Markus Roth TU Darmstadt

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Laser-driven Production of Particle Beams and their application to medical treatment Markus Roth TU Darmstadt

The Case Laser-driven electrons Potential for Applications in Therapy Use of secondary Radiation Laser-driven Ion Beams Properties and Mechanism Damage reports... Experiments Applications as Sources for Therapy Transport of laser-accelerated protons Summary

! "#$$#%$#"& '!# ( ") # & organ at risk tumor tumor-conformal dose distribution The Case

Dose deposition : Photon X, electrons VHE (very high energy) electrons, & ions VHE ELECTRONS * The Case

microscopic dose distributions + The Case

scanning of focussed ion beams in fast dipole magnets active variation of the energy, focus and intensity in the accelerator and beam lines utmost precision via active position and intensity feed back loops intensity-controlled rasterscan technique @ GSI, The Case

The Case

Slices of tumor treated at GSI The Case

IMRT 9 fields Carbon 2 fields Ions vs. IMRT The Case

Efficient acceleration in plasmas = compact accelerator? RF cavity : 1 m Plasma cavity : 1 mm E = 10-100 MeV/m E = 100-1000 GeV/m courtesy of V. Malka et al., Science 2002 - Laser-driven electrons

Use of a two laser scheme: Mono energetic e-beam :1% energy spread pump injection Late Injection pump injection Injection at center pump injection Early Injection J. Faure et al., Nature 2006 -- Courtesy of Victor Malka Laser-driven electrons

Application to radiotherapy: Improvement of some cancer treatments A typical transversal dose distribution with 7 beams. Electrons Photons X Différence A comparison of dose deposition with 6 MeV X ray an improvement of the quality of a clinically approved prostate treatment plan. While the target coverage is the same or even slightly better for 250 MeV electrons compared to photons the dose sparing of sensitive structures is improved up to 19%. T. Fuchs, et al. soumis à Med Bio En coll. Avec DKFZ - Potential for Applications in Therapy

Use of secondary radiation Compact, laser driven FEL's could lead to coherent x-ray radiation for phase contrast imaging Wall Focusing Chamber Electron Generation Chamber Electron Beam Undulator 3 M 1 M 1.4 M Bending Magnet XUV Lanex Soft X-ray spectrometer Wall Wall Input Laser Beam Spectrum Imaging Dump Wall Laser Transport Chambers 6.5 M courtesy of Nasr. A. M. Hafz Advanced Photonics Research Institute (APRI), Korea Proceedings of FEL 2006, BESSY, Berlin, Germany - DESIGN OF AN XUV FEL DRIVEN BY THE LASER-PLASMA ACCELERATOR AT THE LBNL LOASIS FACILITY C. B. Schroeder, Kazuhisa W. M. Nakajima Fawley, E.,Nature Esarey, Physics W. P. Leemans 4, 92-93 (2008) Lawrence Berkeley National Laboratory, Berkeley, CA 94720, USA Wall Use of secondary Radiation

Proton acceleration with lasers : Static electric fields -* Laser-driven Ion Beams

Transverse emittance: < 0.002 π mm-mrad (cf. RF Linacs ~ 1 π mm-mrad) Longitudinal emittance: < 10-6 ev-s (velocity correlated; synchrotrons ~ 0.1 ev-s) Energy spread: 100% Bunch charge: 10 11 10 13 protons or ions Source diameter: ~50 µm (fwhm) Charge state purity: >80% He-like Ion current: ~10 ka (at source) Rep-rate: determined by laser driver Laser-ion efficiency: > 1% (4-20% observed) -+ Properties and Mechanism

RPA for highest intensities Light pressure drives the electrons forward and Ions have to follow BOA mechanism second boost of the hot electrons when target becomes transparent Kinematic Buneman instability -, Slides from B.M. Hegelich (LANL) Properties and Mechanism

DNA dsb visualized by immunofluorescence of γ-h2ax histone in human skin firbroblasts exposed to 2 Gy of ionizing radiation γ-rays silicon iron Cucinotta and Durante, Lancet Oncol. 2006 Damage reports... -

Chance to hit DNA a second time before first damage is repaired (critical flux > 10 8 p/cm 2 ) and beyond. Induce free radicals by water radiolysis close to DNA damage H2AX foci following exposure of human epithelial cells to protons. Each green spot correspond to a distinct DNA double-strand break. - Damage reports...

