Measurement of neutron dose distribution for a passive scattering nozzle at the Proton Medical Research Center (PMRC)

For a passive scattering nozzle at the Proton Medical Research Center (PMRC), the distribution of the neutron dose equivalent in the direction transverse to the proton beam line was measured for 200 MeV protons using a tissue equivalent proportional counter REM500. The neutron dose equivalent per Gray of proton-absorbed dose at the isocenter was approximately 2.3 mSv/Gy. The neutron dose outside of the treatment field was approximately 2 mSv/Gy, at maximum and it should be reduced as low as possible according to the ALARA principle. The aperture size of the multi-leaf collimator (MLC), which is a pre-collimator for shielding unwanted protons and mounted at a position upstream from the patient bolus and collimator, was varied in order to investigate its reduction effect on the neutron dose equivalent outside of the treatment field. We confirmed that the neutron dose equivalent outside of the treatment field can be limited depending on the aperture size of the MLC. This could be considered in future treatment planning optimization and patient treatment. MCNPX calculations showed good agreement with the measurements within 10%.