Proposed for the first time almost 30 years ago, the research on radio frequency linacs for hadron therapy experienced a sparkling interest in the past decade. The different projects found a common ground on a relatively high rf operating frequency of 3 GHz, taking advantage of the availability of affordable and reliable commercial klystrons at this frequency. This article presents for the first time the design of a proton therapy linac, called TULIP all-linac, from the source up to 230 MeV. In the first part, we will review the rationale of linacs for hadron therapy. We then divided this paper in two main sections: first, we will discuss the rf design of the different accelerating structures that compose TULIP; second, we will present the beam dynamics design of the different linac sections.

A novel high-gradient accelerating structure with low phase velocity, v=c ¼ 0.38, has been designed, manufactured and high-power tested. The structure was designed and built using the methodology and technology developed for CLIC 100 MV=m high-gradient accelerating structures, which have speed of light phase velocity, but adapts them to a structure for nonrelativistic particles. The parameters of the structure were optimized for the compact proton therapy linac project, and specifically to 76 MeV energy protons, but the type of structure opens more generally the possibility of compact low phase velocity linacs. The structure operates in S-band, is backward traveling wave (BTW) with a phase advance of 150 degrees and has an active length of 19 cm. The main objective for designing and testing this structure was to demonstrate that low velocity particles, in particular protons, can be accelerated with high gradients. In addition, the performance of this structure compared to other type of structures provides insights into the factors that limit high gradient operation. The structure was conditioned successfully to high gradient using the same protocol as for CLIC X-band structures. However, after the high power test, data analysis realized that the structure had been installed backwards, that is, the input power had been fed into what is nominally the output end of the structure. This resulted in higher peak fields at the power feed end and a steeply decreasing field profile along the structure, rather than the intended near constant field and gradient profile. A local accelerating gradient of 81 MV=m near the input end was achieved at a pulse length of 1.2 μs and with a breakdown rate (BDR) of 7.2 × 10 −7 1=pulse=m. The reverse configuration was accidental but the operating with this field condition gave very important insights into high-gradient behaviour and a comprehensive analysis has been carried out. A particular attention was paid to the characterization of the distribution of BD positions along the structure and within a cell.

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