/ %&!)!0 # (&1# (.!"&.& )))) -,)) *(- - Experiments

Proton flux increase by special cone target: Expansion modeling and PIC-simulations: laser Proton beam profile homogenization by contr. pre-plasma at front side: First proton-acceleration at PHELIX: without long pulse Emax = 26 MeV with long pulse Emax = 32 MeV Experiments

- Applications as Sources for Therapy

! "# $ " % & $& '# ()*+,-.' /" '' $0" )"11- ""0 0. 0. 0 2 3. $0)"( - ).- ( - )"3 4$ 5 $)$3 -

Russia: courtesy of Prof. S. Bulanov Applications as Sources for Therapy PRESENT-DAY SYSTEM SUGGESTION General scheme of the GANTRY: 1. bending magnets; 2. quadrupole lenses; 3. couch (positioner); 4. dose delivery and monitoring system; 5. procedure room; 6. concrete shielding. Magneto-optic system must be precisely manufactured and capable of being rotated as a whole (~100 tons! ). Second International Symposium on Laser Driven Relativistic Plasmas Applied to Science, Industry and Medicine GANTRY IS NOT REQUIRED DOUBLE-LAYER TARGET S. Bulanov,V.Khoroshkov, PPHR 5/2002 Kansai Photon Science Institute, JAEA, Kizugawa, Kyoto, Japan, January 19 to 23, 2009

67 12 MeV 8 MeV 10 MeV * Transport of laser-accelerated protons

7 + Experiments

% target set-up: beam smoothness: 5% mean deviation 30 cm half-angle: 6.6 7 cm 15 MeV protons: 5% inhomogeneity particle number estimation (13 MeV): 2 10 10 protons half-angle divergence: 23 degree distance of sample - target: 5-25 cm beam radius: 2.1-25 cm particles per square-micron: 0.5-14, Experiments

87 8 ((7

((! ( 30 µm spot size 50 µm spot instead of 10 µm 4% of Intensity on target 55 MeV instead of 40 MeV

1$09,:&;, 2$'09 RCF 3.9 MeV 6.8 MeV 9.0 MeV 11.9 MeV > 4 MeV Copper autoradiography 7.9 MeV 10.8 MeV 13.0 MeV 14.3 MeV 16.5 MeV 18.5 MeV 22.9 MeV 15.9 MeV 18.3 MeV 20.5 MeV 22.5 MeV

!,$$&;, 2$'09 RCF 3.9 MeV 6.8 MeV 9.0 MeV 11.9 MeV > 4 MeV Copper autoradiography 7.9 MeV 10.8 MeV 13.0 MeV 14.3 MeV 16.5 MeV 18.5 MeV 22.9 MeV 15.9 MeV 18.3 MeV 20.5 MeV 22.5 MeV 26.8 MeV 30.2 MeV 33.4 MeV 26.9 MeV 30.8 MeV 34.2 MeV

,* ( - flat foil - hemisphere -

/&1#%#!!0!2"#&($ '3 " %##!02 45"1$2/6 $'7/6 $7/8 9)):)%%!! ) ;#))0"# #0!)#"$ && $)## 4'.' "$")18 %&#1)"# #"! ()&$'.( " ;(1 &)) Summary

! Vision for a UHI Laser in Medicine e - Treatment. P E T Kompr. M R I W. C. W. C. Laser Kompr. C T C T PET scan FEL C T Scan Kompr. PET FEL Floorplan: Carbon Facility NIRS HIMAC, Dr. Koji Noda Summary