 12C ion beams will be used—besides lighter ions—for cancer treatment at the Heidelberg Ion Therapy Center (HIT), Germany. It is planned to monitor the treatment by means of in-beam positron emission tomography (PET) as it is done for therapy with 12C beams at the experimental facility at the Gesellschaft für Schwerionenforschung (GSI), Darmstadt, Germany. To enable PET also for 16O beams, experimental data of the β+-activity created by these beams are needed. Therefore, in-beam PET measurements of the activity created by 16O beams of various energies on targets of PMMA, water and graphite were performed at GSI for the first time. Additionally reference measurements of 12C beams on the same target materials were done. The results of the measurements are presented. The deduction of clinically relevant results from in-beam PET data requires reliable simulations of the β+-activity production, which is done presently by a dedicated code limited to 12C beams. Because this code is not extendable to other ions in an easy way, a new code, capable of simulating the production of the β+-activity by all ions of interest, is needed. Our choice is the general purpose Monte Carlo code FLUKA which was used to simulate the ion transport, the β+-active isotope production, the decay, the positron annihilation and the transport of the annihilation photons. The detector response was simulated with an established software that gives the output in the same list-mode data format as in the experiment. This allows us to use the same software to reconstruct measured and simulated data, which makes comparisons easier and more reliable. The calculated activity distribution shows general good agreement with the measurements.
General scientific summary. The in-beam PET method is used to monitor treatment in 12C radiotherapy at GSI (Darmstadt, Germany). The β+-activity arising from nuclear interactions between beam particles and tissue is measured. Since activity and dose are not connected in an easy way, in-beam PET depends on comparison between the measured activity and a simulation. In future ion therapy facilities like HIT (Heidelberg, Germany), beams of other ions like 16O will be used for treatment. To enable in-beam PET for other ions, a new simulation approach is needed. We have performed the first in-beam PET measurements with 16O beams and used the obtained data for benchmarking the FLUKA Monte Carlo code. We have developed new biasing methods to keep the execution times short. Overall good agreement between calculated and measured activity was found. We conclude that the FLUKA code can be a valuable choice for application of in-beam PET monitoring of ion therapy.