Shielding Design Considerations for Proton Therapy Facilities

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Shielding Design Considerations for Proton Therapy Facilities p p n π ± INC π 0 Nisy Elizabeth Ipe, Ph.D., C.H.P. Consultant, Shielding Design, Dosimetry & Radiation Protection San Carlos, CA, U.S.A. Email: nisy@comcast.net Doing the right thing, doing it right 5 June 2013 PTCOG52 EW Ipe 1

Shielding Design Shielding is NOT the TERMINATOR Radiation dose cannot be made = 0 Shielding is the ATTENUATOR Primary purpose is to attenuate or reduce the radiation dose to levels below some regulatory or design limit UNDER EXPECTED USAGE CONDITIONS Requires understanding of secondary radiation production, beam losses, nuclear and neutron interactions Knowledge of various other parameters 5 June 2013 PTCOG52 EW Ipe 2 http://ecx.images-amazon.com/images/i/41qm6gc2p7l._sl500_aa300_.jpg

Secondary Radiation Produced by interaction of protons with any material in its path Consists of: Prompt radiation which is on only when the machine is on Residual radiation from activation which remains even after the machine is turned off Produced at locations where beam losses occur In synchrotron and cyclotron during injection, acceleration and extraction During energy degradation in cyclotron During beam transport to treatment room In beam shaping devices located in treatment nozzle Also produced in patient, dosimetric phantom and beam stopper Important to understand physics behind secondary radiation production 5 June 2013 PTCOG52 EW Ipe 3

Physics: Intra-Nuclear Cascade p The interaction of protons with matter p Intraresults in an intra± Nuclear π nuclear cascade Cascade π0 Important in shielding design for protons in the therapeutic energy range of 67 MeV 330 MeV Similar to a water cascade, there is a succession of stages in http://s0.geograph.org.uk/geophotos/01/30/30/13 an intra-nuclear 03004_e8f9a13b.jpg cascade 5 June 2013 n PTCOG52 EW Ipe 4

Stages: Intra-Nuclear Cascade µ± Muon Production π± e+ e- γ π0 γ n Incoming hadron p Electromagnetic Cascade n Intra-nuclear cascade ± π0 n π p Evaporation of Nucleons and Fragments α n β α 5 June 2013 γ Activation PTCOG51 PTCOG52EW EWN.Ipe Ipe 5

Incoming hadron (p, n) interacts with individual nucleons ( p and n) in nucleus, producing a spray of particles Neutral and charged pions are produced above ~ 135 and 140 MeV, respectively. Scattered and recoiling nucleons proceed through nucleus Each nucleon may interact with other nucleons leading to development of cascade Some nucleons escape nucleus p, n Intra-Nuclear Cascade p Large fraction of energy transferred to single nucleon This nucleon with E > 150 MeV is forward peaked and propagates the cascade Nucleons with energies between 20 and 150 MeV transfer energy by nuclear interactions to several nucleons (< 10 MeV/nucleon) Charged particles are quickly stopped by ionization Neutrons predominate at low energies 5 June 2013 PTCOG52 EW Ipe 6 n π 0 π± Intra-Nuclear Cascade

Energy of nucleons that do not escape nucleus is distributed among remaining nucleons Original nucleus is left in an excited state It de-excites by emitting evaporation nucleons, alphas and fragments Low-energy charged particles deposit energy locally Evaporation nucleons are emitted isotropically Evaporation and Activation α β n α Energy of evaporation neutrons extends to 8 MeV Neutrons travel long distances depositing energy continuously Remaining excitation energy emitted as gammas De-excited nucleus may be radioactive (activation) 5 June 2013 PTCOG52 EW Ipe 7 n γ p

π 0 Muons and Electromagnetic Cascade π ± µ ± γ γ e + e- n Charged pions decay to muons Muons are penetrating and deposit energy by ionization; photonuclear reactions also possible Neutral pions decay to gammas which initiate electromagnetic (EM) cascades EM cascades do not contribute significantly to energy transport Neutrons are principal propagators of cascade with increasing depth, since protons and pions (E < 450 MeV) have a high rate of energy loss 5 June 2013 PTCOG52 EW Ipe 8

Angular Dose Profiles from Unshielded Thick Tissue Targets For Various Proton Energies A 250 MeV 230 MeV 220 MeV 160 MeV 1.0E-03 2 psv-m /proton 1.0E-02 120 MeV 1.0E-04 1.0E-05 0 More shielding is required in the forward direction 5 June 2013 1 psv = 50 100 Angle (degrees) PTCOG52 EW Ipe 10-12 Sv 150 200 Ipe Data with FLUKA 9

