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G. Adlys / Medical Physics in the Baltic States 7 (2009) 86 - 90<br />

100 keV in the beam would be 90 %, the neutron flux<br />

on the collimator output - approximately 1x10 9 cm -2 s -1 .<br />

The dose produced by an accompanying gamma<br />

radiation could reach 50 % - level of the total dose [2].<br />

6. The neutron sources for therapy<br />

In clinical practice, basically powerful cyclotrons or<br />

nuclear reactors are used as neutron sources. Wide<br />

utilization of such facilities is limited by high<br />

construction and maintenance expenses and nuclear<br />

safety reasons.<br />

The initial clinical studies in boron neutron capture<br />

therapy were carried out with fission reactor produced<br />

neutron beam of thermal neutrons [9].<br />

The nuclear reactor is the most powerful stationary<br />

source of neutrons. At 1 MW heat power in the reactor<br />

core, approximately 10 17 neutrons s -1 are produced. It is<br />

quite natural that the beams of the reactor neutrons have<br />

been used for the NCT and FNT purposes.,There are<br />

still some active operating therapeutical beams<br />

produced in nuclear reactors of various kinds and<br />

powers in the world.<br />

Another approach to using fission reactors has been<br />

based upon the use of a fission converter which converts<br />

a reactor’s thermal neutron to fission neutron beams.<br />

This approach could be especially useful for the<br />

adaptation of the existing medium power multipurpose<br />

reactors for neutron capture therapy.<br />

Modification of existing reactors, new reactors designed<br />

specially for BNCT and accelerator based sources<br />

would all have to be considered to meet the increased<br />

need for neutron therapy.<br />

The MTR reactor designed for medical research has a<br />

power of 10 MW. Some other reactors developed as<br />

sources of neutrons for NCT have a power ranging from<br />

5 to 20 MW.<br />

A BNTC treatment facility is in use at the VTT<br />

Chemical Technology’s FiR-1 research reactor facility<br />

(250 kW Triga reactor) in Espoo, Finland [10]. The<br />

neutron beam from the reactor is moderated into the<br />

epithermal (0.5-10 keV) energy range in the<br />

aluminiumfluoride-aluminium layers.<br />

Despite the nuclear reactor in its stationary regime of<br />

operation has a constant power level and the beam<br />

composition thereby providing standard expositions, a<br />

powerful reactor is a very complex and expensive<br />

facility whose maintenance demands quite strong<br />

requirements for nuclear safety. With quite a rare<br />

exception, the cancer therapy centers and clinics are<br />

usually remote from the physics centers having nuclear<br />

reactors.<br />

The development of accelerator based neutron sources<br />

(ABNS) has been of interest for almost three decades<br />

[11]. The main goal of all the investigations was and is<br />

to create ABNS that will produce epithermal beams<br />

with a sufficient flux of neutrons and energy spectrum<br />

as those produced by nuclear reactors.and to secure<br />

more clinically friendly environment for the treatment<br />

of patients than the environment at a nuclear reactor<br />

facility is.<br />

89<br />

Nuclear reactions on light nuclei are supposed to be<br />

used for the production of neutrons. In some clinics<br />

neutron generators based on T(d,n) 4 He fast neutron<br />

sources are used [12]. However wide use of neutron<br />

generators is limited due to a strong regulation on highactivity<br />

tritium target application.<br />

Experimental results specifying neutron yield data from<br />

thick target on accelerator-based neutron source show<br />

that the most prospective reactions considerd for the fast<br />

neutron therapy are: 7 Li(p,n) 7 Be, 7 Li(d,n)2 4 He and<br />

9 Be(d,n) 10 B.<br />

Protons or deuterons with energies up to 2-2.5 MeV are<br />

needed for the obtaining of neutrons.<br />

Accelerator driven system (ADS) is one of the most<br />

promising concepts under development [13].<br />

Initial goal of this concept is nuclear waste<br />

transmutation and energy amplification, but the progress<br />

in this research field will be useful also for medical<br />

purposes, especially looking for new neutron sources.<br />

Energy amplifiers are subcritical systems, driven by a<br />

proton accelerator for energy extraction from<br />

components of spent nuclear fuel. The high energy<br />

protons from the accelerator hit the spallation target and<br />

generate some 20-40 neutrons per proton by spallation<br />

phenomena. The generated spallation neutrons drive the<br />

reactor to produce power under sub-critical conditions.<br />

The power of such a hybrid system is regulated via the<br />

proton current intensity of the accelerator. Studies by<br />

Nobel Laureate Carlo Rubbia and his co-workers have<br />

shown that using investigatd experimental hybrid<br />

systems it would be possible to achieve reactor power of<br />

1500 MW, if an accelerator which is able to accelerate<br />

protons to 1 GeV (1000 MeV) and generate a proton<br />

current intensity of 10-20 mA would be in operation<br />

[14]. Even higher proton current intensities (100 mA<br />

and more) are pointed out by the other designer groups,<br />

[15].<br />

ADS consist of three main components: the accelerator,<br />

the spallation target and the subcritical reactor.<br />

Usually spallation target as a neutron source and a<br />

promissing tool for medical applications represents a<br />

heavy material of high atomic number (Z) or high (N/Z)<br />

ratio, like a lead or lead bismuth eutectic (LBE).<br />

In medicine, radioactive elements are increasingly used<br />

for diagnosis, therapy and pain relieving [16]. These<br />

elements can be produced through neutron capture on<br />

stable elements in an accelerator driven activator, as an<br />

alternative to reactor production exploiting the process<br />

called Adiabatic Resonance Crossing (ARC). The ARC<br />

concept was first proposed by Carlo Rubbia for the<br />

transmutation by neutron capture of long-lived nuclear<br />

waste, and for radioisotope production for nuclear<br />

medicine applications [17] The ARC effect is based on<br />

the fact that elements to be activated have large capture<br />

resonances at energies of a few eV. Another factor is<br />

that the high energy neutrons in a medium with high<br />

atomic number, low absorption cross-section and high<br />

elastic scattering cross-section are slowed down through<br />

a sequence of a large number of elastic collisions and<br />

with low energy loss per collision. In this way most fast<br />

neutrons reach the epithermal region. The epithermal

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