Technical Preparations for the First Carbon-Ion Therapy Facility in the United States

Abstract

Carbon ion radiotherapy (CIRT) provides greater biological effectiveness than conventional photon therapy because of its high linear energy transfer and its ability to induce complex DNA damage. Mayo Clinic Florida is developing the first CIRT facility in the United States, using a synchrotron-based system with dose-driven continuous scanning (DDCS). Although DDCS improves delivery efficiency by keeping the beam on during spot transitions, it also creates the challenge of accurately modeling the dose delivered during beam motion (move dose), which is not fully addressed in current treatment planning systems. In this work, we present a method for accurate simulation of move dose to support Monte Carlo (MC) dose calculations. The method models realistic beam trajectories, including the characteristic hockey stick motion caused by different scanning speeds in the X and Y directions, and accounts for time-dependent beam intensity with linear ramp-up behavior. The beam path is divided into small segments, each represented by a move source with analytically determined position, intensity, and monitor units. Beam intensity fluctuations are also included using a stochastic model based on measurements. Validation using TOPAS simulations for a 430 MeV/u carbon ion beam in a water phantom showed accurate modeling of move dose and the resulting dose distributions. This method provides a practical framework for MC-based dose calculation in clinical CIRT.