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Purpose: To develop a new method to align the patient setup lasers in radiation therapy and examine its validity and effectiveness. Methods: The new laser alignment method was realized by a device composed of both a metallic base plate and few acrylic transparent plates with a cross hair line on each of them. The holders of radiochromic films were prepared in the device to find a radiation isocenter. The right laser positions could be found optically by matching the shadows of all the cross hairs in the gantry head and the device. The repeatability and reproducibility (R&R) of laser alignments and the dependency of the alignment on the position error of the light source were evaluated by comparing the standard deviations and the means of the measured laser positions. After aligning the lasers optically, a radiation isocenter was found by a collimator spoke shot and the gantry spoke shot, and then the lasers were parallely translated to the isocenter. Results: In the R&R test, the standard deviation was 1.14 mm for the new method whereas it was 1.49 mm or 2.76 mm for the conventional method with either high‐ or low‐precision levels. In the test of the dependency on the position error of the light source, the mean laser position was shifted by 5.3 mm corresponding to the shift of the light source, 4.8 mm for the new method, but for the conventional method the laser position was shifted more than 7 times than that. The positional shift could be corrected by a parallel translation to the isocenter in the new method. Conclusion: A new laser alignment method was devised for radiation therapy and tested successfully. The method enabled us to align the lasers easily and accurately without repetition, and all lasers could be finally aligned to the radiation isocenter.

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Purpose: Proton therapy aims to deliver a high dose in a well‐defined target volume while sparing the healthy surrounding tissues thanks to their inherent depth dose characteristic (Bragg peak). In proton therapy, several techniques can be used to deliver the dose into the target volume. The one that allows the best conformity with the tumor, is called PBS (Pencil Beam Scanning). The measurement of the proton pencil beam spot profile (spot size) and position is very important for the accurate delivery of dose to the target volume with a good conformity. Methods: We have developed a fine segmented detector array to monitor the PBS. A prototype beam monitor using Cherenkov radiation in clear plastic optical fibers (cPOF) has been developed for continuous display of the pencil beam status during the therapeutic proton Pencil Beam Scanning mode operation. The benefit of using Cherenkov radiation is that the optical output is linear to the dose. Pedestal substraction and the gain adjustment between channels are performed. Spot profiles of various pencil beam energies(100 MeV to 226 MeV) are measured. Two dimensional gaussian fit is used to analyze the beam width and the spot center. The results are compared with that of Lynx(Scintillator‐based sensor with CCD camera) and EBT3 Film. Results: The measured gaussian widths using fiber array system changes from 13 to 5 mm for the beam energies from 100 to 226 MeV. The results agree well with Lynx and Film within the systematic error. Conclusion: The results demonstrate good monitoring capability of the system. Not only measuing the spot profile but also monitoring dose map by accumulating each spot measurement is available. The x‐y monitoing system with 128 channel readout will be mounted to the snout for the in‐situ real time monitoring.

Purpose: A fiber‐optic radiation sensor using Cerenkov radiation has been widely studied for use as a dosimeter for proton therapeutic beam. Although the fiber‐optic radiation sensor has already been investigated for proton therapeutic, it has been examined relatively little work for clinical therapeutic proton beams. In this study, we evaluated characteristics of a fiber‐optic radiation sensor for clinical therapeutic proton beams. We experimentally evaluated dose‐rate dependence, dose response and energy dependence for the proton beam. Methods: A fiber‐optic radiation sensor was placed in a water phantom. Beams with energies of low, middle and high were used in the passively‐scattered proton therapeutic beam at the National Cancer Center in Korea. The sensor consists of two plastic optical fibers (POF). A reference POF and 2 cm longer POF were used to utilize the subtraction method for having sensitive volume. Each POF is optically coupled to the Multi‐Anode Photo Multiplier Tube (MAPMT) and the MAPMT signals are processed using National Instruments Data Acquisition System (NI‐DAQ). We were investigated dosimetric properties including dose‐rate dependence, dose response and energy dependence. Results: We have successfully evaluated characteristics of a fiber optic radiation sensor using Cerenkov radiation. The fiber‐optic radiation sensor showed the dose response linearity and low energy dependence. In addition, as the dose‐rate was increased, Cerenkov radiation increased linearly. Conclusion: We evaluated the basic characteristics of the fiber optic radiation sensor, the dosimetry tool, to raise the quality of proton therapy. Based on the research, we developed a real time dosimetry system of the optic fiber to confirm the real time beam position and energy for therapeutic proton pencil beam.