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Improvement in the neutron beam collimation for application in boron neutron capture therapy of the head and neck region

Hu, Naonori Tanaka, Hiroki Kakino, Ryo Yoshikawa, Syuushi Miyao, Mamoru Akita, Kazuhiko Aihara, Teruhito Nihei, Keiji Ono, Koji 京都大学 DOI:10.1038/s41598-022-17974-7

2022

概要

In June 2020, the Japanese government approved boron neutron capture therapy for the treatment of head and neck cancer. The treatment is usually performed in a single fraction, with the neutron irradiation time being approximately 30–60 min. As neutrons scatter in air and loses its intensity, it is preferable to bring the patient as close to the beam port as possible to shorten the irradiation time. However, this can be a challenge, especially for patients with head and neck cancer, as the shoulders are an obstacle to a clean positioning. In this study, a novel neutron collimation system for an accelerator based neutron source was designed to allow for a more comfortable treatment, without compromising the irradiation time. Experimental measurements confirmed the simulation results and showed the new collimator can reduce the irradiation time by approximately 60% (under the same condition where the distance between the source and the patient surface was kept the same). The dose delivered to the surrounding healthy tissue was reduced with the new collimator, showing a 25% decrease in the D₅₀ of the mucosal membrane. Overall, the use of the newly designed collimator will allow for a more comfortable treatment of the head and neck region, reduce the treatment time, and reduce the dose delivered to the surrounding healthy tissue.

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Author contributions

N.H. designed the research, conducted the simulations, analysed the data, and wrote the paper; H.T. and K.O.

supervised the research and gave feedback; R.K. assisted with the data collection and analysis, K.A., S.Y., and

M.M. helped with the experimental set up; K.N. and A.T. offered clinical feedback; all authors contributed to

the manuscript. Written informed consent was obtained from legal guardian/parents for minors in manuscript.

Competing interests The authors declare no competing interests.

Additional information

Correspondence and requests for materials should be addressed to N.H.

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