LIGHT PROTON THERAPY PROJECT

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17 th of MAY 2018 LIGHT PROTON THERAPY PROJECT Yevgeniy Ivanisenko on behalf of ADAM team FORM-01040-A

AVO-ADAM Advanced Oncotherapy (AVO) is a public company ADAM is R&D center of AVO ~ 100 employees about 50 people in accelerator R&D from 15+ countries contributing their research lab and industry experience Offices in UK, Switzerland and USA www.avoplc.com www.adam-geneva.com 2

AVO-ADAM Advanced Oncotherapy (AVO) is a public company ADAM is R&D center of AVO ~ 100 employees about 50 people in accelerator R&D from 15+ countries contributing their research lab and industry experience Offices in UK, Switzerland and USA www.avoplc.com www.adam-geneva.com 3

CONCEPTUAL INNOVATION What How Why Why (mission) to care? to change? How (direction) can be achieved? can impact?... What (objective) needs to be done? will be the outcome? 4

CANCER TREATMENT Capacity Price 5

RT CANCER TREATMENT Growing number of cancer cases in our aging society with a heavy industrial impact on environment Why More affordable RT More accessible RT 6

RT OUTREACH Capacity Price 7

RADIATION THERAPY RT Proton VS Photon PT advantage Accuracy Less toxicity dose How Why Less chance of secondary tumors Photons/X-rays tumour protons depth[cm] 8

NEXT GENERATION PT Small emittance Pin point targeting w/o masks and degraders Less induced secondary radiation Less shielding Less radioactive materials Energy / charge variation at high repetition rate Raster painting (X,Y,Z) of the tumor volume Real time image guided adaptive treatment What How Why 9

LIGHT DESIGN PARAMETERS Linac Image Guided Hardron Therapy Proton accelerator up to 230 MeV Energy and charge modulated beam at 200 Hz Normalized emittance < 1 mm mrad 10

LINAC OVERVIEW Proton Source Modulator-klystron systems Radio Frequency Quadrupole (RFQ) Side Coupled Drift Tube Linac (SCDTL) Coupled Cavity Linac (CCL) 11

HISTORICAL INSIGHT WITH PROSPECTIVE 1993 TERA foundation started developing proton therapy linear accelerator 2003 First accelerating structure test 2007 ADAM, a CERN spin-off company, was found to commercialize a proton linac based on TERA and CERN technologies 2013 ADAM is acquired by Advanced Oncotherapy (AVO) to bring a linac based medical solution on the market 2020 First patient at Harley Street 12

HARLEY STREET 13

R&D AND INDUSTRIAL PARTNERSHIP 14

LIBERA INSTRUMENTS FOR LIGHT 15

LIGHT LLRF SYSTEM 13 LLRF units odule odule odule re uenc distribution plitter iming s stem rigger s nc unit s s 16

LLRF SPECIFICATION Two frequencies RFQ at 750 MHz SCDTLs and CCLs at 3 GHz Pulse structure 5 us long RF pulse, arbitrary shape 200 Hz Slow cooling feedback Based on decay analysis Adaptive feedforward (AFF) 0.15 deg RMS 0.15 % RMS Control system integration Real-time interface for pulse-topulse settings Slow interface for non-critical data exchange Interlock Siemens PLC interface for the cooling loop (RS-485) ooling od us low o rigs low control 17

LLRF PROJECT STATUS System requirements are defined Contract is signed Project in two phases: Phase one: hardware validation with two LLRF boxes and a sync box By the end of 2018 Phase two: full system By the end of Q1 2019 18

LIBERA SPARK BPM SYSTEM Beam is pulsed (typ. for 2us every 5ms) triggered acquisition, important to set in the Spark correct trigger delay, threshold and number of samples <x>, <y> of each beam pulse (max 200 Hz 5ms rep rate!) Standard Spark interface not deterministic, fast interface (FPGA based) under development/test Biggest challenge: BPM signals extremely weak and huge dynamic range 60dB (it can be from pulse to pulse) as a combination of Beam energy range from 5MeV up to 230MeV Beam pulse current 0.3uA up to 100uA depending on treatment planning BPM system should always guarantee a resolution better than 50um fast gain setting in the electronics and/or Spark HL internal attenuators 19

More on BPM signal dynamic range Current detection limit is -95dBm in the lab corresponds to ~1uA at 7.5MeV different low-noise preamplifiers are in test to push the limit down Z t ω, β = U im I beam = 1 βc 1 C tot A iωrc 2πa 1 + iωrc Expected dynamic range 60dB 20

2 BPMs with different preamplifiers Noise level is different, beam position resolution is the same 21

Faraday Cup reading at 5cm from BPM Amplitude pk-pk 8000 ADC counts 2uA pulse current, 1.5us 22

THANK YOU! 25