Proton Energy, E p (MeV) Neutron Yields for Protons Incident on a Thick Iron Target (FLUKA) Range (mm) Iron Target Radius (mm) Thickness (mm) Neutron Yield (n/p) E n <19.6 MeV E n > 19.6 MeV Total 100 14.45 10 20 0.118 0.017 0.135 150 29.17 15 30 0.233 0.051 0.284 200 47.65 25 50 0.381 0.096 0.477 250 69.30 58 75 0.586 0.140 0.726 5 June 2013 PTCOG52 EW Ipe 10 Agosteo et al., NIM Phys. Res. B265, 581-589. 2007

Unshielded Neutron Spectra for 250 MeV Protons Incident on Thick Iron Target For Various Production Angles (FLUKA) Evaporation Neutron Peak 5 June 2013 PTCOG51 PTCOG52EW EWN.Ipe Ipe Agosteo et al., NIM Phys. Res. B265, 581-589. 2007 11

Characteristics of Shielded Neutron Field High-energy cascade neutrons propagate cascade in shield Continuously regenerate lower-energy neutrons and charged particles at all depths in the shield via inelastic reactions Yield of lower-energy neutrons increases as proton energy increases Greater yield of lower-energy neutrons is more than compensated for by greater attenuation in shield, because of higher cross-sections at lower neutron energies Radiation field reaches equilibrium condition beyond a few mean free paths within shield Deep within shield, high-energy neutrons (E n > 150 MeV) regenerate cascade, but are few in number; and accompanied by low-energy neutrons Typical neutron spectrum observed outside a thick shield in the forward direction consists of peaks at ~ 2 MeV and at ~ 100 MeV 5 June 2013 PTCOG52 EW Ipe 12

Secondary Radiation Field Quite complex For structural (bulk) shielding, neutrons are the dominant component For mazes and penetrations, neutrons and capture gamma rays contribute to dose Important to understand how neutrons interact 5 June 2013 PTCOG52 EW Ipe 13

Neutron Energy Classification and Interactions Thermal: Ē n = 0.025 ev at 20ºC Typically E n 0.5 ev Intermediate : 0.5 ev <E n 10 kev Fast: 10 kev< E n 20 MeV Include evaporation neutrons Relativistic E n > 20 MeV Include cascade neutrons For E n < 20 MeV, nearly all interactions are elastic or inelastic scatters Absorption is important at thermal energies and at a few resonances in kev region 5 June 2013 PTCOG52 EW Ipe 14

Thermal Neutron Capture Thermal neutrons gain and lose very little energy by elastic scatter They diffuse about and are captured by the nucleus Excited nucleus emits capture gamma rays Capture cross section ( < 1 kev) decreases with increasing neutron energy Energy of capture gamma from hydrogen is 2.22 MeV (polyethylene) Energy of capture gamma from boron is 0.478 MeV (borated polyethylene) Boron capture crosssection is ~10,000 x higher Borated polyethylene is used in instead of polyethylene for shielding maze doors Thermal neutron Excited Nucleus Capture Gamma Ray http://www.glossary.oilfield.slb.com/display.cfm?term=inelastic%20neutron%20scattering 5 June 2013 PTCOG52 EW Ipe 15

Elastic Scatter Kinetic energy and momentum are conserved Fast neutrons lose energy by elastic scatter and become thermal neutrons Interaction with hydrogen is like a billiard ball collision Primary process of energy loss below 1 MeV in hydrogenous materials (concrete, polyethylene, etc.) Dominant interaction below 10 MeV for all materials Hydrogenous materials are most effective for fast neutron shielding Water content of concrete should be at least 5.5% by weight n Nucleus http://www.glossary.oilfield.slb.com/display.cfm?term=elastic%20neutron%20scattering 5 June 2013 PTCOG52 EW Ipe 16

Inelastic Scatter (n,n/) Lead or steel must always be Kinetic energy is not followed by a hydrogenous material conserved because high-z materials are Occurs only above lowest transparent to lower energy excited state in material (847 neutrons kev in 56Fe) Nucleus absorbs energy and is left in an excited state De-excites emitting gamma rays Is dominant process above 10 MeV in all materials In high-z materials, inelastic scattering reduces neutron energy, thus making hydrogenous material that follows more effective 5 June 2013 Nucleus Inelastic gamma rays PTCOG52 EW Ipe Nucleus 17 http://www.glossary.oilfield.slb.com/display.cfm?term=inelastic%20neutron%20scattering

