Peer-Reviewed Publication
J Appl Clin Med Phys2024;25(2):e14159.February 1, 2024Journal Article

Initial experience with an electron FLASH research extension (FLEX) for the Clinac system.

Kyuhak Oh1, Kyle J Gallagher1, Megan Hyun1, Diane Schott1, Sarah Wisnoskie1, Yu Lei1, Samuel Hendley1, Jeffrey Wong1, Shuo Wang1, Brendan Graff1, Christopher Jenkins1, Frank Rutar1, Md Ahmed2, Joshua McNeur2, Jeffrey Taylor2, Marty Schmidt2, Lasitha Senadheera2, Wendy Smith2, Donald Umstadter3, Subodh M Lele1, Ran Dai1, Dong Jianghu James1, Ying Yan1, Zhou Su-Min1
1University of Nebraska Medical Center, Omaha, Nebraska, USA.
2Varian Medical Systems, Palo Alto, California, USA.
3University of Nebraska, Lincoln, Nebraska, USA.

Abstract

PURPOSE: Radiotherapy delivered at ultra-high-dose-rates (≥40 Gy/s), that is, FLASH, has the potential to effectively widen the therapeutic window and considerably improve the care of cancer patients. The underlying mechanism of the FLASH effect is not well understood, and commercial systems capable of delivering such dose rates are scarce. The purpose of this study was to perform the initial acce…

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