Optimization and fabrication of a novel 3D‐printed variable density range modulation device for proton FLASH beams

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Main Authors: Wenbo Gu, Khayrullo Shoniyozov, Kai Mei, Alexander Lin, Wei Zou, Lei Dong, Peter B. Noël, Boon‐Keng Kevin Teo
Format: Artículo Open Access
Published: Wiley 2025
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author Wenbo Gu
Khayrullo Shoniyozov
Kai Mei
Alexander Lin
Wei Zou
Lei Dong
Peter B. Noël
Boon‐Keng Kevin Teo
author_facet Wenbo Gu
Khayrullo Shoniyozov
Kai Mei
Alexander Lin
Wei Zou
Lei Dong
Peter B. Noël
Boon‐Keng Kevin Teo
Wenbo Gu
Khayrullo Shoniyozov
Kai Mei
Alexander Lin
Wei Zou
Lei Dong
Peter B. Noël
Boon‐Keng Kevin Teo
collection Wiley Open Access
contents Optimization and fabrication of a novel 3D‐printed variable density range modulation device for proton FLASH beams Wenbo Gu Khayrullo Shoniyozov Kai Mei Alexander Lin Wei Zou Lei Dong Peter B. Noël Boon‐Keng Kevin Teo Medical Physics Abstract Background For proton FLASH therapy, range‐modulating devices are inserted in the beam path to create a spread‐out‐Bragg‐peak (SOBP) for ultrafast delivery using a single energy pencil beam scanning technique. Current design typically consists of uniform density spikes with range modulation achieved by changing the area and height of the spikes, which has limited structural stability and modulation flexibility. Purpose We present a new class of 3D‐printed range‐modulating devices for particle therapy with spatially modulated density. Methods PixelPrint technology (Laboratory for Advanced Computed Tomography Imaging, University of Pennsylvania, PA) was used to 3D‐print the variable density range‐modulator, by continuously varying the ratio of filament to air in each voxel. With specific thickness and spatial density modulation, SOBP of varying widths can be created. A calibration phantom was 3D printed and scanned by a dual‐energy computed tomography (CT) scanner to characterize the physical and radiological properties of the PixelPrint technology. We developed an inverse optimization algorithm to generate the density map for producing SOBP from monoenergetic proton beam and verified by MCsquare ( http://www.openmcsquare.org/ ), an open‐source Monte Carlo (MC) simulation platform. The range modulation characteristics were measured using a multi‐layer ionization chamber (MLIC) under monoenergetic proton field irradiation. Results The proposed optimization framework generated the density distributions for multiple SOBP widths. MC simulation verified the width and flatness of created SOBPs. The CT scan of a 3‐cm SOBP modulator showed good fidelity of the desired density distribution, except for the highest density regions. MLIC measurements confirmed the accuracy of the produced SOBP with multiple proton beam energies. Conclusion A novel variable density range‐modulating device for proton therapy was successfully developed. These devices have the potential to be handled easily and significantly speed‐up proton therapy treatment delivery. 10.1002/mp.70013 http://creativecommons.org/licenses/by/4.0/
doi_str_mv 10.1002/mp.70013
format Artículo Open Access
id wiley_oa_10_1002_mp_70013
institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by/4.0/
publishDate 2025
publisher Wiley
record_format wiley_oa
spellingShingle Optimization and fabrication of a novel 3D‐printed variable density range modulation device for proton FLASH beams
Wenbo Gu
Khayrullo Shoniyozov
Kai Mei
Alexander Lin
Wei Zou
Lei Dong
Peter B. Noël
Boon‐Keng Kevin Teo
Medical Physics
Optimization and fabrication of a novel 3D‐printed variable density range modulation device for proton FLASH beams Wenbo Gu Khayrullo Shoniyozov Kai Mei Alexander Lin Wei Zou Lei Dong Peter B. Noël Boon‐Keng Kevin Teo Medical Physics Abstract Background For proton FLASH therapy, range‐modulating devices are inserted in the beam path to create a spread‐out‐Bragg‐peak (SOBP) for ultrafast delivery using a single energy pencil beam scanning technique. Current design typically consists of uniform density spikes with range modulation achieved by changing the area and height of the spikes, which has limited structural stability and modulation flexibility. Purpose We present a new class of 3D‐printed range‐modulating devices for particle therapy with spatially modulated density. Methods PixelPrint technology (Laboratory for Advanced Computed Tomography Imaging, University of Pennsylvania, PA) was used to 3D‐print the variable density range‐modulator, by continuously varying the ratio of filament to air in each voxel. With specific thickness and spatial density modulation, SOBP of varying widths can be created. A calibration phantom was 3D printed and scanned by a dual‐energy computed tomography (CT) scanner to characterize the physical and radiological properties of the PixelPrint technology. We developed an inverse optimization algorithm to generate the density map for producing SOBP from monoenergetic proton beam and verified by MCsquare ( http://www.openmcsquare.org/ ), an open‐source Monte Carlo (MC) simulation platform. The range modulation characteristics were measured using a multi‐layer ionization chamber (MLIC) under monoenergetic proton field irradiation. Results The proposed optimization framework generated the density distributions for multiple SOBP widths. MC simulation verified the width and flatness of created SOBPs. The CT scan of a 3‐cm SOBP modulator showed good fidelity of the desired density distribution, except for the highest density regions. MLIC measurements confirmed the accuracy of the produced SOBP with multiple proton beam energies. Conclusion A novel variable density range‐modulating device for proton therapy was successfully developed. These devices have the potential to be handled easily and significantly speed‐up proton therapy treatment delivery. 10.1002/mp.70013 http://creativecommons.org/licenses/by/4.0/
title Optimization and fabrication of a novel 3D‐printed variable density range modulation device for proton FLASH beams
topic Medical Physics
url https://aapm.onlinelibrary.wiley.com/doi/10.1002/mp.70013