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Reports of Practical Oncology and Radiotherapy logoLink to Reports of Practical Oncology and Radiotherapy
. 2014 Dec 12;21(2):95–101. doi: 10.1016/j.rpor.2014.11.004

Present status of Accelerator-Based BNCT

Andres Juan Kreiner a,b,c,, Javier Bergueiro a, Daniel Cartelli a,b,c, Matias Baldo a, Walter Castell a, Javier Gomez Asoia a, Javier Padulo a, Juan Carlos Suárez Sandín a, Marcelo Igarzabal a, Julian Erhardt a, Daniel Mercuri a, Alejandro A Valda a,b, Daniel M Minsky a,b,c, Mario E Debray a,b, Hector R Somacal a,b, María Eugenia Capoulat a,b,c, María S Herrera a,b,c, Mariela F del Grosso a,c, Leonardo Gagetti a,b,c, Manuel Suarez Anzorena a, Nicolas Canepa a, Nicolas Real a, Marcelo Gun d, Hernán Tacca d
PMCID: PMC4747659  PMID: 26933390

Abstract

Aim

This work aims at giving an updated report of the worldwide status of Accelerator-Based BNCT (AB-BNCT).

Background

There is a generalized perception that the availability of accelerators installed in hospitals, as neutron sources, may be crucial for the advancement of BNCT. Accordingly, in recent years a significant effort has started to develop such machines.

Materials and methods

A variety of possible charged-particle induced nuclear reactions and the characteristics of the resulting neutron spectra are discussed along with the worldwide activity in suitable accelerator development.

Results

Endothermic 7Li(p,n)7Be and 9Be(p,n)9B and exothermic 9Be(d,n)10B are compared. In addition to having much better thermo-mechanical properties than Li, Be as a target leads to stable products. This is a significant advantage for a hospital-based facility. 9Be(p,n)9B needs at least 4–5 MeV bombarding energy to have a sufficient yield, while 9Be(d,n)10B can be utilized at about 1.4 MeV, implying the smallest possible accelerator. This reaction operating with a thin target can produce a sufficiently soft spectrum to be viable for AB-BNCT. The machines considered are electrostatic single ended or tandem accelerators or radiofrequency quadrupoles plus drift tube Linacs.

Conclusions

7Li(p,n)7Be provides one of the best solutions for the production of epithermal neutron beams for deep-seated tumors. However, a Li-based target poses significant technological challenges. Hence, Be has been considered as an alternative target, both in combination with (p,n) and (d,n) reactions. 9Be(d,n)10B at 1.4 MeV, with a thin target has been shown to be a realistic option for the treatment of deep-seated lesions.

Keywords: Accelerator-Based BNCT, Different nuclear reactions and accelerator types, Worldwide activity

1. Introduction

Accelerator-Based BNCT (AB-BNCT) is being viewed worldwide as the future modality to start the era of in-hospital facilities. There are projects in Russia, UK, Italy, Japan, Israel, and Argentina to develop AB-BNCT around different types of accelerators which will be briefly reviewed.

In this article a variety of possible charged-particle induced nuclear reactions and the characteristics of the resulting neutron spectra will be discussed along with different particle accelerators as neutron-producing sources. The focus is in the treatment of deep-seated tumors which require an epithermal neutron spectrum (the epithermal range is defined as ranging from 0.5 eV to 10 keV) at the patient's entrance. Likewise the epithermal neutron flux has to be larger than 109 n/cm2 s. Present efforts to develop such facilities worldwide will be described.

2. Overview of accelerator development for AB-BNCT worldwide

Presently there are several initiatives to develop AB-BNCT. Table 1 gives the present status and performance of the different accelerators for AB-BNCT facilities worldwide. Some of the accelerators are already developed and some are under construction. We include only proton or deuteron machines. There is a first group of accelerators which are already operational, they are mainly low energy machines working stably on relatively low currents and using the 7Li(p,n) reaction although some of them may be upgradable. The exception is the KURRI project which uses a 30 MeV proton cyclotron and Be as a neutron producing target, having to deal with a very hard neutron spectrum. The last three rows describe facilities under development conceived to operate at higher current levels.

Table 1.

Current status of the different accelerators intended for AB-BNCT facilities worldwide. Data displayed comprise institute and location, type of machine and its status, proposed target and reaction, beam energy and highest neutron energy, actual or necessary beam intensity and references.

