Publications

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FLASH radiotherapy

Publications (6)

Dosimetric and temporal beam characterization of individual pulses in FLASH radiotherapy using Timepix3 pixelated detector placed out-of-field

Article
December 2025
Research
dose-per-pulse
secondary radiation
quality assurance
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Cristina Oancea, Katerina Sykorova, Jan Jakubek, Jiri Pivec, Felix Riemer, Steven Worm, Alexandra Bourgouin

journal:Physica Medica

Background: FLASH radiotherapy necessitates the development of advanced Quality Assurance methods and detectors for accurate monitoring of the radiation field. This study introduces enhanced time-resolution detection systems and methods used to measure the delivered number of pulses, investigate temporal structure of individual pulses and dose-per-pulse (DPP) based on secondary radiation particles produced in the experimental room. Methods: A 20 MeV electron beam generated from a linear accelerator (LINAC) was delivered to a water phantom. Ultra-high dose-per-pulse electron beams were used with a dose-per-pulse ranging from ~1 Gy to over 7 Gy. The pulse lengths ranged from 1.18 µs to 2.88 µs at a pulse rate frequency of 5 Hz. A semiconductor pixel detector Timepix3 was used to track single secondary particles. Measurements were performed in the air, while the detector was positioned out-of-field at a lateral distance of 200 cm parallel with the LINAC exit window. The dose deposited was measured along with the pulse length and the nanostructure of the pulse. Results: The time of arrival (ToA) of single particles was measured with a resolution of 1.56 ns, while the deposited energy was measured with a resolution of several keV based on the Time over Threshold (ToT) value. The pulse count measured by the Timepix3 detector corresponded with the delivered values, which were measured using an in-flange integrating current transformer (ICT). A linear response (R² = 0.999) was established between the delivered beam current and the measured dose at the detector position (orders of nGy). The difference between the average measured and delivered pulse length was ~0.003(30) μs. Conclusion: This simple non-invasive method exhibits no limitations on the delivered DPP within the range used during this investigation.

Radiation measurements using Timepix3 with silicon sensor and bare chip in proton beams for FLASH radiotherapy

Article
March 2025
Research
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C. Oancea, J. Šolc, C. Granja, E. Bodenstein, F. Horst, J. Pawelke, J. Jakubek

journal:Journal of Instrumentation

This study investigates the response of Timepix3 semiconductor pixel detectors in proton beams of varying intensities, with a focus on FLASH proton therapy. Using the Timepix3 application-specific integrated circuit (ASIC) chip, we measured the spatial and spectral characteristics of 220 MeV proton beams delivered in short pulses. The setup involved Minipix readout electronics integrated with a Timepix3 chipboard and Advapix Timepix3 with a silicon sensor. The bare Timepix3 ASIC chip was also evaluated. Results showed the capability of Timepix3 detectors to measure ToT and event counts in both conventional and UHDR proton beams. The bare ASIC sustained up to 270 Gy/s dose rates.

Time structures of proton pencil beam scanning delivery on a microsecond scale measured with a pixelated semiconductor detector Timepix3

Article
September 2024
Research
Timepix3
proton therapy
dosimetry
PBS
J
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Jiajian Shen, Xuanfeng Ding, Serdar Charyyev, Xiaoying Liang, Cristina Oancea, Peilong Wang, William G. Rule, Wei Liu, Martin Bues, Liyong Lin

journal:Journal of Applied Clinical Medical Physics

The time structures of proton spot delivery in pencil beam scanning (PBS) proton therapy are critical for applications like 4D dose calculations and FLASH therapy. This study uses a pixelated semiconductor detector, AdvaPIX-Timepix3, with a temporal resolution of 1.56 ns, to directly measure proton delivery time structures for synchrotron and synchrocyclotron accelerators. Measurements captured key parameters such as energy layer switch time, magnet switch time, and spot switch time, with uncertainties below 1.5%. Results revealed near-continuous proton spill for synchrotron systems and high-intensity pulsed delivery for synchrocyclotrons. The findings demonstrate that the AdvaPIX-Timepix3 detector provides a precise, non-invasive alternative to log-file based methods for characterizing time structures of therapeutic proton beams.

