Compact dose delivery of laser-accelerated high-energy electron beams toward radiotherapy applications

The use of very high-energy electron (VHEE) beams for radiotherapy has been actively studied for over two decades due to their advantageous dose distribution, deep penetration depth, and great potential of ultrahigh dose-rate irradiation. Recently, laser-plasma wakefield accelerator (LWFA) has emerged as a promising method for the compact generation of VHEE beams, due to its substantially higher accelerating gradients compared to traditional radio-frequency accelerators. However, how to compactly deliver the LWFA-based VHEE beams of relatively large energy spread and create a maximum dose deeply inside the body remains very challenging. In this article, we present a simple dose delivery scheme utilizing only two dipole magnets for LWFA-based VHEE treatment. By adjusting the magnet strengths, the electron beams can be guided along different angular trajectories toward a precise position as deep as 20 cm within 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 is demonstrated to be insensitive to the beam energy spread and meanwhile capable of controlling precisely the dose-peak position in both lateral and longitudinal directions. As such, a uniform dose peak can be generated by the weighted sum of VHEE beams that reach different dose-peak depths. These results demonstrate that LWFA-based VHEE beams can be compactly delivered into a deep-seated tumor region in a controllable manner, thus advancing the development of the VHEE radiotherapy toward the practical clinical applications in the near future.