Institute–location Machine (status) Target and reaction Beam energy neutron energy (MeV) Beam current (mA) Reference
Budker Institute
Russia
Vacuum insulated Tandem (ready) Solid 7Li(p,n) 2.0
<1
2 Aleynik et al. 20111
IPPE-Obninsk
Russia
Cascade generator KG-2.5 (ready) Solid 7Li(p,n) 2.3
<1
3 Kononov et al. 20042
Birmingham Univ.
UK
Dynamitron (ready) Solid 7Li(p,n) 2.8
<1.1
1 Ghani et al. 20083
KURRI
Japan
Cyclotron (clinical trials started) 9Be(p,n) 30
<28
1 Tanaka et al. 20114
Soreq
Israel
RFQ-DTLa (ready) Liquid 7Li(p,n) 4
<2.3
2 Halfon et al. 20115
INFN Legnaro
Italy
RFQ (under construction) 9Be(p,n) 4–5
<2–3
30 Ceballos et al. 20116
Tsukuba
Japan
RFQ-DTL (under construction) 9Be(p,n) 8
<6
10 Kumada et al. 20117
CNEA
Buenos Aires
Argentina
Single ended ESQb 9Be(d,n) 1.4
<5.7
30 Kreiner et al. 2011, 20138
Tandem ESQ (under construction) Solid 7Li(p,n) 2.5
<1
30
a

RFQ-DTL stands for Radio Frequency Quadrupole-Drift Tube Linac.

b

ESQ means Electrostatic Quadrupole.

3. Different neutron-producing reactions of interest for AB-BNCT

Table 2 lists the reactions considered in this work for AB-BNCT along with some of their properties. It is worth remembering that the Coulomb barriers of protons on common structural materials, like Fe and Cu, are about 5 MeV and hence, in order to avoid inducing radioactivity, it would be desirable to work below that threshold.

Table 2.

Nuclear reaction properties for targets of 7Li and 9Be.

Reaction Reaction threshold (MeV) Radioactive products
7Li(p,n)7Be 1.88 Yes
9Be(p,n)9B 2.06 Noa
9Be(d,n)10B 0 (exothermic)b No
9Be(d,n)10B* 1c No
a

Very short lived activity with no gamma emission.

b

Average energy of emitted neutrons is 1.7 MeV.

c

Population of excited states at ≈5.1 MeV in 10B. The reaction for population of these states has an effective threshold of ≈1 MeV.

3.1. The endothermic 7Li(p,n)7Be and 9Be(p,n)9B reactions

The most popular endothermic reaction for AB-BNCT is 7Li(p,n)7Be. The Q-value is −1.644 MeV and the threshold energy for the impinging proton is 1.880 MeV. At this bombarding energy the neutron has about 30 keV kinetic energy in the lab frame. This energy is not very far from the epithermal regime. There are in fact proposals to work in this regime.9, 10 At 1.91 MeV the maximum and average neutron energies are 105 and 42 keV and the maximum and average emission angles are 60 and 28°.11 This angular confinement (“kinematic collimation”) allows for a very efficient utilization of the neutrons in terms of the ratio of utilized neutrons/produced neutrons.

In addition to the kinematics of the reaction, it is important to examine the cross section as a function of the proton energy in the lab which will determine the actual neutron production. 7Li(p,n)7Be shows a very steep rise from the threshold on and a small plateau starting at about 1.93 MeV (reaching a value of 270 mb) before the pronounced resonance at 2.25 MeV (reaching 580 mb).12 This translates, as examples, into the following values for total thick target Li neutron yield: 6.3 × 109 n/(mA s) for 1.89 MeV and 5.8 × 1011 n/(mA s) for 2.3 MeV proton bombarding energy11 (see also Table 3).

Table 3.

For different neutron producing reactions the table lists the threshold and some bombarding energies, the corresponding total thick target neutron production, the percentage for which the maximum neutron energy is less than 1 MeV, and the maximum and minimum neutron energies (14Colonna et al. 1999). For the 7Li(p,n)7Be reaction, En,max and En,min correspond to 7Be in its ground state.