Characterizing devices for validation of dose, dose rate, and LET in ultra high dose rate proton irradiations

Article
July 2024
Research
Ultra High Dose Rate (UHDR)
FLASH Radiotherapy
Proton Therapy
LET (Linear Energy Transfer)
Dose Rate Validation
Medical Physics
Quality Assurance (QA)
Monte Carlo Simulation
Timepix3
Radiation Dosimetry
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Nathan Harrison, Serdar Charyyev, Cristina Oancea, Alexander Stanforth, Edgar Gelover, Shuang Zhou, William S Dynan, Tiezhi Zhang, Steven Biegalski, Liyong Lin

journal:Medical Physics

This study presents a methodology to validate dose, dose rate (DR), and linear energy transfer (LET) in ultra high dose rate (UHDR) proton therapy, also known as conformal FLASH. FLASH aims to reduce normal tissue damage while preserving tumor control, but its clinical use is limited by challenges in quality assurance (QA) measurements. Researchers used a 250-MeV proton beam and a 3D-printed ridge filter to deliver conformal FLASH to a spherical target. Dose and DR were measured using a 4D multi-layer strip ionization chamber (MLSIC), while LET was assessed using a high-resolution Timepix3 detector with an under-sample and recover (USRe) technique to avoid pile-up. Results from these measurements were compared with those from the MatriXX PT detector and Monte Carlo simulations. The data showed high agreement between experimental results and simulations, with >95% gamma passing rates for dose comparisons and <0.3% difference in DR at the lateral margins. LET measurements also showed strong alignment, with Bhattacharyya distances <1.3% across margins. The study concludes that this methodology is effective for experimental validation and QA of FLASH treatment plans.

Thermal neutron detection and track recognition method in reference and out-of-field radiotherapy FLASH electron fields using Timepix3 detectors

Article
October 2023
Research
Timepix3
Thermal Neutrons
FLASH
Dosimetry
Neutron
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Cristina Oancea, Jaroslav Solc, Alexandra Bourgouin, Carlos Granja, Jan Jakubek, Jiri Pivec, Felix Riemer, Zdenek Vykydal, Steven Worm, Lukas Marek

journal:Physics in Medicine & Biology

This study investigates the generation and detection of thermal neutrons in FLASH (ultra-high dose rate) electron beams. Approach. Measurements were conducted at a clinical linac using a Timepix3 pixel detector with a ⁶LiF neutron converter. Data were collected under different configurations and analyzed to characterize neutron interactions. Main results. Thermal neutron fluences of up to ~10⁶ cm⁻² Gy⁻¹ were observed, with clear spatial patterns and good agreement with Monte Carlo simulations. Significance. This is the first experimental observation and quantification of thermal neutrons in FLASH electron beams, highlighting a need to consider their presence in dosimetric assessments and biological effect studies.

Stray radiation produced in FLASH electron beams characterized by the MiniPIX Timepix3 Flex detector

Conference Paper
January 2022
Research
MiniPIX TPX3 Flex
Ultra-high dose rate
UHDpulse
FLASH radiotherapy
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C. Oancea, C. Bălan, J. Pivec, C. Granja, J. Jakubek, D. Chvatil, V. Olsansky, V. Chiș

journal:Journal of Instrumentation

This study characterizes ultra-high dose rate (UHDpulse) electron beams using the MiniPIX Timepix3 Flex detector. It evaluates secondary radiation from pulsed 15–23 MeV electron beams. Using silicon sensors of 100 and 500 μm thickness, the Timepix3 detector measures composition, timing, and spectral characteristics at different lateral beam positions. With a 3.5 μs pulse duration and frame-mode acquisition, the setup provides insights into dose rate (up to 40 Gy/s), flux, and spatial distribution. The Flex version minimizes self-shielding and enables real-time, in-situ monitoring. This flexible detector setup supports future implementation in FLASH therapy and dosimetry protocol development.