Carbon-ion radiotherapy (CIRT) uses the Bragg peak to deliver precise dose distributions. However, the generation of secondary neutrons and uncertainty in the beam range can affect treatment efficacy and result in damage to organs at risk. To ensure p...
Carbon-ion radiotherapy (CIRT) uses the Bragg peak to deliver precise dose distributions. However, the generation of secondary neutrons and uncertainty in the beam range can affect treatment efficacy and result in damage to organs at risk. To ensure patient safety, it is crucial to characterize secondary neutrons and implement real-time dose verification during treatment. Compared with proton beams, carbon-ion beams produce significantly higher yields of secondary neutrons. In particular, carbon beams generate high-energy neutrons of up to several hundred MeV, making them well-suited for detection through neutron scatter imaging techniques. Therefore, the use of neutron-based monitoring in CIRT affords improved detection efficiency and contributes to enhanced accuracy for range verification.
In this thesis, the design of a fast neutron scatter imager for CIRT beam range verification was optimized using Geant4-based Monte Carlo simulations. The design of the neutron scatter imager was optimized for three key parameters: detector thickness, inter-detector distance, and pixel size. Furthermore, the effectiveness of lead (Pb) shielding in reducing the gamma-ray counts was evaluated. The prototype fast neutron scatter imager developed in this study consists of two position-sensitive detectors utilizing pixelated organic scintillators (EJ-276 and stilbene, 4×4 pixel array, 3×3×10 mm3 per pixel) coupled to 4×4 SiPM arrays (S13361-3050AE-04, Hamamatsu). Signals were read out through dedicated signal-processing electronics provided by AiT, and data acquisition was performed using a VME-based multi-channel digitizer (V1730SB, CAEN).
The performance of the proof-of-principle detector system was evaluated in terms of various parameters (i.e., position, energy, and timing resolution, detection efficiency, and pulse shape discrimination (PSD)). The stilbene and EJ-276 detectors showed average energy resolutions of 17.5% and 22.5% (at 662 keV peak), and constant-fraction discriminator (CFD)-based timing resolutions of 0.328 ns and 0.669 ns, respectively. The average neutron detection efficiencies were measured as 2.08×10⁻⁶±2.96×10⁻⁷ for stilbene and 1.98×10⁻⁶±2.33×10⁻⁷ for EJ-276. The PSD performance demonstrated clear neutron–gamma separation, with a figure-of-merit (FOM) of 1.27 for stilbene and 0.78 for EJ-276. Using a 252Cf source, neutron images were successfully reconstructed through TOF- and PSD-based coincidence event selection. Image resolution was achieved at approximately 4.22 cm FWHM using simple back-projection (SBP) and at 1.97 cm FWHM using maximum-likelihood expectation-maximisation (MLEM).
Finally, the feasibility of a fast neutron scatter imager to carbon-beam range verification was evaluated using Geant4 simulations for carbon-ion beam energies of 150–430 MeV/u. Secondary neutron distributions were reconstructed using the fast neutron scatter imaging technique, and analysis of their correlation with the true beam range confirmed the practical potential of the system for carbon-beam range verification.