Reaction Eth (MeV) Ein (MeV) Total production (n/mA s) Fraction
En < 1 MeV
En,max (keV) En,min (keV)
7Li(p,n)7Be 1.880 1.880 0 100% 30 30
1.890 6.3 × 109 100% 67 7
2.300 5.8 × 1011 a 100% 573 141
2.500 9.3 × 1011 a 100% 787 240
2.800 1.4 × 1012 b 92% 1100 395



9Be(p,n)9B 2.057 2.057 0 100% 20 20
2.500 3.9 × 1010 100% 574 193
4.000 1.0 × 1012 50% 2117 73d



9Be(d,n)10B 0 1.450c 1.6 × 1011 69% 5763e 225f
1.500 3.3 × 1011 50% 5815e 271f



13C(d,n)14N 0 1.500 1.9 × 1011 70% 6772 87g
a

Average between the values reported in Colonna et al.14 and Lee and Zhou.12

b

Allen and Beynon.15

c

Capoulat et al.16 8 μm thick target.

d

Population of 1.5 MeV excited state in 9B.

e

Population of the ground state of 10B.

f

Population of 5.11 MeV state in 10B.

g

Population of 6.446 MeV state in 14N.

Working near-threshold would require very little moderation (at 1.89 MeV the maximum neutron energy is 67 keV) but at the same time would impose a very stringent demand on the energy/voltage stability of the accelerator of 0.1% in order to maintain the production rate sufficiently constant. In our studies13 we have concluded that 2.3 MeV incident proton energy is a very good compromise between an already significant value of the production cross section and still a sufficiently low maximum neutron energy of 573 keV. The minimum neutron energy is 141 keV (at an angle of 180°) and the average energy is 233 keV for a thick target (a thick target is defined as one in which the projectile looses enough energy to cross below the reaction threshold).

To use the 7Li+p reaction would hence demand an accelerator of 2.3 MV “effective” voltage if it is a single-ended machine (the term effective is to indicate that it is not necessarily an electrostatic voltage, e.g., if the accelerator is electrodynamic) or 1.15 MV if it is a tandem (we shall discuss the different accelerator options later on). In addition, the necessary therapeutic thermal neutron flux of the order of 109 n cm−2 s−1 at the tumor position demands relatively high currents (order of tens of mA's needed due to the thick moderator) and here is where the real challenge lies. The high power density deposited in the target material, here metallic Li in the most efficient case, is very high (of the order of 1 kW cm−2) and its cooling represents a challenging technological problem in itself, particularly in view of the rather low melting point (180.5 K) and thermal conductivity (85 W m−1 K−1) of Li. The difficulty in keeping the target solid has led to the consideration of a liquid Li target.5, 17 Another non-negligible complication is the fact that the residual nucleus 7Be is radioactive, implying risks associated to target activation and possible system contamination.

Finally a brief comment about the other endothermic reaction induced by protons on Be. As shown in Table 3, the yield of the 9Be(p,n)9B reaction at 2.5 MeV is much lower than the one of the protons on Li at the same energy. In order to get a comparable production one has to go to energies of about 4 MeV. At these bombarding energies the neutron energy is significantly higher than for the p+Li case (up to 2.1 MeV) and in addition the effective voltage has to be 4 MV which increases the cost of the accelerator significantly. Such a facility is actively pursued by the LNL-INFN Italian group6 to generate thermal neutrons and treat superficial lesions. There are several other projects based on this reaction. There is a 30 MeV proton cyclotron installed at Kyoto University,4 which produces very high energy neutrons of up to 28 MeV, likely to activate parts of the facility. There is also an RFQ-DTL being installed at Ibaraki prefecture, near Tsukuba, intended to work with an 8 MeV proton beam7 (see Table 1), producing neutrons of up to 6 MeV.

3.2. Exothermic deuteron-induced reactions

The use of the 9Be(d,n)10B leads to very acceptable results for the treatment of superficial lesions18 and will be discussed in the following sentences. This reaction has been mentioned in the past as a possible source of neutrons for BNCT.14 Being an exothermic reaction it has the advantage of no threshold and a significant neutron production cross section at relatively low energies. Its drawback is its high Q-value (4.36 MeV) which leads to significant fast neutron production (about 1.7 MeV average neutron energy for 1.5 MeV bombarding energy, see Table 2). There is however a very interesting feature of this reaction noted some time ago.19 10B, the heavy product in the 9Be(d,n) reaction, being a doubly odd nuclide, is already a relatively complex nucleus. It has a number of excited states, but in particular it has one at 5.11 MeV which is strongly populated as soon as it becomes energetically accessible. Hence, for that state, the reaction becomes effectively endothermic and the emitted neutrons have very small energies depending on the exact bombarding energy. The threshold energy is 0.915 MeV. This fact opens the possibility for suppressing a significant part of the fast neutrons produced in this reaction. If one takes a thin Be target (about 7.4 μm thick), so that a 1.45 MeV deuteron looses about 400 keV, the whole fast neutron production stemming from 1.05 MeV downwards is suppressed while the low energy neutron production remains intact. Under these circumstances, a thin Be target and heavy water moderation (of 15 cm depth) with a 20 mA beam allows a single-session BNCT treatment18 in 48 min. For superficial lesions a single ended machine of 1.2 MV in the terminal would suffice, while a tandem would only require 600 kV. This kind of machine is envisaged as an intermediate step in a project under development.8 In addition, the thermomechanical properties of Be are far superior to those of Li: a melting point of 1287 K and a thermal conductivity of 190 W m−1 K−1. A very significant advantage over the Li target is the fact that there is no residual radioactivity for Be. This reaction has also been thoroughly studied in connection with epithermal deep-seated tumor treatment with very encouraging results.16

