Transformative Technology for FLASH Radiation Therapy.

The general concept of radiation therapy used in conventional cancer treatment is to increase the therapeutic index by creating a physical dose differential between tumors and normal tissues through precision dose targeting, image guidance, and radiation beams that deliver a radiation dose with high conformality, e.g., protons and ions. However, the treatment and cure are still limited by normal tissue radiation toxicity, with the corresponding side effects. A fundamentally different paradigm for increasing the therapeutic index of radiation therapy has emerged recently, supported by preclinical research, and based on the FLASH radiation effect. FLASH radiation therapy (FLASH-RT) is an ultra-high-dose-rate delivery of a therapeutic radiation dose within a fraction of a second. Experimental studies have shown that normal tissues seem to be universally spared at these high dose rates, whereas tumors are not. While dose delivery conditions to achieve a FLASH effect are not yet fully characterized, it is currently estimated that doses delivered in less than 200 ms produce normal-tissue-sparing effects, yet effectively kill tumor cells. Despite a great opportunity, there are many technical challenges for the accelerator community to create the required dose rates with novel compact accelerators to ensure the safe delivery of FLASH radiation beams.

Online charge measurement for petawatt laser-driven ion acceleration.

Laser-driven ion beams have gained considerable attention for their potential use in multidisciplinary research and technology. Preclinical studies into their radiobiological effectiveness have established the prospect of using laser-driven ion beams for radiotherapy. In particular, research into the beneficial effects of ultrahigh instantaneous dose rates is enabled by the high ion bunch charge and uniquely short bunch lengths present for laser-driven ion beams. Such studies require reliable, online dosimetry methods to monitor the bunch charge for every laser shot to ensure that the prescribed dose is accurately applied to the biological sample. In this paper, we present the first successful use of an Integrating Current Transformer (ICT) for laser-driven ion accelerators. This is a noninvasive diagnostic to measure the charge of the accelerated ion bunch. It enables online estimates of the applied dose in radiobiological experiments and facilitates ion beam tuning, in particular, optimization of the laser ion source, and alignment of the proton transport beamline. We present the ICT implementation and the correlation with other diagnostics, such as radiochromic films, a Thomson parabola spectrometer, and a scintillator.

A new platform for ultra-high dose rate radiobiological research using the BELLA PW laser proton beamline.

Radiotherapy is the current standard of care for more than 50% of all cancer patients. Improvements in radiotherapy (RT) technology have increased tumor targeting and normal tissue sparing. Radiations at ultra-high dose rates required for FLASH-RT effects have sparked interest in potentially providing additional differential therapeutic benefits. We present a new experimental platform that is the first one to deliver petawatt laser-driven proton pulses of 2 MeV energy at 0.2 Hz repetition rate by means of a compact, tunable active plasma lens beamline to biological samples. Cell monolayers grown over a 10 mm diameter field were exposed to clinically relevant proton doses ranging from 7 to 35 Gy at ultra-high instantaneous dose rates of 107 Gy/s. Dose-dependent cell survival measurements of human normal and tumor cells exposed to LD protons showed significantly higher cell survival of normal-cells compared to tumor-cells for total doses of 7 Gy and higher, which was not observed to the same extent for X-ray reference irradiations at clinical dose rates. These findings provide preliminary evidence that compact LD proton sources enable a new and promising platform for investigating the physical, chemical and biological mechanisms underlying the FLASH effect.

Laser and electron deflection from transverse asymmetries in laser-plasma accelerators.

We report on the deflection of laser pulses and accelerated electrons in a laser-plasma accelerator (LPA) by the effects of laser pulse front tilt and transverse density gradients. Asymmetry in the plasma index of refraction leads to laser steering, which can be due to a density gradient or spatiotemporal coupling of the laser pulse. The transverse forces from the skewed plasma wave can also lead to electron deflection relative to the laser. Quantitative models are proposed for both the laser and electron steering, which are confirmed by particle-in-cell simulations. Experiments with the BELLA Petawatt Laser are presented which show controllable 0.1-1 mrad laser and electron beam deflection from laser pulse front tilt. This has potential applications for electron beam pointing control, which is of paramount importance for LPA applications.

Detecting radiation reaction at moderate laser intensities.

We propose a new method of detecting radiation reaction effects in the motion of particles subjected to laser pulses of moderate intensity and long duration. The effect becomes sizable for particles that gain almost no energy through the interaction with the laser pulse. Hence, there are regions of parameter space in which radiation reaction is actually the dominant influence on charged particle motion.

Compact x-ray free-electron laser from a laser-plasma accelerator using a transverse-gradient undulator.

Compact laser-plasma accelerators can produce high energy electron beams with low emittance, high peak current but a rather large energy spread. The large energy spread hinders the potential applications for coherent free-electron laser (FEL) radiation generation. We discuss a method to compensate the effects of beam energy spread by introducing a transverse field variation into the FEL undulator. Such a transverse gradient undulator together with a properly dispersed beam can greatly reduce the effects of electron energy spread and jitter on FEL performance. We present theoretical analysis and numerical simulations for self-amplified spontaneous emission and seeded extreme ultraviolet and soft x-ray FELs based on laser plasma accelerators.