Fast Neutron Interactions Neutrons can also be absorbed or captured: (n, 2n), (n, p), (n, α) or (n, γ) Non-elastic cross-section is sum of inelastic (n, n') and (n, 2n) cross-sections for E n < 20 MeV Inelastic reactions dominate at lower energies (n, 2n) reactions dominate at higher energies (n, 2n) reaction produces large number of lower-energy neutrons NCRP 79 Cross-Sections in Lead 1 barn = 10-24 cm 2 5 June 2013 PTCOG52 EW Ipe 18

Relativistic Neutron Interactions Relativistic neutrons arise from cascade processes in proton accelerators Cascade neutrons can have energies as high as the primary proton beam Neutrons with E n > 150 MeV Propagate cascade through shielding Continuously regenerate lower-energy neutrons and charged particles at all depths via inelastic reactions Low-energy neutrons undergo capture reactions resulting in production of capture gamma rays 5 June 2013 PTCOG52 EW Ipe 19

Neutron Inelastic Cross Sections for Various Materials Cross sections increase with increasing mass number, A Cross sections decrease with increasing energy to a constant value above ~ 150 MeV Neutrons with E n > 150 MeV will control radiation environment for E p > 150 MeV ICRU Report 28 5 June 2013 PTCOG52 EW Ipe 20

Relativistic Neutron Interactions Neutrons (50 MeV < E n <150 MeV) Intra-nuclear cascade Evaporation nucleons Activation Neutrons (20 MeV < E n 50 MeV) Evaporation nucleons Activation (not included in this talk) Air, water, shielding material and beam line components can become radioactive Cooling water in the vaults should be confined to a self-contained loop 5 June 2013 PTCOG52 EW Ipe 21

Calculational Methods 1. Monte Carlo (MC) Codes FLUKA, MCNP, MCNPX, GEANT, etc. Full computer simulation modeling accelerator, beam line and room geometry can be performed Requires knowledge of composition and density of shielding materials Full Monte Carlo simulations for specific room design is time consuming and not very cost effective during schematic design phase for determining bulk shielding Should be used for all scatter calculations (maze scatter and penetrations) 5 June 2013 PTCOG52 EW Ipe 22

Calculational Methods PTCOG Report 1 2. Analytical Methods - Most models are lineof-sight and assume point source - Limited to transverse shielding and simple d H geometries H exp - Don t account for r changes in angle of H = dose at point of interest production, target H0 = dose at 1 m from source material and dimensions, shielding d = slant thickness material, density and r = distance to shield composition, etc. 5 June 2013 PTCOG52 EW Ipe 23 0 2 λ = attenuation length

Attenuation Length Attenuation length (λ) is penetration distance in which intensity of radiation is reduced to 37% of its value Measured in cm, or in g-cm-2 λ changes with depth and reaches an equilibrium value Measured neutron attenuation lengths in concrete from various sources are shown below Attenuation Length (g cm -2) 150 SLAC,NE213 HIMAC,TEPC HIMAC,Cal. ISIS,Rem C. ISIS,Cal. Loma Linda,TEPC Orsay,TEPC TIARA,NE213 CYRIC,NE213 100 50 130 0 1 10 10 2 3 10 Maximum Source Neutron Energy (MeV) 5 June 2013 PTCOG52 EW Ipe Nakamura, T. in Proc. SATIF-7, 2004, NEA, OECD, Paris 24

Calculation Methods 3. Computational Models Hybrid approach Monte Carlo and Analytical Methods Source terms and attenuation lengths that are independent of geometry are derived using Monte Carlo Various parameters are considered Particle energy, angle of production, target material, dimensions, shielding material, composition and density Computational models are particularly useful during schematic design phase for bulk shielding calculations Facility layout undergoes several iterations They are faster than Monte Carlo calculations 5 June 2013 PTCOG52 EW Ipe 25