To complete the discussion of the reactions shown in Table 3 we have to consider carbon as a target, which has excellent thermomechanical properties: a melting point of 3550 K and a thermal conductivity of 230 W m−1 K−1. It is a very stable material and the construction of a target is relatively simple. The 12C(d,n)13N reaction is not competitive due to its low neutron production but 13C(d,n)14N at 1.5 MeV bombarding energy is characterized by a relatively large yield with interesting spectral features for AB-BNCT (low average neutron energies). This reaction has been studied both in Refs. 14, 20 and there is promise here in the case of low energy machines.

4. Accelerators and facilities

In spite of the long history of BNCT there has not been to date a single accelerator-based facility with the required features to carry out a BNCT clinical program in an optimized way. There are different types of accelerators ranging from low energy electrostatic machines to higher energy cyclotrons and to still much higher energy Linacs or synchrotrons, which are being considered for neutron production and BNCT. However, these latter machines produce neutrons with energies far too high for BNCT purposes and while “brute force” moderation can be applied (namely large enough moderation assemblies), high energy neutron tails do survive to some extent and activation also becomes a matter of concern. In addition these facilities may lend themselves for experimental programs but are unlikely to provide the optimal solution in terms of space and cost for BNCT to become a widespread hospital-based modality. Hence we shall here limit the discussion to ongoing attempts to built and develop high current (beyond the mA range) proton or deuteron accelerators of a few MeV to be used in connection with one of the reactions discussed above. Several of these machines have been and still are electrostatic and we shall start with them.

4.1. Electrostatic accelerators

A currently active AB-BNCT program is based around a 3 MV Dynamitron accelerator in the School of Physics and Space Research at the University of Birmingham, UK21 (Green 1998). It is a single-ended machine enclosed in an SF6-filled pressurized vessel and the high voltage is generated through rectified RF power. At Birmingham this machine operates at 2.8 MV and 1–2 mA and is devoted to multiple aspects of the AB-BNCT activity.3 It operates with a heavy water submerged jet cooled solid Li target22 and a Fluental-based beam shaping assembly (BSA) with a beam port at 90° to the vertical beam direction. In order to conduct an optimal clinical program this facility would need an upgrade in terms of beam current. This same machine, with an upgraded ion source, is proposed as the core of a BNCT facility which is intended to operate at 2.8 MeV and 20 mA on a thin solid Li target at about 0.5 kW cm−2 power density.23

Another facility under development is based on a vacuum insulated compact tandem at the Budker Institute of Nuclear Physics in Novosibirsk, Russia.24 The goal for this facility is the production of near-threshold neutrons from the p+7Li reaction at about 1.9 MeV and currents up to 10 mA. First low current tests have been performed.25 Progress has been made in the design and construction of a solid Li target which can be evaporated within the vacuum of the beam line.26 To date the maximum currents achieved1 are at about 2 mA.

There is also another installation under development around a high current cascade generator2 at the IPPE, Obninsk, Russia, which has so far operated at 2.3 MeV and 3 mA.

Finally, a project to build a Tandem-ElectroStatic-Quadrupole (TESQ) accelerator facility is under development in Argentina8 based on the ESQ concept. The machine being designed and constructed is a folded TESQ with a terminal of up to 1.2 MV intended to work in air, to avoid the need for a pressure vessel and for an insulating gas installation. The project aims at developing a machine capable of delivering a proton beam of about 2.4 MeV and 30 mA to irradiate a Li metal target in order to produce a high-quality therapeutic neutron beam (i.e., with the least possible fast neutron contamination) after appropriate beam shaping. Such a facility, in combination with an optimized beam shaping assembly has been shown to be able to deliver treatments of comparable quality of the best present-day reactors.27, 28, 29 As an intermediate step, a smaller machine, a folded TESQ with a terminal at 700 kV is also being developed to be used with the Be(d,n) reaction.8

