Angular scanning VHEE (very high energy electron) pencil beam delivery for radiotherapy

The use of very high energy electrons (VHEE) for radiotherapy has been actively studied for over two decades due to its advantageous dose distribution, deep penetration depth and great potential of ultra-high dose-rate irradiation. However, the high entrance dose of VHEE beams can damage the surface skin of patients and hinder its widespread application. To address this challenge, a novel method utilizing only two dipole magnets is presented in this article. By adjusting the magnet strengths, the electron beams can be guided along different angular directions towards a specific position as deep as 20 cm inside a water phantom, creating a maximum dose over the target region and significantly reducing the entrance dose Supported by Monte Carlo simulations, such a beam delivery approach contains two major advantages over previous methods: first, it is insensitive to beam energy spread, releasing the constraints on accelerator performance, and second, the dose peak position can be accurately controlled in both lateral and longitudinal directions. In addition, we also show that a flattop dose peak can be generated by the weighted sum of VHEE beams focusing at different positions. These results demonstrate that VHEE beams can be compactly delivered into a deep-seated tumor region in a controllable manner, thus advancing the development of the VHEE radiotherapy towards the practical clinical applications in the near future.