H 0 ( E p, ) r 2 d exp g ( ) Computational Models d H( Ep, θ, d/λg(θ)) = H 0 ( E p, ) exp 2 r g ( ) Where: H is the dose equivalent at the outside the shield, H0 is source term at an angle θ with respect to the incident beam, and is assumed to be geometry independent r is the distance between the target and the point at which the dose equivalent is scored, d is the thickness of the shield d/g(θ) is the slant thickness of the shield at an angle θ λθ is the attenuation length at an angle θ g(θ) is cosθ for forward shielding g(θ) is sinθ for lateral shielding g(θ) = 1 for spherical geometry 5 June 2013 PTCOG52 EW Ipe 26

Dose in Forward Direction as a Function of Concrete Thickness for Protons incident on Tissue (FLUKA) Dose per proton @ 1 m: 0 to 10 degrees psv-m 2 /proton Dose per proton @ 1 m: 0 to 10 degrees psv-m 2 /proton 1.E-02 1.E-03 1.E-04 1.E-05 1.E-06 1.E-07 1.E-08 1.E-09 1.E-02 1.E-03 y = 0.0166e -0.0192x 1.E-04 1.E-05 1.E-06 1.E-07 1.E-08 1.E-09 0 100 200 300 400 500 Shielding Thickness (cm) 250 MeV 220 MeV 160 MeV 0 100 200 300 400 500 120 MeV Shielding Thickness (cm) 5 June 2013 PTCOG51 PTCOG52 EW EW N. Ipe Ipe 27 250 MeV 220 MeV 160 MeV 120 MeV H 0 = 0.0166 psv-m 2 /p λ = 1/(0.0192) = 52 cm Shielding is the ATTENUATOR!

Proton Therapy Facilities Proteus One, http://www.ibaprotontherapy.com/proteusseries Mevion S250, Courtesy of The Benham 5 June 2013 PTCOG52 EW Ipe Companies, An SAIC Company NCC, Korea Rinecker, Germany 28

Shielding Design Considerations Treatment and Beam Parameters Particle type (proton) Energies Current at each energy to deliver a certain dose rate Beam shaping and delivery (scanning vs. scattering, etc.) No. of patients/year No. of fractions/patient at each energy Dose delivered per fraction Beam-on time Beam size Beam losses and locations Target materials and dimensions Parameters vary from facility to facility 5 June 2013 PTCOG52 EW Ipe 29

Shielding Design Considerations Accelerator Type Synchrotron Cyclotron Shielding Material Composition Density Water content Facility Layout Adjacent occupancies Type of Area (Controlled, Public, etc.) Above ground, underground.. Country/State Specific Regulatory Dose Limit Shielding design is facility dependent! 5 June 2013 PTCOG52 EW Ipe 30

Mazes Radiation at maze entrance consists of neutrons that scatter through the maze; and capture gamma rays Forward-directed radiation from target should never be aimed toward the maze opening Sum of thicknesses of each maze wall should = thickness of the direct-shielded wall As number of legs increases, the attenuation increases The legs should be perpendicular to each other Reducing maze cross-section area reduces dose at entrance At least two scatters are desirable 5 June 2013 PTCOG52 EW Ipe PTCOG Report 1 31

Pseudo Maze Maze appears to have two legs Legs are not at 90 degrees to each other Single scatter from source reaches maze entrance with very little attenuation Poor design Steel Concrete 5 June 2013 PTCOG52 EW Ipe 32

Skyshine and Groundshine PTCOG Report 1 5 June 2013 PTCOG51 PTCOG52EW EWN.Ipe Ipe 33

Ducts/Penetrations (PTGOG Report 1) Extension of Duct Length One Bend Shadow Mask Shield Curved Bend Two Bends 5 June 2013 PTCOG51 PTCOG52EW EWN.Ipe Ipe 34

PTCOG REPORT 1: Shielding Design and Radiation Safety of Charged Particle Therapy Facilities (http://ptcog.web.psi.ch/archive_reports.html) 1. 2. 3. 4. 5. 6. 7. 8. Introduction N. E. Ipe Radiological Aspects of Charged Particle Therapy Facilities N. E. Ipe Shielding Design Considerations G. Fehrenbacher & N. E. Ipe Radiation Monitoring Y. Uwamino & G. Fehrenbacher Activation Y. Uwamino Monte Carlo Codes - S. Roesler Patient Dose from Secondary Radiation H. Paganetti & I. Gudowska Safety Systems and Interlocks M. Schippers Advisors: A. Smith, A. Mazal and D. Jones Consultants: S. Ban and H. Yashima 5 June 2013 PTCOG52 EW Ipe 35

5 June 2013 PTCOG51 PTCOG52 EW EW N. Ipe Ipe 36