4.2. RF Electrodynamic machines

There are presently several ongoing projects to develop AB-BNCT facilities based on radiofrequency machines. The first one to be mentioned, currently in its final construction phase, is the AB-BNCT project at the Laboratori Nazionali de Legnaro (LNL) of the Italian INFN organization based on a high intensity radiofrequency quadrupole operating at 4–5 MeV proton energy and 30 mA and intended to be used, with the 9Be(p,xn) reaction, for the development of a thermal neutron source for the treatment of skin melanoma.6

The second project is based on a superconducting Linac, currently installed at the Soreq research center, in Israel. The high intensity proton beam (of about 2 MeV and 2 mA) will be converted in a liquid Li target configured as a windowless forced flowing Li jet.5

These interesting projects are based on machines which are likely to be more expensive and complex than electrostatic ones for hospital-based facilities.

A 30 MeV proton cyclotron installed at Kyoto University in combination with a Be target4 has already been mentioned. Clinical work has started in this facility.

Additionally, there is a project under development based on a RFQ+DTL near to Tsukuba.7 This machine is intended to produce an 8 MeV, 10 mA proton beam to impinge on a Be target.

5. Summary and conclusions

The advancement of BNCT requires neutron sources suitable for installation in hospital environments. Low-energy particle accelerators are most appropriate for this purpose. Furthermore, it is highly likely that the presence of these devices in specialized health-care institutions may be decisive for the future of BNCT. Major advantages of Accelerator-Based BNCT (AB-BNCT) over reactor-based neutron sources are: (a) The potential for siting within a hospital. (b) Less radiation hazards. (c) Larger simplicity in licensing, installation and maintenance. (d) Substantially lower capital expense than that associated with the installation of a reactor system in or near a hospital. (e) The neutron energy spectrum from certain nuclear reactions is much “softer” (less energetic) than the one coming from fission, which makes it easier to generate the “ideal” epithermal neutron spectrum needed to treat a deep seated tumor, and hence the quality of the neutron field can be designed to significantly exceed the quality of the neutron field for reactor-based neutron sources. Also nuclear reactions with harder neutron spectra have been shown to deliver acceptable treatments.

This work aims at giving an updated report of the worldwide status of Accelerator-Based BNCT (AB-BNCT) covering both p or d induced neutron producing reactions. The activity in accelerator development for AB-BNCT worldwide is described. Projects in Russia, UK, Italy, Japan, Israel, and Argentina to develop AB-BNCT around different types of accelerators are briefly presented. The endothermic nuclear reactions 7Li(p,n)7Be and 9Be(p,n)9B and the exothermic reaction 9Be(d,n)10B are compared. In addition to having much better thermo-mechanical properties than Li, Be as a target, for both proton and deuteron induced reactions, leads to stable residual products. This is a significant advantage for a hospital-based facility. 9Be(p,n)9B needs at least 4–5 MeV bombarding energy to have a sufficient yield, while 9Be(d,n)10B can be utilized at about 1.4 MeV, implying the smallest possible accelerator. This reaction operating with a thin, 8 μm, target can produce a sufficiently soft spectrum to be viable for AB-BNCT. The machines considered in combination with 7Li(p,n)7Be and 9Be(d,n)10B are electrostatic single ended or tandem accelerators in the 1.4–2.8 MeV bombarding energy range. Also, electrodynamic machines of the RFQ+DTL (radiofrequency quadrupoles plus drift tube Linacs) type are considered for 7Li(p,n)7Be and 9Be(p,n)9B in the 1.9–8 MeV energy range.

The endothermic reaction 7Li(p,n)7Be at proton energies around 2.3 MeV and currents in the 20–30 mA range coupled to appropriate beam shaping assemblies, with either solid or liquid Li targets provides one of the best solutions for the production of epithermal neutron beams for treatment of deep-seated tumors. Near-threshold operation with this reaction is also likely to be a good option. However, a Li-based target poses significant technological challenges. Hence, Be has been considered as an alternative target, both in combination with (p,n) and (d,n) reactions. In particular, 9Be(d,n)10B at about 1.4 MeV, in combination with a thin target has been shown to be a realistic option for the treatment of deep-seated lesions.

Conflict of interest

None declared.

Financial disclosure

Financial support by CONICET (PIP 316) and UNSAM is kindly acknowledged.

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