Development of Carbon-Ion Radiotherapy Facilities at NIRS

Radiotherapy using high-energy carbon beams from the Heavy Ion Medical Accelerator in Chiba has been carried out at the National Institute of Radiological Sciences (NIRS) since June 1994, and more than 10 000 patients have been treated to date. With the prospective clinical results for the first ten years, we designed a compact accelerator facility for carbon-ion radiotherapy (CIRT), and performed related Research and Development (R&D) works for widespread use of CIRT since 2004. Based on the design and the R&D works, three compact facilities for CIRT were constructed and are in treatment operation, and furthermore two facilities are being constructed in Japan. To further develop the sophisticated CIRT, we constructed a new treatment facility at NIRS. This new facility is equipped with three treatment rooms; two of them have both horizontal and vertical fixed-irradiation-ports, and the other is a rotating-gantry port. For all ports, fast three-dimensional raster-scanning irradiation technology is employed. The rotating gantry equips ten combined-function superconducting magnets, and can deliver carbon ions having the energy of between
E
= 430 and 50 MeV/
u
to an isocenter with irradiation angles of over ±180°. Construction as well as installation of the superconducting gantry was completed by the end of September 2015, and treatments using the gantry began since May 2015. Presently, we are further designing a next-generation compact facility as a future project; superconducting and laser technologies are to be used for accelerator design. In this paper, we report development of carbon-ion accelerator facilities as well as the future project.