Simultaneous imaging of prompt gamma photons and prompt X-rays during irradiation of proton beams to human torso phantom at clinical dose level

Although both prompt gamma photon and prompt X-ray imaging are promising methods for observing a beam shape and estimating the range of the beam from outside a subject, the images using these two methods have not been compared under realistic conditions such as in a human torso phantom. To clarify the imaging capability of prompt gamma photon and prompt X-ray imaging, simultaneous imaging with these methods was conducted during irradiation by proton beams to a human torso phantom at clinical dose level. After a human torso phantom was set on the bed of a proton therapy system, proton pencil beams of three different energies at clinical dose level and a patient planning beam for prostate cancer were used to irradiate the phantom. Prompt gamma photons and prompt X-rays emitted from the phantom were simultaneously imaged by a developed gamma camera and an X-ray camera during irradiation with proton beams to the human torso phantom. For all of the tested beams, we could obtain the beam shapes of prompt gamma photons and prompt X-rays images. The ranges could be estimated within a difference of 11 mm and 14 mm from the calculated dose for prompt gamma photon and prompt X-ray images, respectively. For both types of images, time sequential images and time count rate curves could be derived. We could clarify the imaging capabilities of prompt gamma photons and prompt X-rays were different by the simultaneous imaging during proton irradiation to a human torso phantom. Although both methods had advantages and disadvantages, we confirmed that both methods are promising for beam imaging in a torso phantom and also for future clinical use in proton therapy.